test 1 Flashcards

1
Q

Cardiovascular Parts

A

heart = pump
blood vessels = tubes
blood = fluid

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2
Q

Cardiovascular Job

A

delivers oxygen and nutrients

removes carbon dioxide and wastes

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3
Q

Anatomy of heart

A

2 small chambers (right +left atrium)

2 large chambers (right + left ventricle)

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4
Q

What are the 4 main tubes of the heart?

A
  • vena cava
  • pulmonary artery
  • pulmonary vein
  • aorta
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5
Q

How does blood flow through the heart?

A
arteries = away from heart 
veins = back to heart
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6
Q

What is the pulmonary circulation order in the right side of the heart?

A

deoxygenated blood returns to the heart via the superior & inferior vena cava -> right atrium -> tricuspid valve -> right ventricle -> pulmonary valve -> pulmonary arteries -> lungs

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7
Q

What is the systemic circulation order in the left side of the heart

A

oxygenated blood from the lungs returns to the heart via the pulmonary veins -> left atrium -> bicuspid/mitral -> left ventricle -> aortic valve ->aorta -> systemic arteries

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8
Q

parts of the cardiac conduction system

A
  • sinoatrial node (SA)

- atrioventricular node (AV)

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9
Q

What does the SA node do?

A

located in the upper posterior portion of the right atrium, contains pacemaker cells that demonstrate rhythmicity

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10
Q

How does the cardiac conduction system work?

A

SA node depolarizes -> AV node depolarizes -> Bundle of His -> Bundle Branches -> Purkinje system

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11
Q

What do cardiomyocytes do?

A

the cells that contract, “slow twitch”, lot of mitochondria

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12
Q

Vasculature of the Cardiovascular system

A
  • Arteries (away)
  • arterioles (control the flow)
  • venules (collect blood)
  • veins (back)
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13
Q

What happens during the Cardiac Cycle?

A
  • mid to late diastole = both AV valves open, aortic valve is shut
  • late diastole = atria contract
  • systole = aortic valve opens
  • early diastole = aortic valve closes; AV valves open
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14
Q

what is stroke volume?

A
  • volume of blood pumped in one heartbeat

- end Diastolic volume - end systole volume = stroke volume

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15
Q

What is ejection fraction?

A
  • % of end diastolic volume pumped out of the left ventricle
  • stroke volume/EDV = ejection fraction
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16
Q

Cardiac output (Q)

A
  • total volume of blood pumped per minute

- Q = heart rate* stroke volume

17
Q

Systolic BP

A
  • highest pressure in artery

- generally 110 to 120

18
Q

Diastolic BP

A
  • lowest pressure in artery

- generally 70 to 80

19
Q

Mean arterial pressure

A
  • average pressure over the cardiac cycle

- 2/3 DPB + 1/3 SBP

20
Q

What is the cardiac output during rest and exercise?

A
rest = 5 L/min 
exercise = 25 L/min
21
Q

what is cardiovascular drift?

A

Cardiac responses to exercise demonstrate a “drift” after prolonged exercise at moderate-high intensity

22
Q

What are the causes of cardiovascular drift?

A

hypovolemia and hypothermia

23
Q

What is heart rate max?

A

max heart rate a human can achieve

-220 - age = max HR

24
Q

What is preload?

A

The degree to which the myocardium is stretched before it contracts.

25
Q

what is afterload?

A

The pressure against which the heart must pump blood. Determined by the peripheral resistance of the large arteries.

26
Q

General Hemodynamics

A

blood flow (all tissues require)
pressure (heart contracts)
resistance (force that opposes flow)

27
Q

What are the hemodynamic symbols?

A

Q with a dot = blood flow
delta P = pressure gradient
R = vasoconstriction or vasodilation

28
Q

What happens to blood pressure during exercise?

A

SBP increases, DBP may decrease, MAP increases

29
Q

Control of heart rate during exercise

A
  • sinus rhythm (generated by SA node) 100 bpm
  • parasympathetic (rest) = 60 bpm
  • sympathetic (exercise)
30
Q

What is in blood?

A

plasma = 55%
erythrocytes = 45%
platelets and leukocytes = <1%
hematocrit = % of total volume of red blood cells

31
Q

what does blood do during exercise?

A

transport nutrients
temperature regulation
acid-base (pH) balance

32
Q

What is the Fick Principle

A

O consumption = (amount going in - amount going out)*blood flow rate