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Cardiovascular physiology II
Cardio II module
147
Physiology
Graduate
12/12/2010

Additional Physiology Flashcards

 


 

Cards

Term
The factor in blood that has to do with the energy required to separate blood into discrete lamina during laminar flow.
Definition
Hematocrit
Term
The easiest factor to adjust to either increase or decrease vascular resistance.
Definition
vascular radius
Term
The law which governs the flow of fluid in a tube.
Definition

Postulle's Law

 

Q=∏(Pi-Po)r^4/8πl

Term
How to calculate peripheral resistance
Definition
Pi-Po/Q
Term
Resistance in a parallel circuit.
Definition
1/Rt=1/R1+1/R2+1/R3
Term
Reynold's number describing turbulent flow.
Definition
=pDv/π
Term
Most favorable flow pattern for reducing endothelial sheer stress.
Definition
laminar flow
Term
A value of flow determined by pressure and flow speed which denotes the transition between laminar flow and turbulent flow.
Definition
Critical velocity
Term
A place where turbulent flow is beneficial.
Definition
Capillaries.
Term
A rough calculation of mean arterial pressure.
Definition
Diastolic P + 1/3 Pulse pressure
Term
Volume reservoir
Definition
Venus circulation
Term
Pressure reservoir
Definition
Arterial circulation
Term
decreasing the constriction of arterioles via a vasodilator would drop pressure in this measurement most.
Definition
Diastolic
Term
Autoregulation is controlled by...
Definition
Vascular smooth muscle stretch
Term
Metabolic rate increases and causes an increase in blood flow rate.
Definition
Active hyperemia
Term
Increased blood flow following an occlusion/reduced blood flow.  Increased occlusion time=increased blood flow.
Definition
Reactive hyperemia
Term
potent vasoconstrictor produced by endothelial cells, and in excess when damaged.
Definition
endothelin
Term
Potent vasoconstrictor produced by thrombocytes.
Definition
Thromboxane
Term
Normally a vasodilator, but acts as a vasoconstrictor when endothelium is damaged.
Definition
Acetylcholine
Term
Factors in the bloodstream which act directly on vascular smooth muscle.
Definition
Humoral factors
Term
Arachidonic acid enzyme used in physiological conditions
Definition
COX-1
Term

Arachidonic acid enzyme used in pathophysiological conditions

Definition
COX-2
Term
Arachidonic acid metabolite that causes vasodilation.  Produced from endothelial cells.
Definition
PGI2, (Prostacyclin)
Term
Drug and low dosage often given to preferentially block the production of thromboxane in platelets yet preserve the endothelial cell's ability to produce vasodilators.
Definition
Asprin
Term
Arachidonic acid enzyme which produces leukotrienes.  This is often a problem when blocking other arachidonic metabolizing enzymes due to leukotriene overproduction.
Definition
Lipoxygenase
Term
Beneficial diet additive due to its replacement in membranes for normally occurring arachidonic acid, causing the production of less potent vasoconstrictors yet maintaining the potency of vasodilators such as PGE2.
Definition
n3 Fatty Acids
Term
adrenomedullary hormone that causes vasoconstriction.
Definition
epinephrine/norepinephrine
Term
adrenergic receptors located on vascular smooth muscle modulating vasoconstriction
Definition
alpha-1
Term
adrenergic receptors used in the negative feedback loop to the adrenomedulla.
Definition
alpha-2
Term
adrenergic receptors located on the heart and cause an increase in heart rate/contractility.
Definition
beta-1
Term
adrenergic receptors located on vascular smooth muscle which mediate vasodilation.
Definition
beta-2
Term
Receptors strongly activated by norepinephrine.
Definition
alpha-1 and beta-1
Term
The result of activating alpha-1 receptors on venous smooth muscle.
Definition
decreased compliance
Term
Receptors activated at low/normal concentrations of epinephrine.
Definition
Beta-2 receptors, Beta-1 receptors.
Term
The result of a modest release of epinephrine.
Definition
Reduced afterload.
Term
The result of a modest release of norepinephrine.
Definition
increased afterload.
Term
Beta receptor agonist drug, especially to beta-2. Similar to epinephrine.
Definition
Isoproterenol
Term
Beta-1 selective drug, similar to norepinephrine.
Definition
Dobutamine
Term
Location of renin release.
Definition
juxtoglomelural cells in afferent glomurli.
Term
Potent vasoconstrictor formed ultimately due to the release of renin.  Also induces the release of norepinephrine.
Definition
Angiotensin II/III
Term
potent vasodilator produced from endothelial cells that is broken down by angiotensin converting enzyme.
Definition
Bradykinin
Term
Hormone released as a result of atrial stretch.  Potent vasodilator/diuretic.
Definition
Atrial naturetic peptide
Term
Product of ATP usage as in muscle that is a key metabolic mediator in hyperemia.  Also reduces adhesion molecule expression as well as phospholipase A2 production.
Definition
adenosine
Term
Dilates arterioles, but constricts venules.  Promotes fluid movement into tissue.
Definition
Histamine
Term
sympathetic tone will have a larger relative effect on vasculature with a higher value of this...
Definition
Smooth muscle : Radius ratio.
Term
Term naming the basal release of norepinephrine causing some vasoconstriction, even at rest.  This is responsible for a significant amount of your normal blood pressure.
Definition
Vasomotor tone
Term
controls sympathetic/parasympathetic firing from the CNS as a result of baroreceptor firing input.
Definition
Nucleus of the tractus solitarius neuronal group
Term
Path for sympathetic fibers going to the heart.
Definition
Vagus nerve
Term
Path for sympathetic fibers going to the vessels/kidneys.
Definition
Sympathetic chain
Term
Blood pressure response to values less than 60mmHg causing increased sympathetic firing.  These sensors are not in the carotid sinus or right atria.
Definition
Cerebral ischemic reflex
Term
A response to increased intra-cranial pressure to ensure adequate blood perfusion.  Causes extreme vasoconstriction and has been shown to cause pressures to increase to values greater than 200mmHg!
Definition
Cushing reflex
Term
Blood pressure response to superficial pain
Definition
Increased sympathetic tone
Term

