Mace Final Flashcards
first step in cardiac contractility
depolarization
depolarization is when
ions move across the membrane of a cell and the membrane potential becomes LESS negative or SLIGHTLY positive
each depolarization causes
a heart muscle contraction
intercalated discs are located
along the edges of the cardiomyocyte
intercalated discs house
gap junctions
ions flow from one cell into a neighboring cell through
gap junctions
the movement of calcium ions from one cardiomyocyte into a neighboring cardiomyocyte triggers
depolarization wave
Invaginations or tunnels of the cardiomyocte membrane
T tubules
where is intracellular calcium stored
sarcoplasmic reticulum
cardiac contractility begins with
rapid influx of Na+ thru open fast Na+ channels
step 2 of cardiac contraction
transient K+ channels open → K+ efflux → membrane potential returns to 0
step 3 in cardiac contractility
influx of Ca2+ thru L-type Ca2+ channels
Ca2+ influx through L-type Ca2+ channels is balanecd by
K+ efflux thru delayed rectifier K+ channels →
Ca2+ in
K+ out
when Na+ and Ca2+ channels close, what causes the RMP to repolarize to -90mV
K+ rectifier channels
where are L type Ca2+ channels located
T tubule
where are ryanodine receptors located
sarcoplasmic reticulum
which ions have higher concentration outside the cell
Na+
Ca2+
which ion concentration is higher inside the cell
K+
ryanodine receptors are __ gated
and sensitive to __
voltage; Ca2+
Digoxin __ contractility of the cardiomyocyte
increases
where does Digoxin work
blocks Na/K+ ATPase pump → causes Na+ build up inside the cell → which causes Ca2+ to build up inside the cell
normally the Na+/K+ ATPase pump pumps out __
and pumps in __
3 Na+
2K+
once extracellular Ca2+ gets inside the cell it binds to __
ryanodine receptors
the binding of Ca2+ to ryanodine receptors causes
Ca2+ release into the cell
what is calcium-induced calcium release
when Ca2+ moves inside the cell → binds to ryanodine receptors on SR → causes more release of Ca2+ into the cell
calcium induced calcium release activates
myofilaments: actin and myosin
myosin attaches to __ and causes
__ of the muscle fiber
actin; shortening
contractility is directly related to
the concentration of intracellular Ca2+
sympathetic neurons have a __ inotropic effect
positive
sympathetic stimulation releases __
that bind to __ receptors
and __ contractility
catecholamines; beta 1; increase
phosphorylation of L-type Ca2 channels __ intracellular Ca2+
increases
PSNS stimulation has a __ inotropic effect and
__ contractility
negative; decreases
increased HR __ intracellular Ca2+ and
__ inotrophy
increases; increases
the dihydropyridine CCB are
Nifedepine
Amlodipine
dihhydropyridines primarily act on __
to cause
smooth muscle
vasodilation
dihydropyridines bind to __ to
block __
calcium channels; Ca2+ influx
reflex tachycardia is the
kidney’s response to protect CO
the non dihydropyridines are
Verapamil
Dilitazem
the non dihydropyridines exhibit their primary effect on __
to reduce __
L-type Ca2+ channels
inotropy
chronotropy is __ control of HR
nodal
which CCB has effects both smooth muscle and inotropy
Ditiazem
which bv holds the majority of the blood supply
veins
which bv layer allows for vasodilation
tunica intima
which bv layer is dominated by musculature and elastic fibers
tunica media
which bv layer receives signals from the SNS
tunica externa
elastic arteries are also called __
and allow for the __ effect
conducting
balloon
where are elastic arteries found
ascending aorta
subclavian artery
common iliac
→ high pressure arteries
muscular arteries are also called
distributing arteries
muscular/distributing arteries supply
specific organs
where are muscular arteries found
femoral artery
splenic artery
which type of bv has the biggest impact on peripheral resistance
arteriole
capillaries have what 2 layers
basement membrane
endothelium
most commonly found capillary
continuous capillary
continuous capillaries have __ membranes
with no __
continuous
perforations
continuous capillaries connect __
and __
arteries
veins
fenestrated capillaries are responsible for
absorption/secretion
fenestrated capillaries have __
