cardiovascular system Flashcards

1
Q

what does the cardiovascular system include

A

blood vessels and the heart

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2
Q

what does the heart do during exercise

A

works to pump blood through the various blood vessels to deliver oxygen and nutrients to the working muscles and gather waste products such as carbon dioxide

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3
Q

what is the heart described as being

A

myogenic

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4
Q

what does myogenic mean

A

originating in the muscle tissue

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5
Q

where does the electrical impulse in the heart start

A

the sinoatrial node

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6
Q

explain what happens in the sinoatrial node

A

the electrical impulse starts here then spreads throughout the heart which is described as a wave of excitation

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7
Q

what does the impulse do from the sinoatrial node

A

spreads through the walls of the atria causing them to contract
atrial systole

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8
Q

what is it called when the atria contract

A

atrial systole

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9
Q

after the sinoatrial node where does the impulse go next

A

passes through the atrioventricular node where the impulse is delayed approximately 0.1 seconds to enable the atria to fully contract before ventricular systole begins

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10
Q

what does the atrioventricular node do

A

delays the electrical impulse for approximately 0.1 seconds to allow the atria to fully contract before ventricular systole begins

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11
Q

after the atrioventricular node, where does the electrical impulse go

A

travels down the bundle of his which branches into two bundle branches

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12
Q

after the bundle of his where does the electrical impulse go

A

the purkinje fibres which spread spread throughout the ventricles causing them to contract (ventricular systole)

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13
Q

what do the purkinje fibres do

A

they spread throughout the ventricles, causing the ventricles to contract which is called ventricular systole

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14
Q

what is the sinoatrial node also known as

A

the pacemaker of the heart

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15
Q

give the order in which the cardiac impulse travels in

A

sinoatrial node
atrioventricular node
bundle of his
purkinje fibres

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16
Q

what does the conduction system do during exercise

A

ensure that the heart rate increases to allow the working muscles to receive more oxygen

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17
Q

what does the sympathetic nervous system do

A

stimulates the heart to beat faster

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18
Q

what does the parasympathetic nervous system do

A

returns the heart rate to its resting level

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19
Q

what are the parasympathetic and sympathetic nervous system co-ordinated by

A

the cardiac control centre

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20
Q

where is the cardiac control centre located

A

in the medulla oblongata

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21
Q

what is the cardiac control centre stimulated by

A

chemoreceptors, baroreceptors and proprioceptors

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22
Q

what will a signal sent to the sympathetic system do

A

increase the heart rate

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23
Q

what will as signal sent to the parasympathetic system do

A

decrease the heart rate

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24
Q

explain what chemoreceptors do

A

detect an increase in blood carbon dioxide
a signal goes to the cardiac control centre
then onto the sympathetic system
to the sinoatrial node which increases the heart rate

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25
Q

explain what baroreceptors do

A

detect an increase in blood pressure
send a signal to the cardiac control centre
which sends a signal to the parasympathetic nervous system
which sends a signal to the sinoatrial node to decrease the heart rate

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26
Q

explain what proprioceptors do

A

detect an increase in muscle movement
this sends an impulse to the cardiac control centre which sends information to the sympathetic system to the sinoatrial node to increase the heart rate

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27
Q

what do chemoreceptors detect and what happens to the heart rate

A

increase in blood carbon dioxide
heart rate will increase

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28
Q

what do baroreceptors detect and what happens to the heart rate

A

increase in blood pressure
decreases heart rate

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29
Q

what do proprioceptors detect and what happens to the heart rate

A

increase in muscle movement
increases the heart rate

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30
Q

what type of hormone is adrenaline

A

a stress hormone

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31
Q

what releases adrenaline

A

the sympathetic nerves and cardiac nerve

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32
Q

what does adrenaline stimulate

A

the sinoatrial node

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33
Q

what does adrenaline do

A

increases the speed and force of a contraction increasing the cardiac output causing the volume of blood pumped to the working muscles increase

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34
Q

what is the hormone released that’s the opposite to adrenaline

A

acetylcholine

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35
Q

what is acetylcholine released by

A

the parasympathetic nervous system

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36
Q

what does acetylcholine do

A

slows down the heart rate

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37
Q

what is stroke volume

A

the volume of blood pumped out by the hearts ventricles in each contraction

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38
Q

what is the average resting stroke volume

A

70ml

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39
Q

what does stroke volume depend on

A

venous return
elasticity of cardiac fibres
contractility of cardiac tissue

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40
Q

what is venous return

A

the return of blood to the right side of the heart via the vena cava

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41
Q

what is ejection fraction

A

the percentage of blood pumped out by the left ventricle per beat

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42
Q

why does the elasticity of cardiac fibres increase stroke volume

A

the more the cardiac muscles can stretch the greater the force of contraction a greater force of contraction increases the ejection fraction

