lecture exam 3 Flashcards
mid-to-late diastole
ventricular filling
During ventricular filling heart blood pressure is___ as blood enters ___ and flows into ventricles
low, atria
during ventricular systole atria______
relax
During ventricular systole, rising_________ results in closing of AV valves
ventricular pressure
During ventricular systole isovolumetric contraction phase is when
(all 4 valves are closed)
During ventricular filling AV valves are ____, then ______ occurs
open, atrial systole
During ventricular systole rising ventricular pressure results in ______ of AV valves
closing
isovolumetric contraction phase happens during
ventricular systole
During ventricular systole rising ventricular pressure results in closing of _______
AV valves
During ventricular systole when all 4 valves are closed its called
isovolumetric contraction phase
During ventricular systole, it opens semilunar valves
ventricular ejection phase
Steps in ventricular systole
atria relax
rising ventricular pressure results in closing of AV valves
isovolumetric contraction phase (all 4 valves are closed)
ventricular ejection phase opens semilunar valves
steps in ventricular filling
heart blood pressure is low as blood enters atria and flows into ventricles
AV valves are open, then atrial systole occurs
what comes first in the Phases of the Cardiac Cycle? ventricular systole or ventricular filling
ventricular filling
early diastole
isovolumetric relaxation
during isovolumetric relaxation _______ relax
ventricles
During isovolumetric relaxation, backflow of blood in _____ and _______ closes semilunar valves
aorta and pulmonary trunk,
During isovolumetric relaxation, atrioventricular valves also remain _______ until ________ drops below ______ pressure (all 4 valves are closed)
closed, ventricular pressure, atrial
steps in isovolumetric relaxation
ventricles relax
backflow of blood in aorta and pulmonary trunk closes semilunar valves
atrioventricular valves also remain closed until ventricular pressure drops below atrial pressure (all 4 valves are closed)
is determined by venous return and neural and hormonal controls
cardiac output
under stress, the ______________ increases heart rate and stroke volume
cardioacceleratory center
cardiac output is determined by______ and _____ and ______ controls
venous return, neural and hormonal
resting heart rate is controlled by the _______ center* via the _______ nerves
cardioinhibitory, vagus
under stress does the the end systolic volume (ESV) increase or decrease
decrease
under stress does the MAP (mean arterial pressure) increases or decrease
increase
under stress, the cardioacceleratory center* increases ________ and __________
heart rate and stroke volume
is controlled by the cardioinhibitory center* via the vagus nerves
resting heart rate
cardioinhibitory center is located in the ______
medulla oblongata
stroke volume is controlled by______
venous return
blood flow is dependent on ______ & ________
pressure gradient & resistance
contraction of the heart forces blood through the______
, vessels
the farther the blood has flown away from the heart, the ______ the pressure
lower
when friction between the blood and the vessel walls decreases the flow
resistance
as the diameter of a blood vessel gets smaller, is it more or less resistant?
more
the farther the blood has flown away from the heart, the lower the ________
pressure
as a blood vessel gets longer, is it more or less resistant ?
more
as blood gets more viscous (thicker) is there more or less resistance
more
this is the only contributor to resistance that can change minute to minute to alter blood pressure
diameter
do arteries with a large diameter have more or less resistance
less
arteries have a_______ which are elastic walls that will recoil to provide force to move blood while ventricles are refilling (and are therefore not pushing blood forward)
pressure reservoir
in arteries, a pressure reservoir has elastic walls that will _____to provide______ to move blood while ______ are refilling (and are therefore not pushing blood forward)
recoil, force , ventricles
in a pressure reservoir _______ will recoil to provide force to______ while ventricles are _______ (and are therefore not pushing blood forward)
elastic walls, move blood, refilling
pressure exerted on the artery wall while ventricles are contracting
systolic pressure
pressure exerted on the artery wall while ventricles are refilling
diastolic pressure:
less elastic than arteries and smaller version of them
Arterioles
have a thick layer of smooth muscle
Arterioles
contracts: vessel diameter becomes smaller =
vasoconstriction
relaxes: vessel diameter becomes larger =
vasodilation
partial constriction =
baseline constriction
nitric oxide (NO):
vasodilator
endothelin:
vasoconstrictor
___ levels drop and ____ levels rise in a muscle that begins to work
O2, CO2
O2 levels drop and CO2 levels rise in a muscle that begins to work triggering ______ of local______ in that muscle
dilation, arterioles
buildup of anything bad (e.g., CO2) triggers ____ of local arterioles
dilation
O2 (good stuff) levels ____ and CO2 (bad stuff) levels ____in an organ
drop, rise
buildup of anything good (e.g., O2) triggers ______ of local arterioles
constriction
Extrinsic controls for the cardiac cycle
nervous system, hormonal control
less sympathetic stimulation _______ muscle contraction
decreased muscle contraction
in the nervous system sympathetic stimulation_______ smooth muscle contraction
increases
___________ causes intense vasoconstriction in cases of extremely low BP
antidiuretic hormone (ADH)
kidney release of renin generates _________ in the blood, which causes intense vasoconstriction
angiotensin II
in the nervous system sympathetic stimulation increases _________________
smooth muscle contraction
: endothelin and prostaglandin-derived growth factor (PDGF) are both vasoconstrictors
endothelium-derived factors
has brief but potent vasodilator effects
nitric oxide (NO):
histamine, prostacyclin (lines blood vessels), and kinins are potent vasodilators
inflammatory chemicals:
