Chapter 8 The Heart Flashcards

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1
Q

Look at graphs of ventricular pressure

A
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2
Q

Look at a labelled diagram of the heart

A
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3
Q

What causes the sounds of the heart?

A

Lub- closing of atrioventricular valves when ventricles contract
Dub- closing of semilunar valves as ventricles relax

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4
Q

What molecule transports oxygen in the body?

A

Oxygen binds loosely to haemoglobin in RBCs, loaded
Each haemoglobin molecule can bind 4 oxygen molecules, forming oxyhaemoglobin

Hb+4O2 –> Hb(O2)4

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5
Q

How does the ease of loading and unloading oxygen upon haemoglobin change with saturation?

A

When one oxygen binds to haemoglobin, it causes a change in the tertiary structure of haemoglobin which makes it easier to load more oxygen
= Positive cooperativity

When 3 oxygen molecules loaded, tertiary structure changes to make it harder to load the fourth molecule

Opposite when unloading easier to unload each time

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6
Q

What does an oxygen dissociation curve look like and represent?

A

X axis= Partial pressure of oxygen
Y Axis= Percentage saturation of haemoglobin with oxygen (how much o2 bound)
S shaped, positive cooperativity
Shows oxygen affinity

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7
Q

What is the bohr effect and why does it occur? What happens to the oxygen disassociation curve?

A

Increasing concentration of carbon dioxide will reduce the oxygen affinity of haemoglobin
Shifts right, lower affinity
H+ ions produced bind to haemoglobin, alters tertiary structure to make it harder to load oxygen

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8
Q

Why is the Bohr effect useful?

A

Active tissues produce lots of CO2, and require lots of O2 for respiration, easier to unload
At lung, low CO2 so easier to loads/binds

Hb more easily binds to CO2 than oxygen, carbaminohaemoglobin

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9
Q

Compare the oxygen affinity of haemoglobin of a foetus and mother. Why does this occur?

A

Fetal haemoglobin has a higher affinity, to the left, than the mother, to enable oxygen transfer, as the foetus is completely dependent on the mothers circulatory system for oxygen

Low partial pressures of oxygen at the placenta
Oxygen disassociates from the maternal haemoglobin, diffuses from maternal to foetal blood, and then uploaded to foetal haemoglobin

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10
Q

Why would the haemoglobin of a high altitude organism not be helpful at normal height?

A

High altitude- low p(O2). Haemoglobin adapted to maximise uptake from environment, so at low p(O2) saturated, so graph shifts to the left.
Very high oxygen affinity, unable to unload so cannot be delivered to cells
Even when needed by cells, still too saturated as partial pressure still too high

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11
Q

Why would a very active organism have a different version of haemoglobin?

A

Haemoglobin which has a lower oxygen affinity allows an increased amount to be unloaded, for the high demands for respiration
It is still suffiently high enough to bind to enough oxygen from the environment

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12
Q

How is carbon dioxide transported generally?

A

5% dissolved in blood plasma
10-20% binds with amino groups in Hb to form carbaminohaemoglobin
The remained is transported in the cytoplasm of RBCs as HCO3- ions

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13
Q

What is the mechanism of CO2 transport in cytoplasm?

A

CO2 + H20 <—> H2CO3 <—-> HC03- + H+
Catalysed by carbonic anhydrase (first part), in RBC cytoplasm
HCO3- ions diffuse in the blood plasma, Cl- ions diffuse in to balance charge= chloride shift
At lungs, enzyme catalyses breakdown of carbonic acid, also HCO3- diffuses back in, then reforms and breaks down in CO2
Cl- diffuses out
CO2 diffuses out as a gas

Hb as a buffer, accepting H+, forming haemoglobinic acid

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14
Q

Why is the method for transporting CO2 efficient?

A

As HCO3- ions, allows CO2 to keep diffusing in as concentration gradient maintained

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15
Q

What is diastole? What is systole?

A

Diastole= Relaxation
Systole= Contraction

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16
Q

What is the first stage of the cardiac cycle?

