Cardiovascular System Overview

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Questions and Answers

What percentage of total blood volume is typically represented by plasma?

  • 40-45%
  • 55-60% (correct)
  • 50-55%
  • 65-70%

What condition is characterized by a decreased number of red blood cells (RBCs)?

  • Polycythemia
  • Thrombocytopenia
  • Anemia (correct)
  • Leukemia

What is the primary function of the skeletal muscle pump?

  • To enhance venous return to the heart (correct)
  • To increase arterial blood pressure
  • To regulate blood flow during exercise
  • To facilitate gas exchange in the lungs

What typically happens if a person stands still for too long?

<p>Blood pooling in the legs (B)</p> Signup and view all the answers

Which factor does NOT affect plasma volume?

<p>Muscle mass (B)</p> Signup and view all the answers

What is the role of valves in the venous system?

<p>To prevent backflow of blood (B)</p> Signup and view all the answers

What defines mean arterial pressure (MAP)?

<p>The average pressure in a person's arteries during one cardiac cycle (D)</p> Signup and view all the answers

In what scenario is blood pressure considered too high for an assessment?

<p>160/100 mmHg (C)</p> Signup and view all the answers

What is the primary factor that increases myocardial blood flow during exercise?

<p>Increase in aortic pressure (C)</p> Signup and view all the answers

Which type of blood vessel is characterized by a thick outer wall and small lumen?

<p>Artery (B)</p> Signup and view all the answers

During rest, the heart primarily relies on which type of metabolism for energy?

<p>Free fatty acid metabolism (B)</p> Signup and view all the answers

What triggers tissue hypoxia in the myocardium?

<p>Insufficient oxygen supply (D)</p> Signup and view all the answers

What role do arterioles play in the circulatory system?

<p>Regulate blood flow to specific tissues (C)</p> Signup and view all the answers

What is the relationship between myocardial O2 extraction and exercise intensity?

<p>Increases to nearly 100% during maximum exercise (C)</p> Signup and view all the answers

What does the fibroelastic composition of arteries indicate about their structure?

<p>They can withstand high pressure and maintain shape. (B)</p> Signup and view all the answers

What is the primary gas exchange function of capillaries?

<p>Allow for the diffusion of nutrients and gases (A)</p> Signup and view all the answers

What contributes to the difficulty in regulating pH during strenuous activity?

<p>Increased CO2 production (B)</p> Signup and view all the answers

What happens to ventilation as exercise intensity increases beyond a certain point?

<p>Ventilation increases faster than O2 consumption (D)</p> Signup and view all the answers

How does the cardiovascular system primarily maintain blood pressure?

<p>Vasoconstriction and vasodilation (D)</p> Signup and view all the answers

What is the purpose of bicarbonate in the cardiovascular system during strenuous activity?

<p>To buffer acid and produce additional CO2 (D)</p> Signup and view all the answers

Which of the following equations describes cardiac output?

<p>CO = HR x SV (B)</p> Signup and view all the answers

In which order does blood travel through the heart starting from the superior vena cava?

<p>Superior vena cava, right atrium, right ventricle, pulmonary artery, pulmonary veins, left ventricle (D)</p> Signup and view all the answers

What is the primary function of the cardiovascular system?

<p>Transporting blood and nutrients (D)</p> Signup and view all the answers

Which organ system is primarily responsible for the distribution of 5 total liters of blood at rest?

<p>Cardiovascular system (B)</p> Signup and view all the answers

What is the average resting heart rate range for a healthy adult?

<p>60-100 bpm (B)</p> Signup and view all the answers

Which chamber of the heart is primarily responsible for pumping blood out to the body?

<p>Left ventricle (D)</p> Signup and view all the answers

What occurs during the ventricular systole phase of the cardiac cycle?

<p>Atria relax and ventricles contract (C)</p> Signup and view all the answers

Which structure prevents blood from flowing back into the heart between contractions?

<p>Semilunar valves (C)</p> Signup and view all the answers

The conduction pathway of the heart begins with which component?

<p>SA node (C)</p> Signup and view all the answers

What is the primary function of coronary circulation?

<p>Provide oxygen and nutrients to the myocardium (A)</p> Signup and view all the answers

What is the normal blood flow to the myocardium at rest?

<p>200-250 mL/min (D)</p> Signup and view all the answers

Which part of the heart's structure collects blood returning from the systemic circulation?

<p>Right atrium (A)</p> Signup and view all the answers

What physiological change occurs to meet the increased O2 demand during exercise?

