Podcast
Questions and Answers
Which factor directly influences the end diastolic volume (EDV)?
Which factor directly influences the end diastolic volume (EDV)?
- Venous return (correct)
- Heart rate
- End systolic volume
- Stroke volume
What is the primary mathematical relationship that defines cardiac output (CO)?
What is the primary mathematical relationship that defines cardiac output (CO)?
- CO = EDV - ESV
- CO = SV / HR
- CO = SV + ESV
- CO = HR x SV (correct)
According to the Frank-Starling law, what happens when end diastolic volume (EDV) increases?
According to the Frank-Starling law, what happens when end diastolic volume (EDV) increases?
- Stroke volume increases (correct)
- Cardiac output decreases
- Stroke volume decreases
- Heart rate decreases
Which of the following mechanisms is NOT typically involved in enhancing venous return?
Which of the following mechanisms is NOT typically involved in enhancing venous return?
How would increasing pressure in the venous 'bag' likely affect stroke volume (SV)?
How would increasing pressure in the venous 'bag' likely affect stroke volume (SV)?
What is the primary role of catecholamines such as epinephrine and norepinephrine in cardiac function?
What is the primary role of catecholamines such as epinephrine and norepinephrine in cardiac function?
Which mechanism enhances the contractility of the heart according to the content?
Which mechanism enhances the contractility of the heart according to the content?
Which factor does NOT affect stroke volume?
Which factor does NOT affect stroke volume?
What is the effect of norepinephrine on the cardiac muscle cells?
What is the effect of norepinephrine on the cardiac muscle cells?
How does the sympathetic nervous system primarily influence heart rate?
How does the sympathetic nervous system primarily influence heart rate?
Which statement accurately represents the relationship between heart rate and cardiac output?
Which statement accurately represents the relationship between heart rate and cardiac output?
What physiological role does phospholamban play in cardiac muscle function?
What physiological role does phospholamban play in cardiac muscle function?
Which condition is likely to lead to an increase in stroke volume?
Which condition is likely to lead to an increase in stroke volume?
What is the primary effect of parasympathetic stimulation on heart rate?
What is the primary effect of parasympathetic stimulation on heart rate?
Which of the following substances is NOT involved in increasing contractility?
Which of the following substances is NOT involved in increasing contractility?
What effect does an increase in cAMP have on cardiac muscle function?
What effect does an increase in cAMP have on cardiac muscle function?
Which factor is primarily responsible for the inotropic effect of norepinephrine?
Which factor is primarily responsible for the inotropic effect of norepinephrine?
Flashcards
Stroke Volume (SV)
Stroke Volume (SV)
Amount of blood pumped by one ventricle in one contraction, calculated as EDV - ESV.
Cardiac Output (CO)
Cardiac Output (CO)
Total amount of blood pumped per ventricle per unit time, CO = HR x SV.
End Diastolic Volume (EDV)
End Diastolic Volume (EDV)
The volume of blood in a ventricle at the end of filling, approximately 135 ml.
Frank-Starling Law
Frank-Starling Law
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Venous Return
Venous Return
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Contractility
Contractility
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Extrinsic Factors
Extrinsic Factors
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Catecholamines
Catecholamines
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b1-receptors
b1-receptors
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cAMP
cAMP
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Inotropic Effect
Inotropic Effect
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ESPVR
ESPVR
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Autonomic Nervous System
Autonomic Nervous System
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Sympathetic Nervous System
Sympathetic Nervous System
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Parasympathetic Nervous System
Parasympathetic Nervous System
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Cardiac Output
Cardiac Output
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Heart Rate (HR)
Heart Rate (HR)
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Ca2+ role in heartbeat
Ca2+ role in heartbeat
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Vascular Return
Vascular Return
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Study Notes
Cardiac Output Regulation
- Cardiac output (CO) is the amount of blood pumped by each ventricle per minute.
- CO = heart rate (HR) x stroke volume (SV)
- Regulation of cardiac output involves complex interactions between intrinsic and extrinsic factors.
Cardiac Performance in Ventricles
- End-systolic volume (ESV): Approximately 65 mL, the amount of blood remaining in the ventricle after contraction.
- End-diastolic volume (EDV): Approximately 135 mL, the volume of blood in the ventricle at the end of diastole.
- Stroke volume (SV): Represents blood pumped per contraction, calculated as SV = EDV - ESV.
Factors Affecting Venous Return and EDV
- Venous return significantly influences EDV.
- Skeletal muscle pump: Contraction of skeletal muscles compresses veins, aiding blood flow back to the heart.
- Respiratory pump: Changes in thoracic pressure during breathing help move blood towards the heart.
- Sympathetic innervation: Sympathetic stimulation facilitates venous constriction, increasing venous return and EDV.
Frank-Starling Law
- Frank-Starling law of the heart describes the relationship between EDV and stroke volume.
- Increased EDV stretches the cardiac muscle fibers.
- This increased stretch leads to a stronger contraction and a higher stroke volume.
Inotropic Effect
- Inotropy refers to the force of contraction of the heart muscle.
- Positive inotropic agents enhance contractility, and negative inotropic agents reduce contractility.
- Norepinephrine is a positive inotropic agent, and its effect is demonstrated via a graph that shows the increasing stroke volume with increasing ventricular end-diastolic volume. Norepinephrine increases Stroke Volume.
Extrinsic Factors Influencing Stroke Volume
- Contractility is independent of stretch and EDV, increasing due to sympathetic stimuli, hormones, and certain drugs (e.g., Ca²⁺).
Catecholamines Modulation of Cardiac Contraction
- Catecholamines (epinephrine and norepinephrine) modulate cardiac contractility.
- They act on β1-receptors and increase intracellular cAMP levels.
- This increases Ca²⁺ entry, leading to more forceful contractions and a faster emptying of the ventricle.
Autonomic Nervous System Regulation of Heart Rate
- The parasympathetic and sympathetic nervous systems regulate heart rate.
- Parasympathetic stimulation decreases heart rate, while sympathetic stimulation increases heart rate.
Summary: Stroke Volume and Heart Rate
- Stroke volume is determined by the force of ventricular contraction and end-diastolic volume.
- Heart rate is determined by rate of depolarization in autorhythmic cells.
- β1 receptors, Gas, NE/epinephrine and the resulting changes to cAMP/PKA affect both heart rate and stroke volume.
- Parasympathetic innervation decreases cAMP and heart rate.
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