Blood pressure response to deep pain

Definition
Down regulate sympathetic
Term
A situation in which carrotid baroreceptors can act in opposition to right atrial receptors due to a high CVP and a low aortic pressure.
Definition
Heart failure
Term
Primarily affects respiration rate, but has some ability to up/down regulate sympathetic tone situationally.
Definition
Chemoreceptors
Term
Blood pressure relationship.
Definition
Cardiac output and Peripheral resistance
Term
An increase in venous sympathetic stimulation decreases this aspect of vasculature.
Definition
Capacitance
Term
A value describing the pressure in a circulatory system developed solely from vessel compliance; mostly as a reflection of the venous system.  Increases with increased total blood volume.
Definition
Mean circulatory pressure (7-8mmHg)
Term
The volume of blood which causes the pressure measured in a static; non pumping circulatory system.
Definition
Stressed volume (25mL/Kg)
Term
The volume of blood in a static system which has a pressure of 0mmHg.
Definition
unstressed volume (50mL/Kg)
Term
Part of the ventilatory cycle where venous return is the greatest.
Definition
Inspiration
Term
The phase of the ventilatory cycle which has the lowest amount of venous return.
Definition
expiration
Term
Strain to expire against a closed glottis.
Definition
Valsalva's maneuver
Term
First response seen when performing a Valsalva manuver
Definition
Increased atrial pressure.
Term

 

Second response seen when performing a Valsalva maneuver. Due to compression of the vena cava and decreased firing of baroreceptors.

 

Definition
Decreased arterial pressure, Increased heart rate, Decreased diameter of left ventricle
Term

 

 

Third response seen when performing a Valsalva maneuver.

 

 

Definition
Transient fall in systemic blood pressure.
Term

 

Fourth response seen when performing a Valsalva maneuver.

 

Definition
Increased stroke volume, Increased cardiac output, increased arterial blood pressure.
Term
During a Valsalva manuber, if the tachycardia of phase 2 and the overshoot of atrial pressure in phase 4 are absent, this indicates...
Definition
Autonomic dysfunction
Term

During a Valsalva manuber, if the 2, 3, and 4th phases are absent, this indicates...

Definition
Obstruction of left ventricular inflow.
Term
Initial effect of abdominal contraction
Definition
Increased venous return and increased blood pressure.
Term

The effect of abdominal contraction when sustained over a long period of time.

