CARDIOVASCULAR 9 Flashcards
Cardiac performance in Ventricles: values
1) ESV = End systolic volume
2) EDV = End diastolic volume
1) ~65ml
2) 135ml
Stroke volume?
Formula
Amount of blood pumped by 1 Ventricle in 1 contraction
EDV-ESV
Cardiac Output?
Formula?
Normal blood volume
Cardiac reserve?
Amount of blood pumped per ventricle per unit time
HR x SV
5L
Difference between resting and maximal CO
What affects stroke volumes?
1) Preload
2) Afterload
1) An increase in venous return to the heart increases the filled volume (EDV) of the ventricle
2) Pressure that the ventricle must generate in order to eject blood into the aorta
Critical factor in controlling stroke volume?
Frank-Starling Law?
Preload of cardiac muscle cell.
Stroke volume increases with EDV
What effect does exercise have on SV?
Slow heartbeat and exercise increase venous return to the heart - increase SV
What decreases SV?
Blood loss
Extremely rapid heartbeat
Series of “bags’ with different compliances
1) Large arteries
2) Large veins
1) Low compliance & capacitance
2) High compliance & capacitance
How does an increased DEV lead to increased SV?
Stretch increases a number of crossbridges and approaches optimal sacromere length
What affects EDV
Venous return
Three factors that affect venous return;
1) Skeletal muscle pump
2) Respiratory pump
3) Sympathetic innervation
Extrinsic factors influencing stroke volume
What is contractility? (2 factors)
Increase in contractile strength
1) Independent of stretch
2) Independent of EDV
3 things that increase contractility
1) Increased sympathetic stimuli
2) Certain hormones
3) Ca2+ and some drugs
Innervation and heart control
1) Stimulation
2) Inhibition
1) Sympathetic cardioacceleratory center
2) Parasympathetic cardioinhibitory center
Catecholamines Modulate ?
Cardiac Contraction