Cardiovascular 1 Flashcards

1
Q

Resistance (or back-pressure) for blood ejecting from the heart is called…

A

Afterload

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

The force against which the ventricle contracts to eject blood is called…

A

Afterload

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

The volume of blood ejected from the ventricle with each contraction is called…

A

Stroke volume

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Explain preload

A

Preload is the pressure generated in the ventricle (or the volume of blood in the ventricle) at the end of diastole resulting in stretch of cardiac muscle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Explain contractility

A

Contractility refers to the increased strength of contraction due to an increase in calcium available for the muscle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Total blood ejected by the heart each minute is called…

A

Cardiac output

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Increased sympathetic output is activated in response to haemorrhage… True or false

A

True… A loss in blood volume will result in a decrease in systemic blood pressure, causing activation of the baroreceptor reflex, which triggers sympathetic nervous system responses.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Blood flow to an organ is called…

A

Perfusion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

The degree of myocardial stretch prior to contraction is called…

A

Preload

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Dyslipidaemia is a major risk factor for atherosclerosis….true or false

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

High levels of LDL and triglycerides increase the risk of …

A

Atherosclerosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Modifiable risk factors for atherosclerosis include…

A

Obesity
Hypertension and
Smoking

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Receptors that respond to adrenaline and noradrenaline are called…

A

Adrenergic receptors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

The systemic circuit supplies blood to and from…

A

All body tissue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

The Pulmonary circuit supplies blood to and from…

A

The lungs for oxygenation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Right heart chambers propel deoxygenated blood through which circuit

A

The pulmonary circuit

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Left heart chambers propel oxygenated blood through which circuit

A

Systemic circuit

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Coronary veins drain into the ————–which empties into the right atrium

A

Coronary sinus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

The main coronary arteries branch off the ——-and lead into ——–which supply blood to cardiac tissue

A

Aorta

Capillaries

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

List the coronary arteries

A

Left main coronary artery
Left anterior descending artery (LAD)
Circumflex artery and
Right coronary artery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What does the cardiac conduction system comprise of?

A

The SA node (pacemaker)
AV node
Atrioventricular bundle Right and left bundle branches
and purkinje fibres

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

The parasympathetic nervous system increases heart rate. true or false

A

False. It slows the heart rate down.

The sympathetic nervous system increases heart rate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

In an ECG what does the P represent

A

P = atrial depolarisation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

In an ECG what does QRS represent

A

QRS =ventricular depolarisation and atrial repolarisation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

In an ECG what does the T represent

A

T= ventricular repolarisation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Cardiac control centres are in the

A

Brainstem (medulla)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Cardio inhibitory centre _______the heart rate via _________system

A

Decreases parasympathetic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Cardio excitatory centre increases heart rate and _________ via the _________nervous system (B1 receptors in heart)

A

Vasoconstriction

sympathetic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Cardiac output =

A

Heart rate x stroke volume

CO = HR x SV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

List the factors that can affect cardiac output stroke volume

A

Preload
Afterload and
contractility

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Long-term control of Blood pressure is handled by the ______________system

A

Renin- angiotensin-aldosterone system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Which organ detects a decrease in blood pressure

A

The kidneys

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

What converts angiotensinogen to angiotensin 1

A

Renin (which is released by the kidneys)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Angiotensin converting enzyme (ACE) converts ___________

A

Angiotensin l to angiotensin II (lungs)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Angiotensin II causes _________secretion from _______gland

A

Aldosterone

adrenal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

Aldosterone secretion from adrenal gland results in

A

•Reabsorption of sodium and water by kidney •increased blood volume •increased blood pressure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

_________inhibits thrombus formation and inhibits coagulation (prevent fibrin mesh)

A

Anticoagulants such as heparin and warfarin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

________inhibit platelet aggregation and thrombus formation

A

Antiplatelet such as aspirin and Cartia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

