Cardiovascular system TRI 2 Flashcards

1
Q

right side

A

recieves oxygen- pour blood from tissues
pumps blood to lungs to get rid of CO2, pick up O2, via pulmonary circuit

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2
Q

left side

A

recieves oxyganted blood from lungs
pumps blood to body tissues via systemic circuit

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3
Q

recieving chambers of heart

A

right atrium
left atrium

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4
Q

left atrium

A

recieves bloof returning from pulmonary circuit

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5
Q

right atrium

A

recievs blood returning from systemic cirucit

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6
Q

pumping chambers of heart

A

right ventricle
left ventricle

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7
Q

right ventricle

A

pumps blood through pulmonary circuit

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8
Q

left ventricle

A

pumps blood through systemic circuit

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9
Q

pericardium

A

double walled sac that surrounds the heart
made of 2 layers:
fibrous pericardium
seroud pericardium

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10
Q

fibrous pericardium

A

functions to protect, anchor heart to surrounding structures, and prevent overfilling

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11
Q

serous pericardium

A

has 2 layers:
parietal layer
visceral layer
two layers separated by pericardial cavity

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12
Q

parietal layer

A

lines interanl surface of fibroud pericardium

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13
Q

visceral layer

A

on external surface of heart

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14
Q

how many layers of heart wall, what are they?

A

3
epicardium
myocardium
endocardium

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15
Q

epicardium

A

visceral layer of serous pericardium

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16
Q

myocardium

A

circular or spiral bundles of contricle cardiac muscle cells

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17
Q

endocardium

A

innermost layer
is continous with endothelial lining of blood vessels
lines heart chambers

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18
Q

Function of Blood Vessels

A

delivery system of dynamic structures that begins and ends at the heart

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19
Q

Function of arteries

A

carry blood away from heart, oxygenated except for pulmonary circulation

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20
Q

Function of capillaries

A

direct contact with tissue/cells
directly serve cellular needs

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21
Q

Function of veins

A

carry blood towards heart
deoxygenated except for pulmonary circulation

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22
Q

What factors contribute to an increase in cardiac output during exercise?

A

Increased sympathetic activity
Increased skeletal muscle and respiratory pumps
Increased venous return
Increased contractility
Decreased parasympathetic activity
Increased heart rate (HR)
Increased stroke volume (SV)
CO = SV × HR

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23
Q

What are the key differences between pulmonary and systemic circulation?

A

Pulmonary Circuit: Carries oxygen-poor blood from the right ventricle to the lungs and back to the left atrium.

Systemic Circuit: Carries oxygen-rich blood from the left ventricle to the body and returns oxygen-poor blood to the right atrium.

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24
Q

Describe the pathway of blood flow through the heart.

A

Right atrium → Tricuspid valve → Right ventricle
Right ventricle → Pulmonary semilunar valve → Pulmonary arteries → Lungs
Lungs → Pulmonary veins → Left atrium
Left atrium → Bicuspid (mitral) valve → Left ventricle
Left ventricle → Aortic semilunar valve → Aorta → Body

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25
Q

What happens to aortic pressure, ventricular pressure, and the electrocardiogram (ECG) during the cardiac cycle?

A

Aortic Pressure: Rises during ventricular systole, falls during diastole.
Ventricular Pressure: Rapid increase during systole, then decreases during relaxation.
ECG Waves:
P wave: Atrial depolarization
QRS complex: Ventricular depolarization
T wave: Ventricular repolarization

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26
Q

What is the function of venues?

A

Small veins collecting blood from capillaries

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27
Q

What are the three layers (tunics) of blood vessel walls?

A

Tunica intima
Tunica media
Tunica externa

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28
Q

Tunica intima

A

innermost layer of blood vessels.

Composed of endothelium, a simple squamous epithelium.
Functions:
Provides a smooth, low-resistance surface for blood flow.
Continuous with the endocardium of the heart.

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29
Q

Tunica media

A

Middle layer
Composed of smooth muscle, collagen, and elastin.
Controlled by sympathetic vasomotor nerves:
Vasoconstriction: Narrows lumen, increases blood pressure.
Vasodilation: Widens lumen, decreases blood pressure.

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30
Q

Tunica externa

A

Outer layer
Composed of collagen fibers that protect and reinforce vessels.
Contains nerve fibers, lymphatic vessels, and elastic fibers (in large veins).
Includes vasa vasorum, a network of tiny blood vessels that supply larger vessels.

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31
Q

How does the lymphatic system interact with blood vessels?

A

Collects excess interstitial fluid and returns it to circulation.
Contains lymph nodes to filter pathogens.
Works alongside venous system to maintain fluid balance.

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32
Q

What are the three types of arteries?

A

Elastic arteries
Muscular arteries
Arterioles

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33
Q

Elastic arteries

A

Thick-walled, low-resistance lumen.
Conduct blood from the heart to medium-sized arteries.
Contain elastin in all three tunics.
Act as pressure reservoirs.

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34
Q

Muscular arteries

A

Deliver blood to organs.
Thickest tunica media with smooth muscle.
Actively control blood pressure and flow.

