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Chapter 13
Heart
39
Physiology
Undergraduate 1
03/09/2010

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Cards

Term
Blood vessels of the heart
Definition
  • Arteries - carry blood away from the heart
  • Capillary Beds - where material exchange, between  the blood and the interstitial fluid occurs
  • Veins - carry blood toward the heart
Term
Blood
Definition
  • a viscous fluid that circulates around the body carrying substances to and from tissues
Term
Atria
Definition
  • Upper chamber
  • Receives blood returning to the heart from teh veins
  • Pumps blood into the ventricles
Term
Ventricles
Definition
  • Lower chambers
  • Receive blood from the atria
  • Pump blood out into arteries
Term
Valves
Definition
  • Blood should only flow in one direction through the heart
  • Valves prevent backflow
  • Atrioventricular (AV) valves separate atria and ventricles
  • Semilunar valves separate ventricles and arteries
Term
Pulmonary circuit
Definition
  • right heart chambers and the pulmonary arteries and veins

right atrium->right ventricle->pulmonary arteries->

capillary beds in lungs->pulmonary veins->systemic circuit

Term
Systemic circuit
Definition
  • Left heart chambers, and the systemic arteries and veins

left atrium->left ventricle->systemic arteries->

capillary beds in body (except lungs)->

systemic veins->right atrium

Term
Where does blood become oxygenated
Definition
pulmonary circuit
Term
Where is blood de-oxygenated
Definition
  • in the systemic circuit
Term
Contraction of the heart
Definition
  • left and right atria contract at the same time
  • left and right ventricles contract at the same time
Term
Pacemaker cells
Definition
  • cardiac muscle cells that fire spontaneous action potentials
  • key regulator cells
    • do not generate force of a heartbeat
  • present in large concentrations in two locations
    • sinaotrial (SA) node - control the initiation of a heartbeat cycle
    • atrioventricular (AV) node - stimulated by impulses traveling from the SA node
Term
Conduction fibers
Definition
  • Cardiac muscle cells that transmit action potentials, via gap junction, to neighboring cells
Term
Contractile cells
Definition
  • cardiac muscle cells - most numerous
  • generate almost all of the force of the heart as it pumps
Term
Heartbeat Cycle
Definition
  • SA node - pacemaker cells generate spontaneous action potentials-conduction fibers transmit action potentials to contractile cells of the atrial walls
    • atria contract
  • conduction fibers transmit action potentials to AV node
  • AV bundle carries the signal to the right and left bundle branches-this is the only electrical connection between atria and ventricles
  • left and right bundle branches carry the signal to branches known as Purkinje fibers
  • Purkinje fibers carry the signal to contractile cells of the ventricles
    • ventricles contract
Term
ECG or EKG
Definition
  • records the electrial activities of pacemaker cells, contractile cells, conduction fibers and purkinje fibers
Term
Blood flow
Definition
  • flows from higher pressure to areas of lower pressure
Term
Valves
Definition
  • open and close due to pressure differences
    • when the pressure in the chamber upstream of a valve is higher than the pressure in the chamber downstream, the valve will be open
    • when the pressure in the chamber downstream of a valve is higher than the pressure in the chamber upstream the valve will be closed
Term
Diastole
Definition
  • relaxation - ventricular diastole
Term
Systole
Definition
  • contraction - ventricular systole
Term
Ventricular diastole
Definition
  • early and mid-diastole - atria and ventricles are filling due to the fact that they have low pressure because they are relaxed
    • lower than the pressure in the veins that feed into them
  • late diastole - ventricles still relaxed but atria contract forcing more blood into the ventricles
Term
Ventricular systole
Definition
  • aorta pressure - relatively high just before systole begins
  • early systole
    • ventricles contract
    • AV valves close-no blood flows in or out of ventricles (called isovolumetric contraction)
  • mid-to-late systole
    • ventricles continue contraction
    • semilunar valves open-blood flows out into the arteries (called ventricular ejection)
Term
What happens when the atria or ventricles are filling
Definition
  • the pressure inside them increases
  • but their pressure inceases most quickly when they are contracting
Term
Heart Chambers during diastole
Definition
  • do not exert force while they are expanding
  • only exerts force when it is contracting
  • blood flows into a chamber simply because it is being forced in due to the higher pressure in teh more upstream location
Term
lub-dub heart sound
Definition
  • are due to the rush of blood as the valves close
Term
Cardiac output (CO)
Definition
  • the rate at which a ventricle pumps blood
    • expressed as liters per min
Term
Heart Rate (HR)
Definition
  • The rate of contractions of the ventricles
    • usually expressed in beats per minute
Term
Stroke volume (SV)
Definition
  • volume of blood pumped by a ventricle in one contraction
    • usually expressed in liters per beat
Term
CO = HR x SV
Definition
  • the rate at which the ventricles pump blood depends on the heart rate and the volume of blood pumped in each heart beat
Term
Left and right sides of the heart
Definition
  • must have the same CO, ove the long run
  • have exactly the same heart rate, because they pump synchronously
  • have the same stroke volume on average
Term

Heart average values for

 CO, HR, and SV

at rest

Definition
  • HR - 72 - 90 beats per minute
  • SV - 0.07 liters per beat
  • CO = HR x SV = 5 liters per minute
Term

Heart average values for

 CO, HR, and SV

light exercise

Definition
  • HR = 135 beats per minute
  • SV = 0.08 liters per beat
  • CO = 11 liters per minute
Term
ANS control of cardiac output
Definition
  • Medulla oblongata integrates information about blood pressure, particle concentrations, and emotion stress
  • it then sends commands to the sympathetic division and parasympathetic division
Term

Control of cardiac output

Sympathetic control

Definition
  • increases heart rate by affecting pacemaker cells of the SA and AV nodes
  • increase stroke volume by affecting contractile cells
Term

Control of cardiac output

parasympathetic control

Definition
  • decreases heart rate by affecting pacemaker cells of the SA and AV nodes

 

Term

Control of cardiac output

endocrine system control

Definition
  • several hormones affect heart rate
    • epinephrine has the greatest effect - it increases heart rate
Term
SA Node
Definition
  • pacemaker cells generate spontaneous action potentials-conduction fibers transmit action potentials to contractile cells of the atrial walls
Term
Conduction Fibers
Definition
  • transmit action potentials to AV node
Term
AV bundle
Definition
  • carries the signal to the right and left bundle branches-this is the only electrical connection between atria and ventricles
Term
Purkinje Fibers
Definition
  • carry the signal to contractile cells of the ventricles
  • ventricles contract
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