Unit 1 Lecture 4 Flashcards

1
Q

What is ventricular systole?

A

DEPOLARIZATION (contraction) of ventricular cardiac muscle fibers

  • when the ventricles contract, PRESSURE in ventricles INCREASES -> ejects blood
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2
Q

What is ventricular diastole?

A

REPOLARIZATION (relaxation) of ventricular cardiac muscle fibers

  • when ventricles eject blood, PRESSURE in ventricles DECREASES -> AV valves loosen up -> Passive filling of the ventricles
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3
Q

What does passive filling of the ventricles means?

A

Immediately after the ventricles eject blood, the atria fills with blood but the WEAK muscle around the AV valve causes some blood to slowly leak through BEFORE atrial contraction

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4
Q

What is atrial systole?

A

Contraction of the atria -> remainder of blood (that hasn’t drained into ventricle) is pumped into the ventricle

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5
Q

How is the majority of blood pumped into the ventricles?

A

“passive filling”

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6
Q

Once the atria has pumped all of its blood into the ventricles, what is that blood called?

A

End diastolic volume

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7
Q

Define end diastolic volume

A

the amount of blood pumped into the ventricles by the atria during ventricle diastole

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8
Q

True of false,

The ventricles pump out all of their blood during ventricular contraction?

A

FALSE

*some blood is left over in the ventricles

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9
Q

What is the blood leftover in the ventricle after contraction called?

A

End systolic volume

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10
Q

Define end systolic volume

A

The amount of blood leftover in the ventricle that was not pumped out

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11
Q

Define stroke volume

A

The volume of blood pumped out of the heart per beat

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12
Q

Formula for stroke volume (SV)

A

(SV) = End diastolic volume - end systolic volume

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13
Q

What is the average stroke volume at rest?

A

0.07 L/beat

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14
Q

What are the 3 factors that determine stroke volume?

A
  1. Afterload
  2. Preload
  3. Contraction of ventricles (active or passive)
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15
Q

Define preload

A

END DIASTOLIC VOLUME

How much blood is in the ventricle before contraction

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16
Q

Define afterload

A

the (ventricular) pressure required to open the aortic valve

*there’s blood already in the aorta so afterload is the amount of pressure that the ventricle must exert to eject its blood out

17
Q

What are the 2 types of ventricular contraction that effects stroke volume?

A
  • active contraction

- passive contraction

18
Q

Define active contraction

A

Requires energy to contract (cardiac muscle)

19
Q

Define passive contraction

A

Does not require energy to contract (cardiac muscle)

20
Q

What does contractility mean?

A

refers to the STRENGTH of cardiac muscle contraction

21
Q

What does active contraction involve?

A

Stimulation of the sympathetic nerves to the heart

22
Q

What does passive contraction involve?

A

Changing the length of cardiac muscle fibers (“Frank-Starling Mechanism”)

23
Q

During ACTIVE contraction, what stimulates the sympathetic nerves?

A

NE (or epinephrine)

24
Q

What does NE do to the heart in active contraction?

A
  • Increases Ca channels to open -> influx into heart
  • Increases pacemaker activity
  • increases force of contraction
25
Q

What is the Frank-Starling Mechanism?

A

A law that states-

INCREASING preload (the amount of blood in ventricles before contraction) ->

INCREASING contractility (strength of contraction/ how much cardiac muscle is stretched) ->

INCREASES stroke volume (volume pumped out of the heart)

26
Q

What is the optimal length of a sarcomere during contraction?

A

2.2 micrometers

27
Q

What is the resting length of a sarcomere?

A

1.8 micrometers (understretched)