CARDIOVASCULAR 9 Flashcards

1
Q

Cardiac performance in Ventricles: values

1) ESV = End systolic volume
2) EDV = End diastolic volume

A

1) ~65ml

2) 135ml

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2
Q

Stroke volume?

Formula

A

Amount of blood pumped by 1 Ventricle in 1 contraction

EDV-ESV

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3
Q

Cardiac Output?
Formula?
Normal blood volume
Cardiac reserve?

A

Amount of blood pumped per ventricle per unit time
HR x SV
5L
Difference between resting and maximal CO

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4
Q

What affects stroke volumes?

1) Preload
2) Afterload

A

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

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5
Q

Critical factor in controlling stroke volume?

Frank-Starling Law?

A

Preload of cardiac muscle cell.

Stroke volume increases with EDV

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6
Q

What effect does exercise have on SV?

A

Slow heartbeat and exercise increase venous return to the heart - increase SV

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7
Q

What decreases SV?

A

Blood loss

Extremely rapid heartbeat

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8
Q

Series of “bags’ with different compliances

1) Large arteries
2) Large veins

A

1) Low compliance & capacitance

2) High compliance & capacitance

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9
Q

How does an increased DEV lead to increased SV?

A

Stretch increases a number of crossbridges and approaches optimal sacromere length

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10
Q

What affects EDV

A

Venous return

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11
Q

Three factors that affect venous return;

A

1) Skeletal muscle pump
2) Respiratory pump
3) Sympathetic innervation

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12
Q

Extrinsic factors influencing stroke volume

What is contractility? (2 factors)

A

Increase in contractile strength

1) Independent of stretch
2) Independent of EDV

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13
Q

3 things that increase contractility

A

1) Increased sympathetic stimuli
2) Certain hormones
3) Ca2+ and some drugs

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14
Q

Innervation and heart control

1) Stimulation
2) Inhibition

A

1) Sympathetic cardioacceleratory center

2) Parasympathetic cardioinhibitory center

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15
Q

Catecholamines Modulate ?

A

Cardiac Contraction

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16
Q

Inotropic effect

A

increase in neorepinepherine on contracitily of the heart: increase in stroke volume

17
Q
Contractility
Any chemical that affects contractility is an ?
1) Positive effects chemical
What is the Negative effect?
2) Negative chemicals
A

1) inotropic agent, Epinephrine and norepineprine
Decrease in contractility
2) b-Blocker and Ca2+ ch. blocker