Coronary Circulation/Temp Regulation Flashcards

1
Q

What period of cardiac cycle has coronary blood flow in the L ventricle the lowest

A

isovolumertric contraction

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2
Q

Why is coronary perfusion of the left ventricular myocardium is low during systolic periods and higher during diastolic periods

A

this is an effect of the pressure gradient, since the aortic pressure is highest in diastole

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3
Q

What is the effect of cardiac dilation of ventricular wall tension and mycoardial perfusion

A

larger the ventricle, higher the tension and myocardial perfusion is reduced

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4
Q

Most frequent location of MI

A

subendocardial arterial plexus

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5
Q

Why is subendocardial arterial plexus most senstivie to compressive forces and damage

A

due to variation in perfusion during cardiac cycle

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6
Q

Effect of increased heart rate on mycocardial perfusion

A

increase HR results in increased perfusion because the pressure is higher in CBF, and the demand of O2 from the heart would be higher

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7
Q

Sublingual body temp

A

approximately normal - 37 C

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8
Q

rectal temp

A

closer to actual core temp - 36.1 to 37.8 C

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9
Q

axillary temp

A

about 1 F less than oral

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10
Q

3 causes for normal variation in body temp

A

diurnal variability
estrous cycle
exercise

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11
Q

How does diurnal variablity affect normal body temp

A

lower in morning, higher in evening

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12
Q

How does estrous cycle affect normal body temp

A

luteal phase elicits an abrupt increase in temperature

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13
Q

How does exercise affect normal body temp

A

metabolic rate

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14
Q

Core temperature

A

temp inside the thoracic, abdominal, and brain/spinal cord

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15
Q

Shell temperature

A

skin

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16
Q

Radation

A

heart leaves/enters the body when it’s colder/warmer outside

17
Q

Condition

A

heart flows down thermal gradient with DIRECT contact

18
Q

Evaporation

A

sweat evaporates from our skin, takes heat with it

19
Q

Convection

A

heart dissipated by current/movement (air/water)

20
Q

What does cutatneous/core thermoreceptors do when temp rises

A

activates sweating and cutaneous vasodilation

21
Q

What does cutaneous/core thermoreceptors do when temp drops

A

initiates shivering, cutaneous vasoconstrction, inhibits sweating

22
Q

What changes in the body when temp increase

A

vasodilation, sweating

shivering, thermogenesis and piloerection inhibited

23
Q

What changes in the body when temp decreases

A

vasconstrction, shivering, thermogenesis, pilorection

24
Q

What does epinephrine do when body temp decreases

A

increase thermogensis

25
Q

What does NE do when the body temp decreases

A

cutaneous vasoconstriction

26
Q

How do vasodilation and sweating get inhibited

A

PANS innervation results in the hypothalamus releasing TRH, which causes anterior pititarty to release TSH, which causes thyroid gland to release thyoxine which increases metabolitic thermogensis