Lecture 13 Flashcards

1
Q

What 3 things is the cardiovascular system composed of?

A

Heart, blood vessels, blood

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2
Q

What is the heart?

A

Muscular pump

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3
Q

What are blood vessels?

A

conduits for blood to flow

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4
Q

What is blood?

A

Fluid that circulates through the body and carries materials between the cells

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5
Q

What are affiliated organs/tissues of the cardiovascular system?

A
  • Lymph, cerebrospinal fluid (CSF), extracellular fluid
  • Lymph & CSF vessels
  • Kidney (erythropoietin, filtering)
  • Spleen, thymus, tonsils (reservoirs for blood/immune cells)
  • Lungs (O2, CO2 removal)
  • Bone marrow (stem cell pool)
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6
Q

What does the lymphatic system do?

A

maintains fluid balance & supports immune
system
* Lymph nodes, lymphatic vessels, spleen, tonsils, & thymus
* Filters harmful substances from lymph & transports white blood
cells
* Lymphatic vessels return excess interstitial fluid & substances to
bloodstream i.e. balance between fluid intake & output

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7
Q

what does the cardiovascular system do?

A

Transports blood

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8
Q

What are some examples of cardiovascular disease?

A
  • Coronary artery disease
  • Stroke
  • Heart attack (myocardial
    infarction)
  • Heart failure
  • Hypertension
  • Diabetes
  • Etc.
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9
Q

What is the continuous loops of blood flow?

A
  • Deoxygenated blood returns to right side
    of heart (enters right atrium) from venous
    circulation
  • Atria receive blood
  • Heart contracts, pumps blood to ventricles
  • From right ventricle to lungs, then left
    atrium
  • Oxygenated blood leaves left ventricle via
    the aorta
  • Note the deoxygenated blood in the
    pulmonary artery & the oxygenated blood
    in the pulmonary vein
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10
Q

What are arteries characteristics?

A

Thick, muscular walls (smooth muscle) designed to handle high pressures

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11
Q

What are arteriole characteristics?

A
  • A bit less muscle (pressures dropping)
  • Lots of innervation to control vessel diameter through smooth muscle contraction (main
    site of BP regulation)
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12
Q

What are capillaries characteristics?

A
  • No muscle i.e. no control over diameter
  • No connective tissue i.e. no ability to withstand high pressures
  • Movement of fluid & solutes maximized
  • Nutrients, waste, fluid exchange at local leve
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13
Q

What are venules characteristics?

A
  • Main site of lymphocytes (white blood cells) crossing from blood to lymph nodes
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14
Q

What are veins characteristics?

A
  • Thin-walled & fairly muscular for easy expansion & recoiling
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15
Q

What is cardiac output?

A
  • The amount of blood pumped by the heart per minute
  • A product of heart rate x stroke volume
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16
Q

What happens in veins?

A

Blood is moving against gravity, toward the heart by pressure gradient between left & right side of heart

17
Q

What are veins facilitated by?

A
  • Expansion of the thoracic cavity during breathing
  • Contracting skeletal muscles
  • Valves (prevent blood flowing backwards)
18
Q

What are varicose veins?

A
  • One-way valves malfunction
  • Allow backwards flow of blood & pooling
  • Generally occurs in superficial veins in thigh & calf (saphenous vein – longest vein in the body)
19
Q

What is the heart made out of?

A
  • Heart is made of cardiac muscle tissue (myocardium)
20
Q

What is the neural input regarding the heart?

A

Involuntary and autonomic

21
Q

What is the neural conduction regarding the heart?

A

gap junctions (very fast, contract as a
unit)

22
Q

What is the hearts metabolism like?

A

Many mitochondria (~35% of volume compared to ~5% in skeletal muscle)
* Fatigue resistant (beats ~3 billion times over a lifetime)

23
Q

How do heart valves control blood flow?

A

AV valves closing, Semilunar valves closing

24
Q

What happens when AV valves close?

A
  • “LUB” (1st heart sound)
  • AV valves located between each atrium &
    ventricle
  • Closure of tricuspid valve (right) & mitral
    valve (left)
25
What happens when semilunar valves close?
* “DUB” (2nd heart sound, louder) * Semilunar valves located between each ventricle & its artery * Closure of pulmonary & aortic valves
26
What is an example of a heart valve problem?
Stenosis * Narrowing of a valve * May be congenital, due to calcification, or scarring from rheumatic fever * Seriousness varies * Can cause fatigue & shortness of breath, exercise intolerance, or in more serious cases, heart failure
27
How can problemed heart valves be fixed?
Artificial aortic valve replacements per year
28
How durable are artificial valves?
Durability – in theory, material could last 1000s of years (carbon, titanium
29
What are some issues with artificial valves?
* Clot formation – requires consistent anticoagulant therapy * Can get stuck * Resistance to flow; vulnerability to backflow & regurgitation * Biological valves are an alternative, usually porcine – need immunosuppressive drugs
30
What are factors influencing FRS?
* Age * HDL-c * Total-c * SBP * Smoking status * Diabetes diagnosis Note: at the same FRS, risk in males greater than in females
31