in the nervous system, sympathetic stimulation ______ smooth muscle contraction and BP
increases
in the nervous system, __________ stimulation decreases smooth muscle contraction and BP
parasympathetic
hormones in the cardiac cycle, hormones from organs other than the _____ &; _____________
heart and blood vessels
allow for exchange of materials between blood and every body cell
Capillaries
are very thin walled: one cell thick, no smooth muscle or connective tissue
capillaries
inhibited means
turned off
stimulated means
turned on
is something more positive or negative if its inhibited
negative
is something more positive or negative if it stimulated
positive
from the thyroid glad
thyroxine
the amount of blood ejected from 1 ventricle per contraction
stroke volume
local to organ
intrinsic
outside of organ system
extrinsic
extrinsic control is always
nervous system or endocrine
the amount of blood in a ventricle just before it contracts
end diastolic volume
what technique is used to measure stroke volume
echocardiogram
total blood volume
5.25
amount of blood remaining in a ventricle after contraction
end systolic volume
how do you calculate cardiac output
heart rate X stroke volume
rubber band effect
frank starling law
relaxation
diastole
contraction
systole
MAP is
mean arterial pressure
pressure of blood against a vessel wall
blood pressure
pressure of blood as it enters an organ
mean arterial pressure
what is the source of blood pressure
ventricles
how do you calculate MAP
diastolic pressure + pulse pressure, divided by 3
what is normal map
60 - 160 mm Hg
in a blood pressure reading is the top number diastolic or systolic
systolic
how do you calculate pulse pressure
systolic - diastolic
what is normal pulse pressure
20 - 40
forward movement of blood away from the heart
blood flow
there is only a pulse in the
arteries
in a blood pressure reading is the bottom number systolic or diastolic
diastolic
whole circle
diameter
half circle
radius
will the length of a blood vessel change from minute to minute
no
in _______ of the ventricles blood continues to move forward from pressure of the _____ recoiling back to their original size
relaxation, arteries
anything good triggers _______ of the blood vessel
constriction
anything bad triggers ________ of the blood vessel
dilatation
the amount of blood returning to the heart through the veins
venous return
total blood volume
5.25
does vasoconstriction increase or decrease blood pressure
increase
ADH is also called
vasopressin
blood going to or away from an area
perfusion
speed
velocity
does vasodiolation increase or decrease blood pressure
decrease
another name for filtration pressure
hydrostatic pressure
causes fluid to leave the capillaries
filtration pressure
caused by albumin proteins in the blood acting as sponges
re absorption pressure
reabsorption pressure can also be called
oncotic pressure or colloid osmotic pressure
number one regulator of blood pressure
kidneys
allow for exchange of materials between blood and every body cell
Capillaries
capillary exchange is by
Simple Passive Diffusion
are very thin walled: one cell thick, no smooth muscle or connective tissue
capillaries
how narrow are capillaries
7μm
how narrow are red blood cells
8μm
how many cells thick are capillaries
1
no cell is more than ____ away from a capillary
0.1 mm
changes as it travels through the systemic circulation
blood velocity
do capillaries have smooth muscle
no
slow capillary flow allows adequate time for exchange between ______ &________
blood and tissues
is inversely proportional to the cross-sectional area
blood velocity
do capillaries have connective tissue
no
____________ allows adequate time for exchange between blood and tissues
slow capillary flow
_________ from the heart causes the capillary wall to act like a filter
pressure gradient
_____ in capillary walls allow small water-soluble molecules to be exchanged
Pores
Blood flows from capillaries into ______ to _____
into venules to veins
are Veins low or high resistance
low
are veins large or small in diameter
large diameter
little elasticity
veins
do veins spring back
no
At rest: up to____% of blood volume can pool in veins
60%
small amount of ________ from heart (0 – 20mm Hg) is a force responsible for venous return
pressure gradient
Parasympathetic Inhibition on the Heart slows rate of
SA node depolarization
sympathetic stimulation causes venous __________
vasoconstriction:
Parasympathetic Inhibition on the Heart longer than usual _______
AV node delay
lower pressure in chest increases pressure gradients as blood moves into chest cavity
respiratory pump
squeezes blood back to the heart (still little resistance)
venous vasoconstriction:
______ is the pacemaker, so it determines the______
SA node, heart rate
autonomic nerve pathways _______
modify heart rate
sympathetic pathways – (NEUROTRANSMITTER)
norepinephrine (NE)
parasympathetic pathways – neurotransmitter
acetylcholine (ACh)
modify heart rate
autonomic nerve pathways
Parasympathetic Inhibition on the Heart, _______ contraction of atria and ventricles
weaker
Parasympathetic Inhibition on the Heart inhibited by the ____________ center in the ______________through the ______ nerves
cardioinhibitory, medulla oblongata, vagus
Sympathetic Stimulation of the Heart stimulated by __________ center in ________
cardioacceleratory, medulla oblongata
the hormones _______ & _____ increase heart rate
epinephrine and thyroxine
Sympathetic Stimulation of the Heart speeds up rate of ________
SA node depolarization
_______ & ______ ion concentrations must be maintained for normal heart function
intra- and extracellular
Sympathetic Stimulation of the Heart reduces _________
AV node delay
Total cardiac output depends on _____ &_______
heart rate and stroke volume
the amount of blood pumped by each ventricle in one minute
cardiac output
Sympathetic Stimulation of the Heart speeds up spread of ______ through ________…(bundle of His, Purkinje fibers)
action potential, conduction pathway
is the product of heart rate (HR) and stroke volume (SV)
cardiac output