but no __
tight junctions
perforations
where are fenestrated capillaries found
where exchange needs to happen:
endocrine glands
kidneys
intestinal walls
fenestrated capillaries have a __ basement membrane
continuous
sinusoid capillaries have __ basement membranes
with __
discontinuous
perforations
sinusoid capillaries are found in the
liver
spleen
red bone marrow
fenestrated capillaries allow for exchange of __ molecules
sinusoid capillaries allow for exchange of __ molecules
small
large
pinocytic vesicles allow for the transport of __ molecules
in __ directions
large
both
capillaries drain into __ venules
post capillary
blood moves through the body by what 2 mechanisms
rhythmic smooth muscle of bv wall
skeletal muscle as body moves
fluid enters interstitial space through the
capillary beds
blood is diverted throughout the body by
vasodilation
precapillary sphincters are rings made up of __
and they regulate __
smooth muscle
blood flow
when precapillary sphincters contract blood bypasses the __;
this is called __
capillary bed → diverted to where it needs to go
autoregulation
at rest __% of blood is in the systemic veins
55%
at rest __% of blood is in the heart
12
at rest __ % of the blood is in systemic capillaries
5
at rest __ % of blood is in systemic arteries
10
venous reserve is
the amount of blood in the veins at rest → 55%
total systemic circulation (veins, capillaries, arteries) accounts for __% of blood distribution at rest
70
simple circulatory pathways have no
anastomoses
alternative circulatory pathways have
anastomoses
what are anastomses
arterial, venous, and arteriovenous pathways for supply and drainage of the brain and heart
what are anastomses
arterial, venous, and arteriovenous pathways for supply and drainage of the brain and heart
anastomses allow for __ connections
and __ blood loss
faster
decreased
the portal system does not receive blood from the
kidneys
gonads
the portal system begins and ends in
capillaries
in the portal system, blood flows from __
to __
capillary bed
capillary bed
4 steps of the portal system
- digestion products absorbed into capillaries w.in villi of small intestine
- molecules then travel thru hepatic portal veins to liver capillary bed
- liver monitors blood content and sends blood to circulatory system via hepatic veins
the portal system receives both __ and
__ blood
oxygenated
deoxygenated
as cross sectional area of capillaries increases the velocity of blood
decreases
blood velocity is highest in
elastic arteries
blood pressure =
systolic BP - diastolic BP
MAP =
CO x TPR
albumin displaces __
to move them back into __ the;
this is called __
water
circulatory system
oncotic pressure
hydrostatic pressure pushes __
and small molecules out of the __
and into __
water
blood
interstitial space
when blood hydrostatic pressure > oncotic pressure
fluid is forced out of the bv into interstitial space → filtration
filtration happens on the __ end
arterial
when oncotic pressure > hydrostatic pressure
fluid is forced into the blood from the interstitial space → reabsorption
reabsorption happens on the __ end
venous
3 causes of edema
- increased filtration
- decreased reabsorption
- lymphatic obstruction
2 consequences of edema
- cell death → necrosis
- cerebral edema → sz/coma
the opposite of edema is
fluid recall
interstitial fluid comes from
fluid leaked out of capillaries
hemorrhage is the loss of
interstitial fluid
blood pressure __ the farther you get away from the heart
decreases
blood pressure is highest in the __
and lowest in the __
aorta
vena cava
blood pressure at the end of the capillary bed is
~20 mmHg
blood pressure in the vena cava
0 mmHg
what would be the approximate blood pressure in a blood vessel leaving the stomach for a person lying on her back
<20 mmHg
when lying down, blood is evenly distributed in the
veins
when lying down, central venous pressure __;
end diastolic volume __;
stroke volume __
increases
increases
increases
pressure difference and resistance thru a given vessel =
P1-P2/resistance
elastic recoil of the arteries occurs during
ventricular relaxation
elastic recoil of ventricles sends blood
into the circulatory system