hemodynamics (heximer) Flashcards

1
Q

what determines pressure generation in heart (laplace)

A

stress (force/area)*thickness of wall/radius

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2
Q

what are 2 main diffs between R and L vents.

A

L has smaller r and thicker walls

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3
Q

what factors does heart try to keep fixed

A

wall pressure

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4
Q

what happens @ beginning of systole

A

AV valve closes

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5
Q

what occurs after AV closes

A

isovolumic contraction

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6
Q

what ends isovolumic contraction

A

aortic valve opens

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7
Q

what ends isovolumic relaxation

A

AV valve closes

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8
Q

what does a PV loop measure

A

LV volume vs. pressure

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9
Q

what is ESV and where on loop

A

end systolic vol - least V, most P

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10
Q

what is EDV and where on loop

A

end distolic vol. - least P, most V

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11
Q

when does mitral valve open

A

low P, low, V

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12
Q

when does filling occur

A

between mitral opening and closing (EDV)

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13
Q

what is stroke vol calculation

A

EDV-ESV

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14
Q

what changes P-V loops

A

pre and pos load

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15
Q

what is ESPVR a measure of

A

heart function (contractility)

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16
Q

what is EDPVR a measure of

A

diastolic heart compliance

17
Q

how to calculate CO

A

stroke vol * HR

18
Q

what are 2 types of factors to influence CO

A
  1. intrinsic - hemodynamics

2. extrinisic - autonomic

19
Q

how much can CO be changed by intrinsic during excercise

A

5-15L/min

20
Q

based on starling, what will change CO

A

venous return (EDV)

21
Q

what controls vent. filling (2)

A

venous pressure

vent compliance

22
Q

6 factors affecting P veins

A
  1. blood volume
  2. vein compliance - symp.
  3. muscle activity
  4. venous contraction with valves
  5. neg thoroacic pressure
  6. gravity
23
Q

how can ESV affect CO

A
  1. lower ESV - more forceful contraction
24
Q

what determines ESV

A
  1. afterload (aortic pressure)

2. contraction strength

25
Q

what P-V loop with be seen with aortic stenosis

A

tall thin loop to the R

26
Q

what does direction of ESPVR indicate

A

left - stronger, R- weaker