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Exercise Physiology
Cardiovascular System
200
Health Care
Undergraduate 3
04/10/2012

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Cards

Term
What is the overall function of the cardiovascular system?
Definition
transport
Term
What are the three major components of the cardiovascular system?
Definition
Heart-pump

Blood Vessels-system of channels

Blood-fluid medium
Term
What are the three heart wall layers?
Definition
Epicardium

Myocardium

Endocardium
Term
What organ has the function of generating pressure within blood-filled chambers to propel blood down a pressure gradient
Definition
Heart
Term
What is the pulmonary driven by?
Definition
pressure
Term
What are the two types of chambers in the heart?
Definition
Atria - primer pumps; reservoirs

Ventricles - main force for blood movement through the body
Term
What are the two pumps in the heart, and where do they pump to?
Definition
Right - to lungs - pulmonary circuit

Left - to body - systemic circuit
Term
The right and left sides of the heart must each deliever ____ volumes per unit time
Definition
equal
Term
What are the outer, connective tissues in the heart?
Definition
Epicardium
Term
What is the middle, muscular layer in the heart called?
Definition
Myocardium
Term
What is the inner, endothelium overlaying a thin connective layer in the heart that is continuous with and analogous to vascular layers?
Definition
Endocardium
Term
What is the muscular wall separating the left and right halves of the heart?
Definition
Septum
Term
What is the triple layer bag that surrounds and protects the heart?
Definition
Pericardium
Term
Which node has the greatest permeability to Na+
Definition
The Sinoatrial (SA) node
Term
When the Sinoatrial (SA) node acts as a pacemaker, it is said to be in ____.
Definition
Sinus Rhythm
Term
The Sinoatrial (SA) Node acts as the ____ of the heart?
Definition
pacemaker
Term
The Atrioventricular (AV) node delays delievery of signal to ventricles by 0.13s, allowing time for ____ and ____.
Definition
ventricular filling

AV valve closure
Term
What are the two different valves of the heart?
Definition
2 Atrioventricular (AV)

2 Semilunar Valves
Term
What is the purpose of the two valves of the heart?
Definition
Prevent backflow of blood, ensuring one-way blood flow.
Term
The two valves of the heart open and close ____ with pressure of the blood against them.
Definition
passively
Term
The AV valves open with the pressure in the _____ is higher than in the ____
Definition
Atria

Ventricles
Term
_____ attach to the pointed ends of cusps, which are attached to ____ located on the inner surface of ventricles.
Definition
Chordae tendineae

Papillary muscles
Term
What happens to the cusps when the ventricles and papillary muscles contract?
Definition
Papillary muscles pull downward preventing the cusps from reopening.
Term
The Semilunar Valve opens when _____ pressure exceeds _____ pressure.
Definition
ventricular

arterial
Term
Which valve contains the Chordae tendinae and papillary muscles?
Definition
Atrioventricular(AV) Valve
Term
What are the three classes of cardiac muscle tissue (In the Myocardium)?
Definition
Atrial Contractile

Ventricular Contractile

Specialized Conductive
Term
Cardiac fibers form syncytial arrangements because fibers are interconnected by _____.
Definition
intercalated discs
Term
What is the major consequence of syncytial arrangement?
Definition
One impulse can spread to every fiber in the syncytium
Term
What are the two syncytia?
Definition
Atrial

Ventricular
Term
Autoconduction + Syncytial arrangement cause ______
Definition
autorhythmicity
Term
Why does the myocardium have no need for innervation?
Definition
Autoconduction (generates own AP)

No fiber type differences (all are highly oxidative like ST)
Term
Which fibers are leakiest to Na+ and set pace for the entire heart
Definition
Pacemaker
Term
What two things occur when an AP reaches plateau
Definition
opening of slow Ca++ Na+ channels

