Cardiovascular System Flashcards

1
Q

Cardiac conduction system

A

Heart muscle = myogenic
Beat starts in heart muscles with an electric signal in the sino-atrial node (SAN) spreads through heart as wave of excitation.
SAN -> through walls of atria, causing atrial systole (contracts). Impulse then through atrial ventricular node (AVN), delayed of approx 0.1 seconds to allow full contraction, through bundle of his, into purkinje fibres, through ventricles causing it to contract (ventricle systole)

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2
Q

Factors affecting change in rate of conduction system

Neural control

A

Sympathetic = beats faster
Parasympathetic = returns to resting level = coordinated by medulla
- chemoreceptors = detects increase in blood CO2 -> cardiac control centre -> sympathetic system -> SAN increases heart rate
- baroreceptors = detects increase in blood pressure -> cardiac control centre -> parasympathetic system -> SAN decreases heart rate
- proprioceptors = detects increase in muscle movement -> cardiac control centre -> sympathetic system -> SAN increases heart rate

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3
Q

Factors affecting change in rate of conduction system

Hormonal control

A

Adrenaline
Released by sympathetic nerve -> stimulates SAN -> increases cardiac output

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4
Q

Starlings law
(Stretchy heart one)

A

Think balloon filling
- increased venous return (blood back to heart)
- due to vascular shunt reasons
= increased stretch of heart
= increased ejection fraction
= more blood (O2) to muscles

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5
Q

Heart rate during exercise

A

Cardiac hypertrophy = bigger + stronger
Bradycardia = a decreased heart rate below 60 -> less oxygen needed

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6
Q

Cardiac output during exercise

A

Definitions = volume of blood pumped out of ventricles
Cardiac output = stroke x heart rate

  • cardiac output increases during exercise due to increase heart rate + stroke volume
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7
Q

Impact of exercise on health

Heart disease

A

Lack of exercise can cause atherosclerosis which is when arteries harden + narrow + become clogged with fatty deposits

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8
Q

Impact of exercise on health

High blood pressure

A

Regular heart rate can reduce blood pressure which decreases the risk of a heart attack

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9
Q

Cholesterol levels

A

LDL (low density lipoproteins) - transport cholesterol into blood = linked to increased risk of heart disease

HDL (high density lipoproteins) - transports excess cholesterol from blood back to liver

Exercise decrease LDL + increases HDL

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10
Q

Stroke

A

Regular exercise can help to lower blood pressure + maintain a health weight which can reduce risk of stroke

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11
Q

Cardiovascular drift

(Sweating = increased HR)

A

Tip = mentions warm environment
Def = increased heart rate during steady state exercise

Reasons why this causes heart rate to increase
1 you sweat
2 = decrease in water
3 plasma made of water = less blood
4 = less O2 carrying ability
5 = blood more viscous

Increase heart rate needed to keep up with demand

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12
Q

Blood vessels

A

Veins = deoxy blood back to heart -> thin muscular walls, valves, wide lumen

Arteries = oxy blood round body -> high pressure, thick, elastic walls, small lumen

Capillaries -> one cell thick, allows diffusion of nutrients

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13
Q

Blood pressure

A

= force exerted by the blood
Blood flow x resistance

Systolic = when ventricles are contracting
Dystolic = when ventricles are relaxing

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14
Q

Venous return

A

= return of blood to right side of the heart

  • skeletal muscle pump =muscles contract + relax, they change shape
  • the respiratory pump = pressure changes in thoracic + abdominal cavities
  • pocket valves = blood flow in 1 direction
  • gravity
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15
Q

Impact of blood pressure on venous return

A

Systolic blood pressure decreases = venous return decreases

Systolic blood pressure increases = venous return increases

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16
Q

Bohr shift
(Related to the oxyhemoglobin dissociation curve)

A

Oxyhemoglobin dissociation = drop off of O2 from blood to muscles

Bohr shift = why this happens early during exercise
= increased temp
= increased CO2
= increased pH

Which means O2 dissociates haemoglobin earlier

Shifts to the right in graph / curve

17
Q

Vascular shunt
(More blood back to heart during exercise)

A

= blood vessels (veins) pushing blood back to heart
Related to - redistribution of blood -> vasodilation +vasoconstriction

How:
- pocket valves
- gravity
- muscular pump
- respiratory pump
- suction pump

18
Q

AVO2 diff
(A=arteries. V=veins)
(Difference in O2 before + after muscles)

A

Factors affecting:

  • intensity / heart rate
  • size of muscle
  • number of capillaries
  • number of myoglobin