Introduction to CVS and Haemodynamics Flashcards
What are the main functions of the cardiovascular system?
- Bulk flow of materials
- Gases
- Nutrients
- Hormones
- Waste
- Temperature regulation
- Homeostasis
- Host defence
- Reproduction

What are the components of the cardiovascular system?
-
Heart
- Pump that generates blood flow around the system.
-
Arterial system
- The conductance bessels that carry the blood around the body.
-
Microcirculation
- Where transfer of nutrients, waste and water occurs.
-
Venous system
- The capacity vessels, that store and return blood to the heart.
What percentage of blood is in the pulmonary circulation at any one time?
9%
What percentage of blood is in the systemic circulation at any one time?
84%
What percentage of blood is in the heart at any one time?
7%
Describe the organisation of cells as related to the organisation of capillaries.
- Almost all cells are within a few cell diameters of a capillary.
- ~10 billion capillaries; ~5L volume.
Why are vessels arranged parallel to one another?
- Allows independent regulation of blood flow to different organs.
- Adapts to the metabolic demands of the tissues.
Use a diagram to describe the normal path of blood flow.

Describe the structure of the aorta.
- Diameter = 25mm
- Wall = 2mm
Describe the structure of a normal artery.
- Diameter = 4mm
- Wall = 1mm
Describe the structure of a normal vein.
- Diameter = 5mm
- Wall = 0.5mm
Describe the structure of the vena cava.
- Diameter = 30mm
- Wall = 1.5mm
Describe the structure of an arteriole.
- Diameter = 30µm
- Wall = 6µm
Describe the structure of a terminal arteriole.
- Diameter = 10µm
- Wall = 2µm
Describe the structure of a capillary.
- Diameter = 8µm
- Wall = 0.5µm
Describe the structure of a venule.
- Diameter = 20µm
- Wall = 1µm
Describe the characteristics of arterioles.
- Smallest diameter
- Muscular walled arteries
Describe the characteristics of precapillary sphincters.
- Rings of smooth muscle.
- Control entry of blood from arteriole into each capillary.
Describe the characteristics of capillaries.
- Smallest dimeter blood vessel.
- Simple tube
- One cell thick
- Flattened endothelial cells
- Allows for diffusion of nutrients, waste etc. in/out tissues
Describe the characteristics of venules.
- Smallest diameter vessels
- Drain blood back to the larger true veins
What are the components of the cardiovascular system?
- A pump (the heart).
- A series of conducting pipes (the elastic arteries).
- Smaller distributing pipes to radiators with thermostatic controls (the muscular arteries and arterioles).
- Radiators for heat exchange (the capillary beds).
- A system of return pipes that increase in diameter from the radiators back to the pump (the venules and veins).
- It needs filled to the right volume to work (blood).
- It works under pressure (blood pressure).
Describe how to calculate pulse pressure.
Pulse pressure = systolic pressure - diastolic pressure
Describe how to calculate mean arterial blood pressure.
MABP = diastolic pressure + 1/3 pulse pressure

Describe what happens to venous pressure when standing completely still.
- Pressure increases by 1mmHg for each 13.6mm below the surface.
- By feet there is an increase of 90mmHg.
- Mean arterial pressure at the level of the heart is ~100mmHg.
- So, in the feet it is ~190mmHg
- Leg oedema
- 10-20% of blood volume within 15-30 minutes

Describe how muscle contraction affects the blood flow through a vein.

Describe what happens during orthostatic (postural hypotension).
- Immediate effect in going from supine to upright.
- Around 500ml of blood from the upper body moves to the legs.
- There is decreased venous return, and therefore:
- Decreased cardiac output
- Decreased blood pressure
- Reflex vasoconstriction in the legs and lower abdomen.
- Takes a few seconds to kick in
Describe noncompliant vessels and give examples.
- Rigid tubes which resist expansion when internal pressure rises.
- Examples:
- Capillaries
- Arterioles
Describe compliant vessels and give examples.
- Tubes with elastic walls which swell when internal pressure rises.
- Examples:
- Arteries
- Veins

What is LaPlace’s Law?
- Distending pressure (P) produces an opposing force or tension (T) in the vessel wall, proportional to the radius (R) of the vessel:
T = PR
- Think about pressure and vessel radius in:
- Aorta
- Arteriole
- Capillary
What is the consequence of LaPlace’s Law on control of blood flow?
- Low tension required to oppose blood pressure in arterioles.
- Smooth muscle control of arteriole and precapillary sphincters are the sites of tissue blood flow regulation.
What is the consequence of LaPlace’sLaw on capillaries?
- Capillaries can be extremely thin and still withstand the pressure.
- Thin walls are essential for the exchange process.
Give another example of a practical consequence of LaPlace’s Law?
Aneurysm
Describe the factors which affect blood flow through a vessel.
Flow is:
- Directly proportional to:
- the radius of the vessel
- the pressure gradient along the vessel
- Inversely proportional to:
- the length of the vessel
- the thickness of the fluid
Depict how viscosity affects blood flow through a vessel.
- Normal blood has a higher viscosity than plasma and higher viscosity than water.
-
Blood is a THIXOTROPIC FLUID:
- Flow affects viscosity - static blood has 100x the viscosity of flowing blood.

Describe how vessel length affects blood flow through the vessel.
- The shorter the vessel, the more blood flows through the vessel per unit time.

Describe how to calculate flow using the Poiseuille equation.
- Viscosity and vessel length, plus vessel radius are all factors that generate resistance to flow by contributing to friction between blood and the walls of vessels.
- As resistance increases, flow decreases.

Describe how to calculate arterial pressure.
Arterial pressure = cardiac output x total peripheral resistance
Describe the neural regulation of arteriolar radius.
- Vasoconstrictor:
- Sympathetic nerves
- Vasodilator:
- NO-releasing nerves
Describe the hormonal regulation of arteriolar radius.
- Vasoconstrictor:
- Adrenaline
- Angiotensin II
- Vasopressin
- Vasodilator:
- Adrenaline
- Atrial-natriuretic peptide
Describe the local regulation of arteriolar radius.
- Vasoconstrictor:
- Myogenic response
- Endothelin-1
- Vasodilator:
- Decreased O2
- K+
- CO2
- H+
- Adenosine
- Nitric oxide
- Bradykinin
Decribe laminar fluid flow.
- Vessels are lined with endothelial cells.
- Fluid molecules touching the vessel wall adhere and move slowly.
- The next layer slips over these; and the next slips over these.
- The middle-most layers move most rapidly.
- The centre is the most free-flowing part of the vessel.

Describe the effect of turbulence on fluid flow through a vessel.
- Turbulence disrupts flow, and increases resistance.
- Poiseuille’s law doesn’t hold true during turbulence.
- Reynold’s number (Re) is used to indicate whether flow is laminar or turbulent.

Describe how Reynold’s number (Re) is used to describe flow.
- Reynold’s number (Re) is used to indicate whether flow is likely to be laminar or turbulent.
- For a given system, there will be a “critical value” for Re, above which turbulence is highly likely.
- Turbulence is therefore likely with (because Re increases with):
- high velocity flow
- large diameter vessels
- low blood viscosity
- abnormal vessel wall

Describe the trend in blood pressure and flow throughout the CVS.
