Lectures 13-19 Final Exam Flashcards
Contraction
Systole
Force blood into places
Systole
Systolic blood pressure
Max pressure
Top number
(<120 in healthy individuals)
During contraction period, when ventricles contract sending blood to arteries
Contraction of atria
Aka atrial systole
Force blood into ventricles
Contraction of ventricles
Aka ventricular systole
Right ventricles force blood into pulmonary trunk
Left ventricles force blood into aorta
Relaxation
Diastole
Diastole
Diastolic blood pressure
(Bottom number)
Min pressure
When heart relaxes between beats
<80 in healthy individuals
Not zero due to recoil of arterial walls
Rest
Phase where atria and ventricles are relaxed and fill passively
After load
Diastolic arterial pressure - the pressure against which the heart muscle must work to eject blood during systole
Neural and endocrine signals control
Strength and rate of contraction
Sympathetic innervation
Norepinephrine
Increases hr
Parasympathetic innervation
Acetylcholine
Decreases/lowers hr
Epinephrine
Increases strength of each contraction
Cardiac output during excercise
Increases from 5-25L/min
(40L in elite athletes)
What propagates electric signal
Nodes
Nerves
Intercalated disks
Nodes
SA(sinoatrial) node - (hearts natural pacemaker: electrical impulses propagated here
AV atrioventrilicar node
Nerves
Bundle of His
Bundle of branches
Purkinge fibres
Intercalated disks
Type of gap junction specific to heart
Cardiac muscle made up of cardiomyocutes connected by intercallaged disks that work together as a single functional organ
Allow our heart to beat as one
Examples of miscommunication
Usually results in some kind of arrhythmia
- abnormal sinoatrial node firing (tachycardi) bradycardia
Blocks
Fibrillations
Abnormal sinoatrial node firing
Type of disruption in signalling
Tachychardia -fast >100bpm resting
Bradycardia slow <60bpm
Blocks
Ex at av node
Can slow down or prevent signal propagation from atria to ventricles
Ventricles can conduct independently (bundles of his 40bpm)
Fibrillations
More serious
Occurring when cells depolarize independently
A-fib and v-fib
A-fib
Atrial fibrillation
A quivering or irregular heart beat
V-fib
Most serious cardiac rhythm disturbance
Atherosclerosis
Narrowing of arteries due to calcified fatty deposits (plaque) and thickening of the wall
Triggered by damage of arterial wall
Can lead to heart attack or stroke
Coronary artery diseas
Atherosclerosis in the arteries of heart muscle
Factors influencing risk of atherosclerosis
- elevated lipids, hupertension, inflammation, medications (c-recepive protein)
-diet (sodium potassium saturated and trans fats) - physical inactivity,smoking, obesity and diabetes
- age and genetics
Treating coronary artery blockages
Angioplasty
Bypass surgery
Angioplasty
Catheter balloon threaded into artery in blocked area
Balloon is inflated and plaque is pushed and held by a stent to artery walls
Bypass surgery
- vein taken from arm or leg and one end attached to above blockage and other to below
How does the heart respond to hypertrophy
Enlargement of the heart
(A sign of being overworked) ex athletes heart
Appropriate adaptations
Heart enlargement endurance athletes
Increase LV chamber
Enlargement of the heart lifters
Increase in LV wall and septum thickness(to overcome after load)
When is enlargement of the heart a bad case
Causes high blood pressure and narrowing of aortic valve
Heart mud work harder to overcome this
Vasoconstriction
Norepinephrine and epinephrine bind to Alpha receptors located on arteries
This causes arteries to constrict
This increases blood pressure
Ex. During excercise
Vasodilation
Blood vessels in skeletal muscle lack alpha receptors
Norepinephrine and epinephrine bind to them in arteries of skeletal muscle
This dilates vessels of skeletal muscle so they can receive blood flow (also during excercise)
Does blood pressure increase dramatically during exercise?
No
Not really
Distribution of blood does not increase proportionally
Blood flow is diverted where it is needed - ie the working muscles
Constriction of vessels to the gut and kidneys decreases blood flow to these organs
Does blood pressure increase a lot during resistance training?
Yes tons
Increase it to up to 345/245 mmHg
Bc holding breath increases intratkoratic pressure during lift
-temporarily raises presser and slows heart rate
Valsava maneuver
Increased intrathoracatic pressure during a lift due to holding breath
The gastrointestinal tract
Represents a vast body surface area that is exposed to the external environment
Sees food and to I. Substances and I fectious agents
Unique mechanisms to deal with infections and toxic substances
(Sense and expel notorious substances) ex Vomit, diarrhea
Specialized populations of T cells localized in the intestinal mucosa
GI sphincters in order
Upper esophageal sphincter
Lower esophageal sphincter
Pyloric sphincter
Ilocecal valve
Anal sphincter
How long is gi tract
28 ft
How large is luminal surface area and why
200-400m^2
Due to villi increased surface area for nutrient absorption
Transit time for ingested meal
Highly variable
30-80hr
5-8hr in stomach and small intestine
Rest of time in colon
Gut micro biome
Bacteria etc.
protects against pathogenic microbes that enter/reside in the tract
Intristic nervous system
Aka enteric nervous system can control and coordinate function gi
Opening and closing sphincters
Four basic processes involved in digestion
Motility - peristalsis
Secretion
- saliva, mucous
- antibodies
- digestive enzymes
- bile
- bicarbonate
Digestion
Absorption
-water
-nutrients
Cephalon phase of digestion
chemical and mechanical digestion begin in the mouth)
Chewing
Saliva secretions in response to sight smell taste (senses)
Saliva secretion by sympathetic and parasympathetic nervous system
Saliva function
Softens and lubricates food
Provides enzymes: amylase and some lipase (but no protein digestion)
Gastric phase of digestion and absorption
(Stomach)
Secretory cells of the gastric mucosa- note the influence of the parasympathetic nervous system (rest and digest) increases intestinal and glad activity and relaxes sphincter muscles in the gi tract
Note : digestion of protein and fat but not carbohydrates in stomach
Main contributor of digestive enzymes
Pancreas