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Chapter 13 - blood, hear, and circulation
Ch-13 final exam
33
Physiology
Undergraduate 3
12/08/2011

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Term
heart has 4 chambers
Definition
2 atria
2 ventricles
Term
atria
Definition
receive blood from venous system
Term
ventricles
Definition
pump blood to arteries
Term
septum
Definition
separates 2 pumps on 2 sides of the heart
Term
flow of blood in the heart
Definition
tissues-> superior and inferior vena cava -> right atrium -> right ventricle -> pulomonary arteries -> lungs
Term
fibrous skeleton
Definition
layer of dense connective tissue b/w atria and ventricles
Term
myocardium
Definition
1 unit formed from myocardial cells of atria attaching to top of fibrous skeleton
Term
annuli fibrosi
Definition
rings formed by fibrous skeleton to hold heart valves
Term
pulomonary circulation
Definition
path of blood from right ventricle through lungs and back to heart
Term
systemic circulation
Definition
path of blood from left ventricle to body and back to heart
Term
3 pathways in which blood flow is regulated
Definition
extrinsic pathway

paracrine regulation

intrinsic regulation
Term
extrinsic pathway
Definition
sympathetic

parasympathetic

endocrine
Term
paracrine regulation
Definition
nitric oxide

bradykinin

prostacyclin

endothelin-1
Term
intrinsic regulation of blood flow
Definition
myogenic control mech.

metabolic control mech.
Term
sympathetic regulation
Definition
in viscer, skin, etc
-alpha adrenergic stimulation: Norepinephrine=vasoconstricion

in skeletal muscle:
-beta adrenergic stimulation: epinephrine = vaso dilation
Term
parasympathetic regulation
Definition
digestive tract, external genitalia, salivary glands
-causes vasoDILATION
Term
paracrine regulators
Definition
molecules produced in one tissue will help to regulate antoher tissue in the same organ
Term
Paracrine pathway: VASODILATORS
Definition
nitric oxide

bradykinin

prostacyclin
Term
paracrine pathway: vasoconstrictors
Definition
endothelin-1
Term
myogenic control mechanism
Definition
changes in arterial pressures compensated in some organs by appropriate changes in vascular smooth muscle
Term
Example of myogenic control mechanism
Definition
in the brain a DECREASED BLOOD PRESSURE is counteracted by vasoDILATION to keep blood flow constant
Term
metabolic control mech.
Definition
accumulation of various chemicals which are metabolic byproducts signal the blood vessels to increase blood flow to remove accumulation of toxic molecules
Term
factors that may trigger vasoDILATION and increased blood flow (metabolic control)
Definition
1. decreased O2 concentrations
2. increased CO2 concentrations
3. decreased tissue pH
4. released adenosine or K+ from cells

ex: exercise
Term
sponteous depolarizaion is caused by
Definition
Na+ flowing through channel that opens when hyperpolarized (HCN channel)
Term
V-gated Ca2+ channels
Definition
open at threshold creating upstroke and contraction
Term
v-gated K+ channels
Definition
repolarization by opening these channels
Term
parasympathetic (vagal) activation
Definition
release ACh onto SA node

DECREASES pacemaker rate

INCREASES K+

DECREASING slow inward Ca++ and gNa+

pacemaker current (If) is suppressed


-these ionic conductance changes DECREASE the slope of phase 4 of the AP, thereby INCREASING time required for threshold

hyperpolarizes the pacemaker cell during phase 4, results in longer time to reach threshold
Term
depolarization of MYCARDIAL
Definition
opens calcium channels in SR (calcium induced calcium release)
Term
Ca++ binds to
Definition
troponin

and stimulates contraction
Term
during depolarization, Ca++
Definition
pumped out of cell and into SR
Term
myocardial AP sequence of events
Definition
Membrane potential reaches threshold when stimulated by action potential

2. volt gated Na (fast)channels open

3. volt gated K+ open

4. volt gated slow Ca+ open

5. Rapid repolarization by K+ channels
Term
functional syncytium
Definition
a multinucleated mass of cytoplasm resulting from fusion of cells
Term
Gap junctions
Definition
aggegate in plaques with the purpose to propagate wave of depolarizaion and reploarizaion

connexons
-homo or heterohexomeric

gated
-chemical, voltage, docking

act as pores connecting cytoplasm of 2 neighboring cells

permeability is NOT selective: limited by size; Ca+, cAMP, cGMP, IP3
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