<p>Increased component values in the Fick equation (C)</p> Signup and view all the answers

Which mechanism is responsible for directing blood flow to areas of high demand during exercise?

<p>Vasodilation due to metabolic products (D)</p> Signup and view all the answers

What happens to blood flow to the skin during maximum intensity exercise?

<p>Decrease in blood flow to supply active muscle (B)</p> Signup and view all the answers

What is cardiovascular drift primarily associated with?

<p>Increased heart rate due to blood flow changes (A)</p> Signup and view all the answers

Which of the following adaptations is associated with endurance training?

<p>Increased left ventricular volume and mass (A)</p> Signup and view all the answers

What effect do isometric contractions have on blood pressure during resistance exercise?

<p>Sharp increase in blood pressure (C)</p> Signup and view all the answers

What is one potential reason for the increase in heart rate during sub-maximal exercise over time?

<p>Decrease in plasma volume (B)</p> Signup and view all the answers

In which type of training is concentric LV hypertrophy primarily observed?

<p>Strength training (B)</p> Signup and view all the answers

What is the primary pacemaker of the heart?

<p>SA node (D)</p> Signup and view all the answers

Which component of the electrical activity of the heart represents ventricular depolarization?

<p>QRS complex (C)</p> Signup and view all the answers

During physical exercise, which of the following occurs in the heart's autonomic regulation?

<p>Increase in sympathetic nervous system activity (C)</p> Signup and view all the answers

What role does the sodium-potassium pump play at the resting membrane potential of cardiac cells?

<p>It maintains the resting membrane potential by pumping potassium into the cell and sodium out (D)</p> Signup and view all the answers

Which of the following is NOT a benefit of exercise training?

<p>Increased heart rate at rest (A)</p> Signup and view all the answers

What happens to the heart rate if the SA node fails?

<p>The AV node takes over as pacemaker (C)</p> Signup and view all the answers

Which of the following segments represents the interval between ventricular depolarization and repolarization?

<p>ST-segment (C)</p> Signup and view all the answers

How does anticipatory response to exercise affect the heart rate?

<p>It causes an increase in heart rate (C)</p> Signup and view all the answers

Flashcards

Stroke Volume

The volume of blood pumped by the left ventricle per beat.

Cardiac Output

The amount of blood pumped by the heart per minute. A healthy resting cardiac output is about 5 liters/minute.

Atria

The two upper chambers of the heart that receive blood returning from the body.

Ventricles

The two lower chambers of the heart that pump blood out to the body and lungs.

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Atrioventricular Valves (AV Valves)

Valves located between the atria and ventricles that prevent blood from flowing backward.

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Diastole

The phase of the heart cycle when the heart muscle is relaxed and chambers fill with blood.

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Systole

The phase of the heart cycle when the ventricles contract and pump blood out of the heart.

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Conduction System of the Heart

The specialized cells in the heart that initiate and conduct electrical impulses, triggering heartbeats.

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pH regulation during strenuous activity

During intense exercise, the body produces more CO2 and lactate, leading to a decrease in blood pH. This is because the body relies on anaerobic metabolism, creating lactic acid.

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Ventilatory Threshold (VT)

The point during exercise where ventilation increases exponentially faster than oxygen uptake. This signifies the shift to anaerobic metabolism.

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Lactate Threshold (LT)

The threshold where lactate production exceeds the body's clearance rate. This triggers a shift to anaerobic metabolism.

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Purpose of the Cardiovascular System

The primary function is to circulate blood, which carries oxygen, nutrients and removes waste, throughout the body.

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How does the cardiovascular system maintain blood pressure?

The cardiovascular system monitors and adjusts blood pressure through feedback loops. It achieves this by controlling blood vessel diameter (vasoconstriction/dilation) and heart output.

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Cardiac Output Equation

Cardia Output (CO) = Heart Rate (HR) x Stroke Volume (SV)

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Mean Arterial Pressure Equation

Mean Arterial Pressure (MAP) = Cardiac Output (CO) x Systemic Vascular Resistance (SVR)

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Systematic circulation of the cardiovascular system

The systematic circulation distributes blood to the whole body, including skeletal muscles, skin, digestive system, liver, kidneys, and brain.

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Heart Blood Flow

The heart requires about 5% of the body's total blood flow.

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Myocardial Oxygen Extraction (Rest)

At rest, the heart extracts more oxygen from the blood than skeletal muscle.

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Myocardial Oxygen Extraction (Exercise)

At maximum exercise, the heart extracts almost all oxygen from the blood.

