Cardiovascular Physiology 23 Flashcards

1
Q

What does the Frank-Starling Mechanism state?

A

The SV increases as the EDV increases

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2
Q

What is the equation for CO?

A

SV * HR

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3
Q

How much do the ventricles empty when they contract?

A

50-75%

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4
Q

What is Contractility?

A

The strength of contraction at any given EDV

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5
Q

How does Contractility affect CO?

A

As the ventricles contract harder, they will pump out more blood

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6
Q

How does increase sympathetic stimulation affect myocardium?

A

It will increase the strength of contraction of the ventricular myocardium, increasing stroke volume and cardiac output

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7
Q

Which receptors does the Sympathetic neurotransmitter norepinephrine act on?

A

Beta adrenergic receptors

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8
Q

How do the sympathetic neurotransmitters increase ventricular contractility?

A

They act on beta adrenergic receptors to increase contractility

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9
Q

What kind of innervation does the ventricular myocardium receive?

A

Sympathetic innervation

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10
Q

How can Parasympathetic activity affect the heart rate?

A

Through its effects on the SA node and not the stroke volume

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11
Q

What are the increased contractility and stroke volume induced by Sympathetic innervation independent of?

A

EDV

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12
Q

How does the Frank-Starling mechanism and the sympathetic stimulation co-exist to affect stroke volume?

A

The Frank-Starling mechanism is dependant of the EDV and increases based on that but sympathetic stimulation increases SV independent of EDV both work to increase contractility

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13
Q

How does increased contractility affect the ejection fraction?

A

Increased contractility leads to increased ejection fraction

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14
Q

What is the ejection fraction equation?

A

Ejection fraction (EF) = SV/EDV

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15
Q

What does sympathetic stimulation do to ejection fraction?

A

Sympathetic stimulation increases Ejection fractions

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16
Q

How does sympathetic stimulation of the heart affect the rate of contraction and relaxation?

A

Increased sympathetic stimulation increases the rate of contraction and the rate of relaxation

17
Q

How does the heart compensate for the reduced time available for diastolic filling during increased sympathetic stimulation?

A

By permitting a larger fraction of the cardiac cycle to be available for filling

18
Q

What is Afterload?

A

The tension against which the ventricle must eject its blood

19
Q

What is Afterload closely related to?

A

The arterial pressure

20
Q

What does a great afterload cause?

A

A longer the period of isovolumetric contraction during which time the heart develops sufficient pressure to open the valves and eject blood

21
Q

How is the SV affected by the afterload?

A

As the afterload increases, stroke volume decreases

22
Q

What causes afterload to increase?

A

Any factor that restricts blood flow through the arterial system ie. circulatory blockages, vascular resistance, stenotic valve