5X decrease membrane permeability to K+
Term
What does a plateau in AP do to repolarization?
Definition
It delays repolarization
Term
How long is the absolute refractory period in ventricular muscle?
Definition
0.25-0.3s - prevents tetany
Term
How long is the atrial refractory period?
Definition
0.15s - atrial rate is faster than ventricular rate
Term
How does calcium enter the cardiac fibers?
Definition
Through slow Ca++ Na+ channels
Term
________ has a central role in cardiac contractive force, unlike in skeletal.
Definition
extracellular Ca++
Term
____ extracellular Ca++ levels enhance contraction
Definition
increase
Term
____ extracellular Ca++ levels inhibit contraction
Definition
decrease
Term
What inhibits the flow of Ca++ into cardiac and smooth muscle cells, accounting for their effects of lowering BP, relieving angina and stabilizing certain dysrhythmias?
Definition
Ca++ Channel Blockers (Ca++ Antagonists)
Term
What receives signals from the AV node?
Definition
Bundle of His (AV Bundle)
Term
What does the Bundle of His divide into as it spreads down towards apex and around each ventricle?
Definition
Left and Right Bundle Branches
Term
What are branches off the Bundle Branches that help spread impulse throughout entire ventricular wall?
Definition
Purkinje Fibers
Term
What is the net effect of a ventricular conduction?
Definition
allow simultaneous contraction of all parts of the ventricles
Term
True/False

The right ventricle creates the driving pressure for the systemic circuit.
Definition
False
Term
This middle layer of the heart wall is composed of cardiac muscle tissue.
Definition
Myocardium
Term
What is the purpose of the chordae tendinae and papillary muscles?
Definition
Prevent the atrioventricular valves from reopening during ventricular contraction
Term
What structures allows the transmission of the action potential between adjacent cardiac fibers with very little electrical resistance to ion flow?
Definition
Gap Junctions
Term
What is responsible for autoconduction?
Definition
semipermeability of the cell membrane to Na+
Term
What is the correct order in which the electrical impulse is conducted within the heart from the atria to the ventricles?
Definition
SA Node, AV Node, Bundle of His, Bundle Branches, Purkinje Fibers
Term
What causes the opening of the aortic semilunar valve?
Definition
Pressure in left ventricle exceeds aortic pressure
Term
Why is it so important that the absolute refractory period in cardiac muscle lasts approximately the same duration as cardiac muscle contraction?
Definition
To prevent the ventricles from going into tetany
Term
During atrial systole ______.
Definition
the final 30% of the end diastolic volume is forced into the ventricles
Term
What does the pause of the action potential at the atrioventricular (AV) node allow?
Definition
It allows time for the ventricles to fill with blood
Term
The primary purpose of the heart valves is to ______.
Definition
prevent backflow of blood
Term
Chronotropic regulation of the heart refers to _____.
Definition
regulating the heart rate
Term
What are two aspects of heart physiology that can regulate the heart?
Definition
Chronotropic Regulation: HR