_______Inhibit conversion of angiotensin I to angiotensin II, so less aldosterone.

A

ACE inhibitors such as captopril and enalapril

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

______blocks the conversion of angiotensin I to angiotensin II

A

Angiotensin II blockers such as Irbesartan and Losartan

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

_______block effects of adrenaline/noradrenaline at B receptors which decreases cardiac contractility and heart rate

A

Beta-blockers such as Metoprolol and atenolol

42
Q

Dietary fats include

A

•Triglycerides
Polyunsaturated fatty acids (eg fish)
Monounsaturated fatty acid (eg olive oil)
Trans-unsaturated fatty acids (eg processing of polyunsaturated fats)
and Saturated fatty acids (eg animal fats)
•phospholipids and
•cholesterol

43
Q

Sources of cholesterol are

A
  • Dietary cholesterol (mainly from animal sources) and

* produced by the liver (60%)

44
Q

Cells require cholesterol for cell membrane. True or false

A

True

45
Q

Cholesterol mostly comes from animal sources. true or false

A

False.

cholesterol is mostly produced by the liver 60%

46
Q

Liver removes cholesterol from the circulation through the bile salts. true or false

A

True

47
Q

Bile salts are recycled via the _______ circulation

A

Enterohepatic

48
Q

Medications to lower cholesterol are called _______ and may be referred to as _______inhibitors

A

Statins

HMG-CoA

49
Q

The liver produces more cholesterol when the diet is low in saturated and transfats. true or false

A

False. it produces more when the diet is HIGH in saturated and transfats and involves HMG-CoA reductase

50
Q

Cholesterol is necessary for the production of various hormones including…

A

Cortisol
aldosterone
testosterone and oestrogen

51
Q

What does LDL stand for and is it good or bad

A

Low density lipoprotein

bad cholesterol

52
Q

What does HDL stand for and is it good or bad

A

High Density Lipoprotein

good cholesterol

53
Q

Endothelial cells breakdown cholesterol true or false

A

False

Endothelial cells cannot break down cholesterol

54
Q

LDL deposits cholesterol at __________cells via LDL receptors

A

Endothelial

55
Q

LDL transports cholesterol to ______ ______from the ______

A

Body tissue

liver

56
Q

HDL transports cholesterol from _____ ______to the _____

A

Body tissues

liver

57
Q

Lipoproteins transport ____in the blood

A

Lipids

58
Q

The liver forms lipoproteins including…

A

LDL: low density lipoprotein and
HDL: high density lipoprotein

59
Q

HDL maintains endothelial cells. true or false

A

True

60
Q

HDL inhibits the movement of ________into the artery wall

A

Macrophages

61
Q

HDL prevents and removes _______from artery wall

A

Lipids

62
Q

Liver can remove cholesterol from the circulation. true or false

A

True

63
Q

A lipoprotein metabolism disorder resulting in lipoprotein overproduction or deficiency is known as…

A

Dyslipidaemia

64
Q

Dyslipidaemia includes:

A
  • Increased triglycerides •increased LDL and

* Decreased HDL

65
Q

Non-modifiable risk factors for dyslipidaemia

A

Familial hyperlipidaemia (genetic)

66
Q

Modifiable risk factors for dyslipidaemia

A
  • High intake saturated and transfatty acids
  • High total energy intake, high intake cholesterol
  • Low intake mono- and polyunsaturated fatty acids
  • Low intake of dietary fibre
  • Sedentary lifestyle •smoking •stress
67
Q

Raised levels of c______contribute to dyslipidaemia and arthrosclerosis

A

Cortisol

68
Q

Raised levels of a_______and c_______elevate Blood Pressure

A

Aldosterone

cortisol

69
Q

What are the recommended target levels for lipids in the blood

A

LDL…………………1.0

Triglycerides……..

