Midterm 2 Flashcards

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1
Q

active hyperemia -

A

An increase in blood flow in response to increased metabolic activity of the tissue. The increase in blood flow helps meet the increased metabolic demand of the tissue.

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2
Q

arteries -

A

The first branch of blood vessels in the vascular tree on the arterial side of the systemic circulation. Thick-walled, muscular blood vessels that carry blood flow away from the heart to the entire body and branch into smaller.

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3
Q

arterioles -

A

A small diameter blood vessel that branches from an artery and leads to capillaries. Have muscular walls that are highly innervated by sympathetic motor neurons, and are thus the primary site of vascular resistance. Often referred to as the resistance vessels.

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4
Q

atria -

A

The smaller upper chambers of the heart. The right receives venous return from the systemic blood flow circuit and pumps blood into the right ventricle. The left receives blood from the pulmonary blood flow circuit and pumps blood into the left ventricle.

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5
Q

atrioventricular (AV) node -

A

A group of pacemaker cells located in the right atrium. Has a rate of self-depolarization of 40 to 60 bpm. Imposes a brief delay on the action potential leaving the SA node before the action potential enters the ventricles.

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6
Q

av-O2 difference

A

The difference in the amount of oxygen in the arterial blood and the venous blood. Every organ has an this difference. For the whole body reflects the amount of oxygen used by the body. The unit values for are mL of oxygen per dL of blood flow (mL/dL).

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7
Q

bicarbonate -

A

The majority of carbon dioxide is transported in the blood as this. Carbon dioxide reacts with water to form carbonic acid, which quickly dissociates into hydrogen and this. The reaction reverses at the lungs so carbon dioxide can be expired.

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8
Q

blood shunt -

A

The redistribution of blood flow based on metabolic demand so that there is a decrease blood flow to less metabolically active tissues (the visceral organs except the heart and liver) and an increase in blood flow to more metabolically active tissues (skeletal muscle). Results primarily from vascoconstriction and vasodilation of blood vessels due to neural stimulation and also local control of arterioles and capillary beds.

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9
Q

BOHR effect -

A

The shifting down and to the right of the oxygen association-dissociation curve due to an increase in temperature and partial pressure of carbon dioxide and a decrease in pH. The shift in the curve reflects the decreased affinity of oxygen for hemoglobin, allowing a greater amount oxygen to become unbound to hemoglobin and diffuse into the tissue.

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10
Q

Boyles law -

A

This law states that as the volume of a gas decreases, the pressure exerted by the gas increases proportionately.

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11
Q

capillaries -

A

The smallest blood vessel branching from arterioles. Do not have smooth muscle and therefore do not vasoconstrict and vasodilate as do other blood vessels. Perfusion of blood into a capillary beds is increased or decreased by relaxing or contracting the pre-capillary sphincter muscles. Although capillaries are the smallest blood vessels, collectively they have the largest total cross sectional area. Are often referred to as the exchange vessels.

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12
Q

capillary bed -

A

A network of capillaries through which blood flow is regulated by relaxing or contracting the pre-capillary sphincter muscles.

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13
Q

carbamino hemoglobin -

A

The term used to describe the binding of carbon dioxide to hemoglobin. About 20% of carbon dioxide is transported in the blood as ______.

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14
Q

cardiac output (Q)

A

The amount of blood pumped from the heart into the systemic circulation per minute. Is the product of heart rate and stroke volume (Q mL/min = HR bpm x SV mL/b). Is typically expressed in L/min rather than mL/min.

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15
Q

chordea tendinae -

A

Cords that attach to the ventricular side of the tricuspid and mitral valves that help to prevent back flow of blood into the atria when the ventricles contract.

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16
Q

chronotropic -

A

Referring to time. In the context of the heart, referring to heart rate. Something that has a positive _______ effect increases heart rate whereas something that has a negative _______ effect decreases heart rate.

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17
Q

compliance

A

The ability of a blood vessel to distend (enlarge) with an increasing amount of pressure coming from the inside of the vessel (blood pressure). Highly compliant vessels, for example, the veins will distend under high pressures. Vessels of the arterial side of the circulation are less compliant than veins.

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18
Q

conduction cells -

A

Specialized cardiac cells that form the conduction pathways in the heart. The conduction pathways conduct action potentials from one area of the heart to another, for example, from the SA node to the AV node.

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19
Q

contractility

A

The intrinsic ability of cardiac muscle cells to form actin-myosin crossbridges. An increase in contractility allows the myocardium to contract more forcefully regardless of the length of the muscle cells. Thus, it is independent of filling due to venous return (i.e., preload) and afterload. The _______ of the myocardium increases due to sympathetic stimulation.

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20
Q

diastole

A

The time period (seconds) during which the heart is resting. During _______, the chambers of the heart fill with blood and the heart receives most of its blood flow (coronary blood flow).

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21
Q

dromotropic -

A

Referring to conduction velocity of action potentials through the AV node. Something that increases the rate of conduction through the AV node has a positive _______ effect.

