Topic 1- Notes Flashcards
What is a risk factor?
A feature of an individual’s genetic make-up, lifestyle or environment which increases the probability of an unwanted condition.
e.g. age, heredity, physical/ social environment, lifestyle/ behaviour/ choices.
What are cardiovascular diseases?
Diseases of the heart and circulation.
What is the difference between CVD and CHD?
CVD includes all diseases of the heart and circulation including CHD, angina, heart attack, stroke, etc.
Why do many animals have a heart and circulation?
Mass transport to overcome limitations of diffusion in meeting the requirements of organisms?
What is open circulatory system?
- Where blood circulates in large open spaces.
- Simple heart pumps blood out into cavities surrounding the animal’s organs.
- Substances can diffuse between the blood and cells.
- When the heart muscle relaxes, blood is drawn from the cavity back into the heart through small, valved, openings along its length.
What is a closed circulatory system?
- Blood enclosed within tubes/ vessels- increases speed and pressure + more efficient.
- Animals with closed circulatory systems are generally larger and more often active then those with open systems.
What is a single circulatory system?
e. g. fish
- heart pumps de-ox blood to gills.
- blood flows round body then to heart.
- blood flows through heart once per circuit.
What is a double circulatory system?
- Blood flows through heart twice.
- heart gives blood ‘boost’, speeding up circulation time therefore allows a high metabolic rate- O2 and food substances required for metabolic processes can be delivered faster to cells.
- lung capillaries one side, systemic (body) capillaries the other side.
What is water’s dipole nature?
Water s a polar molecule. 2 hydrogens are pushed together (V-shape). H end slightly + and O end -, electrons are more concentrated at that end.
+ attract - = hydrogen bonding
solvent properties: any chemicals dissolve in H2O, but not lipids, they are non-polar (hydrophobic).
hydrophilic = polar (water-loving substances)
Water needs a lot of energy to heat up.
what is the order of blood vessels?
Arteries - small artery - arteriole - capillary - venule - veins
The ARteries
Walls withstand pressure = thicker than lumen
- smooth endothelium, smooth muscle and elastic fibres and connective tissue (callogen fibres) (outside).
- carry blood away from heart to body/organs
- oxygenated, except plumonary artery
- high pressure therefore thicker walls
- surging pressure (pulse)
- no valves
The capillaries
- 1 cell thick (endothelium cells)
- carries blood from arteries to veins
- from ox to deoxygenated (opposite in lungs)
- high pressure - tiny vessels but lots of blood - high at arteriole end and down at venule end.
- no valves
the veins
- walls, thinner than lumen - thicker than capillaries - same as arteries but smaller - less smooth muscle and connective tissue
- carries blood into the heart
- de-ox blood (except in pulmonary vein)
- low pressure - thinner walls
- pressure is constant
- valves prevent backflow
the cardiac cycle - 1 heartbeat
1) Cardiac diastole - relax
Blood flows into atria, elastic recoil of atrial walls generates low pressure - draw blood in.
Atrioventricular valves are closed.
As ventricles relax, semilunar valves close
Semilunar - ‘dub’ second sound
Atrial systole - contract
As atria fill with blood, pressure in atria increase, atrioventricular valves pushed open - blood flows into the relaxing ventricles.
The 2 atria contract, forcing remaining blood out.
Ventricular systole - contract
After a slight delay, the ventricles contract - increase pressure in ventricles so the atrioventricular valves close - ‘lub’ - (first heart sound).
Blood is forced into the aorta and pulmonary artery.
Semilunar valves are open.
Blood flows into relaxing atrium.
What is an ECG?
- An electrocardiogram
- Checks for problems with electrical activity of your heart
- Results shown as tracings on paper
- Used to investigate the relationship between the heart structure and function
Veins and arteries
a) carotid
b) pulmonary
c) hepatic
d) mesentric
e) renal
f) femeral
a) head
b) lungs
c) liver
d) intestines (mesentric artery)
e) kidneys
f) legs
What is vasoconstriction & vasodilation?
Vasoconstriction: reduction in diameter of arterioles resulting in less blood flow to the surface capillaries.
Vasodilation: The opposite of the above.
Describe the 2 types of lipoproteins
LDLs: Low-density lipoproteins - transport cholesterol ‘bad’. lots = high blood cholesterol levels. May be deposited in artery walls forming atheromas.
