Cardiac Physiology Overview
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Questions and Answers

What is the equation used to calculate cardiac output?

  • Cardiac Output = Stroke Volume x Heart Rate (correct)
  • Cardiac Output = Stroke Volume / Heart Rate
  • Cardiac Output = Stroke Volume - Heart Rate
  • Cardiac Output = Stroke Volume + Heart Rate
  • What is the average stroke volume per beat?

  • 70 ml/beat (correct)
  • 90 ml/beat
  • 50 ml/beat
  • 100 ml/beat
  • Which valves are classified as atrioventricular valves?

  • Mitral and Tricuspid (correct)
  • Aortic and Pulmonic
  • Left and Right Semilunar
  • Ventricular and Atrial
  • During which phase do semilunar valves open?

    <p>When the ventricles contract</p> Signup and view all the answers

    What role do pacemaker cells play in the heart?

    <p>They set the basal heart rate</p> Signup and view all the answers

    What effect do motor neurons from the Sympathetic and Parasympathetic nervous system have on the heart?

    <p>They modify the basal rate of pacemaker depolarization</p> Signup and view all the answers

    What can the cardiac output increase to during exercise?

    <p>20 to 25 L/min</p> Signup and view all the answers

    What is the primary function of the gap junctions in cardiac muscle cells?

    <p>To couple muscle cells electrically</p> Signup and view all the answers

    What primarily drives the net movement of K+ out of the cell during the repolarization plateau?

    <p>Both concentration and electrical gradients</p> Signup and view all the answers

    What happens to voltage-gated Ca2+ channels during final repolarization (phase 3)?

    <p>They inactivate spontaneously</p> Signup and view all the answers

    During which phase do voltage-gated Na+, K+, and Ca2+ channels close?

    <p>Phase 4</p> Signup and view all the answers

    What is the result of the inactivation of voltage-gated Ca2+ channels in phase 3?

    <p>Increased K+ permeability</p> Signup and view all the answers

    How does the net cation efflux via K+ compare to the net cation influx via Ca2+ during the repolarization plateau?

    <p>They are approximately equal</p> Signup and view all the answers

    What primarily stimulates the opening of voltage-gated Ca2+ channels in the cardiac action potential?

    <p>Threshold potential</p> Signup and view all the answers

    What effect does the blockage of K+ leak channels have during repolarization phases?

    <p>Decreases K+ efflux</p> Signup and view all the answers

    Why does the electrical gradient influence cation movement during phase 2?

    <p>Because movement into the cell occurs when the membrane potential is negative</p> Signup and view all the answers

    What occurs immediately after the closure of the AV valves during the cardiac cycle?

    <p>Opening of the SL valves</p> Signup and view all the answers

    Which heart sound is associated with the closing of the AV valves?

    <p>S1</p> Signup and view all the answers

    During diastole, what is the relationship between left ventricular pressure and left atrial pressure?

    <p>Left ventricular pressure is lower than left atrial pressure</p> Signup and view all the answers

    What phase follows the depolarization of the atrium indicated by the P wave?

    <p>Ventricular depolarization</p> Signup and view all the answers

    What occurs during isovolumetric contraction?

    <p>AV valves are closed</p> Signup and view all the answers

    What happens during the relaxation of cardiac muscle in the cardiac cycle?

    <p>Decrease in ventricular chamber pressure</p> Signup and view all the answers

    Which of the following indicates the beginning of systole?

    <p>Closing of the AV valves</p> Signup and view all the answers

    What marks the end of systole in the cardiac cycle?

    <p>Closing of the SL valves</p> Signup and view all the answers

    What is the primary function of the atrial volume receptor reflex?

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

    In response to decreased blood volume, how does the atrial volume receptor reflex affect renin release?

    <p>It decreases renal excretion of Na+/H2O.</p> Signup and view all the answers

    Which of the following best describes what an electrocardiogram (ECG) measures?

    <p>The electrical activity of the heart</p> Signup and view all the answers

    How are ECG leads arranged to provide standard comparisons in heart activity recordings?

    <p>A mix of limb and chest connections</p> Signup and view all the answers

    What is the main reason for using the same 12 leads in all ECG recordings?

    <p>To identify deviations from normal</p> Signup and view all the answers

    What role do baroreceptors play in blood pressure regulation?

    <p>They sense changes in vessel stretch and send signals to the CNS.</p> Signup and view all the answers

    How does the CNS respond to changes in blood pressure detected by baroreceptors?

    <p>It inhibits sympathetic signaling and stimulates parasympathetic signaling.</p> Signup and view all the answers

    What is the primary function of the baroreceptor reflex?

    <p>To minimize fluctuations in blood pressure.</p> Signup and view all the answers

    What is the speed of the baroreceptor reflex in regulating blood pressure?

    <p>It reacts instantly, within seconds.</p> Signup and view all the answers

    How does the baroreceptor reflex adapt to long-term changes in blood pressure?

    <p>It adjusts the normal blood pressure set point to a new level.</p> Signup and view all the answers

    What is the average systolic blood pressure in mmHg?

    <p>120 mmHg</p> Signup and view all the answers

    How is pulse pressure calculated?

    <p>Systolic pressure - Diastolic pressure</p> Signup and view all the answers

    What is the formula for Mean Arterial Pressure (MAP)?

    <p>Diastolic pressure + 1/3 pulse pressure</p> Signup and view all the answers

    Which vessel type has the greatest total cross-sectional area?

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

    What happens to blood flow velocity as total cross-sectional area increases?

