Haemodynamics Flashcards
What is haemodynamics?
- The study of physical and physiological principles governing the movement of blood through the circulatory system
- Explains the physical laws that govern the flow of blood in the blood vessels
The circulatory system
Function of circulation
How local blood flow is controlled
Function of circulation: supply nutrients to tissues and remove waste products
- Tissue blood flow needs to be maintained by ensuring adquate cardiac output
- Local blood flow is controlled by arterioles which function like a tap
Factors affecting heart rate
Atrial reflex
1. Autonomic innervation
2. Hormones
Heart rate
Factors affecting stroke volume
- Venous return,Filling time,Autonomic innervation,Hormones,Vasodilation or Vasoconstriction
- Preload, Contractility, Afterload
- End-diastolic volume, End-systolic volume
Stroke volume equation
Stroke volume=end diastolic volume-end systolic volume
Cardiac output
Equation
Defintion
The total blood flow out of the heart (litres/min)
- volume of blood pumped from each ventricles per minute
- Cardiac output=heart rate x stroke volume
Blood pressure in vessels
p=f/a
Blood pressure:force that the blood exerts on the surface area of the walls of the blood vessels
- Differences in blood pressure throughout the body keep blood flowing from high-pressure areas to low-pressure areas
Systolic Blood pressure
Diastolic blood pressure
Pulse pressure
Definition
Range
- Pressure during systole (maximum pressure in arteries, 120mmHg)
- Pressure during diastole (minimum pressure in arteries, 80mmHg)
- Difference in pressure between systole and diastole
Mean arterial pressure
Definition
Range
Equation
- Average arterial pressure during the cardiac cycle
- Considered to be the perfusion pressure of tissues and organs
- A MAP of >60mmHg is rquired to sustain organs of a healthy person
MAP=2xDBP+SBP/3
=1/3 SBP+2/3 DBP
=1/3 PP+ 2/3 DBP
2 DBP: 1 SBP (because most time is spent on the DBP)
Why do we need high pressures?
If the blood pressure is high, then the flow through a particular organ can be regulated by relaxing or constricting its input arterioles. (vasoconstriction,vasodilation)
Does high pressure not rupture vessels?
- Blood vessels are designed in such a way that can withstand significantly higher pressures that those generated in normal conditions
- The pressure vessels can withstand is determined by the vessel wall properties and the radius of the vessel
- Vessels damaged by high blood pressure can rupture or leak
Laplace’s Law
What Laplace’s law is
How radius is connected to withstand
- Laplace’s law states that the pressure that an elastic vessel can withstand depends on the wall tension and the radius of the vessel
- The smaller the radius of a vessel,the greater the pressure tha a given wall strength can withstand.
- Thus smaller diameter arterioles only need thin walls to withstand normal arterial pressures
What is an aneurysm?
How aneurysm is caused
What happens in aneurysm
- If an artery wall weakens its radius increases and so the pressure it can withstand decreases
- The wall balloons out and this further reduces the effectiveness of the wall to withstand the pressure
- Eventually an aneurysm may occur and the vessel may rupture
What is blood flow?
Definition
Why blood pressure is different
- Volume of blood that flows through a vessel or an organ over some period of time
- Differences in blood pressure throughout the body keep blood flowing from high-pressures areas, like the arteries, to low-pressure areas, like the veins
- Anlagous to hydraulic circuit
- Flow=volume/time
Ohm’s Law
Equation and what each symbolises in systemic ciruclation
What the equation means
- When a fluid is pumped through a closed system, its flow (Q) is determined by the pressure developed by the pump (P1-P2 or diff in P), and by the resistance to that flow
F=P1-P2/R - The flow equation applies to the systemic circulation
F=CO
P1=Mean arterial pressure (MAP)
P2=Right atrial pressure (RAP)
R=total peripheral resistance (TPR)
Therefore:
CO=MAP/TPR
CO x TPR=MAP