Regultion Of Cardiac Output Flashcards

1
Q

CO =

A

SV * HR

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2
Q

SV =

A

EDV - ESV

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3
Q

heart rate is regulated by

A

The ratio of sympathetic vs parasympathetic inputs

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4
Q

Flow =

A

Liters/min

Cardiac output

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5
Q

Norepinephrine’s action

A

Positive chronotropic
Effect
Binds to beta-1 adrenergic receptors in SA node to increase phase 4 depolarization
Reuptake is relatively slow

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6
Q

Chronotropic effect

A

Increase in heart rate

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7
Q

Parasympathetic actions on heart rate

A
Ach binds to muscuricnisympathci receptors on pacemaker cells
 -modifying funny Na+ conductance
 - modifying K+ conductance
 -modifying Ca++ channel threshold
Negative chronotropic effect
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8
Q

Typically increases in heart rate are coupled with changes in

A

Ventricular function

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9
Q

Positive lusitropic effects

A

Increased rate of relaxation

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10
Q

Intrinsic regulation

A

Mechanical properties of cardiac muscle

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11
Q

Extrinsic regulation

A

Effects of sympathetic innervation, hormonal, and alteration of blood gases and pH

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12
Q

The active tension is dependent upon the

A

Sharing length of the sarcoma refs at the time of activation.

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13
Q

Total tension =

A

Passive tension + active tension

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14
Q

External constraints include

A

EDV, aortic pressure

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15
Q

Preload

A

The stretch on the cardiac muscle that occurs during the relaxed state

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16
Q

Isometric force generation is dependent upon

A

The starting length

17
Q

Frank - Starlng mechanisms important mechanism for

A

Equalizing outputs between right and left ventricles

Typically they heart operates to the left Lmax

18
Q

Isotonic contractioase

A

Volume ejection

When total muscle force exceeds the external load the muscle begins to shorten

19
Q

Afterload

A

When ventricular force (pressure) > the aortic pressure, the aortic alive opens

20
Q

ESV of the muscle after contractio is directly related to

A

The afterload and contractility and not the preload

21
Q

Increases in aortic pressure

A

Decrease stroke volume

22
Q

Decrease in aortic pressure

A

Increase stroke volume

23
Q

Contractility

A

The performance of the heart at a given preload and afterload
Reflects the activity taking place at the interacting cross bridges
Determined by changes in intracellular Ca++ and rate of contra lie protein interaction

24
Q

Inotropic changes

A

Changes in contractility

25
Q

Thyroid hormone

A

Enhance Ca++ reuptake and hypertrophy

26
Q

Increases in CO2 and the associated decrease in cellular Ph cause a

A

Declines in myocardial performance

27
Q

Myocardial ischemia that occurs during coronary occlusion contributes to

A

A rapid decline in myocardial force

28
Q

Negative inotropic effects

A

Heart failure