Lecture 8 Heart Physiology Flashcards

1
Q

Arterial blood flows

A

Away from the heart.

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2
Q

Venous blood flows

A

towards the heart.

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3
Q

Design of the mammalian cardiovascular system. (4 points).

A

Four chambered heart.

Blood flows in one direction.

Arterial blood flows away from the heart.

Venous blood flows towards the heart.

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4
Q

Right and left pumps contract….

also what pumps 1st and 2nd

A

simultaneously.
Atria contract first…
ventricles contract second

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5
Q

Blood movement through the heart is gated by

A

valves

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6
Q

Tricuspid and mitral valves control flow between the

A

atria and ventricles

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7
Q

Aortic and pulmonary valves control flow from the

A

ventricles out to the circulatory vessels

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8
Q

Valves open and close to

A

direct blood

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9
Q

Cellular mechanism of cardiac contraction. (4 steps)

A
  • Ca2+ levels go up, and more Ca2+ is released from the sarcoplasmic reticulum (SR).
  • Myosin binds to actin to form cross-bridges.
  • Myosin pulls on actin to shorten the sarcomere and generate force.
  • Every myocyte activated during each heart beat.
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10
Q

How are cross bridges formed?

A

Myosin binds to Actin.

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11
Q

Myosin pulls on actin to

A

shorten the sarcomere and generate force.

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12
Q

What is activated during each heart beat?

A

Every Cardiomyocyte.

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13
Q

how can we increase force of contraction?

Extent of X- bridges formed not maximized at rest…..

A

↑ cytosolic Ca2+ level

↑ number of cross-bridges formed

↑ force of contraction.

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14
Q

Cellular mechanism of cardiac relaxation

A

Decrease in cytosolic Ca2+ levels.
(Ca2+ pumped back into the SR).

Cross-bridges release when ATP binds to myosin.

Reduction in force means the heart can relax.

All cardiac myocytes relax each beat.

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15
Q

Diastole

A

Relaxation

Falling pressure

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16
Q

Systole

A

Contraction

Rising pressure

17
Q

Cardiac cycle and main phases

A

Starting point

Atrial contraction / systole

Atrial diastole

Isovolumetric ventricular contraction (Ventricular systole 1st phase )

Ventricular Ejection (Ventricular systole 2nd phase)

Isovolumetric ventricular relaxation (Ventricular diastole early phase)

Ventricular diastole late phase - passive filling phase

18
Q

Starting point (atria, ventricles, AV valves, semilunar valves)

A

ready for heartbeat

Atria and ventricles full of blood

AV valves open (to allow blood into ventricles)

Aorta & Pulmonary valves close (Keep blood within heart)

19
Q

Atrial contraction / systole

what contracts

A

Kicks of heartbeat

2 atria contract and pack as much blood into the ventricles

20
Q

Atrial diastole

A

Atria is relaxing (pushed as much blood into the ventricles)

AV valves close (to prevent backflow into atria)

21
Q

Isovolumetric ventricular contraction (Ventricular systole 1st phase)
(Valves, pressure, volume)

A

Ventricles contract

AV valve close

Aorta and Pulmonary valve close

Rapid build of pressure

No where for blood to escape the ventricles.

Blood volume is same

22
Q

Ventricular Ejection (Ventricular systole 2nd phase)

A

The pressure is so high causes the aortic and pulmonary valve to open and blood is ejected out of ventricles into arteries
Pressure falls

23
Q

Isovolumetric ventricular relaxation (Ventricular diastole early phase)
(valves, volume, ventricle)

A

AV valves close

Pulmonary and Aortic valves close

Lower blood volume

Ventricles relax

Space is getting larger the volume stays the same

Decrease pressure in the ventricles

24
Q

Ventricular diastole late phase - passive filling phase

A

AV valves open

Blood from veins fill up atria and ventricles

25
Blood pressure | measure
Systolic point / diastolic point | highest point / lowest point
26
Pulse pressure
difference between systolic and diastolic blood pressure. (highest - lowest)
27
Mean arteriole blood pressure
A bit lower than the mid point of the systolic and diastolic point
28
why is the MAP lower than mid point?
Heart spends more time relax (diastole) than in systole.
29
Hypertension
Systolic pressure too high (mmHg) - millimeters of mercury Heart failure / stroke
30
Hypotension
Diastolic pressure too low (mmHg) Poor circulation through system. Affects certain areas further from the heart (brain) more Syncope (fainting, unconscious state brain not getting enough oxygen)
31
Pulmonary circuit | resistance
Moves blood to lungs from heart Short circuit Low resistance Right side of the heart only needs low pressure as the resistance is low.
32
Systemic circuit
Moves blood throughout body Long circuit High resistance Left side of the heart needs to create high pressure to overcome the resistance