Inotropic Regulation: Contractive Force
Term
The Frank-Starling Mechanism ___ in venous return (EDV), ___ stretch on cardiac fibers, ___ recoil upon contraction, and ___ contractive force (SV)
Definition
increase all
Term
Cell membranes are semipermeable to ____.
Definition
Na+
Term
The chronotropic region affects ___.
Definition
HR
Term
The Inotropic region affects ___.
Definition
Contractive Force
Term
What establishes resting vagal tone?
Definition
Parasympathetic Nervous System (PNS)
Term
In the PNS, Ach-associated increase in K+ permeability causes what to the membrane and HR?
Definition
hyperpolarized membrane and decreased HR
Term
In the SNS, NE-associated increase in Na+ and Ca++ permeability does what to the membrane and HR?
Definition
depolarizes membrane and increases HR
Term
Increase Ca++ permeability does what to the contractive force?
Definition
increases
Term
When movement is detected by the proprioceptors, what happens?
Definition
SNS is stimulated
Term
What are stretch/pressure receptors in aorta and carotid arteries?
Definition
Baroreceptors
Term
What nervous system does a decrease in BP stimulate?
Definition
SNS
Term
What nervous system does an increase in BP stimulate?
Definition
PNS
Term
What is sensitive to chemical concentrations in blood; located in aorta & carotid arteries?
Definition
Chemoreceptors
Term
What is the phase of the cardiac cycle when myocardium relaxes?
Definition
Diastole
Term
What is the phase of the cardiac cycle when myocardium contracts?
Definition
Systole
Term
What is the pressure in the atria before contraction?
Definition
0
Term
How much of the blood enters ventricles passively during atrial diastole?
Definition
70%
Term
When does the last 30% of the blood fill the ventricles?
Definition
During Atrial contraction
Term
The atria are _____ pumps for ventricles.
Definition
Primer
Term
Atrial systole puts ventricles on ___ before shortening.
Definition
pre-load
Term
The pre-load of ventricles initiates what?
Definition
Frank-Starling Mechanism
Term
What ends atrial and diastole systole?
Definition
closing of the AV valves
Term
Volume of blood in left ventricle at end of ventricular diastole.
Definition
End Diastolic Volume (EDV)
Term
What is the time during which ventricles contact but semilunar valves have yet to open?
Definition
isovolumetric contraction
Term
What is the resistance against which the left ventricle pumps?
Definition
Afterload
Term
What is the blood remaining in the LV at the end of ventricular systole called?
Definition
End Systolic Volume (ESV)
Term
What is the time period after the semilunar valves close, ventricles continue to relax even though ventricular volume does not change?
Definition
Isovolumetric Relaxation
Term
What is the volume of blood pumped from the LV with each beat?
Definition
Stroke Volume (SV)
Term
What is the equation for Stroke Volume?
Definition
SV = EDV - ESV
Term
What is the proportion of blood pumped out of LV with each beat?
Definition
Ejection Fraction (EF)
Term
What is the equation for Ejection Fraction?
Definition
EF = (SV/EDV)
Term
What is the resting average range for Ejection Fraction (EF)?
Definition
60-70%
Term
What is the volume of blood pumped per unit time?
Definition
Cardiac Output (Q)
Term
What is the equation for cardiac output?
Definition
Q = (HR)(SV)
Term
What is the resting value for Cardiac Output?
Definition
5 L/min
Term
What is the exercising value for cardiac output?
Definition
25 L/min
Term
What are the three wall layers of the blood vessels?
Definition
Intima (inner)

Media (middle)

Adventitia (outer)
Term
Which blood vessel layer is a single layer of endothelial cells with a thin layer of elastic lamina?
Definition
Intima
Term
Where does the most control of BF occur?
Definition
at the arterioles
Term
What controls the blood entry into capillaries?
Definition
precapillary sphincter
Term
____ between cells allow movement of fluid in and out of vessels-gas exchange
Definition
Pores
Term
How thick are the capillaries?
Definition
1 cell layer thick
Term
Skeletal muscle contraction creates milking action of blood back to heart via what pump?
Definition
Muscle Pump
Term
What pump causes changes in pressure in abdominal and thoracic cavities during breathing assist venous return.
Definition
Respiratory Pump
Term
How much blood is in the venous channels?
Definition
64%
Term
During exercise, BF is directed away from the viscera towards what three places?
Definition
Active Skeletal Muscles

Cardiac Muscle

Skin
Term
Adjusting smooth muscle tone in vascular walls, especially arterioles at precapillary sphincter.
Definition
Microvascular Regulation
Term
Changes in local concentrations of substances that act as vasodilators
Definition
Acute Control
Term
Production of vascular growth factors causes angiogenesis
Definition
Long-term control
Term
What is the common cause of hypertension in African Americans?
Definition
Inhibited NO formation
Term
What does a decrease in oxygen cause?
Definition
smooth muscle relaxation, opening associated capillaries
Term
What is the normal blood volume for men and women?
Definition
Men: 5-6 L