HDLs : high-density lipoproteins - transport more protein and less cholesterol than LDLs. Higher density. ‘good’.They decrease blood cholesterol levels and help remove fatty plaques formed in atheromas.
What are macrophages and cholesterol?
Macrophage: involved in inflammatory response. They’re specialised cells which in gulf and destroy target cells - part of immune system that form if there’s an infection or damaged/dead cells. Formed if there’s a blood clot during atherosclerosis
cholesterol: made in the liver from saturated fats and from our diets. It’s a short lipid molecule needed for good health but too much is bad It can build up in arteries during atheroscelorosis.
What is plague and atheromas?
Plaque: produced from calcium salts and fibrous tissue building up causing a hard swelling.
Atheroma: build up of fatty deposits, mainly cholesterol.
What is referred pain?
Where pain is felt somewhere in the body other than the actual source . e.g. heart attack-may feel pain arms
What is angina?
Means pain
- e.g. chest pain caused by limited blood getting to heart muscle
- usually felt during exercise when the cardiac muscle is working harder
- thought that anaerobic respiration causes chemical changes, which cause this pain
Coronary heart disease?
If fatty plaque that’s built up in the coronary arteries ruptures showing callogen, a blood clot will form.
This narrow/block the coronary arteries causing the heart to not get enough O2 from the blood and loss of elasticity.
This cause permanent damage and heart attacks.
it’s a consequence of atheroscelosis
What is atherosclerosis?
Loss of elasticity.
Fatty deposits can either block an artery directly or increase chances of blood clots (thrombosis) - cells can be permanently damaged if clot isn’t removed.
If occurring in coronary arteries can cause hear attack (myocaridal infarction)
Definition: It’s a progressive disease of arteries resulting in reduced diameter (due to build up of fatty deposits) and loss of elasticity.
What are the steps (stages) of atherosclerosis?
- Artery wall damaged
- Inflammatory response
- Large white blood cells enter wall
- Cholesterol accumulates
- Atheroma forms
- Calcium salts and fibrous tissue accumulate
- Hard plaque forms
- Wall elasticity reduced
- Artery narrows
- Raising blood pressure
- Atherosclerosis
What is :
a) correlation
b) causation
a) When there are 2 variables that show the same changes - it doesn’t mean anything
b) when a change in one variable is caused as a result of another variable changing.
The consequences of atherosclerosis:
a) coronary hear disease? (CHD)
- narrowing of coronary arteries - less O2 gets to heart - may result in chest pain called Angina
- Angina usually experienced during exercise - forced to work anaerobically - not enough O2
- If fatty plaque in arteries ruptures - clot forms
- blocks - slows flow to heart. hearts is ischaemic (without blood)
- heart attack /myocardial infarction
CHD can also cause an irregular heart beat (arrhythmia)
b) Stoke?
If blood to brain is interrupted - artery blocked.
- can be fatal if brain cells are starved of O2 for long
Symptoms : numbness dizziness confusion slurred speech blurred/lost vision (often in one eye) NB: (the right side of the brain controls the left side of the body and vice versa)
c) aneurysms?
- if artery narrows/becomes less flexible blood can build up behind it.
- artery bulges as it fills with blood and an aneurysm forms
- aortic aneurysms are likely to rupture when they get about 6-7cm in diameter.
- If it ruptures it can be fatal
What do: a) tachycardia and b) bradycardia c) ischaemic mean?
a) high resting heart rate
b) slow resting heart rate
c) without blood
What are the cardio-vascular disease (VD) risk factors?
Genetics - men have higher blood pressure
Diet - fatty/cholesterol high food is bad
Age - increases as get older
High blood pressure - increase risk
Smoking - tar build up
Inactivity - increases blood pressure when you do exercise
What are cohort studies?
i) for CVD?
- follow large group. People - see who develops disease and who doesn’t
- study is prospective - none have condition at the start
- compare results look at correlation in risk factors - very expensive and take a long time.
i) 1948 - 5209 men and women 30-62 recruited
1971, 5124 children (now adults in 1971) joined
3rd generation recruited in 2002
Every 2 yrs participants provide detailed medical history and undergo physical exams and questionnaires.
Results - high blood pressure, high blood cholesterol, smoking, obesity, diabetes, physical inactivity were all identified as risk factors