L 21 Intro to the CVS Flashcards

1
Q

list the major functions of the CVS

A
  • deliver O2 and nutrients rapidly to all cells of the body
  • remove CO2 and waste products
  • control system: distributes hormones to tissues
  • regulates body temp
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2
Q

describe the organization of the CVS

A

RA - RV - pulm a. - lung - pulm v. - LA - LV - aorta - circulation - superior/inferior VC

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3
Q

why must the output from the L heart must be the same as the output from the R heart?

A

all homeostatic mechanisms work to maintain equal CO on both L and R side heart.

if there is an imbalance - there are big problems!

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4
Q

define systole

A

contraction of heart

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5
Q

define diastole

A

relaxation of heart

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6
Q

what features distinguish pulmonary and systemic circulations

A

The RV contracts and pumps deoxygenated blood through the pulmonary artery, which divides and supplies the lungs. Inhaled O2 diffuses into the blood and CO2 diffuses out and is exhaled. The oxygenated blood returns to the LA through the pulmonary veins, thus completing the short pulmonary circulation.

The LV pumps out an equal volume of oxygenated blood to all tissues of the body (except the lungs). The blood flows through the aorta, which gives off several major arteries. Repeated branching gives rise to millions of capillaries where the ultimate function of the CVS is fulfilled – the delivery of O2 and nutrients to the tissues and the removal of waste products. The deoxygenated blood returns to the RA via a convergent system of veins that drain into the superior and inferior vena cavae, which join and enter the RA, thus completing the systemic circulation.

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7
Q

define portal circulation

A

Some organs (liver, kidney brain) are connected in series with another organ such that they receive the venous outflow of another organ.

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8
Q

what is the significance of portal circulation

A

Liver: Has a direct arterial supply via the hepatic artery, but ~70% of its blood supply comes from the hepatic portal vein, which is venous blood drained from the gut and spleen. The advantage is that digestive products can be transported directly from the gut to the liver, for further processing.

Kidney: Afferent arterioles supply the glomeruli and efferent arterioles carry venous blood from the glomeruli. These efferent arterioles then supply oxygen and nutrients to the kidney tubules.

Brain: A portal system exists between the hypothalamus and the pituitary gland which functions to transport hypothalamic hormones to the pituitary.

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9
Q

define cardiac output

A

the volume of blood ejected from one ventricle per minute

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10
Q

define stroke volume

A

Volume of blood ejected (from either ventricle) per heart beat

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11
Q

how is SV calculated

A

CO = Sv x HR

SV = CO / HR

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12
Q

what are the normal values for CO, SV, HR

A
CO = pulm. blood flow = 5 L/min at rest
SV = normal = 70-80 ml, athlete = 100-125 ml
HR = normal = 72 bpm, athlete = 35 bpm
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13
Q

what is the basic law of flow?

A

flow = ΔP / R

Bulk Flow Law (Darcy’s Law)
ΔP - pressure gradient
R - resistance

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14
Q

explain why velocity of flow is slowest in capillaries

A

Velocity = Flow (Cardiac Output) / Area
increase area, decrease velocity

capillaries have the largest cross sectional area and the slowest velocity of blood flow!

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15
Q

why does blood flow unidirectionally?

A

presence of one way valves!

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16
Q

define venous return

A

Volume of blood returning to the RA from the vena cava or to the LA from the pulmonary vein per minute.

17
Q

what happens when CO = VR (venous return)?

A

in steady state condition!

18
Q

what is a negative chronotropic effect?

A

decreases heart rate by decreasing the firing rate of the SA node.

19
Q

what is a positive chronotropic effect?

A

increases heart rate by increasing the firing rate of the SA node.

20
Q

What is a negative dromotropic effect?

A

decreases conduction velocity through the AV node, slowing the conduction of action potentials from the atria to the ventricles and increasing the PR interval.

21
Q

What is a positive dromotropic effect?

A

increases conduction velocity through the AV node, speeding the conduction of action potentials from the atria to the ventricles and decreasing the PR interval.

22
Q

What are Positive inotropic agents

A

produce an increase in contractility.

23
Q

what are Negative inotropic agents?

A

produce a decrease in contractility.

24
Q

what is lusitropy?

A

rate of relaxation

25
Q

how much of the CO do the lungs receive?

A

all of the CO from the RV

pulmonary blood flow = CO