L 16,17 CVD Lab tests Flashcards
What is the heart weigh?
240-340 grams
Median adult heart rate is?
75 bpm(beats per minuates)
0
0
Avg resting cardiac pumps and blood output for healthy adult is ?
5.5L/min
Avg hepatic blood flow and avg renal blood flow for man is ?
Hepatic: 1.2L/min
Renal: 1L/min
What is the function of the heart?
Transport blood throughout the body
Carry oxygenated blood
How many layers in arteries and veins ?
3 layers: Endothelial, Medial and External.
Who carries oxygenated blood and who carries deoxygenated blood?
Arteries carry Oxygenated blood
Veins carry deoxygenated blood
What are the abnormalities of the heart we experience?
Coronary arteries clots e.g. IHD Heart valves Heart rhythm e.g. AF Health muscle e.g. HF Pericardium Other arterial blood vessels e.g. HTN Venous blood vessels e.g DVT and PE
9 measures of cardiac function
Heart rate (HR) as the pressure increases the heart rate increases. Stroke volume Cardiac output Ejection fraction Blood pressure (x3: SBP, DBP, PP) Mean arterial pressure (MAP) Central venous pressure (CVP) Preload Afterload
Heart rate (HR) summary?
Number of heart beats per minute. also called pulse
pulse
60-100bpm, ~75
Stroke volume summary?
Volume of blood pumped from the left ventricle per heartbeat.
Range: 60-120mL
SV = EDV - ESV
Cardiac output summary?
Volume of blood pumped through the ventricles per minute.
Range = 4-8L/min. average 5.5L/min
Not directly measured
CO = HR x SV
Ejection fraction summary
Fraction of blood pumped from the ventricles with each heartbeat.
EF = SV/EDV
Normally: 50-70%
Blood pressure?
The hydrostatic pressure, exerted by circulating blood on (arterial) vessel walls.
Expressed as systolic/diastolic in mmHg
Normal = ~120/80mmHg
>140mmHg systolic indicates hypertension.
Equation for pulse pressure
PP = SBP - DBP
Pulse pressure … as arterial compliance ….
Pulse pressure increases as arterial compliance decreases (elasticity decreases)
Central venous pressure summary
A measure of right atrial pressure and preload.
Normal range: 2-6mmHg
Preload ?
Preload, also known as the left ventricular end-diastolic pressure (LVEDP), is the amount of ventricular stretch at the end of diastole.
Diastole = atria contracting and opening, so blood can flow through
Afterload ?
PRESSURE required to push the blood through the currently closed valves during systole.
How does hypertension affect cardiac function?
Lower arterial compliance, increased vascular resistance, left ventricular hypertrophy.
Pulmonary hypertension, right ventricular hypertrophy
How does ischaemic heart disease affect cardiac function?
Ischaemic heart disease can cause angina and heart attacks
How do cardiac arrythmias affect cardiac function?
Blood stagnates, clots form, can cause stroke
For a failing heart, drugs aim to:
- Reduce load on the heart
- Regulate heart rate
- Improve organ perfusion
Primary function of the heart:
To maintain adequate Carbon di Oxide and Maintain Arterial Pressure
What is?
Diastolic= when blood return to the heart (bcz of relaxation) Systolic= When blood goes away from the heart(bcz of contraction)
What is called pulse?
Number of heartbeats per minute also called pulse
What is EF?
Ejection fraction
The fraction of blood pumped from the ventricles (usually LV, LVEF) with each heartbeat.