regulation of stroke volume and heart rate Flashcards

1
Q

how does sympathetic nervous system affect heart rate

A

release noradrenaline which acts on b1 receptors on sinoatrial node

increased slope of pacemaker potential - increases HR

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2
Q

how does parasympathetic nervous system affect heart rate

A

vagus nerve releases Ach which acts on muscarinic receptors on SA node

hyperpolarises cells and decreases slope of pacemaker potential - decreases HR

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3
Q

starlings law

A

energy of contraction is proportional to the initial length of cardiac muscle fibre

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4
Q

what is preload affected by

A

end diastolic volume

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5
Q

how does EDV affect preload

A

inc venous return - inc EDC and so inc SV

dec venous return - dec EDV and so dec SV

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6
Q

afterload

A

is the load against which the muscle tries to contract

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7
Q

what if afterload set by

A

afterload is set by the aterial pressure against which blood is expelled - total peripheral resistance

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8
Q

increasing TPR

A

= stroke volume goes down

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9
Q

factors affecting stroke volume

A

preload
afterload
neural
pathological

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10
Q

sympathetic effects on stroke volume

A

noradrenaline actts on B1 receptors on myocytes

increase contractility to give stronger (but shorter) contraction

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11
Q

parasympathetic effect on SV

A
little effect
(vagus nerve does not innervate ventricular muscle)
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12
Q

hypercalaemic effect on graph

A

shifts curve up and left

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13
Q

hypocalcaemi effect on graph

A

shifts curve down and right

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14
Q

ischaemia effect on graph

A

shifts curve down and right

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15
Q

CO =

A

HR x SV

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