Cardiovascular system Flashcards

1
Q

What are the 5 functions of the cardiovascular system?

A
  • delivery of O2 and nutrients to each cell
  • removal of CO2 and waste products from each cell
  • communication between organs through transport of hormones and other extracellular mediators
  • temperature regulation
  • crucial hydrodynamic device in sexual reproduction
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2
Q

What is the compositition of plasma?

A

water, ions, proteins, nutrients, hormones, metabolic wastes, gases

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3
Q

What are arteries formed of?

A

a large lumen
thick layer of smooth muscle

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4
Q

What are arterioles formed of?

A

small lumen
thin muscular wall

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5
Q

What are capillaries formed of?

A

single layer of epithelial cells which allow exchange of nutrients, oxygen and wastes

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6
Q

What are veins and venules formed of?

A

thin walls
large lumen
valves

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7
Q

How is venous blood moved?

A

assisted by skeletal muscle?

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8
Q

What are the types and locations of valves in the heart?

A

Pulmonary semilunar
Aortic semilunar
Right AV tricuspid
Left AV bicuspid

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9
Q

What is coronary arterial disease?

A
  • insufficient blood flow (ischemia) is associated with chest pains (angina) often radiating down left arm
  • severe blockage leads to damage (death) of the heart region and myocardial infarction or heart attack
  • ventricular fibrillation and death (heart attack)
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10
Q

What causes coronary arterial disease?

A
  • Atherosclerosis (thickening of the coronary arteries)
  • Blood clot (coronary thrombosis)
  • Drugs
  • Surgery
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11
Q

What is meningitis?

A

An infection in the CSF, increaed pressure in the brain and can causes seizures and loss of consciousness)

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12
Q

What is the Cerebral spinal fluid?

A
  • CSF cushions the brain against damage (brain is floating in CSF)
  • CSF produced in specialised epithelial cell called choroid plexus (500ml/day)
  • Circulation around brain and spinal cord driven by changes in circulation, respiratory and posture
  • Passes into vein via valves at the top of the skull (arachnoid villus)
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13
Q

What is an osmole?

A

One osmole (osm) = 1 mole (6.02 x 1023 ) of solute particles in 1L
Osmolarity is independent of molecular weight

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14
Q

What is osmotic pressure?

A

pressure required to prevent osmosis

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15
Q

What is colloid osmotic pressure ?

A

pressure exerted by the higher levels of protein in the plasma compared with the interstitial fluid
draws water back into plasma by osmosis (absorption)

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16
Q

What is hydrostatic pressure?

A

The force exerted by the blood on capillary walls, drives blood from plasma into interstitial space

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17
Q

What is capillary net filtration pressure

A

(Pc + πif) – (Pif + πc)
P - hydrostatic pressure
π - Osmotic pressure
c - capillary
if - intertitial fluid

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18
Q

What is the difference in pressure between the arterial and venous end?

A

Arterial - net outward filtration, hydrostatic pressure dominates
Venous - net inward filtratio , colloid osmotic pressure dominates

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19
Q

What are the functions of the lymphatic system?

A
  • Draining fluid from the tissues and returning to the cardiovascular system
  • Maintenance of the immune response
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20
Q

How does the lymphatic system drain fluid?

A

Fluid (plasma) passes (8l/day) from blood into the interstitial area (surrounds cells in the tissues)

Collects fats from the intestines/liver and deposits into veins

Excess fluid passes into lymph capillaries, through lymph nodes (detection of infection) before passing back to blood stream at the neck (largest is thoracic duct that drains into subclavian vein)

Lymph vessels contain valves and fluid is forced along by action of muscles and breathing (respiration). Larger lymph vessels are surrounded by smooth muscle that contract spontaneously and driven by pacemaker cells (~ heart)

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21
Q

How does the lyphatic system aid immunity?

A

Lymph fluid contains white immune blood cells (lymphocytes, macrophages, dendritic cells)

Collects antigens (proteins produced by pathogens)

Antigens recognised by B-lymphocytes in lymph nodes leading to activation of immunity.

