Lecture 2 Flashcards

1
Q

What is cardiac output?

A

Heart rate x stroke volume

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2
Q

What are some points of regulation to change blood pressure?

A

HR, SV, total peripheral resistance.

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3
Q

If someone weighs 70kg, what would their stroke volume be?

A

70 ml

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4
Q

Where is the cardiovascular control centre located?

A

Predominantly the medulla oblongata, some in pons. These are in the brainstem.

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5
Q

The sympathetic centre of the medulla oblongata has what distinct regions?

A

Augmenter and accelerator.

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6
Q

What are the distinct regions of the parasympathetic centre?

A

Nucleus vagus and the nucleus ambiguous.

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7
Q

What are some higher brain centres that input into the brainstem cardiovascular control centre?

A

The hypothalamus, thalamus and cerebral cortex.

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8
Q

What are some stimulus that come to the brainstem from higher centres of the brain?

A

Anxiety, excitement, exercise and emotion

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9
Q

Other than the higher brain centres, what other inputs does the brainstem receive?

A

From receptors and reflexes

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10
Q

Is the sympathetic pre-ganglionic fibre long or short?

A

Short

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11
Q

Where is the ganglion for the sympathetic nervous system and what is it called?

A

Stellate ganglion at level C6 and C7.

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12
Q

Where do fibres from the right stellate ganglion go?

A

The the nodal tissue in the heart to control rate

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13
Q

Where do fibres from the left stellate ganglion go to?

A

Ventricular tissue for contractility

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14
Q

What neurotransmitter controls the heart in the sympathetic nervous system?

A

NE on beta 1 receptors

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15
Q

What is a positive chronotropic effect?

A

Increases heart rate

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16
Q

What is a positive ionotropic response?

A

Increases contractility.

17
Q

What is increased lustrophy?

A

Increased relaxation rate

18
Q

What is dromotropy?

A

Conduction through the heart

19
Q

Describe the fibres in the parasympathetic nervous system

A

Long preganglionic fibres. short postganglionic fibre

20
Q

Where is the parasympathetic autonomic ganglion for the heart?

A

On the heart

21
Q

What neurotransmitters act on the heart in the parasympathetic nervous system?

A

Ach on muscarinic receptors on SA and AV node

22
Q

What is the effect of the parasympathetic nervous system on the heart?

A

Negative chronotropic effect by prolonging delay at the AV node.

23
Q

What is the fat on the heart called?

A

Epicardial fat

24
Q

What are the ganglionic plexuses?

A

Autonomic ganglia on the epicardial fat of the heart.

25
Q

What drug blocks the parasympathetic nervous system?

A

Atropine

26
Q

What blocks the sympathetic nervous system?

A

Propranolol

27
Q

Which system is predominant control of heart rate at rest?

A

Parasympathetic

28
Q

Why are transplanted heart rates faster than normal?

A

No vagal tone to the heart