The Cardiovascular System 3 Flashcards

1
Q

is systole contraction or relaxation

A

contraction

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2
Q

is diastole contraction or relaxation

A

relaxation

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3
Q

is pressure higher during systole or diastole

A

systole (contraction)

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4
Q

what is happening during diastole

A

all four chambers are relaxed
blood is flowing into the atria then ventricles

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5
Q

what is happening during atrial diastole

A

atria relax, their pressure is low
AV valves start off closed
as atria fill, ventricle pressure becomes lower than atrial pressure
AV valves open allowing blood to flow passively into ventricles (80% of what’s in the ventricles)

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6
Q

what is happening during atrial systole

A

atria depolarize because of SA node
atria contract, their pressure gets higher
blood is forced from atria into ventricles (20-30% of what’s in the ventricles)

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7
Q

what is happening during ventricular diastole

A

ventricles are relaxed, their pressure is low
ventricles being filled passively
AV valves open once ventricular pressure is below atrial pressure

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8
Q

what is happening during ventricular systole

A

ventricles contract, their pressure rises
AV valves close
semilunar valves open when ventricular pressure gets above arterial pressure
blood is ejected from ventricles into pulmonary and systemic circulation

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9
Q

define end-diastolic volume (EDV)

A

volume of blood in each ventricle at end of ventricular diastole (relaxation)
aka: how much blood fills the ventricle before it contracts

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10
Q

what is happening during the isovolumetric ventricular contraction phase

A

ventricles begin to contract after depolarization
AV valves close
ventricular pressure is still less than arterial pressure so semilunar valves are still closed
all valves are closed
blood volume doesn’t change

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11
Q

what is happening during the ventricular ejection phase

A

semilunar valves open
ventricles continue to contract and push blood out the trunks

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12
Q

define stroke volume (SV)

A

amount of blood ejected by ventricles

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13
Q

define end systolic volume (ESV) and give its equation

A

amount of blood remaining in ventricle after contraction
ESV = EDV - SV

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14
Q

what is happening during the isovolumetric ventricular relaxation phase

A

ventricles relax and their pressure drops
semi-lunar valves close
AV valves still closed
all valves closed, no movement of blood

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15
Q

what happens if ejected blood volumes between both ventricles are not equal

A

edema or swelling

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16
Q

define cardiac output (CO) and give its equation

A

amount of blood pumped by a single ventricle in one minute
liters/min
CO = HR x SV

17
Q

define cardiac reserve

A

difference between cardiac output during exercise and at rest
ex. athletes have higher cardiac reserves

18
Q

define chronotropic agents

A

substances that change heart rate by altering the activity of SA and/or AV nodal cells

19
Q

what does a positive chronotropic agent do

A

increase heart rate

20
Q

what does a negative chronotropic agent do

A

decrease heart rate

21
Q

explain how sympathetic nerve stimulation influences heart rate

A

sympathetic nerves release norepinephrine onto heart
at the time same, sympathetic simulation causes Arenal gland to release epinephrine and NE
epinephrine and norepinephrine bind to beta-one adrenergic receptors on the AV and SA node
bind activates G-coupled protein pathway ultimately causing phosphorylated calcium channels to enhance calcium influx so the cell fires sooner
increases heart rate

22
Q

how does thyroid hormone influence heart rate

A

increases amount of beta-one adrenergic receptors
more binding, more firing
increase in heart rate

23
Q

how does caffeine influence heart rate

A

inhibits breakdown of cAMP
more activated protein kinase, more phosphorylation
increase in heart rate

24
Q

how does nicotine influence heart rate

A

increases release of norepinephrine
more stimulus, more firing
increase in heart rate

25
how does cocaine influence heart rate
inhibits reuptake of norepinephrine more opportunities for it to bind increase in heart rate
26
how does increased parasympathetic activity influence heart rate
parasympathetic outflow is sent from cardiac inhibitory center to SA and AV node using vagus nerve parasympathetic axons release acetylcholine onto muscarinic receptors on SA and AV node ACh binds and opens the potassium channels potassium flows out of cell making it more negative takes conducting cell longer to reach threshold lowers heart rate
27
how do beta-blocker drugs influence heart rate
interfere with EPI and NE binding to beta receptors used to treat high blood pressure
28
how do autonomic reflexes influence heart rate
baroreceptors, chemoreceptors, and proprioceptors send signals to cardiovascular control center in medulla oblongata
29
how does the atrial reflex influence heart rate
aka bainbridge reflex stops heart from overfilling increases heart rate if baroreceptors detect too much stretch
30
what are the three factors that influence stroke volume
venous return, inotropic agents, and afterload
31
how does venous return affect stroke volume
directly related to stroke volume determines preload
32
define venous return
volume of blood returned to the heart
33
define preload
pressure stretching the heart wall before shortening
34
what is the frank-sterling law
as EDV increase, SV increase more blood in ventricle, more stretch, more overlap of thick and thin filaments, more forceful contraction, more SV
35
what causes venous return rate to decrease
low blood volume high heart rate
36
how do inotropic agents influence stroke volume
alter contractility positive: more calcium, higher contractility, increase in stroke volume negative: less calcium, lower contractility, decrease in stroke volume
37
how does afterload influence stroke volume
afterload and stroke volume are inversely related can be caused by atherosclerosis
38
define afterload
resistance in arteries to eject blood in ventricles