A

Atrial and Ventricular diastole.
Blood enters the atria via vena cava and pulmonary veins, increasing pressure in the atria, until it has higher pressure than the ventricles, opening the atrioventricular valves, allowing blood to enter the ventricles

17
Q

What is the second stage of the cardiac cycle?

A

Atrial systole, Ventricular diastole
The pressure in the atria increases as it contracts, forcing blood into the ventricles. The atrioventricular valves then shut as pressure is greater in the ventricles

18
Q

What is the final stage of the cardiac cycle?

A

Atrial diastole, Ventricular Systole
Atrioventricular valves shut
The ventricles contract, increasing pressure, forcing blood through the semi lunar valves into the aorta and pulmonary arteries
Blood begins to enter the atria again to begin the next cycle

19
Q

What is the SAN, AVN, and bundle of His? Where are they located?

A

Sino Atrial Node- top of the right ventricle
Atrioventricular Node, actual right of right ventricle
Bundle of His- below AVN

20
Q

What type of tissue makes up the heart? Why is it called that?

A

Myogenic
Initiated by the heart, no external signal is needed

21
Q

How is the heart beat coordinated?

A

The SAN depolarises, becoming electrically excited, triggering the spread of a wave of excitation across the atria causing contract
AVN detects this charge, and after a short delay, transmits the excitations to the bundle of His, and then to the Purkyne fibres towards the apex of the heart up, causing ventricular contraction

22
Q

Why can the SAN not send the signal directly to the ventricles? Why is there a short delay?

A

Insulative tissue between the atria and ventricles. Ensures contract from the ground up, to maximise removal of blood
Delay ensures the atria has fully contracted

23
Q

What does an ECG record and what does it look like?

A

A trace of electrical conductivity of the heart
P= Atrial contraction
QRS= Ventricle contract
T= Ventricle relaxing

24
Q

How do you calculate heart rate, stroke volume and cardiac output from an ECG?

A

1 Heartbeat= distance between two Ps
Divide by time taken, x 60 for a minute = Heart rate
Stroke volume= Volume of blood pumped out from a ventricle, usually left
Cardiac Output= Heart Rate x Stroke Volume

25
Q

What is bradycardia?

A

Heartbeat too slow, (B at beginning less before, so too few too slow_)

26
Q

What is tachycardia?

A

Heartbeat too fast (T closer to end, too many letters before, too fast)

27
Q

What is a normal heart rate?

A

60-100 beats/minute

28
Q

What is an ectopic heartbeat?
What is fibrillation?

A

Ectopic- a singular unusual heartbeat, quite common
Fibrillation- arrhythmia, lack of any rhythm of the heart

29
Q

How do you tell the difference between atrial fibrillation and tachycardia?

A

Atrial fibrillation- the number of peaks in between the QRS peaks is more than 2, lots and lots of small peaks

Tachycardia- the number of peaks between the QRS is still two, count

30
Q

How would you show an ectopic heart beat?

A

Show a couple regular heart beats
The ectopic one can be closer in time, or have a smaller QRS

31
Q

What can be inferred from an atrial fibrillation ECG and its effect?

A

No distinct p phase
Atrial fibrillation (if not given in the question)
Means frequent electrical impulses to the atria
Less blood forced out the heart during QRS

32
Q

Why does oxygen only diffuse out at the capillaries?

A

The walls of the arteries are too thick to enable diffusion to take place

33
Q

How does the body maintain a pH of 7.4?

A

HCO3- reacts with protons to form carbonic acid
Haemoglobin reacts with protons to from haemoglobinic acid
Carbonic acid disassociates to release protons if protons are removed

34
Q

Why might more athletic people have lower heart rates? Why can some sprinters rely on anaerobic for longer?

A

Larger stroke volume, greater heart volume, stronger heart muscles
Means same cardiac output for less bpm

Anaerobic more frequently used, so greater resistance to lactic acid and pH change
Greater amounts of stored ATP
Larger creatine phosphate store