Vascular pt 4 Flashcards
Venoconstriction increases venous return to the heart for enhanced ?
SV and CO.
Venous pressure is determined by?
– Venoconstriction and other mechanisms of venous return (input)
– CO: pumping by the heart (output)
___overcome the effects of gravity by pushing blood up a staircase of valves increasing venous return and minimizing venous pressure in the lower extremity
Contracting skeletal muscles (walking, running)
___reduces intrathoracic pressure thus drawing blood up from the abdomen
Respiratory inhalation
explain Chronic venous insufficiency (CVI):
veins cannot pump enough venous blood back to the heart
Explain the complications associated with perforating veins
- Perforating veins interconnect superficial and deep veins
- Valves in perforating veins become incompetent
- Contractions of calf muscles cause a reverse flow externally through the perforating veins
- superficial & perforating veins become varicose.
Cardiac Function Curve = Frank-Starling
CO is a function of venous pressure (preload)
Vascular function Curve:
Venous pressure is a function of CO.
Venous pressure drops with increasing
• CO; heart draws on incoming venous blood
Equilibrium point
where the opposing actions of CO and venous pressure are equal and opposite
Increasing heart contractility moves the cardiac curve?
upward
• Cardiac contractility alone would be expected to increase CO But, venous pressure drops with increase in CO.
Vascular response to increase in CO will change equilibrium point to where?
CO is enhanced and venous pressure is reduced.
- CO is balanced between the effects of cardiac and vascular changes.
Venoconstriction or a drop in systemic vascular resistance ____venous flow (preload) into heart.
increases
Cardiac stimulation and increased venous input together produce significant increases of CO for relatively less preload.
Combining lower arterial blood pressure (or venoconstriction) with greater cardiac contractility, the heart becomes more efficient, i.e. it pumps more blood per amount of preload.