Vascular and Cardiac Integration Flashcards

1
Q

Ejection Fraction

A

SV/EDV

“How much blood is pumped out of the ventricle when it’s full”

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2
Q

How does afterload affect velocity of shortening?

A

Light loads results in fast shortening

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3
Q

In a Force(x)-Velocity(y) graph, what parameter allows Vmax to change?

A

Contractility

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4
Q

In a force-velocity graph, what does increasing the pre-load do?

A

Keeps vmax the same, but still increases the relative velocity associated with a certain afterload (increases force of contraction).

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5
Q

What are the four components of the Pressure-Volume loop?

A
  • X axis Volume
  • Y axis Pressure
  • IR on the left (pressure tank with constant volume)
  • IC on the right (pressure peak with constant volume)
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6
Q

How is raising pre-load reflected on a Pressure-Volume loop?

A

+X axis, b/c you eject more

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7
Q

How is raising after-load reflected on a Pressure-Volume loop?

A

-X axis, +Y axis, b/c your SV goes down, Pressure goes up, and the valves close quicker

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8
Q

How is raising contractility reflected on a Pressure-Volume loop?

A

+X and +Y

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9
Q

What is a normal value for Ejection fraction?

A

At least 50%

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10
Q

What does it mean for veins to be very compliant?

A

Big volume changes with little pressure change

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11
Q

What causes jugular distension?

A

High venous pressure

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12
Q

What is the relationship between CVP and CO in a vascular function curve?

A

Inverse, Y-AXIS^(CVP) —> X-AXIS v (CO)

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13
Q

What is the relationship between CO and CVP in a Frank-Starling Curve?

A

Y-AXIS ^(CO) —> X-AXIS ^(CVP)

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14
Q

What is the equilibrium point of Vascular and Frank Curve?

A

5L/min and 2mmHg

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15
Q

What curve gets affected by a hemorrhage and how?

A

The vascular function curve. Expect a shift to the left. Both CV and CO go down.

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16
Q

What curve gets affected by Vasoconstriction and how?

A

The vascular function curve, expect a shift to the right Both CV and CO go up

17
Q

Mnemonic to remember things affecting Vascular function curve?

A

“The VAIN MIRROR”, you see a parrallel effect in both CO and CV

18
Q

What curve gets affected by fluid retention and how?

A

Vascular, expect right shift CV and CO go up. (Edema gets worse during heart failure)

19
Q

What curve gets affected by Inotropic drugs and how?

A

Cardiac, expect left shift CO goes up but CVP goes down.

20
Q

What curve gets affected by Heart failure?

A

Cardiac, Expect right shift, CO goes down but CVP goes up.