    <p>It decreases.</p> Signup and view all the answers

    Which variable has the largest impact on vascular resistance?

    <p>Radius of the vessel</p> Signup and view all the answers

    If the radius of one tube is twice that of another tube, how does their resistance compare?

    <p>The smaller tube has 16-times greater resistance.</p> Signup and view all the answers

    In systemic circulation, what kind of pressure and resistance is typical?

    <p>High-pressure, high-resistance</p> Signup and view all the answers

    Which of the following correctly describes the relationship between surface area and diffusion efficiency?

    <p>Higher surface area increases diffusion efficiency.</p> Signup and view all the answers

    Study Notes

    Physiology (0603302)

    • Course: Cardiac Physiology
    • Semester: Summer 2023/2024
    • Instructor: Dr. Mohammad A. Abedal-Majed
    • Institution: The University of Jordan, School of Agriculture

    Cardiac Cycle

    • Contraction of cardiac muscle:

      • Increased ventricular chamber pressure
      • Closing of AV (inlet) valves
      • Opening of SL (outlet) valves
    • Relaxation of cardiac muscle:

      • Decreased ventricular chamber pressure
      • Closing of SL(outlet) valves
      • Opening of AV (inlet) valves

    Blood Flow

    • Pulmonary Circulation (short):

      • Poorly oxygenated blood to lungs
      • Right ventricle → pulmonary artery → pulmonary vessels
      • Delivery of highly oxygenated blood to the heart
      • Pulmonary vessels → pulmonary vein
    • Systemic Circulation (high pressure):

      • Highly oxygenated blood to tissues
      • Left ventricle → aorta → systemic vessels
      • Delivery of poorly oxygenated blood to the heart
      • Systemic vessels → vena cava → R atrium

    Vascular System

    • Functional components:

      • Pump (heart)
      • Distributing tubes (arterial system)
      • Collecting tubes (venous system)
      • Exchange system (capillary beds)
    • Distributing (arterial system):

      • Branching of aorta & pulmonary artery
      • Progressively smaller vessels (arteries → arterioles → capillaries)
    • Collecting (venous system):

      • Empty into vena cava & pulmonary vein
      • Joining of smaller vessels (venules → veins)
      • Back to the heart via vena cava
    • Exchange (capillary beds):

      • Oxygen, glucose, and nutrients pass from blood to cells
      • Carbon dioxide, and waste products pass from cells to blood

    Cardiac Action Potentials

    • Fast response action potential:

      • Rapid depolarization phase
      • Influx of Na+ ions
      • Brief repolarization
    • Slow response action potential:

      • Repolarization plateau phase
      • Influx of Ca2+ ions
      • Depolarization caused by Ca2+ influx

    Cardiac Valves

    • Atrioventricular valves: Control blood flow between atria and ventricles

      • Left: mitral valve
      • Right: tricuspid valve
      • Open during atrial contraction, close during ventricular contraction
    • Semilunar valves: Control blood flow from ventricles into arteries

      • Left: aortic valve
      • Right: pulmonic valve
      • Open during ventricular contraction, close during ventricular relaxation

    Heart Valves

    • Atrioventricular (AV): control blood flow between atria and ventricles
      • Mitral (Left)
      • Tricuspid (Right)
    • Semilunar: control blood exiting ventricles
      • Aortic (Left)
      • Pulmonary (Right)

    Cardiac Cycle

    • A contraction phase (systole) and a relaxation phase (diastole).

    Blood Pressure

    • Regulation:
      • Sympathetic nervous system (↑ heart rate, ↑ contractility, ↑ vasoconstriction) -Parasympathetic nervous system (↓ heart rate,↓ contractility, ↓ vasoconstriction)
    • Blood pressure measurements
      • First sound-AV valves close
      • Second sound-Semilunar valves close.
    • Vascular Resistance and Blood pressure: Pressure driven blood flow, Resistance is inversely correlated with radius(smaller radius = greater resistance).

    Baroreceptors and Volume Reflexes

    • Baroreceptor reflex: Detecting changes in blood pressure
      • Afferent signals from baroreceptors to the CNS
      • CNS then modulates sympathetic and parasympathetic activity to return blood pressure to normal
    • Atrial volume receptor reflex: Detecting changes in blood volume
      • Detecting changes in atrial stretch
      • CNS then modulates sympathetic and parasympathetic activity to maintain blood volume
      • Role of renin-angiotensin-aldosterone system (RAAS)

    Clinical Applications

    • ECG: Graphical tracing of cardiac electrical potentials. Uses 12 leads to record data from various locations on the body. Used clinically to detect heart disease.
    • Blood viscosity: Blood becomes more viscous in cases of polycythemia, and less viscous in anemia.
    • Blood pressure measurements: Detecting blood pressure changes in arteries via Korotkoff sounds.

    Additional Information (Not fully organized):

    • Cardiac output = stroke volume x heart rate (CO = SV * HR)
    • Resting CO = ~5 Liters/min, Exercising CO = 20 - 25 Liters/min
    • Various components of heart, lungs, and vascular system are associated with blood flow and pressure regulation
    • Multiple diagrams describe circulation, blood flow, and pressure differences from the heart, and through large and small blood vessels such as arteries, arterioles, capillaries, venules, and veins throughout the body.

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    Description

    This quiz covers essential concepts of cardiac physiology, including cardiac output, stroke volume, and the roles of heart valves and pacemaker cells. Test your knowledge on how the nervous system influences heart function and the mechanics of cardiac muscle cells. Perfect for students of human physiology or medical professionals seeking to refresh their understanding.

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