Control of Cardiac Output Flashcards

1
Q

What is afterload

A

the load the heart must eject blood again (roughly equivalent to aortic pressure/impedance)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is preload

A

amount the ventricles are stretched/filled in diastole. related to EDV or central venous pressure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what is total peripheral resistance (systemic vascular resistance)?

A

resistance to blood flow by all systemic vasculature

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what happens to the pressure of fluid in a tube as it encounters resistance

A

the pressure decreases.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what does constriction of the arterioles do?

A

increases the resistance causing venous and capillary pressure to fall and arterial pressure to rise.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what will happen to arterial pressure and venous pressure if TPR falls and cardiac output remains the same

A

arterial pressure will decrease and venous pressure would increase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what will happen to arterial pressure and venous pressure if TPR increases and cardiac output remains the same

A

arterial pressure will increase and venous pressure will decrease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what effect does changing cardiac output have on arterial and venous pressures if TPR remains the same

A

if CO increases arterial pressure will increase and venous will decrease. Vice versa if CO decreases

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

How does the heart react to changes in tissue demand for blood

A

by detecting changes in the arterial BP and central venous pressure through intrinsic and extrinsic mechanisms.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what is cardiac output

A

the amount of blood pumped by the heart per unit of time. Usually litres per min. stroke vol x heart rate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what is stroke volume

A

the amount of blood pumped by the ventricles during systole. end diastolic volume- end systolic volume

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what percentage of the normal EDV is the SV

A

67%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

how can the SV change

A

by increasing the EDV or decreasing the ESV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what causes the ventricles to stop filling

A

when the venous pressure (pulmonary veins) is equal to the intraventricular pressure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what does the frank-starling law say

A

stretching a muscle before contraction leads to a greater force of contraction up until a point

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

why is the frank-starling law important to the heart

A

the more the heart fills the harder it contracts. increases venous pressure will increase ventricular filling depending on the compliance. leading to bigger stroke volume

17
Q

what measurement is used for filling pressure and what is the normal value

A

left ventricle end diastolic pressure (LVEDP) 8mmHg

18
Q

why is sarcomere length important

A

if length is too short overlap of contractile proteins interferes with contraction

19
Q

what happens to calcium sensitivity in cardiac muscle as it is stretched

A

it increases

20
Q

what is contractility

A

the force of contraction for a given fibre length. change in the stroke volume for a given left ventricular end diastolic pressure

21
Q

what extrinsic factors can change contractility

A

sympathetic stimulation (inc or dec) and circulating adrenaline

22
Q

what is the effect of increases TPR on aortic impedance and venous pressure

A

increases aortic pressure so harder for the heart to pump out blood and also reduces venous pressure so reduced filling of the heart.

23
Q

what factors affect CO

A

how hard it contracts- EDV and contractility
aortic impedance
heart rate (sympathetic nervous system)

24
Q

what effect does metabolism have on the heart

A

increase in metabolism leads to decrease in TPR to supply more blood resulting in decrease aBP and increased vBP causing positive inotropy

25
Q

how does postural hypotension arise

A

standing up decreases vBP due to gravity, reducing filling and decreasing aBP baroreceptor reflex and autonomic nervous system don’t increase heart rate and TPR.

26
Q

what effect does excercise have on the heart

A

initial muscle pumping and venoconstriction increases venous return as does later decreased TPR. increased sympathetic drive and contractility.