Definition
Decreased venous return, decreased blood pressure.
Term
A postural change which increases venous pressure.
Definition
Standing still
Term

A postural change which decreases venous pressure.

Definition
Walking
Term
Pressure measured at the right atrium and thoracic vena cava which "opposes" venous return to the heart.
Definition
Central Venous Pressure (CVP)
Term
Cardiac Factor(s) that affect cardiac output
Definition

Heart Rate

Contractility

Term

 

"Coupling" factor(s) that affect cardiac output

 

Definition

Preload (venous return)

Afterload (increased peripheral resistance)

Term
The X-intercept of a Venous function curve.
Definition
Mean systemic filling pressure
Term

As central venous pressure decreases, venous return increases.  What effect does this have on the vascular function curve that intersects the venous return curve?

 

Similar effect with vasodilation/hypovolemia

Definition
Transposition Left/down
Term

 

As central venous pressure increases, venous return decreases.  What effect does this have on the vascular function curve that intersects the venous return curve?

 

Similar effect with vascular constriction/hypervolemia

Definition
Transposition right/up
Term
The result of vasoconstriction of arterioles on the venous return curve.  Doesn't affect stressed/unstressed volume much.
Definition
Shift downward
Term

 

The result of vasodilation of arterioles on the venous return curve.  Doesn't affect stressed/unstressed volume much.

 

Definition
Shift upward
Term
The point at which the cardiac function curve and the vascular function curve intercept.  The point at which the performance of the heart hopes to maintain or achieve after acute volume changes.
Definition
Equilibrium point
Term
The effect of acute hypervolemia on the cardiac function curve.
Definition
Shift up on vascular function curve
Term
The minimum gradient for venous return.
Definition
Mean circulatory filling pressure-equilibrium pressure
Term
The effect of increasing contractility of the heart on the equilibrium point.
Definition
Ultimately leftward shift
Term

The effect of hemorrhage or heart failure heart on the equilibrium point.

Definition
Ultimately rightward shift
Term
Hormone which acts on the kidneys to increase Na+ reabsorption.
Definition
Aldosterone
Term
Most sensitive to neural stimuli
Definition
Arterioles
Term
Most sensitive to tissue metabolites and slightly responsive to neural stimulation.
Definition
Precapillary sphincters
Term
The limit of diffusion for small molecules.
Definition
Flow limited diffusion
Term
The limit of diffusion of large molecules or a limit imposed on diffusion based on the distance between the capillary and the parenchymal cell.  Is a problem raised by edema.
Definition
Diffusion limited diffusion (transport)
Term
Factors affecting diffusion.
Definition
permeability, surface area, concentration gradient.
Term
Plasma which has been separated from its large molecular weight proteins.
Definition
Ultrafiltrate
Term
The principle force favoring filtration across the capillary wall.
Definition
Hydrostatic pressure
Term
Normal capillary pressure at the start of the capillary bed (arterial side).
Definition
32mmHg
Term
Normal capillary hydrostatic pressure at the end of the capillary bed (venous side).
Definition
15mmHg
Term
Increasing central venous pressure has what effect on end capillary bed hydrostatic pressure?
Definition
Increase
Term
Constricting arterioles has what effect on the capillary hydrostatic pressure?
Definition
Decrease
Term
What is the relationship between aortic pressure and capillary hydrostatic pressure?
Definition
Inverse
Term

 

 

Force opposing capillary hydrostatic pressure

 

 

Definition

 

Osmotic pressure (oncotic pressure)

 

Term
The relatively constant value of colloid osmotic pressure.
Definition
25-28mmHg
Term
The protein most responsible for osmotic forces.
Definition
Albumin
Term
The approximate value of tissue colloid osmotic pressure opposing capillary osmotic pressure.
Definition
4 mmHg
Term
Starling hypothesis
Definition
Fluid movement=K[(Pci)-(Pip)]
Term
The dynamic center of the Starling hypothesis.
Definition
(Pci)-(Pip)=0
Term
Part of cardiac cycle where the heart's perfusion is reduced in its' coronary arteries.
Definition
Systolie
Term
Phase of cardiac cycle where coronary artery flow is greatest.
Definition
Diastole
Term
The most important factor in coronary artery dilation or constriction.
Definition
Local metabolites
Term
Tissue(s) most at risk for damage during edema.
Definition