43
Q

what is the elasticity of the cardiac fibres concerned with

A

the degree of stretch of the cardiac tissues during the diastole phase

44
Q

what is the diastole phase

A

when the heart is relaxed

45
Q

how does the contractility of the cardiac tissue effect stroke volume

A

the greater contractility of cardiac tissue the greater the force of contraction this results in an increase in stroke volume as well as ejection fraction

46
Q

what happens to stroke volume when exercise intensity increases

A

stroke volume also increases

47
Q

when is this only the case for

A

40-60% of maximum effort

48
Q

what happens after 40-60% of maximum effort to stroke volume

A

stroke volume plateaus because the ventricles do not have as much time to fill up with blood so can not pump out as much blood

49
Q

what is heart rate

A

the number of times the heart beats per minute

50
Q

what is the average resting heart rate

A

72 beats per minute

51
Q

what does heart rate do with exercise

A

it increases

52
Q

how do you find the maximum heart rate

53
Q

when does cardiac hypertrophy occur

A

regular aerobic training

53
Q

what is an anticipatory rise

A

hormonal action of adrenaline which causes the SAN to increase in heart rate

53
Q

why does the brain need a constant supply of oxygenated blood and nutrients

A

to maintain its function

53
Q

what is cardiac hypertrophy

A

when the heart becomes bigger and stronger due to the thickening of the muscle wall

53
Q

what does CHD stand for

A

coronary heart disease

53
Q

what is bradycardia

A

when there is a decrease in resting heart rate to below 60bpm

53
Q

what is similar about everyone’s cardiac output at rest

A

it is the same

53
Q

what happens when bradycardia occurs

A

oxygen delivery to the muscles improves as there is less oxygen needed for contraction of the heart

53
Q

tell me about HDL

A

high density lipoproteins transport excess cholesterol in the blood back to the liver where it is broken down these are classed as ‘good’ cholesterol since they lower the risk of developing heart disease

53
Q

tell me about LDL

A

low density lipoproteins transport cholesterol in the blood to the tissues and are classed as ‘bad’ cholesterol since the are linked to increased risk f heart disease

53
Q

what is cardiac output

A

the volume of blood pumped out the heart by the ventricles per minute

54
Q

what is the cardiac output equation

A

cardiac output= stroke volume x heart rate

54
Q

when does coronary heart disease occur

A

when your coronary arteries which supply the heart muscle with oxygenated blood becomes blocked or starts to narrow by gradual build up of fatty deposits

54
Q

what happens to cardiac output during exercise

A

it increases

54
Q

in relation to strokes what can regular exercise help to do

A

can help lower your blood pressure and help you to maintain a healthy weight which can reduce your chance of stroke by 27%

54
Q

why does cardiac output increase during exercises

A

because heart rate and stroke volume also increase

54
Q

what are fatty deposits called

54
Q

what is atherosclerosis

A

when arteries harden and narrow and become clogged up by fatty deposits

54
Q

what does the brain need a constant supply of

A

oxygenated blood and nutrients

54
Q

where does the pressure from blood come from when it is exerted on a blood vessel wall

A

from the heart as it pumps blood around the body

54
Q

what can cause atherosclerosis

A

high blood pressure, high levels of cholesterol, lack of exercise as well as smoking

54
Q

what can regular aerobic exercise do when having a high blood pressure

A

reduces the risk of heart attack by 20% because it lowers both systolic and diastolic pressures by 5-10mmHg

54
Q

what happens if high blood pressure is left untreated

A

increases the risk of heart attack, heart failure, kidney disease, stroke or dementia

54
Q

what is high blood pressure

A

blood pressure is the force exerted by the blood against a blood vessel wall

54
Q

what can reduce blood pressure

A

regular aerobic exercise can reduce blood pressure

54
Q

how many types of cholesterol are there

54
Q

what does high blood pressure put strain on

A

the arteries and heart

54
Q

what are the two types

A

low density lipoproteins
high density lipoproteins

54
Q

what can regular physical activity do to the two types of cholesterol

A

it lowers bad LDL cholesterol levels and at the same time it significantly increases good HDL cholesterol levels

54
Q

what are the two main types of stroke

A

ischaemic and haemorrhagic

54
Q

tell me about an ischaemic stroke

A

they are the most common form and occur when a blood clot stops the blood supply

54
Q

what can blood supply that is cut off from the brain lead to

A

brain injury, disability, and sometimes death

54
Q

when does cardiovascular drift occur

A

it occurs during prolonged exercise in a warm environment despite the exercise intensity staying the same

54
Q

tell me about a haemorrhagic stroke

A

occur when a weakened blood vessel supplying the brain bursts

54
Q

when does a stroke occur

A

when the blood supply to part of the brain is cut off causing damage to brain cells so they start to die

54
Q

what is the most common type of stroke

54
Q

what is cardiovascular drift characterised as

A

the progressive decrease in stroke volume and arterial blood pressure together with a progressive rise in heart rate

54
Q

what happens during cardiovascular drift to plasma volume

A

plasma volume decreases due to the increased sweating response of the body and this reduces venous return and stroke volume. heart rate then increases to compensate and maintain cardiac output