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Cardiovascular
Physio Review - BRS
33
Medical
Graduate
08/27/2012

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Cards

Term
What ANS receptors are found on arterioles, and which type of receptor is found where in the body?
Definition
Alpha-1 adrenergic Rs are found on skin, splanchnic and renal circulations (divert blood flow away from less vital organs when fight-or-flight).
Beta-2 Rs on skeletal muscle vessels (increase blood flow to muscles).
Term
Velocity of blood flow equation
Definition
V = Q/A
Q = blood flow (mL/min)
A = cross-sectional area (cm^2)
Term
Blood flow equation
Definition
Q = delta-P/R
delta-P = pressure gradient (mmHg)
R = resistance (mmHg/mL/min)
Term
Calculating cardiac output from resistance and pressure values
Definition
CO = (MAP - RAP) / TPR
MAP = mean arterial pressure
RAP = right atrial pressure
TPR = total peripheral resistance
Term
Mean arterial pressure
Definition
2/3 diastolic pressure + 1/3 systolic pressure
Term
Poiseulle's equation (factors that affect resistance)
Definition
R = 8(η)l / πr^4
η = viscosity
l = length of blood vessel
r = radius
Term
Adding parallel resistances
Definition
The reciprocal of the total resistance is the sum of the reciprocal of individual resistances.
Term
Adding series resistances
Definition
The total resistance is the sum of individual resistances.
Term
Reynolds number
Definition
Determines whether blood flow will be laminar (organized flow in a straight line) or turbulent (causes audible vibrations called bruits). It is increased (along with turbulence) by increases in blood velocity (i.e. vessel narrowing) or decreases in viscosity (anemia, decreased hematocrit).
Term
Shear
Definition
Blood flow is fastest in the center of a blood vessel and slowest at the wall, thus this type of stress is highest at the vessel wall.
Term
Capacitance
Definition
Describes the distensibility of blood vessels:
C = V/P (mL/mmHg)
V = volume (mL)
P = pressure (mmHg)
Higher for veins (unstressed volume) than arteries so that much more blood volume is contained in them than in the arteries.
Term
P wave
Definition
Represents atrial depolarization (repolarization is buried within the QRS complex).
Term
PR interval
Definition
Represents AV nodal conduction, and is increased in cases of slower conduction (as in heart block). Sympathetic stimulation increases velocity and therefore decreases this interval (and vice versa for parasympathetic.
Term
QRS complex
Definition
Represents depolarization of ventricles.
Term
QT interval
Definition
Represents both ventricular depolarization and repolarization.
Term
ST segment
Definition
Represents the period when ventricles are depolarized and thus is isoelectric.
Term
Fast (ventricular) action potential
Definition
Atria, ventricles and Purkinje system.
Phase 0 = upstroke, increase of Na conductance
Phase 1 = slight repolarization, decrease in Na conductance and outward K current
Phase 2 = plateau, transient increase in Ca inward current balanced by outward K current.
Phase 3 = repolarization, Ca conductance decreases and K outward current dominates.
Phase 4 = resting membrane potential, inward and outward currents are balanced, membrane potential approaches K equilibrium potential.
Term
Slow (pacemaker) action potential
Definition
SA and AV nodes.
Phase 0 = depolarization due to inward Ca current
Phase 3 = repolarization with K current
Phase 4 = slow depolarization (automaticity) due to inward Na current that is activated by repolarization during the previous AP.
Term
Order of pacemakers in the heart
Definition
SA node > AV node > His-Purkinje. If the SA node is suppressed the latent pacemakers may take over if they are faster.
Term
Conduction velocity
Definition
Affects time required for excitation to spread through heart. Fastest in Purkinje system, slowest at AV node (in order to allow ventricular filling before contraction).
Term
Refractory periods
Definition
Absolute = no AP can be initiated
Effective = slightly longer than absolute, APs cannot be propagated
Relative = larger than usual stimulus is required to elicit an AP
Term
Dromotropic vs. Chronotropic effects
Definition
Dromotropy refers to changes in conduction velocity while chronotropy refers to changes in heart rate.
Term
PNS effects on heart
Definition
Vagal nerve releases ACh onto muscarinic receptors.
Negative chronotropic results from decreased Phase 4 Na current.
Negative dromotropic results from decrease Ca current and increased K current (slows conduction and increases PR interval length)
Term
SNS effects on heart
Definition
Norepi acts on beta-1 receptors.
Positive chronotropic results from increased Phase 4 Na current.
Positive dromotropic results from increased Ca current.
Term
Preload in the heart
Definition
End-diastolic volume (which is related to right atrial pressure). Determines stretching of ventricular walls before contraction.
Term
Afterload in the heart
Definition
Aortic pressure (left ventricle) or Pulmonary arterial pressure (right ventricle).
Term
Changes in ventricular pressure volume loops: Increased Preload
Definition
Right boundary of loop extends to the right, as the ventricle is being filled more than usual.
Term
Changes in ventricular pressure volume loops: Increased Afterload
Definition
Top boundary of loop extends upward while left boundary shifts to the right. Ventricle has to pump against a higher aortic pressure so less volume is pumped out.
Term
Changes in ventricular pressure volume loops: Increased Contractility
Definition
Left boundary of loop shifts left; more blood is being pumped out but pressure values remain the same.
Term
Stroke Volume, SV
Definition
Volume ejected from the ventricle on each beat, SV = EDV - ESV
Term
Cardiac output, CO
Definition
CO = SV x HR
Term
Ejection fraction, EF
Definition
EF = SV / EDV
Term
Stroke Work
Definition
SW = Aortic pressure x SV
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