B-cell proliferate to produce antibodies. Lymph nodes also contain multiple other immune cells (swelling can occur)

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22
Q

Increased capillary pressure caused by

A

heart failure

23
Q

Decrease in colloid osmotic pressure caused by

A

Reduction in plasma proteins

24
Q

Blockage of lymph nodes caused by

A

cancer, infections, surgery

25
Q

What is an intracellular oedema

A

friction blister

26
Q

What is cardiac output?

A

Heart rate x stroke volume

27
Q

What drives the heart rate?

A

Spontaneous depolarisation of the SA node and tonically reduced by the parasympathetic nervous system (increased by sympathetic)

28
Q

What is the order of electrical flow?

A

SA node
AV node
purkinje fibres
cardiomyocytes

29
Q

What are the segments of the PQRST ECG diagram?

A

P - Atrial depolarization
QRS - Ventricular depolarization
T - Ventricular repolarization
PQ segment – Atrial contraction
QT segment – Ventricular contraction

30
Q

What can an ECG show?

A

Heart rate
Heart rhythm
Disturbances of rhythm and conduction
Condition of tissue within the heart
Damage to the myocardium
Influence of certain drugs

31
Q

What is ventricular fibrillation?

A

Random Firing of hearts
Fibrillating ventricles cannot pump blood
Fatal after a few minutes
450,000 deaths/year in the USA

32
Q

What are the causes of ventricular fibrillation?

A

Myocardial Infarction
Electrical shock
Drug intoxication
Impaired cardiac metabolism

33
Q

What is the systole segment?

A

ventricular contraction and blood ejection

34
Q

What is the diastole segment?

A

ventricular relaxation and blood filling

35
Q

What are the heart sounds heard by a stethoscope?

A

caused by the closure of heart valves

1st sound – closure of the atrioventricular (AV) valves ‘lub’
- onset of systole

2nd sound – closure of pulmonary and aortic valves ‘dub’
- onset of diastole

36
Q

What is the frank-starling mechanism?

A

Ventricles contract with more force (i.e. stroke volume ↑) if it contains more blood (i.e. end-diastolic ventricular volume ↑)
Maintains the balance between the right and left

37
Q

What is congestive heart failure?

A

Congestive Heart Failure (CHF) is characterised by reduced Cardiac Output
Tiredness and shortness of breath
Fluid Retention to increase
cardiac output (venous return)
50% mortality in 5 years

38
Q

What causes chronic left ventricular failure?

A

Coronary artery disease leading to ischaemic heart disease and MI (65% - systolic dysfunction)
Hypertension (10% - diastolic dysfunction)
Cardiomyopathy
Aging

39
Q

What is mean arterial pressure?

A

Cardiac output x total peripheral resistance

40
Q

What is poiseuilles law?

A

Flow Q is proportional to pressure gradient dP and inversely proportional to resistance R

41
Q

Q =

A

dP/R

42
Q

What is most important factor in determining resistance?

A

vessel radius

43
Q

What is total peripheral resistance?

A

sum of resistance of all blood vessels

44
Q

What causes a pulse?

A

vibration of the arteries caused by ejection of blood from heart

45
Q

What is pulse pressure?

A

The difference between systolic and diastolic blood pressure

46
Q

What are the possible outcomes of hypertension?

A

increased risk of heart attack, failure and stroke

47
Q

Mean arterial pressure is regulated by

A

Baroreceptors

48
Q

What are arterial baroreceptors?

A

function as sensors in the homeostatic maintenance of MAP (pressure sensors)

49
Q

What can causes hypotension?

A

Loss of blood
Loss of salts (burns, sweating, vomiting)
Stress or emotions

50
Q

Why does blood pressure drop when you stand up?

A

Effect of gravity leads to blood pooling in legs
Reduces blood volume, venous pressure, stroke volume
Baroreceptors will compensate

51
Q

What are the local factors regulating artérioles?

A

Blood pressure
Oxygen reduction
Osmolarity

52
Q

What are the neural factors regulating artérioles?

A

Room temperature
Fear or blood loss
Increased body temp

53
Q

What are the hormonal factors regulating artérioles?

A

Angiotensin 2
Vasopressin

54
Q

What is the Valsalva manoeuvre?

A

Forced expiration against as closed/narrow airway
Coughing, lifting weight etc
Leads to increase in intrathoracic pressure