Shared Flashcard Set

Details

Physiology- Cardiophysiology
Coupling Heart and Vasculature (T Pierce)
15
Medical
Post-Graduate
01/29/2009

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Cards

Term

Effect of negative venous pressure on the veins

Definition

veins will collapse, causing flow of blood toward the heart

Term
Effect of increase in venous pressure/ venoconstriction on total peripheral resistance
Definition
there is very little change due to the fact venous R is comparatively low to that of arterioles
Term
Effect of increase in blood volume on vascular function curve
Definition
  • increase venous return
  • increase MSFP
Term
Effect of increasing TPR on vascular function curve
Definition
  • same MSFP
  • decreased venous return
Term
If a cardiac function curve is drawn with a vascular function curve, their pt of intersection is called the what?
Definition
equilibrium point
Term
Effect of hypervolemia on equilibrium point
Definition
  • increase CO
  • increase venous pressure
Term
Effect of cardiac sympathetic stimulation on equilibrium point
Definition
  • increase cardiac output
  • decrease venouse pressure

As you increase HR, you deplete blood from venous circulation.

Term
Effect of increased TPR on equilibrium point
Definition
  • decrease CO
  • slight decrease in venous pressure
Term
Effect of hemorrhage on equilibrium pt BEFORE sympathetic system acts
Definition
  • decrease venous return/CO
  • decrease venous pressure
Term
Effect of hemorrhage on equilibrium pt AFTER sympathetic system acts
Definition
  • increased cardiac output/venous return
  • slight decrease in venous pressure

Only that can restore venous pressure is restoring blood volume.

Term
Clinical reasons for elevated pulse pressure
Definition
  • age (decrease compliance due to increase rigidity of vessels)
  • aortic valve regurgitation (run off of ejected blood)
  • trained athletes
Term
Clinical reasons for having low pulse pressure
Definition
  • severe congestive heart failure (due to myocardial weakness)
  • severe hemorrhage
Term

What is the problem with the heart if the venous pressure rises when placing in a catheter, but the CO falls? How is the problem cured?

Definition
  • low contractility
  • cure with cardiac stimulant
Term
Vascular Function and Cardiac Funcion curves of heart failure
Definition
  • reduced CO
  • increased venous pressure
    • if high enough, cause peripheral and pulmonary edema
Term
Risks of having a very high hematocrit
Definition
  • increases viscocity
    • small vessel blockage
    • stroke risk
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