CORONARY CIRCULATION Flashcards
HOW MUCH OF THE CARDIAC OUTPUT DOES THE CORONARY CIRCULATION RECEIVE
5%
What does the right coronary artery divide into ?
- right marginal
- posterior interventricular
what does the left coronary artery divide into?
- anterior interventricular artery
- circunflex
how is the systole and diastole in coronary circulation
opposite to the rest of the body due to systolic muscle contraction
VERY IMP IN LEFT VENTRICLE
WHYS IS THE CHANGE IN SYSTOLE AND DIASTOLE IMP IN THE SUBENDOCARDIAL AREA?
RISK OF ISCHEMIA
REGULATION OF CORONARY BLOOD FLOW
metabolism: if o2 needed then there is an increase of coronary blood flow (vasodilatation)
Autonomous sytem :
symp: β1 receptor- increase of metabolism
also α 1 (vasoconstriction ) but lesss
parasympathetic: no real role
Coronary blood flow values
normal: 60-70 ml/100 gr
how many times can the coronary blood blow increase?
flow can increase up to 5 times
what is the option to increase the o2?
the only option is to increase coronary blood flow
coronary flow reserve
capacity to increase flow
normally auto regulated
factors that coronary blood flow reserve depends on ?
- width of epicardial vessels
- adequate vasodilatation of smaller arteries
CARDIAC VENOUS RETURN: divisions of the coronary sinus
vena coronaria mayor
vena post del ventriculo izq
vena coronaria media
vena coronaria menor
thebesian veins
veins that transports blood from coronary circulation right into the chambers