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22
Q

end-diastolic volume (EDV)

A

The volume of blood in the left ventricle at the _______. _______ is a reflection of ventricular filling which is a function of the muscle pump, thoracic pump, venous vasoconstriction, and cardiac output. _______ is measured in mL.

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23
Q

endocardium -

A

The smooth inner lining of the heart.

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24
Q

epicardium -

A

The outer layer of the heart.

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25
Q

fibrous ring -

A

The non-conductile and non-contractile fibrous skeleton that separates the atria and the ventricles. The _______ anchors the four heart valves, serves as an attachments point for cardiac muscle as well as the aorta and pulmonary arteries.

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26
Q

fick equation

A

An equation used to calculate oxygen consumption (VO2) which is the product of total blood flow (Cardiac output) and the amount of oxygen consumed per unit of blood flow (av-O2 difference). VO2 (mL/min) = Q (dL/min) x a-O2 difference (mL/dL)

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27
Q

gap junctions -

A

Small gaps in the cell membrane of cardiac muscle cells that allow movement of ions from one cardiac muscle cell to the next. _______ allow for the property of conductivity between cardiac muscle cells.

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28
Q

hematocrit (Hct) -

A

The percentage of whole blood that is red blood cells.

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29
Q

hemoglobin (Hb) -

A

The oxygen carrying molecule of the red blood cell. One (1) gram of Hb carries 1.34 mL of oxygen when the Hb is fully saturated.

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30
Q

inotropic -

A

Referring to the contractility of the myocardium. Something that has a positive inotropic effect increases the force of contraction of the myocdardium.

31
Q

intercalated discs -

A

Specialized regions in cardiac muscle cells that join two cardiac muscle cells together.

32
Q

lattice spacing

A

The space, or distance between the myosin filament and the actin filament inside of a sarcomere.

33
Q

length-dependent activation

A

Activation (opening) of calcium channels in cardiac muscle cells due to stretching of the cardiac muscle cells due to filling of the chamber.

34
Q

local control -

A

The regulation of blood flow into an organ in response to changes in the local environment (pH, temperature, PO2 and PCO2). Blood flow through capillary beds is under local control. Arterioles also respond to local control.

35
Q

mean arterial pressure -

A

The mean driving force of blood through the circulation. It is calculated as diastolic blood pressure plus one-third of pulse pressure (MAP = DBP + ⅓ PP). Mean arterial pressure is the greatest close to the heart (aorta) and is nearly zero in the right atria. The pressure gradient in the systemic circulation is calculated as the difference in the MAP between the left ventricle and the right atria. The pressure gradient in the pulmonary circulation is calculated as the difference in the MAP between the right ventricle and the left atria.

36
Q

mitral valve (bicuspid valve) -

A

A large valve that directs blood flow from the left atrium into the left ventricle.

37
Q

muscle pump

A

The action of the contraction / relaxation of skeletal muscles to pump blood from the lower extremities back toward the heart. The rhythmic contraction relaxation of skeletal muscle compresses blood vessels in the lower extremities, propelling blood back to the heart.

38
Q

myocardium -

A

The muscular tissue of the heart.

39
Q

myogenic activity -

A

Changes in the radius of a blood vessel due to changes in the blood vessel itself. As pressure in a blood vessel increases, the stretching of the wall of the vessel will open ion channels, causing the blood vessel to vasoconsrict. Likewise, if pressure in the blood vessel decreased, the myogenic response would be vasodilation in an attempt to increase (or maintain) blood flow.

40
Q

neuroeffector junction -

A

The place that a neurotransmitter is released from a sympathetic motor neuron at smooth muscle of blood vessels. The axons or the motor neurons terminate is a series of varicosities which are contain a neurotransmitter. The varicosities lie across the smooth muscle cells of a blood vessel and come in contact with many smooth muscle cells rather than just one (as is the neuromuscular junction in skeletal muscle).

41
Q

nitrogen monoxide -

A

Typically referred to as nitric oxide. A gaseous signaling molecule released from the wall of a blood vessel. Nitric oxide is a powerful vasodilator.

42
Q

oxygen association-dissociation curve -

A

A graphical representation of the relationship between the partial pressure of oxygen and the saturation of hemoglobin with oxygen. The relationship is positive and curvilinear.

43
Q

pacemaker cells -

A

Specialized cardiac cells that are capable of self-generating action potentials without neural stimulation. Pacemaker cells include the SA node, AV node, and the purkinje fibers.

44
Q

papillary muscles -

A

Projections from the ventricular wall that attach to the chordea tendinae. The papillary muscles and the chordea tendinae prevent back flow of blood into the atria when the ventricles contract.

45
Q

partial pressure -

A

The pressure exerted by a gas (oxygen, carbon dioxide, nitrogen) in the air or in the blood. For example, the sum of the partial pressures of oxygen, carbon dioxide, nitrogen, water, and other inert gasses equal the total pressure in the atmosphere. In the plasma, the partial pressure of oxygen is determined by the amount of oxygen dissolved in plasma (as opposed to the amount of oxygen bound to Hb).

