CV System (Add. to what's in HA - Heart) Flashcards

1
Q

What does heart rate variability refer to?

a.k.a RR variability

A

Variation in time interval between heartbeats.

Beat to beat interval

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2
Q

Where can you find the RR variability on an ECG?

A

Between the QRS of 1 beat and the QRS of another beat

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3
Q

What is meant by an inotropic action/effect?

A

When the beat strength of the heart ⬆️

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4
Q

What is meant by an chronotropic action/effect?

A

Change in the HR + rhythm

+ive chronotropes = ⬆️ HR

-ive = ⬇️ HR

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5
Q

What is high HR variability associated with?

A

+ive outcomes:

  • Good emotional regulation
  • Well being
  • Good Info processing skills
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6
Q

What is low HR variability associated with?

A

-ive outcomes:

  • Depression, anxiety - poor emotional reg
  • IBS
  • Ageing
  • Cardiac mortality
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7
Q

What is VO2?

A

Diff between vol of gas inhales + vol of gas exhaled per unit of time.

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8
Q

What are the determinants of VO2

A

Bf + O2 extraction

Fick Equation

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9
Q

How is bp calculated?

A

CO X Total Peripheral Resistance

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10
Q

Why is there an increased extraction of O2 from the blood during exercise?

A

Due to the oxyhemoglobin dissociation curve

= A sigmoidal response

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11
Q

What affects haemoglobin O2 affinity?

A

Acidity

PCO2

2,3 biphosphoglcyerate

Temp

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12
Q

What happens to the affinity of Hb in acidosis?

A

Decreases == More O2 delivered to acidic sites

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13
Q

What happens to the affinity of Hb in rising PC02?

A

Decreases = The harder the tissue is working = the more O2 is released

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14
Q

What happens to the affinity of Hb in the presence of 2,3biphosphoglycerate formation during glycolysis?

A

Helps to unload O2 by binding w/ Hb

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15
Q

What happens to the affinity of Hb in increasing temps ?

A

Decreases

= More O2 delivered to warmer muscles

== In hypothermia = O2 remains bound to Hb

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16
Q

What is happening at the S stage of the QRS complex?

A

Depolarisation of purkinje fibres

17
Q

READING OF AN ECG

Squares to seconds and minutes

A

1 Small square = 0.004s

1 Large square = 0.2s

5 Large squares = 1.0s

18
Q

What is the J point on an ECG reading?

A

Where S joins ST segment

19
Q

What does the J point on an ECG effect?

A

The elevation of the ST segment

20
Q

List some typical ECG responses to exercise

A

Small change in P wave

Superimposition of P + T waves of successive beats - starts to look like an M

Small ⬇️ in R wave amplitude

Deeper Q wave?

⬆️ in T wave amplitude

Minimal shortening of QRS complex

Depression of J joint

Rate-related shortening of QT interval