Women: 4-5 L
Term
How much plasma is in the total blood volume?
Definition
55-60%
Term
Intense exercise in heat can do what to PV?
Definition
decrease by 10-20%
Term
Endurance training or heat acclimatization (adaptation to new climate) does what to PV?
Definition
increase by 10%
Term
Hemoglobin carries how much oxygen and carbon dioxide?
Definition
oxygen: 97%

carbon dioxide: 23%
Term
Hemoglobin consists of one ____ molecule and 4 ___ groups
Definition
globin

heme
Term
What is the regular oxygen carrying capacity of blood?
Definition
20 ml of O2/100ml blood
Term
What is the half life of platelets?
Definition
10 days
Term
How much of the blood contains formed elements?
Definition
40-45%
Term
What is the percent of the total blood volume that consists of formed elements or RBCs?
Definition
Hematocrit
Term
What is the main function of RBCs?
Definition
Oxygen transport
Term
How many RBCs are in the blood?
Definition
5 million RBC/mm3
Term
RBCs are produced in the bone marrow via ______.
Definition
Erythropoiesis
Term
What increases surface area for carrying Hb and can easily change shape fold to fit in capillaries?
Definition
Biconcave disks
Term
What are the three types of WBCs?
Definition
Phagocytes

Lymphocytes (B & T cells)

Auxiliary Cells
Term
Which WBC is part of the innate immunity (nonspecific immunity)
Definition
Phagocytes
Term
Which WBC mediates acquired immunity (recognize specific pathogen and has memory)
Definition
Lymphocytes (B&T cells)
Term
Increased RBC count
Definition
Polycythemia
Term
What are the two common stimuli of polycythemia?
Definition
training and altitude
Term
Decreased RBC count
Definition
Anemia
Term
What is the common cause of anemia?
Definition
Hemorrhage, decreased iron intake
Term
What is the normal HR rage?
Definition
60-100 bpm
Term
Aerobically trained decreases RHR, mostly due to ___ PNS and ___ SNS stimulation to the heart.
Definition
increased PNS

decreased SNS
Term
What are changes in physiological parameters in response to anticipation of upcoming activity?
Definition
Anticipatory Response
Term
What equation is used to determine HR max?
Definition
HRmax = 220 - age
Term
Training ___ HR recovery period.
Definition
shortens
Term
The Frank-Starling Mechanism and an increase in SNS does what to the SV?
Definition
increases the SV
Term
In an untrained person, SV increases from rest up to ___% VO2max then it plateaus.
Definition
50%
Term
SV can ____ from rest to max intensity.
Definition
double
Term
Which body position causes the highest SV?
Definition
Recumbent (horizontal)
Term
BP is a function of what two things?
Definition
Volume of blood flowing through the vessel

vessel diameter
Term
What is the average pulmonary value of resting BP?
Definition
25/10 mmHg
Term
What is the normal systemic value of resting BP?
Definition
120/80
Term
What is the equation to determine the mean arterial pressure (MAP)
Definition
MAP = (TPVR)(Q)
Term
___ exercise results in a larger increase in BP than ___ exercise.
Definition
arm; leg
Term
Why does SBP and DBP increase during resistance exercise?
Definition
due to greatly increased TPVR

due to Valsalva maneuver
Term
What is the equation for Rate Pressure Product?
Definition
RPP = (HR)(SBP)
Term
Left Ventricular Hypertrophy does what to the size of the LV myocardium?
Definition
increases
Term
What happens to the air while on the path through the nasal and oral cavities?
Definition
Warmed (37 degrees)

Humidified (100% RH)

Filtered of particles
Term
What is the movement of air in and out of the lungs (breathing)?
Definition
Pulmonary Ventilation
Term
What is the exchange of oxygen and carbon dioxide between lungs and blood?
Definition
Pulmonary Diffusion
Term
What is the exchange of oxygen and carbon dioxide between blood and cells?
Definition
Capillary Gas Exchange
Term
What two respiratory processes make up the External Respiration?
Definition
Pulmonary Ventilation

Pulmonary Diffusion
Term
What two respiratory processes make up the Internal Respiration?
Definition
Transport of oxygen and carbon dioxide via blood stream