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35
Q

Arterioles

A

Smallest arteries.
Control resistance to blood flow via vasoconstriction/vasodilation.

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36
Q

Feature of Arteries

A

Wall thickness- thick
Lumen size- Narrow
Tunica Media- thick with smooth muscl e
No valves

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37
Q

Features of veins

A

Wall thickness- thin
Lumen size- wide
Tunica media- thin
Valves- present in larger veins

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38
Q

Features in capillaries

A

Wall thickness- one cell thick
Lumen size- very small
No tunica media
No valves

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39
Q

What is atherosclerosis, and how does it affect arteries?

A

A condition where plaque (lipids, calcium, cellular debris) builds up in arteries.

Leads to:
Narrowing of arteries.
Reduced blood flow.
Increased risk of heart attack or stroke.
Plaque can rupture, causing blood clots.

40
Q

What are capillary beds, and what is their function?

A

A network of capillaries between arterioles and venules
Facilitates the exchange of gases, nutrients, and waste between blood and tissues.
Microcirculation: Blood flow through the capillary bed

41
Q

What are the two types of vessels in capillary beds?

A

Vascular shunt
True capillaries

42
Q

Vascular shunt

A

A direct passage for blood between arteriole and venule

43
Q

True capillaries

A

Exchange vessels that’s branch from the metarteriole

44
Q

What structures make up the vascular shunt?

A

Terminal Arteriole
Metarteriole
Thoroughfare channel
Postcapillary venule

45
Q

Terminal arteriole

A

Feeds blood into the capillary bed

46
Q

Metarteriole

A

Intermediate vessel between Arterioles and capillary

47
Q

Thoroughfare channel

A

Intermediate vessel between capillary and venule

48
Q

Postcapillary venule

A

Drains the capillary bed

49
Q

How is blood flow through true capillaries regulated?

A

Precapillary sphincters control whether blood enters the true capillaries or bypasses via the vascular shunt.

Regulated by local chemical conditions and vasomotor nerves.

50
Q

What forces regulate fluid movement in and out of capillaries?

A

Blood hydrostatic pressure
Blood colloid osmotic pressure
Interstitial fluid hydrostatic pressure
Interstitial fluid osmotic pressure

51
Q

Blood hydrostatic pressure

A

Pushes fluid out of capillaries

52
Q

Blood colloid osmotic pressure

A

Pulls fluid into capillaries

53
Q

Interstitial fluid hydrostatic pressure

A

Pushes fluid into capillaries

54
Q

Interstitial fluid osmotic pressure

A

Pulls fluid out of capillaries

55
Q

How do veins differ from arteries, and what adaptations help return blood to the heart?

A

Lower blood pressure than arteries.
Large-diameter lumens → Offer little resistance.
Venous valves:
Prevent backflow of blood.
Most abundant in veins of the limbs.

56
Q

What are varicose veins, and what causes them?

A

Dilated, painful veins due to incompetent (leaky) valves.

Caused by:
Prolonged standing.
Obesity.
Pregnancy.
Genetic factors.

57
Q

What is blood flow, and how is it measured?

A

The volume of blood moving through a vessel (ml/min).
Equivalent to cardiac output (CO) for the entire vascular system.
Constant at rest but varies in different organs based on needs.

58
Q

What is blood pressure (BP), and how is it measured?

A

Force per unit area exerted by blood on vessel walls.
Measured in mmHg (millimeters of mercury).
Systemic arterial BP is taken from large arteries near the heart.
Pressure gradient:
Drives blood flow from higher to lower pressure areas

59
Q

What is resistance in blood flow, and what factors affect it?

A

Opposition to flow due to friction.
Three main factors:
Blood viscosity: Thicker blood = more resistance.
Total blood vessel length: Longer vessels = more resistance.
Blood vessel diameter: Smaller diameter = higher resistance

60
Q

How do blood viscosity and vessel length affect resistance?

A

The thickness/stickiness of blood due to cells and proteins.
Higher viscosity = increased resistance
Longer vessel = more resistance to blood flow.

62
Q

Why is blood vessel diameter the most important factor in resistance?

A

Resistance varies inversely with the fourth power of the vessel’s radius.
If radius doubles, resistance drops to 1/16.
If radius halves, resistance increases 16-fold.

63
Q

How does systemic blood pressure change throughout circulation?

A

Highest in the aorta.
Declines progressively as blood moves through arteries, capillaries, veins.
Steepest drop occurs in arterioles (major resistance vessels)

64
Q

What are systolic, diastolic, and mean pressures in blood vessels?

A

Systolic pressure: Highest pressure during heart contraction.
Diastolic pressure: Lowest pressure during heart relaxation.
Mean arterial pressure (MAP):
MAP ≈ Diastolic pressure + (1/3 × Pulse pressure)

65
Q

What two factors determine arterial blood pressure?

A

Elasticity (compliance or distensibility) of arteries close to the heart.
Volume of blood forced into arteries at any time

66
Q

Pulsation nature

A

Blood pressure rises and falls with each heartbeat

67
Q

What is systolic pressure?