70
Q

A condition in which fatty deposits and calcium (plaque) build up inside the coronary arteries is called:

A

Atherosclerosis

71
Q

The modifiable factors for atherosclerosis include:

A

•Dyslipidaemia •hypertension •obesity •exercise •diabetes mellitus •insulin resistance •smoking and inflammation

72
Q

The non-modifiable risks associated with atherosclerosis include:

A

•Increasing age •male gender •female after menopause •family history of heart disease

73
Q

Atherosclerosis becomes clinically important when vessel lumen becomes occluded by __% or more

A

70%

74
Q

List the progression of atherosclerosis

A
  1. Endothelial cell injury
  2. Endothelial cell inflammation
  3. Fatty streak
  4. Fibrous plaque
75
Q

As a result of injury, endothelial cells no longer produce a_________and v_________ substances, leading to thrombosis and vasoconstriction

A

Antithrombotic vasodilating

76
Q

Inflamed endothelial cells attract m_________ and other inflammatory cells

A

Macrophages

77
Q

Macrophages release inflammatory mediators including CRP. These cause:

A
  • Endothelial cell injury

* Production of oxygen free radicals

78
Q

In regards to atherosclerosis, explain the fatty streak

A

•LDL in the subendothelium is engulfed by macrophages

.foam cells are formed

79
Q

What tastes better than it smells?

A

Riddle time 😜

80
Q

In regards to atherosclerosis, explain the fibrous plaque

A
•Macrophages release         growth factors
~Stimulate smooth muscle growth
~Increased deposition of collagen
~Calcification
~Loss of vasodilation
81
Q

Soft Plaque is prone to rupture and provides a surface that promotes platelet a______and fibrin clot f______ -thrombosis

A

Adhesion

formation

82
Q

What is the definition of Thrombosis

A

Thrombosis is the formation of a thrombus/blood clot within a blood vessel

83
Q

Complicated Plaque is: s___ p_____ + t______

A

Soft plaque + thrombus

84
Q

List the consequences of atherosclerosis

A
  • Heart: chest pain, heart attack
  • Brain: stroke
  • Arms and legs: peripheral artery disease, gangrene and amputation
  • Kidneys: kidney failure
  • Genitals: erectile dysfunction, vaginal dryness
85
Q

Explain the dietary requirements to prevent or treat atherosclerosis

A
  • decreasing saturated and trans fats

* increasing mono-, poly-unsaturated fats and dietary fibre

86
Q

What are arterial anastomoses

A

Merged arterial vascular connections that provide collateral or alternative arterial supply

87
Q

Which vessels empty into the right atrium

A
  • Superior vena cava
  • Inferior vena cava
  • Coronary sinus
88
Q

In cardiac tissue at rest: sodium (Na+) cytoplasm concentration is ____and extracellular concentration is _____.
(High or low)

A

Low

High

89
Q

In cardiac tissue at rest: potassium (k+) cytoplasm concentration is ____and extracellular concentration is ____.
(High or low)

A

High

Low

90
Q

In cardiac tissue at rest: calcium (Ca) cytoplasm concentration is _____and extracellular concentration is ____
(High or low)

A

Low

High

91
Q

Adrenaline and noradrenaline can be released as n___________ or h_______

A

Neurotransmitters hormones

92
Q

The volume of blood returning to the heart from the Venous circulation is called

A

Venous return

93
Q

Enterohepatic circulation is …

A

Circulation of lipids between liver and intestines

94
Q

Period where the heart is in a state of relaxation

A

Diastole

95
Q

Period when the heart is in a state of contraction

A

Systole

96
Q

Resistance to the flow of blood within systemic blood vessels

A

Peripheral resistance

97
Q

Deposit of fat and other substances that accumulate in the lining of an artery wall is called

A

Atherosclerotic plaque

98
Q

Another word for a blood clot

A

Thrombus

99
Q

Narrowing of blood vessel is called

A

Vasoconstriction

100
Q

Widening of blood vessel is called

A

Vasodilation

101
Q

Peripheral resistance depends on

A
  • Diameter of blood vessel

* Blood viscosity