Capillary Gas Exchange
Term
What is the lid on the larynx called?
Definition
Epiglottis
Term
How many alveoli are found in the body?
Definition
600 million
Term
What is the normal alveoli surface area?
Definition
85 m2
Term
What is it called when one pleura moves causing the other pleura to move?
Definition
Indirect Connector
Term
What is the outer membrane of the lungs called?
Definition
Visceral Pleura
Term
What is the lines of the thoracic wall called?
Definition
Parietal Pleura
Term
What is the equation for the gas law?
Definition
V = 1/P
Term
What is the bell-shaped muscle that forms that thoracic floor called?
Definition
Diaphragm
Term
What are the rib muscles called?
Definition
External Intercostals
Term
What is the normal resting breathing rate?
Definition
12 br/min
Term
What is the normal exercising breathing rate?
Definition
70 br/min
Term
What is the pressure exerted outwards from the blood on capillary wall?
Definition
Hydrostatic Pressure (HP)
Term
What is the normal Hydrostatic Pressure value?
Definition
15 mmHg
Term
What is the pressure caused by proteins in the blood that creates a force that pulls fluid from interstitium into the capillary?
Definition
Colloid Osmotic Pressure
Term
What is the normal Colloid Osmotic Pressure value?
Definition
25 mmHg
Term
Total pressure of a gas mixture is equal to the sum of the partial pressures of each gas in the mixture.
Definition
Dalton's Law
Term
What is the pressure that a gas exerts independently in a gas mixture?
Definition
Partial Pressure of a Gas
Term
What is the percent content in dry air for: oxygen, carbon dioxide, nitrogen, and water?
Definition
20.93% oxygen

0.03% carbon dioxide

79.04% nitrogen

0% water
Term
Air that enters the lungs mixes with the ____.
Definition
residual lung volumes (RLV)
Term
What is the normal partial pressure of arterial oxygen?
Definition
100 mmHg
Term
What is the normal partial pressure venous oxygen value?
Definition
40 mmHg
Term
The Oxygemoglobin Dissociation curve depicts the binding strength between oxygen and Hb based on ___.
Definition
Pressure of oxygen
Term
What is the difference between oxygen content of arterial and venous blood?
Definition
a-vO2 difference
Term
What is the Fick Equation?
Definition
VO2 = (Q)(a-v O2 difference)
Term
What is the strongest stimulus to breathing?
Definition
Carbon Dioxide
Term
What returns lactate and pH to normal faster than passive recovery, dur to keeping blood flow and ventilation elevated?
Definition
Active Recovery
Term
Respiratory muscles may ____ due to resistance training.
Definition
Hypertrophy
Term
Why are there few pulmonary adaptations to training?
Definition
CV system is primary limiter of performance
Term
What is the normal pH of blood?
Definition
7.4
Term
What is the lowest compatible pH with life
Definition
6.8
Term
What are the three mechanisms that control excess acidity in the blood?
Definition
Chemical Buffers

Ventilation

Kidneys
Term
How much oxygen is dissolved in the plasma?
Definition
2%
Term
How much oxygen is bound to Hb?
Definition
98%
Term
How much carbon dioxide is dissolved in the plasma?
Definition
7%
Term
How much carbon dioxide is bound to Hb?
Definition
23%
Term
How much carbon dioxide is bicarbonate ion?
Definition
70%
Term
What is the exchange of Cl- and HCO2- between blood and RBC in order to preserve ionic equilibrium?
Definition
Chloride Shift
Term
What is the offloading of carbon dioxide from Hb that facilitates oxygen binding Hb?
Definition
Haldane effect
Term
Hb changes formation with unloading and loading of oxygen.
Definition
Cooperative Binding
Term
List the four steps in clot formation.
Definition
Vascular spasms

Formation of platelet plug

Formation of blood clot

Growth of fibrous tissue into blood clot to close hole in vessel and retraction clot
Term
What is an example of innate immunity?
Definition
Skin
Term
Blood is how much of body weight?
Definition
7-9%
Term
What are the two equations that can be used to determine MAP?
Definition
MAP = DBP + [(SBP-DBP)/3]

MAP = (TPVR)(Q)
Term
What are the two muscles involved in breathing during rest?
Definition
Diaphragm

External Intercostals
Term
Which respiratory regulation decreases inspiration?
Definition
Hering-Bruer Reflex
Term
What is the enzyme responsible for turning Carbon Dioxide and Water into Bicarbonate ions?
Definition
Carbonic Anhydrase
Term
What is an example of a Calcium Channel Blocker?
Definition
Norvasc
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