A

Pressure exerted in the aorta during ventricular contraction.
Left ventricle pumps blood into the aorta.
Normal adult average: 120 mmHg.

68
Q

What is Diastolic pressure?

A

Lowest aortic pressure when the heart is at rest.
Normal adult average: 80 mmHg.

69
Q

What is pulse pressure?

A

Difference between systolic and diastolic pressure (120 – 80 = 40 mmHg).

70
Q

What is a pulse?

A

Throbbing of arteries due to pressure fluctuations.
Can be felt under the skin.

71
Q

Why is low capillary pressure beneficial?

A

High BP would rupture thin-walled capillaries.
Most capillaries are very permeable, allowing adequate exchange at low pressure.

72
Q

How does venous blood pressure compare to arterial pressure?

A

Much lower than arterial pressure

If vein is cut, blood flows out smoothly.
If artery is cut, blood spurts due to higher pressure.

73
Q

How does blood pressure change throughout circulation?

A

Highest in the aorta (~120 mmHg).
Falls across arteries, arterioles, capillaries, venules, and veins.
Steepest drop occurs in arterioles, due to increased resistance.
Venous pressure is lowest (near 0 mmHg in vena cava).

74
Q

What are the three mechanisms aiding venous return?

A

Muscular pump
Respiratory pump
Sympathetic venoconstriction

75
Q

Muscular pump

A

Skeletal muscle contractions “milk” blood back to the heart; valves prevent backflow.

76
Q

Respiratory pump

A

Breathing squeezes abdominal veins, drawing blood toward the heart.

77
Q

Sympathetic venoconstriction

A

Smooth muscle constriction under sympathetic control pushes blood back to the heart.

78
Q

What are the three main factors regulating blood pressure?

A

Cardiac output
Peripheral resistance
Blood volume

79
Q

What are the main mechanisms that regulate blood pressure?

A

Short term regulation:
Neural controls
Hormonal controls

Long term regulation:
Renal controls

80
Q

What factors influence Mean Arterial Pressure (MAP)?

A

Cardiac output which in increased by higher stroke volume and increased heart rate
Peripheral resistance which is increased by smaller vessel diameter, higher blood viscosity and longer blood vessel length

81
Q

How do neural mechanisms regulate blood pressure?

A

Vessel diameter regulation
Blood distribution adjustment

82
Q

Vessel diameter regulation

A

If blood volume drops, all vessels constrict to maintain pressure.

83
Q

Blood distribution adjustment

A

Blood is directed to organs based on demand (e.g., muscles during exercise).

84
Q

What are the key components of the neural reflex arc that controls blood pressure?

A

Cardiovascular center of the medulla – Regulates heart rate and vessel tone.
Baroreceptors – Detect pressure changes.
Chemoreceptors – Respond to changes in oxygen, CO₂, and pH.
Higher brain centers – Influence BP during stress or emotions.

85
Q

How do baroreceptors regulate high blood pressure?

A

Baroreceptors in the carotid sinus and aortic arch are stimulated
Signals sent to inhibit the vasomotor center
Vasodilation and reduced cardiac output therefore BP decreases.

86
Q

How do baroreceptors regulate low blood pressure?

A

Baroreceptors are inhibited
Signals activate the vasomotor center
Vasoconstriction and increased cardiac output therefore BP rises.

87
Q

What hormones influence blood pressure, and how?

A

Epinephrine/Norepinephrine – Increases HR and contractility (↑ BP).
Angiotensin II – Causes vasoconstriction (↑ BP).
Atrial Natriuretic Peptide (ANP) – Promotes vasodilation (↓ BP).
Antidiuretic Hormone (ADH) – Retains water, increasing blood volume (↑ BP).
Aldosterone – Increases salt retention, leading to higher blood volume (↑ BP).

88
Q

How do the kidneys regulate long-term blood pressure?

A

Direct mechanism
Indirect mechanism

89
Q

Direct mechanism

A

If BP is high, kidneys increase urine output, lowering blood volume and BP.

90
Q

Indirect mechanism

A

Renin- Angiotensin- Aldosterone system (RAAS)

Low BP triggers renin release
Converts angiotensinogen to angiotensin I
Converted to angiotensin II
Causes vasoconstriction and stimulates aldosterone and ADH → BP rises.

91
Q

What are the effects of angiotensin II in blood pressure regulation?

A

Vasoconstriction → Increases peripheral resistance → Raises BP.
Stimulating ADH release → Promotes water retention in kidneys.
Triggering thirst (via hypothalamus) → Increases water intake.
Stimulating aldosterone release from adrenal cortex → Increases Na⁺ and water reabsorption → Raises blood volume and BP.

92
Q

How does aldosterone affect blood pressure?

A

Increases sodium (Na⁺) reabsorption in kidney tubules.
Water follows Na⁺, leading to increased blood volume.
Higher blood volume leads to higher BP.

93
Q

How does ADH help regulate blood pressure?

A

ADH (vasopressin) is released from the posterior pituitary when:
BP drops
Osmolarity increases (dehydration)

94
Q

Effects of ADH

A

Increases water reabsorption in kidneys
Reduces urine output, conserving water
Increase blood volume, raising BP