Circulatory System Flashcards
Circulatory pathway
vena cava –> RA –> tricuspid valca –> RV –> pulmonary valve –> pulmonary artey –> lungs –> pulmonary vein –> LA –> bicuspid valve –> LV –> aortic valve –> aorta
Why is the L heart more muscular?
because it needs to pump blood for the whole body. A pressure this big would damage the lungs
What heart valves are not actively closed by the papillary muscles?
the pulmonary valves
Electric conductance of the heart?
SA nodes (atria contracts) –> AV nodes (delayed contraction) –> Bundle of His –> Perkinje fibers
Why is there a signal delay at the AV nodes?
to allow for the ventricle to fill completely fill before it contracts
What allows for the smooth coordinated ventricular contraction?
the gap junctions composing cardiac muscle (cells connected by intercalated discs)
What triggers heart contractions?
SA nodes acting like a pacemaker; does not need a neural input from CNS.
What is the intrinsic rhythm?
60-100 bpm but basal HR can be lower and go higher than 100 bpm w exercise, stress, danger…
isolelectric line on an EKG refers to?
no conductivity, nothing is firing, the line between heart beats
P wave on an EKG refers to?
Atrial depolarization
PR interval on an EKG refers to?
flat line: shows the slowing down of conduction when the signal hits the AV node
QRS complex on an EKG refers to?
the conduction of the signal through the left and right ventricle in a coordinated fashion
T wave on an EKG refers to?
when the heart resets and repolarize
What is the autonomic control of the circulatory system?
Even though, the SA nodes are the pacemaker of the heart, the vagus nerve controls the heart’s contractility and HR through sympathetic and parasympathetic signals.
Systole
AV valve closed to prevent back flow into the atria, semilunar valves open and ventricle contraction allow for the blood to leave the ventricles
Diastole
AV valve opened to allow for blood flow into the ventricle, ventricular relaxation. Semilunar valves are closed.
Diastolic pressure ? Systolic pressure
Diastolic < Systolic pressure
Cardiac output
the total volume of blood pumped by ventricles in a minute:
CO L/min = HR beats/min x stroke volume L/beat
Factors affecting HR
- autonomic innervation
- hormones
Factors affecting SV
- venous return
- filling time
- autonomic innervation
- hormones
- vasoconstriction/vasodilation
What controls ventricular filling?
most of it is passive due to ventricular relaxation but 30% is due to atrial contraction (atrial systole - P wave)
AV valves during ventricular filling?
open because atrial pressure is higher than ventricular pressure, because of blood flowing in from veins