CV physiology I Flashcards

1
Q

what are the main functions of the CV system

A
  • O2 and substrate delivery
  • removal of CO2 and metabolic by products
  • transport of hormones and other molecules
  • thermoregulation
  • maintaining acid base balance
  • regulation of immune function
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2
Q

what are the components of the CV system

A
  1. pump - heart
  2. high pressure circuit - arteries and arterioles
  3. arteries = bulk flow
  4. arterioles = start to distribute
  5. exchange vessels - capillaries
  6. low pressure circuit - veins and venules
  7. fluid - blood
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3
Q

how is velocity related to the total CSA of blood vessels

A

inversely related
- as total CSA increases, velocity decreases

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4
Q

why is blood flow the slowest in the capillaries

A

allows time for exchange of gases and nutrients
- largest total CSA

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5
Q

why does velocity goes up on the venous side

A
  • skeletal muscle pumps
  • total CSA decreases
  • higher volume of blood in vessels
  • heart pump pulls the blood back up
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6
Q

what is the pathway of blood through the heart

A

right side:
- atrium receives deO2 blood from body
- ventricle pumps deO2 blood to the lungs

left side:
- atrium receives O2 blood from lungs
- ventricle pumps O2 blood to body

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7
Q

what is the structure of the myocardium

A
  • shorter than skeletal muscles
  • homogenous (all type I)
  • cells are connected by intercalated discs (mechanical connection between cells)
  • connected fibres connect as a unit (no size principle)
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8
Q

why are there no satellite cells in the myocardium

A

only one type of muscle fibres - therefore not needed

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9
Q

what are the mechanics of the myocardium

A
  • involuntary contraction
  • calcium induced calcium release
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10
Q

what is calcium induced calcium release

A
  • electrical activity into t tubules and then a little calcium is released at the beginning
  • little calcium activates the SR and more calcium is released
  • SR not activated by electrical activity like skeletal muscle is
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11
Q

what is the intrinsic control of electrical activity (HR)

A

myocardium generates its own electrical signals
- due to anatomical coupling of the myocardial cells via gap junctions
- conveys electrical discharge from cell to cell in heart (not in muscle cells - APs propagate)

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12
Q

what is the function of the SA node

A
  • specialised fibres that are special groups of cardiac muscles
  • don’t contribute to contraction directly
  • initiate the electrical discharge
  • adapted to generate automatic impulses only (~100bpm)
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13
Q

why does the SA node depolarise at a greater rate than other cells

A
  • leaky to Na+ compared to K+ that leaves the cell
  • easier and faster for Na+ to leak into the SA node
  • pushes K+ out which is the mechanism to create electrical discharge
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14
Q

why is ithe delay between the AV node and AV bundle important

A

allows blood from the atria to completely empty to ventricles before contraction

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15
Q

what are the 4 players in extrinsic control of HR

A

parasympathetic NS
sympathetic NS
endocrine system
mechano/chemoreceptors in muscle and heart

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16
Q

how does parasympathetic NS contribute to extrinsic control of HR

A

REDUCES HR
- originate from medulla oblongata (CV and resp control)
- vagus nerve sends signals to SA and AV nodes and releases ACh
- activation of vagus nerve (vagal tone)
- ACh released from vagus nerve
- vagal tone (at rest) sets HR around 60-80 bpm

17
Q

how does sympathetic NS contribute to extrinsic control of HR

A

INCREASES HR
- increase the rate of depolarisation of SA node

18
Q

how does endocrine system contribute to extrinsic control of HR

A
  • epi and norepi (catecholamines) from adrenal glands released = increased HR
  • triggered by sympathetic stimulation during stress
19
Q

what is diastole

A

relaxation phase
- ventricles fill with blood
- passive flow (70%) and contraction of atria (30%)
- twice the duration of systole at rest

20
Q

what is systole

A

contraction phase
- ventricles contract
- occurs ~100ms after atrial contraction at rest
- ejects 2/3 blood out of ventricles when ventricular pressure exceeds the pressure of the pulmonary artery and aorta (cardiac afterlload)
- half duration of diastole at rest

21
Q

what is the difference in length of diastole and systole during exercise

A

systole is slightly reduced in duration and diastole is way shorter
- HR goes up because of significant decrease in diastolic phase