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Cardiovascular System
Ch. 14
53
Physiology
Undergraduate 3
07/07/2012

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Term
Heart Valves
Definition
Atrioventricular Valves (AV)
Aortic Valve
Pulmonary Valve
Term
Atrioventricular Valves (AV valves)
Definition
Right AV valve (tricuspid valve)
Left AV valve (bicuspid)
Papillary Muscles and chordae tendinae- keep AV valves from everthing
Term
Normal direction of blood flow
Definition
atria to ventricles,
ventricles to arteries
Term
valves prevent:
Definition
backward flow of blood
Term
Valves open:
Definition
passively due to pressure gradients
Term
AV valves open when:
Definition
pressure in atria is greater than pressure in ventricles
Term
Pulmonary and aortic valves open when:
Definition
P ventricles is greater than P arteries
Term
Define Cardiac Cycle
Definition
Events associated with the flow of blood through the heart during a single complete heartbeat
Term
Main Periods of the Cardiac Cycle
Definition
Systole: ventricle contraction
Diastole: ventricle relaxation
Term
Phase 1 of the Cardiac Cycle
Definition
1. Ventricular filling
-Pressure in atria is greater than pressure in ventricles
-AV valves open
-Passive phase- no atria or ventricular contraction (80% of filling)
-Active phase (20% filling) atria contracts
Term
Phase 2 of the Cardiac Cycle
Definition
2. Isovolumetric ventricular contraction
-**ventricles conrtacts- increases pressure
-AV and pulmonary and aortic valves closed
- No blood entering or exiting ventricle
-Ventricular pressure increases until it exceeds arterial pressure
Term
Phase 3 of the Cardiac Cycle
Definition
Ventricular Ejection
-pressure ventricles greater than pressure arteries
-pulmonary and aortic valves open
-blood ejected from ventricles
Term
Phase 4 of the Cardiac Cycle
Definition
Isovolumetric Ventricular Relaxation
-ventricle relaxes, decreases pressure
-AV and semilunar valves closed
-no blood entering or exiting ventricle
-pressure in ventricle continue dropping unit it is less than atrial pressure
Term
Is blood flow continuous during cardiac cycle?
Definition
Yes
Term
How does the aorta and large arteries maintain blood flow during entire cardiac cycle?
Definition
They are elastic, they are pressure resevoirs. Store energy during systole (walls expand) Release energy during diastole as walls recoil in.
Term
Heart sounds occur due to:
-first sound=
-second=
Definition
Turbulent flow when valves close.
1st- soft lubb, AV valves close
2nd- louder dubb, semilunar valves close
Term
Cardiac Output (CO)
Definition
Volume of blood pumped by each ventricle per minute
Term
Average CO=
Average Blood volume=
During heavy exercise=
Definition
5 L/min at rest
5.5 L
25-30 L/min
Term
How is CO determined?
Definition
Heart Rate (bpm) and Stroke Volume, the volume of blood pumped in one heart beat, about 70mL at rest
Term
Equation of CO=
Definition
CO=HR X SV
Term
CO can be increased by:
Definition
increasing either HR or SV or both
Term
HR and SV are regulated by:
Definition
The cardiovascular system to control cardiac output
Term
Heart Rate is regulated by-- Nervous system?
HR modifies:
Definition
Autonomic NS
Modifies rate set by pacemaker cells in SA node.
Term
Pacemaker cells receive input from parasympathetic or sympathetic nervous systems?
Definition
Both.
Have adrenergic receptors and muscarinic, Ach receptors.
Term
What is HR determined by?
Definition
SA node firing rate
Term
Sympathetic input on HR
Definition
Increases firing rate= increased HR via B1 adrenergic receptors
Term
Parasympathetic input on HR:
Definition
decreases firing rate= decrease in HR via muscarinic Ach receptors
Term
At rest does parasympathetic or sympathetic input dominate?
What does rest HR=
Definition
Parasympathetic
60-70 bpm
Term
Hormanal control of heart rate:
Definition
epinephrine= same effect as sympathetic nervous system
Term
AV nodal innervation, Sympathetic:
Definition
increases conduction velocity through node, speeds up conduction into ventricles.
Term
AV nodal innervation, Parasympathetic:
Definition
decreases conduction velocity
Term
What affects CO SV
Definition
1. ventricular contractility, strength of contraction, more forceful contraction will expel more blood (sympathetic)
2. Frank starling law of heart
3. Afterload- pressure in aorta (ventricular ejection has to overcome BP in aorta)
Term
Sympathetic control of SV
Definition
cardiac nerves, NE binds to B1 adrenergic receptors
** increases cardiac contractillity (increases SV)
Term
Parasympathetic control of SV
Definition
Not signifigant
Term
Hormonal control on SV
Definition
epinephrine, thyroid hormones, insulin and glucagon increase force of contraction (increase SV)
Term
Frank-starlings Law
Definition
control of SV related to venous return (blood returning to heart)
increase venous return->increase strength of contraction -> increase SV
Term
In Frank Starlings Law, the heart will pump what volume of blood?
Definition
The volume of blood returned to it beacuse more blood returning to the heart stretches the muscle cells which makes them contract with more force.
Term
Afterload=
Incresed aortic pressure-
Definition
pressure in aorta during ejections.
Incresed aortic pressure can decrease SV
Term
Hypertension (high blood pressure)
Definition
L ventricle works harder to pump= volume of blood. Leads to heart failure
Term
Cardiovascular system transports:
Definition
Oxygen and nutrients to cells,
Wastes from cells to liver and kidneys,
Hormones, immune cells, clotting proteins to specific cells
Term
Arteries:
Definition
large, branching vessels that conduct blood away from heart
Term
Arterioles:
Definition
small branching vessels w/ high resistance
Term
Capillaries=
Definition
site of exchange between blood and tissue
Term
Venules
Definition
small converging vessels
Term
Veins
Definition
relitively large converging vessels that conduct blood to the heart
Term
Blood vessels are a -- system
Definition
Closed
Term
Blood flow:
Definition
Heart-> Arteries-> Arterioles-> Capillaries -> venules -> Veins and back to heart
Term
Pulmonary circuit is -- and is supplied by
Definition
blood vessels from heart to lungs and lungs to heart
right heart.
Term
Systemic circuit is-- and is supplied by
Definition
blood vessels from heart to systemic tissues and tissues to heart by left heart
Term
Right heart supplies:
Left heart supplies
Definition
R- pulmonary
L- systemic
Term
Where does the exchange between blood and tissues take place?
Definition
Capillaries
Term
Pulmonary Capillaries
-blood entering lungs=
-Oxygen diffuses from -- to --
-blood leaving lungs=
Definition
deoxygnated
tissue to blood
oxygenated
Term
Systemic capillaries
Definition
blood entering tissues is oxygenated, oxygen diffuses to tissue from blood, and blood leaving tissue is deoxygenated
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