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Human Physiology-Lecture 4
Cardiac Dynamics
42
Physiology
Graduate
02/10/2013

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Cards

Term
Cardiac Output (CO) is defined as
Definition

the volume of blood ejected by each ventricle per unit of time;

Normally 5L/min @ rest

Term
Cardiac output formula (CO)
Definition
Heart rate * Stroke volume
Term
Cardiac Output to ____,____ and _____
Definition

Brain 13%;

Cardiac Muscle 4%;

Kidneys 20-25%

Term
Heart rate is normally ___ bpm and the stroke volume (SV) is usually...
Definition

80bpm; the same for both ventricles but CO usually refers to the left ventricle;

Normally 70-80 ML/per system; the CO is usuallt 5-6 L/min

Term
Stroke volume is affected by
Definition
venous return, the peripheral resistance and the autonomic nervous system
Term
If the heart rate increases 90/min,
Definition
the cadiac output increases proportionally
Term
If the heart rate increases from 90-140/min,
Definition
the CO remains the same becuase the stroke volume decreases in proportion to the increase in the heart rate due to the fact that ventricles have less time to fill during diastole.
Term

If heart rate increases over 140/min,

 

Definition
the CO decreases because the stroke volume decreases faster than the increase in the heart rate
Term
Starling's Law of the Heart
Definition

If all other factors remain constant, the SV is determined by the force of the contraction; 

the heart will automatically eject all the blood that enters it over a broad range of volume...

bc of the nature of striated and cardiac muscle, which has a force of contraction is proportional to the degree to which it was stretched up to a LIMIT!!

Term
the strength of contraction increases in proportion to the
Definition
length of the ventrical muscle fibers, which implies that all the extra blood resulting from increased venous return is pumped out
Term
the quality of blood in the ventricle just prior to their contraction determines the
Definition

initial length of the ventricular muscle fibers, 

aka End-Diastolic Volume,

which in turn, determines the PRE-LOAD that is defined as the degree of TENSION of the muscle when it begins to contract

Term
According to the Starling's law, any change in the venous return
Definition

has a direct effect on the SV and therefore in the CO;

 

increase in venous return causes an increase

in the strength of the contraction which causes

an increas in the stroke volume and cardiac output;

 

Similar results, but indirectly, are obtained by increasing the blood pressure

Term
Increased blood pressure, ______ the resistance which _________ the SV which causes an _______ in the End-Diastolic Volume which ________ the strangth of myocardial contraction which _______ the SV.
Definition
increases; decreases; increases; increases; increases
Term
After the inital adjustment by the Starling Law, other factors begin to regulate the
Definition
strength of the contraction and thus the cardiac output
Term

Homeometric regulation

 

Definition
regulation of strength of cardiac contraction in response to  influences that do not depend of fiber strength or length
Term

Cardiac Valve regulate blood flow from;

how many directions does flow in

Definition

atria to ventricle(cuspid valves);

ventricle to great arteries(semi-lunar); 

Flow in ONE direction

Term
What causes heart sounds and what is responsible for the normal Lub-Dup sound?
Definition

Closure of the heart valves are responsible for the heart sound;

Lub-closure of the cuspid valve(atria-ventricle)

Dub-closure of semi-lunar valve(ventricle-greater artery)

Term
Leaflets of the valves are
Definition
connective tissues covered with endothelial tissue
Term
Commissures
Definition
the division between the cusps
Term
Chordae Tendinae
Definition
elastic cords inserted into the papillary mucles composed of myocardial tissue that contracts simultaneously with the ventricles assuring their proper closure during ventricular contraction reventing blood reflux
Term

The cuspid valve have thier ventricular surface

anchored to 

Definition

the ventricul wall by way of the chordea tendinae; 

 

Term

Cardiac cycle: Diastole and Systole

 both spontanteously generated by 

Definition

Systole: force that drives blood out of the heart

Diastole: the period of time when the hear refills with blood;

an action potential in the sinus node(S-A node)

Term
The action potential in the SA node the spontaneously generated systolic and diastolic contractions
Definition
travels through both atria and reaches the a-v node, bundle of his, bundle branches, purkinje fibers and all cardiac fibers
Term
Passice Processes
Definition
The opening and closing of valves that are determined by the pressure gradient across them
Term
Systole
Definition

Contraction Phase (I)

Ejection Phase (II)

Term
Diastole
Definition

Relaxation Phase (III)

Filling Phase (IV)

Term
P wave; QRS Complex; T wave
Definition

atrial depolarization right before atrial contraction;

ventricle contraction;

repolarization of ventricle

Term
Baroreceptors
Definition

sensors that respond to distance of artery wall as a result of increase in pressure by sending impulses to the cardiac center(medulla oblongata) specifically the cardioinhibitor center which is activated triggering parasympathetic stimulus;

decreased HR & Cardiace Contraction

decreased CO

decreased BP

Term
If BP is low/decreased
Definition

Baroreceptors not stimulated

No Parasym Discharge

Symp acts through cardioaccelerator center

Term
2 Baroreceptors are basically
Definition

nervous endings located in the aorta and carotid areteries;

Aortic Sinus

Carotid Sinus

Term
Aortic Sinus
Definition
a Barorecpetors located in the aortic arch and innervated by the vagus
Term
Carotid Sinuses
Definition
a Baroreceptor located at the bifurcation of each common carotid innervated by the carotid sinus nerves of hering
Term
Chemoreceptors
Definition

sensors which don't respond to variations in the pressure but to the concentrations of oxygen and carbon dioxide in the blood;

located neat the aortic and carotid sinuses aka caortid and aortic bodies

Term
The carotid bodies
Definition
are immediately rostral to the bifurcation of each common carotid artery
Term
The Aortic bodies
Definition
are scattered in the tissue between the aorta and pulmonary arteries
Term
Hypoxemia causes
Definition

increases cardiac output but it is thought to be the result of direct stimulus of the medulla oblongata;

limited to the carotid and aortic bodies, the heart action is decreased or unchanged.

Term
Cardiac Index
Definition

this value adjusts the cardiac output to the individual person's body size by representing blood flow relative to a square meter of body surface area;

the normal adult range is 2.5 to 4.2L/min/m^2

Term
Cardiac index formula
Definition
CO(l/min)/ Body Surface(m^2)
Term

Body Surface Area(BSA)

 

Definition
Height(cm) * Weight(kg)/3600
Term

Blood flow; 

Formula

Definition

is the amount of blood that passes a given point in the circulation in a given period of time;

Bllos flow(Q)=^P/R

^P-pressure gradient (p1-p2)

R-resistance(PRU-peripheral resistance unit)

Term
The Heart has a specialized system for
Definition

generating rhythmical impulses to trigger contraction of the heart muscle;

conducting these impulses quickly throughout the heart

Term

3 Membrane ion channels

playing an important role in causing the voltage changes of the action potential

Definition

fast sodium channels

slow calcium-sodium channels

potassium channel

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