Control of Heart Rate and the Cardiac Cycle Flashcards

1
Q

Tachycardia

A

increased heart rate
increased activity of sympathetic nerve

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2
Q

bradycardia

A

decreased heart rate
increased activity of parasympathetic nerve

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3
Q

chronotropic effect and how it works

A

changes in heart rate
changes the slope of pacemaker potential

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4
Q

what is cardiac output and how is it calculated

A

the volume of blood pumped by EACH ventricle per minute
CO = HR x SV

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5
Q

how is stroke volume calculated
typical values

A

end diastolic volume - end systolic volume = SV
135 - 65 = 70 ml

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6
Q

which nerve supplies parasympathetic action to the heart

A

Vagus

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7
Q

what effect does acetylcholine have at the heart

A

inhibitory

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8
Q

what effect does noradrenaline have at the heart

A

stimulatory

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9
Q

how does parasympathetic stimulation on the SA node decrease HR

A

causes hyperpolarisation (longer to reach AP threshold)
increases K+ permeability

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10
Q

effects of parasympathetic stimulation of the heart

A

decreased AV node excitability ( HR decreases)
shortened plateau phase of atrial contractile cells (time between atrial and ventricular contraction increased)

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11
Q

which chambers of the heart are effected by parasympathetic stimulation

A

atria only

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12
Q

how does sympathetic stimulation of the SA node increase HR

A

causes opening of funny channels and transient Ca2+ channels

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13
Q

effects of sympathetic stimulation of the heart

A

reduced AV delay
increased electrical conduction within the heart
speeds up relaxation

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14
Q

which chambers of the heart are effected by sympathetic stimulation

A

atria and ventricles

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15
Q

max heart rate calculation

A

220 - age

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16
Q

how much of end diastolic ventricular volume is accounted for by passive filling

A

80%

17
Q

5 major phases of the cardiac cycle

A

filling period
atrial contraction
isovolumetric ventricular contraction
ejection
isovolumetric ventricular relaxation

18
Q

when are the 2 heart sounds and what causes them

A

1st - beginning of systole produced by closure of the AV valves
2nd - beginning of diastole produced by closure of aortic and pulmonary (semilunar) valves