cardiovascular Flashcards

1
Q

contrast and compare skeletal muscle cell vs contractile myocardial cell

A

similarity: striated,has mitochondria, requires C2+ to contract
sksletal are cylindrical cells, motor neuron AP
contractile are branched and electrically connected

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2
Q

pathway that AP travel throughout the heart

A
  1. sinotrial node depol
  2. atrial muscle
  3. atriovencular node (aV)
  4. bundle of His
  5. Bundle branches 9L & R)
  6. Purkinje fibre
  7. ventricular muscle
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3
Q

resting heart rate

A

70 beats / min

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4
Q

how to calculate max heart rate

A

220-age

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5
Q

how PSNS change heart rate

A

Ach binding its recep will:
< K+ permeability (more K+ leaves)
bt > Na+ ^& Ca2+’s (less them leaving)

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6
Q

how SNS affect heart rate

A

NE (norepinephrine) bidns to receptor will:
< Na+ & Ca2+ permeability
=> release epinephrine to heart

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7
Q

how heart rate goes up (100 -> 130) and down (100 -> 70) if one is on a run

A
  • controlled by SA node, intrinsic rate

RUN: 100 beats/min -> sympathetic activates -> beats 130
REST: 100 beats/min -> parasympathetic ativates -> 70

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8
Q

describe 1st phases in the cardiac cycle

A

atrial systole
ECG: [ wave occurs before
atrial pressure oincreases
valves open
ventricular vol increase

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9
Q

describe 2nd phase in cardiac cycle \

A

early ventricular systole (isovlumetric)
- QRS wave before
ventricular p increases (exceed atrial [P bt lower than oartic)
all valves closed
no vol change

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10
Q

describe 3rd phase in cardiac cycle

A

ventricular systole (rapid ejection period)
- ventroicular P < (higher than aortic and atrial)
aortic valves open
ventriuclar vol >

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11
Q

describe 4th phase in cardiac cycle

A

early ventriuclar diastole (isovolumetric)
- ECG: T waves before
- ventricular P decrease
- all valves closed, no vol change

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12
Q

5th phase in cardiac cycle

A

late ventricular diastole
ventricular P decrease
AV valves open
ventricular vol increase

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13
Q

how PSNS & SNS affecgt stroke volume

A

PSNS release ACh to innervate cardic contractile cells
=> >Cà+ permeability which > weaker contraction & less SO

SNS: via the release of NE / epinephrine to innercate vemtroci;ar ,isc;e ce;;s
=more Ca comes in whihc stronger contraction & more SO

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14
Q

describe the 3 layers in arteries and veins

A

tunica externa = of fibrous connective tissue
-> tunica media = smooth muscle and eleastic fibres
-> tunic interna endothelial cells

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15
Q

3 differences btw aorta + arteries vs arterioles vs capillarie vs venules

A

1/ large diameter 2/ small diameter 3/ smallest
1/ thin walls to 2/ thick walls 3/ very thin walls
1/ has very high BP 2/ drop in bP 3/low BP & lsmall dro in bp

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16
Q

net filtration pressure of cardiovascular

A

Kf [(Pc + TTIF) + [(Pif + TTc)

17
Q

why you will pass out when you hyperventilate?

A

via medtabolic theory, more CO2 removed from blood => less PCO2 in bloods
blood vesel contract => less blood flower to brain -> pass out

18
Q

compare SNS vs PSNS’s on neural contraol mechanism

A

PSNS: innervates SA AV nodes
=? decrease HR
SNS: innvervates SA & AV node and fentricular muscle
-> increase HR SV vasocontriction

19
Q

what is MAP and how to find it?

A

diastolic P + 1/3(systolic -diastolic P)

20
Q

calculate cardiac output

A

= heart rate (bpm) x Stroke Volume (mL)

21
Q

group these agents of humoral regulation into 2 groups: angiotensin II, ANP, ADH, epinephrine

A

agents involved in vasocontriction:
- epinephrine / angiotensin II / ADH
agents involved in vasodilation:
- epinephrine / ANP

22
Q

why is gap junction so important in the myocardial cells?

A

to allow ions and AP to read so whole cell can contract

23
Q

desribe a typical SA nodal action potential

A

pacemaker potential: membrane slowly and spontaneously depol to threshold (-60 to -40)
-> aP triggers

depol: Ca VG channels open for influx of Ca
repoil; K+ VG channels and k+ leaves -> go back to RMP

24
Q

_________ myocardial cells can _____ generate _____. It is divided into 2 types: ____ & _____ (which has minimal actin & __-)

A

self-excitable / spontaneously / AP / contracttile heart cells / nodal & conducting cells/ myosin

25
Q

compare effect of PSNS and SNS on stroke volume

A

via release of ACh / release of NE & epinephrine
decrease Ca+ permea / more Ca+ enters
weaker contraction so less SO / stronger contraction so higher SO

26
Q

if you have an increased EDV, what is the effect?

A

< in EDV = < in preloaed
requires larger stretch of ventricular contractile cells
stronger contraction of these cells upon systole
more blood ejected from heart
higher SO =higher cardiac output

27
Q

descrine the relationship btw blood flow, pressure and resistance in a sentence and a calculation

A

blood flows down a pressure gradient bt resistance decrease flow

blood flow = P gradient / 1/r^4 (resistanc)

28
Q

why is blood velocity the lowest in capill?>

A

since blood velocity is inversely proportional to total cross-sectional area, and capill requires the largest TCA blood move slowest here

29
Q

which Starling forces promotes filtration? reabsorption?

A

filtration:
- Pc
- Pif when negative
- TT if

reabsorption:
- TTc
- Pif when positive

30
Q

vasocontriction: ___ flow, ___ P VS vasodilation: ____

A
31
Q

overall, PSNS __ HR, SO, and cause ____
overall SNS ____ HR, SO and cause ____

A
  • decrease/ vasodilation
  • increase / vasocontriction