Brain

Lungs

Term
Coronary vasculature connections that allow blood to shunt in different directions to avoid a blockage.
Definition
Collateral
Term
intraventricular pressure is higher than normal during diastole, therefore, wall tension is elevated and endocardial perfusion will be compromised.
Definition
Congestive heart failure
Term
The most effective stimulus for coronary vasodilation.
Definition
Decreased oxygen tension
Term
The most important metabolic regulator of coronary vascular resistance and blood flow.
Definition
adenosine
Term
The plateau of coronary flow maintained from Interventricular pressures of 60-140mmHg.
Definition
Autoregulation
Term
This artery does not get compressed as much during systole due to decreased wall thickness of the ventricle which it surrounds.
Definition
Right coronary artery
Term
A high level of this compound in the blood has great atherogenic propensity.  High levels are often a result of a low intake of vitamis B6, B12 and/or folic acid.
Definition
Homocysteine
Term
Damage caused by a rapid re-oxygenation of heart tissue following an occlusion.
Definition
Reprofusion injury
Term
Without the production of this compound by endothelial cells (due to damage/dysfunction) expression of adhesion molecules increases and vasoconstriction occurs.
Definition
Nitric oxide
Term
The location of norepinephrine's predominant area of action.
Definition
Peripheral resistance
Term
Skin's main function on the circulatory system
Definition
Thermal regulation
Term
Effect on cardiac output with increased skin temperature.
Definition
Increase
Term

Ultimate effect on splanchnic, renal, and muscle blood flow with increased skin temperature (when not exercising).

 

Same relative effect on arterial and right aterial mean pressures.

Definition
Decrease
Term
prolonged exposure to very cold temperature causes... To prevent tissue freezing; probably through a smooth muscle response to lowered temperature.
Definition
Vasodilation
Term
Skeletal smooth muscle does not receive any of this type of innervation.
Definition
Parasympathetic
Term
Dilation of skeletal muscle vasculature is via a...
Definition
Passive mechanism
Term
These receptors allos for active skeletal muscle vasculature vasodilation
Definition
Sympathetic histaminergic or Sympathetic colinergic
Term
Value denoting both gross viscosity of blood (indirectly) and the amount of blood that is RBCs
Definition
Hematocrit
Term
Portion of blood without clotting agents within it.
Definition
Serum
Term

Portion of blood with clotting agents within it.

Definition
Plasma
Term
The primary response to vasculature injury
Definition
vasoconstriction
Term
receptors on platelets that allow fibrinogen crosslinking.
Definition
GPIIb to receptor IIIa
Term
Factor produced from COX that helps with platelet aggrogation
Definition
TXA2
Term
Platelet aggregation in its initial stage.
Definition
Primary hemostatic plug
Term

Factor which sustains the hemostatic plug.

 

Also forms fibrin from fibrinogen

Definition
Thrombin
Term
Factor released from endothelial cells which reduces aggregation.
Definition
PGI2
Term
Starts with factor XII.  Contains factors 12, 11, 10, and 9
Definition
Intrinsic pathway
Term
Starts with factor VIIa.  Contains factors 7a, 10 and 9 where it becomes the common clotting cascade.
Definition
Extrinsic
Term
This factor can act as a crossover between the extrinsic pathway to the intrinsic pathway.
Definition
Factor IX
Term
Useful measure of the intrinsic clotting pathway.  A "long value" indicates dysfunction.
Definition
Activated partial thromboplastin time (APTT)
Term
Useful measurement of the extrinsic clotting pathway. Long=bad
Definition
prothrombin clotting time.
Term
Inhibitor of factors VIIa, IXa, Xa and thrombin.
Definition
Antithrombin III
Term

Provides negative feedback on thrombin through thrombomodulin to prevent clots from becoming to large.  Found normally in blood.

 

Used in the treatment in severe sepsis (Xigris)

Definition
Protein C
Term
Converts plasminogen to plasmin in order to break down fibrin.  Does not reduce fibrin formation.
Definition
Urokinase
Term
Inactivates plasmin.
Definition
Alpha 2 antiplasmin
Term
Performs similar action to other "clot busters" that occur in the body and is given in certain at risk patients.
Definition
Tissue-plasma activating factor t-PA
Term
A primary problem in causing a pulminary embolism.  It is caused by over-aggregation of platelets.
Definition
deep vein thrombosis
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