Overview Of The CVS Flashcards

1
Q

What is the definition of the CVS?

A

Defined as the heart, blood vessels, and approximately 5 litres of blood (this is approx blood volume)

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2
Q

What are the functions of the CVS?

A

Dual circulation of blood with parts in parallel and series

  • Transport system
    • O2 and substrates to cells, (glucose, amino acids, fatty acids), CO2 and metabolites from cells for excretion (e.g. to lungs, liver, kidneys)
    • Distribution of hormones, e.g. adrenaline, insulin
    • Defence mechanisms, e.g., immune system
    • Thermoregulation - chemical reactions need to be at correct temperature
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3
Q

Describe passive diffusion

A
  • Random, undirected, thermal movement of molecules, therefore time needed to diffuse a net distance is proportional to the square of the distance
  • This means the further the distance, the longer the time the oxygen will take to diffuse
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4
Q

Describe convection transport

A
  • Causing of movement of fluids + solutes down a pressure gradient, provides resting healthy person a circulating blood flow delivering O2 transport to cells of about 5 L per minute
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5
Q

Why does the body fail when the CVS fails?

A

Heart failure or loss of pressure gradient (e.g. sepsis) prevents convection transport = NO O2 to tissue + organs

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6
Q

Why is O2 transported via convection transport?

A
  • Passive dissuasion is too unpredictable and slow, therefore would not be able to sustain the body’s functions
  • Blood vessels therefore use convection transport to transport exchange materials to capillaries, where capillaries transport oxygen to the lungs or target tissue via passive diffusion, due to their large SA
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7
Q

Describe the delivery of blood in series

A
  • Sequential flow from one vessel to next, illustrated by arrangement of blood vessels with in organ
  • Major artery → smaller arteries → arterioles → capillaries → venules → veins
  • Total resistance = Sum of resistance in each blood vessel
  • Blood flow at each part of system identical, but pressure decreases progressively
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8
Q

Describe the delivery of blood in parallel

A
  • Simultaneous flow through each parallel vessel
  • Cardiac output → aorta → branching → cerberal, coronary, renal system etc. → capillaries → venules → veins → vena cava → right atrium
  • Total resistance less than any resistance
  • Blood flow in each system only small portion of total blood flow → no pressure lost in major arteries (remains same as in aorta)
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9
Q

What part of the heart is responsible for ejecting blood to the body at high pressure?

A
  • Left ventricle, pumps blood though semi-lunar valves into aorta, high pressure creates pressure difference with distance blood vessels,
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10
Q

Why is the pressure difference important between blood vessels?

A

Drives blood flow

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11
Q

What do systole and diastole mean respectively?

A
  • Systole - contraction
  • Diastole - relaxation
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12
Q

What happens in diastole at the right and left sides of the heart?

A

Right side:

  • Heart relaxing
  • DeO2 Blood enters through superior + inferior vena cava into RA, then this blood travels into RV through tricuspid valve

Left side:

  • Once oxygenated, blood travels back into left atrium, and into left ventricle through mitral valve (bicuspid valve)
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13
Q

What happens in atrial systole on the right and left side of the heart?

A

Right side:

  • Atria contract to eject deO2 blood into ventricles

Left side:

  • Atria contract to eject O2 blood into ventricles
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14
Q

What happens in ventricular systole on the right and left side of the heart?

A

Right side:

  • Blood exits RV via pulmonary artery (left and right) to left and right lungs

Left side:

  • O2 blood exits LV into aorta, via semi-lunar valves, where it is transported to all over body.
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15
Q

What enables the valves to open?

A

Capillary muscles

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16
Q

Why is cardiac muscle myogenic?

A

Able to generate its own electrical activity, which is converted into contraction, no need for nerve input

17
Q

What does the aorta bifurcate into?

A

Arteries

18
Q

What do the arteries bifurcate into?

A

Arterioles

19
Q

What do the arterioles bifurcate into?

A

Capillaries

20
Q

What does the vena cava bifurcate into?

A

Veins

21
Q

What do the veins bifurcate into?

A

Venules

22
Q

Describe the 4 main functional groups of blood vessels

A
  • Elastic vessels - large arteries e.g. aorta. Accommodate stoke volume, convert intermittent ejection into continuous flow
  • Resistance vessels - arterioles - control arterial BP, control local blood flow
  • Capacitance vessels - venules, veins - control filling pressure, reservoir of blood
  • Exchange vessels - Capillaries (ONLY endothelium layer) - nutrient delivery to cells, tissue water and lymph formation, removal of metabolic waste
23
Q

What are the 3 layers of blood vessels (bar capillaries)? Describe them

A
  • Intima - Epithelial cells, regulates blood pressure,
  • Media - Smooth muscle contraction - contain lots of elastic fibres that can expand and contract, changing diameter of vessel, they absorb the force of the contraction, and return it back into the blood, facilitating the flow of blood during diastole
  • Adventitia - Sympathetic vasoconstrictor - collageneous connective tissue, contains nerves and tiny vessels, delivers oxygen and nutrients to blood and cells, helps remove waste
24
Q

What is heart rate?

A

Number of beats per minute

25
Q

What is stroke volume?

A

Volume of blood ejected by heart per beat (mL)

26
Q

What is cardiac output?

A

Volume of blood ejected from heart per minute, same as blood flow (ml/min)

27
Q

How do you calculate cardiac output?

A

CO = HR X SV

28
Q

What is blood pressure?

A

Pressure of circulating blood flow on blood vessel walls

29
Q

What is total peripheral resistance?

A

Resistance of arterial blood vessels to blood flow

30
Q

How do you calculate arterial blood pressure?

A

Arterial BP = CO X TPR

31
Q

How do you calculate blood velocity?

A

Blood velocity (cm/s) = Blood flow (cm^3/s) / cross-sectional area (cm^2) (number x piR^2)

32
Q

What blood vessel determines TPR?

A

Arterioles and these then set the arterial blood pressure upstream