Cardiopulmonary Flashcards
What are varices?
Vessels that dilate and expand. These give rise to rectal, abdominal & esophageal varices which can become very thick and rupture, clinically important to monitor hemorrhage
Portal hypertension
Increase in the BP within a system of veins
Portal hypertension causes what?
Varices
The lymphatic system runs along side the _______ system
Vascular
Mitral valve in the heart is found on which side?
Left
The tricuspid valve is found on which side of the heart?
Right
R atrium receives venous blood from where?
Superior and inferior vena cava
What does pulmonary hypertension do to the heart?
causes elongation
Distribution of R coronary artery (RCA)?
R atrium, SA node, posterior R ventricle, AV node, bundle of his,
Distribution of L main coronary artery (LMCA)
Bifurcates within 2-10mm into the left anterior descending and circumflex arteries
Distribution of L anterior descending artery (LAD)
Anterior Left ventricle, ant. intraventricular septum and adjacent R ventricle, portion of both bundle branches, and often the proximal inferior portion of both ventricles and apex
Distribution of Circumflex artery (CX)
L atrium, lateral and inferior walls of the L ventricle, and sometimes serves as origin of the posterior descending
Distribution of posterior descending artery (PDA)
Posterior intraventricular septum, plus at least half of the inferior left ventricle
Systole (contraction) coronary aa squeezed causing?
Reduction in blood perfusion
Diastole (relaxation) coronary aa relaxed causing?
perfusing to myocardium
What is coronary blood flow influenced by?
autonomic nervous system
Approximately 2/3 of total blood volume is stored where?
venous vasculature
What are the effects of aging on the CV system
- Bl vessels lose elasticity (thicker and stiffer, increases BP)
- L ventricle becomes more hypertrophied and less compliant (slower ventricular filling)
- Heart valves become more thickened and calcified (stenosis)
- May have changes in the conduction system (arrhythmias)
- Baroreceptors become less sensitive (orthostatic hypotension)
- Adrenergic responsiveness declines (lower exercise and maximal HR)
- Changes in myocardial cells (volumes and contractions