46
Q

plasma -

A

The yellow-colored liquid component of blood. Red blood cells are suspended in the plasma. The plasma also transports nutrients (e.g., glucose, fatty acids, amino acids), hormones, ions (sodium, potassium, calcium, chloride, etc.) and all other substances. Most (>90%) of the plasma is water.

47
Q

poiseuille equation -

A

An equation used to calculate blood flow from the change in pressure and the three variables that contribute to resistance to blood flow (length of the vessel, radius of the vessel, and viscosity of blood).

48
Q

precapillary sphincters -

A

A small circular muscle that wraps around vessels in the capillary bed. Precapillary sphincters are controlled by local control.

49
Q

preload

A

Left ventricular wall stress at the end of diastole. During exercise, preload increases due to increased ventricular filling which increases due to increased venous return.

50
Q

pulmonary blood flow circuit -

A

The blood flow circuit that begins at the right ventricle, passes through the lungs and ends at the left atrium. The pulmonary blood flow circuit is an exchange circuit that oxygenates the venous blood that returns to the heart.

51
Q

pulse oximetry -

A

A non-invasive method of monitoring oxygen saturation using a sensor placed on a finger tip.

52
Q

pulse pressure -

A

The difference between systolic blood pressure and diastolic blood pressure (PP = SBP - DBP).

53
Q

purkinje fibers -

A

Small branches from the left and right bundle branches that have a rate of self-depolarization of 15 to 40 bpm.

54
Q

rate-pressure product -

A

The product of systolic blood pressure and heart rate (RPP = SBP x HR). Also referred to as the double product. The rate pressure product is an indicator of myocardial stress.

55
Q

resistance to blood flow -

A

The resistance to blood flow through a single blood vessel or the entire circulation due to three factors: radius of the blood vessel, length of the blood vessel, and viscosity of the blood. Changing the radius of the blood vessel has the greatest influence on the resistance to blood flow.

56
Q

saturation of oxygen (%SO2) -

A

The amount of oxygen bound to hemoglobin expressed as a percentage of the capacity of hemoglobin to carry oxygen. Arterial blood is normally about 97% saturated and venous blood at rest is about 75% saturated with oxygen.

57
Q

semilunar valves -

A

The aortic and pulmonary valves. Small three-cusp valves that direct blood flow from the right ventricle into the pulmonary blood flow circuit and from the left ventricle into the systemic blood flow circuit.

58
Q

sino-atrial node (SA node) -

A

A group of pacemaker cells located in the right atrium. The SA node is the pacemaker of the heart. It has a rate of self-depolarization of 60 to 100 bpm.

59
Q

stroke volume (SV)

A

The volume of blood pumped from the left ventricle during a single cardiac cycle (beat) of the heart. Stroke volume is expressed in mL or mL/b.

60
Q

systemic blood flow circuit -

A

The blood flow circuit that begins at the left ventricle, passes through the entire body, and ends at the right atrium.

61
Q

systole

A

The time period (seconds) during which the left ventricle is contracting.

62
Q

systolic blood pressure -

A

The pressure in the arterial side of the systemic circulation close to the heart during ventricular systole.

63
Q

thoracic pump

A

The name given to the phenomena that rhythmical inhalation and exhalation creates negative and positive pressures in the thoracic cavity that facilitates a greater blood return to the heart. Blood moves from an area of high pressure to an area of low pressure. During inhalation, pressure in the thoracic cavity decreases which allows more blood to flow back to the heart.

64
Q

total cross sectional area -

A

The sum of the cross sectional area of all the blood vessels in a certain segment of the vascular tree. For example, although the cross sectional area of individual capillaries are the smallest, collectively they have the largest total cross sectional area due to the large number of capillaries.

65
Q

total peripheral resistance -

A

The resistance to blood flow in the entire circulation.

66
Q

tricuspid valve -

A

A large three-cusp valve that directs blood flow from the right atrium into the right ventricle.

67
Q

vasoconstriction -

A

A reduction in the radius of a blood vessel due to contraction of smooth muscle.

68
Q

vasodilation -

A

An increase in the radius of a blood vessel due to relaxation of smooth muscle.

69
Q

veins -

A

Blood vessels that carry blood back to the heart. Veins are generally more compliant than arteries. At rest, two-thirds of the blood volume is pooled in the veins due to their high compliance. During exercise, venous vasocontriction, the muscle pump, thoracic pump, and an increase in cardiac output increases venous return.

70
Q

velocity of blood flow -

A

The linear speed at which blood flows through a blood vessel. Velocity of blood flow is measured in mm/s or cm/s)

71
Q

venous return

A

The volume of blood returning to the heart on the venous side of the systemic blood flow circuit. Venous return is a function of the muscle pump, thoracic pump, venous vasoconstriction, and cardiac output.

72
Q

ventricles -

A

The larger lower chambers of the heart. The thick layer of myocardium is needed to pump blood through the pulmonary and systemic blood flow circuits.

73
Q

wall stress

A

The tension in the sarcomeres of cardiac muscle cells during filling (preload) due to the pressure inside of the chamber, the radius of the chamber, and the thickness of the chamber wall.