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arterial pressure
CVM
23
Medical
Graduate
03/10/2010

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Cards

Term
what is the function of arterial pressure?
Definition
to ensure a constant supply of blood flow to the tissue despite the cyclic nature of the cardiac pump
Term
what is systolic pressure?
Definition
the intracardial pressure during or resulting from systolic contraction of a cardiac chamber - the highest arterial blood pressure reached during any given ventricular cycle
Term
what is diastolic pressure?
Definition
the intracardial pressure during or resulting from diastolic relaxation of a cardiac chamber - the lowest blood pressure reached during any given ventricular cycle
Term
what is pulse pressure?
Definition
the variation in blood pressure occuring in an artery during the cardiac cycle - the difference between the systolic (max) and diastolic (min)
Term
what is the MABP? how is it calculated?
Definition
the mean arterial blood pressure, or the pressure that exists in the artery if there was a steady flow from the ventricle. it is calculated by: diastolic pressure + 1/3 pulse pressure (diastolic pressure + (systolic – diastolic)/3) OR MABP = CO x R
Term
where is the major drop in blood pressure during circulation? why?
Definition
in the arteriole, where pulse pressure practically disappears and pressure drops from 80 to 30 mm Hg. this is due to 1) increase in cross sectional area and 2) increase in resistance (reduces pulse pressre/flux)
Term
what is the function of the resistance-compliance filter?
Definition
to maintain flow during diastole
Term
how is TPR (total peripheral resistance) calculated?
Definition
Q=pressure change/R becomes R=pressure change/Q, therefore TPR=(Pa-Pv)/Q which is usualy (102-2 mm Hg)/5 L/min = 20 mm Hg/L/min
Term
what is compliance?
Definition
the amount of change/distention in a blood vessel due to pressure
Term
how is arterial compliance calculated?
Definition
Ca(arterial compliance) = change in volume/change in pressure
Term
how does pressure change in more compliant arteries according to volume?
Definition
the more compliant an artery, the less change in pressure for a given change in volume/SV (compliance = capacitance)
Term
how does arterial compliance vary with age?
Definition
as age increases, compliance occurs at lower and lower pressures
Term
if a pump has low resistance and no compliance how will it function during systole and diastole?
Definition
systole: high pressure, total flow
diastole: no pressure, no flow
Term
if a pump has low resistance and high compliance how will it function during systole and diastole?
Definition
systole: lower pressure, lower proportion of flow
diastole: higher pressure, low duration of flow
Term
if a pump has good resistance and lower compliance how will it function during systole and diastole?
Definition
systole: intermediate pressure, lower proportion of flow
diastole: higher pressure, and flow maintained during diastole
Term
how does some compliance (coupled with some resistance downstream) maintain flow?
Definition
the aorta stretches w/potential energy during systole which is then released in diastole, maintaining flow
Term
what is (pulse) pressure essentially determined by?
Definition
how much volume is put into an arterial system and how quickly blood moves downstream (how quickly pressure then falls is determined by how quickly blood leaves the arterial system which is determined in turn by resistance downstream)
Term
what are the 2 main determinants of MABP?
Definition
mean arterial volume (how much blood is being added to the arterial system - determined by flow entering/leaving arterial system) and resistance downstream (how quickly blood flows away or out of the arterial system)
Term
what is pulse pressure determined majorly by?
Definition
compliance of the large arteries
Term
what happens to pulse, systolic, and diastolic pressures if only stroke volume is increased, but not compliance? what would then happen if you dropped resistance a little?
Definition
everything goes up, except systolic goes up a little more relative to diastolic. if resistance was dropped, diastolic would drop a little b/c outflow would be higher
Term
what happens to pulse, systolic, and diastolic pressures if everything is kept the same, but resistance is increased?
Definition
systolic and diastolic will increase, but pulse pressure remains the same (b/c systolic and diastolic increase at the same rate)
Term
what happens to pulse, systolic, and diastolic pressures if compliance is decreased?
Definition
this will increase pulse pressure by increasing systolic and decreasing diastolic pressure
Term
what happens to pulse, systolic, and diastolic pressures if resistance is increased and compliance is decreased?
Definition
systolic pressure will increase more than diastolic pressure and pulse pressure will increase (diastolic does increase some). this would likely happen as a result of increasing pressure to the point that compliance begins to decrease
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