Cardiac Output
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Questions and Answers

What is cardiac output?

  • The amount of blood pumped by each ventricle of the heart in an hour
  • The amount of oxygen pumped by each ventricle of the heart in a minute
  • The amount of blood pumped by each ventricle of the heart in a minute (correct)
  • The amount of nutrients pumped by each ventricle of the heart in a minute
  • What is the normal heart rate in beats per minute (bpm)?

  • 72 bpm (correct)
  • 90 bpm
  • 60 bpm
  • 80 bpm
  • What is the normal stroke volume in millilitres (mL) per beat?

  • 70 mL per beat (correct)
  • 90 mL per beat
  • 60 mL per beat
  • 80 mL per beat
  • What is the formula to calculate minute volume?

    <p>Stroke volume × heart rate</p> Signup and view all the answers

    What is the normal minute volume in liters per minute?

    <p>5 L/min</p> Signup and view all the answers

    What is the unit of measurement for stroke volume?

    <p>Milliliters (mL) per beat</p> Signup and view all the answers

    Why is cardiac output important?

    <p>To maintain proper blood circulation throughout the body</p> Signup and view all the answers

    What can affect heart rate?

    <p>All of the above</p> Signup and view all the answers

    What is the primary effect of arrhythmias on the heart?

    <p>Decreased cardiac output</p> Signup and view all the answers

    Which type of shock is caused by heart dysfunction?

    <p>Cardiogenic shock</p> Signup and view all the answers

    What is the normal resting heart rate below which tachycardia is diagnosed?

    <p>100 bpm</p> Signup and view all the answers

    What is the primary role of cardiac output in cardiovascular function?

    <p>Maintaining hemodynamic stability</p> Signup and view all the answers

    What is a potential complication of arrhythmias?

    <p>All of the above</p> Signup and view all the answers

    What can be indicated by tachycardia at rest?

    <p>Underlying issues affecting cardiac output</p> Signup and view all the answers

    What is the primary function of the right ventricle?

    <p>Pumping deoxygenated blood to the lungs</p> Signup and view all the answers

    Which organ receives the most blood supply?

    <p>Liver</p> Signup and view all the answers

    What is the result of Sympathetic Nervous System (SNS) stimulation on the heart?

    <p>Increased heart rate and contractility</p> Signup and view all the answers

    What is the effect of Parasympathetic Nervous System (PNS) stimulation on the heart?

    <p>Decreased heart rate and contractility</p> Signup and view all the answers

    What is the role of epinephrine and norepinephrine in regulating cardiac output?

    <p>Increasing heart rate and contractility</p> Signup and view all the answers

    What is the primary function of thyroid hormones in regulating cardiac output?

    <p>Regulating cells, tissues, and organs in the body</p> Signup and view all the answers

    What is the Frank-Starling mechanism involved in?

    <p>Regulation of cardiac output</p> Signup and view all the answers

    What is the primary function of the baroreceptor reflex?

    <p>Regulation of blood pressure</p> Signup and view all the answers

    What is the primary function of baroreceptors?

    <p>To detect changes in blood pressure</p> Signup and view all the answers

    What happens when blood pressure increases?

    <p>Baroreceptors detect the stretch in the arterial walls and send signals to the cardiovascular control center</p> Signup and view all the answers

    What is the result of increased sympathetic activity and decreased parasympathetic activity?

    <p>An increase in heart rate and stroke volume</p> Signup and view all the answers

    What influences cardiac output?

    <p>Changes in blood pH, oxygen levels, and carbon dioxide levels</p> Signup and view all the answers

    What is the result of chemoreceptors sensing changes in carbon dioxide levels and blood pH during exercise?

    <p>An increase in sympathetic activity and a decrease in parasympathetic activity</p> Signup and view all the answers

    What is a symptom of heart failure?

    <p>Fatigue</p> Signup and view all the answers

    What is a condition that can cause heart failure?

    <p>Hypertension</p> Signup and view all the answers

    What is the result of heart failure?

    <p>The heart cannot pump enough blood to meet the body's needs</p> Signup and view all the answers

    Study Notes

    Introduction

    • Cardiac output is the amount of blood pumped by each ventricle of the heart in a minute.
    • It is vital for maintaining proper blood circulation throughout the body.
    • The average resting cardiac output is about 5 L/min, although it varies depending on age, sex, body build, diurnal variations, emotional conditions, exercise, posture, and sleep.

    Expression of Cardiac Output

    • Heart Rate (HR): represents how fast the heart is beating, measured in beats per minute (bpm).
      • Normal heart rate: about 72bpm
    • Stroke Volume (SV): the amount of blood pumped out by the heart with each beat, typically measured in millilitres (mL) per beat.
      • Normal stroke volume: 70ml per beat
    • Minutes Volume: the amount of blood pumped out by each ventricle per 1 minute, calculated by the product of stroke volume and heart rate, measured in liters per minute (L/min).
      • Mathematically: Minutes Volume = Stroke Volume × Heart Rate
      • Normal minute volume: 5L/min

    Distribution of Cardiac Output

    • The whole volume pumped out of the right ventricle goes to the lungs to become oxygenated.
    • The left ventricle pumps blood into different parts of the body based on the metabolic activity in that area or region.
    • The heart itself receives the least amount of blood, while the liver receives the most blood supply.

    Regulation of Cardiac Output

    • Nervous Regulation:
      • Sympathetic Nervous System (SNS) stimulation: increases heart rate and enhances myocardial contractility, increasing cardiac output.
      • Parasympathetic Nervous System (PNS) stimulation: decreases heart rate, slowing down the heart's pumping action and reducing cardiac output.
    • Hormonal Regulation:
      • Epinephrine (adrenaline) and norepinephrine: increase heart rate and contractility, directly increasing cardiac output.
      • Thyroid hormones (THs): regulate the cardiovascular system, exerting several effects on cardiac output.
    • Baroreceptor Reflex:
      • Baroreceptors detect changes in blood pressure, triggering reflex adjustments to maintain blood pressure within the normal range.
    • Chemical Factors:
      • Changes in blood pH, oxygen levels, and carbon dioxide levels can influence cardiac output.

    Clinical Correlates

    • Heart Failure:
      • Occurs when the heart cannot pump enough blood to meet the body's needs.
      • Caused by conditions like coronary artery disease, hypertension, or heart attacks.
      • Symptoms include fatigue, shortness of breath, and fluid retention due to reduced cardiac output.
    • Arrhythmias:
      • Abnormal heart rhythms that disrupt the heart's pumping ability.
      • Conditions like atrial fibrillation or ventricular tachycardia can lead to irregular heartbeats.
      • Disruption can decrease cardiac output and may cause complications like stroke or heart failure.
    • Shock:
      • Characterized by inadequate blood flow and reduced tissue oxygenation.
      • Causes include cardiogenic shock, mechanical/obstructive shock, hypovolemic shock, and distributive shock.
      • Decreased cardiac output contributes to insufficient tissue perfusion, potentially leading to organ damage or failure.
    • Tachycardia:
      • A heart rate exceeding the normal resting rate (over 100 bpm).
      • Causes can include anxiety, infection, hypoglycemia, hypovolemia, or hyperthyroidism.
      • Tachycardia at rest may indicate underlying issues affecting cardiac output.

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    Description

    This quiz covers the concept of cardiac output, its expression, distribution, regulation, and clinical correlations in maintaining proper blood circulation and tissue oxygenation.

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