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Exercise and Myocardial Blood Flow

The increased metabolic demand during exercise causes dilation of coronary vessels, allowing more blood flow to the heart.

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Aortic Pressure and Myocardial Blood Flow

Increased aortic pressure during exercise forces a greater volume of blood into the coronary circulation, further increasing heart blood flow.

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Myocardial Metabolism vs. Muscle

Myocardial metabolism is three times more efficient than skeletal muscle due to a higher concentration of mitochondria.

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Heart Energy Source (Rest)

The heart relies heavily on free fatty acids for energy at rest.

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Heart Energy Source (Exercise)

The heart uses a significant amount of lactate (produced by muscles during exercise) as fuel during intense exercise.

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Capillary Density In Muscles

A network of tiny blood vessels that allow for the exchange of oxygen and nutrients between blood and tissues. Muscle tissue is highly dense with capillaries due to its high metabolic needs.

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Venous System Role

The venous system is responsible for returning blood to the heart. It holds the majority of blood volume at rest and can regulate blood distribution by adjusting its tone.

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Veins and Valves

Valves within veins prevent backflow of blood, ensuring efficient return to the heart. Muscle contractions further help this process.

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Skeletal Muscle Pump

Skeletal muscles function as pumps when contracting, squeezing veins to move blood towards the heart. This is essential for venous return.

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Varicose Veins

Weak or damaged veins can lead to blood pooling in the lower limbs, resulting in visible, enlarged veins. Regular exercise helps maintain blood flow and prevent this.

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Gravity's Impact on Blood Flow

When standing for extended periods, blood can pool in the legs due to gravity, reducing venous return. This can cause dizziness or fainting.

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Hematocrit

Hematocrit refers to the percentage of red blood cells in total blood volume. It can vary and indicate health conditions like anemia or polycythemia.

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Blood Pressure

Blood pressure is the force exerted by blood on arterial walls. It is measured as systolic and diastolic pressures. Hypertension is a chronic condition with serious health consequences.

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Post-exercise hypotension

A drop in blood pressure that occurs after exercise, particularly in individuals with low blood volume, dehydration, or high exercise intensity.

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Meeting O2 demand

The body's ability to deliver enough oxygen to meet the increased demands of physical activity.

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Redistribution of blood flow

The process of directing blood flow to different areas of the body depending on their needs during exercise.

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Blood flow to the skin (Exercise onset)

Blood flow to the skin decreases during the initial phase of exercise to prioritize oxygen delivery to working muscles.

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Blood flow to the skin (Increase/Continuation of exercise)

Blood flow to the skin increases during prolonged or sustained exercise to help regulate body temperature.

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Blood flow to the skin (Max intensity exercise)

Blood flow to the skin decreases again at maximum exercise intensity to ensure adequate oxygen supply to the highly active muscles.

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Cardiovascular drift

A gradual increase in heart rate during sustained, sub-maximal exercise. It's often caused by a decrease in stroke volume.

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Acute response to resistance exercise

Intense or isometric contractions cause a sharp rise in blood pressure, which can increase the workload on the heart.

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What is the SA node and its function?

The SA node is the natural pacemaker of the heart, located in the posterior right atrium. It spontaneously depolarizes and repolarizes to generate a regular heart rhythm, typically between 60 and 100 beats per minute (bpm).

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What is the AV node and its function?

The AV node is located at the junction of the right atrium and ventricle. It receives electrical signals from the atria and transmits them to the ventricles, ensuring coordinated contraction. If the SA node fails, the AV node can act as a backup pacemaker, though at a slower rate.

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What do the P-wave, QRS complex, and T-wave represent on an ECG?

The P-wave represents atrial depolarization, indicating the electrical activity that triggers the contraction of the atria. The QRS complex represents ventricular depolarization, the electrical activity that precedes ventricular contraction. The T-wave reflects ventricular repolarization, signifying the return of the ventricles to a resting state.

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How does the autonomic nervous system regulate heart rate during exercise?

During exercise, the sympathetic nervous system (SNS) is activated, increasing heart rate and blood pressure. The parasympathetic nervous system (PsNS) withdraws its influence, allowing for increased heart rate. This is known as a feed-forward reaction, where increased activity leads to further increases.

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What is the cardiovascular control center and its role?

The cardiovascular control center, located in the ventrolateral medulla, regulates heart rate and blood pressure. It receives input from various sensors and integrates this information to adjust autonomic nervous system output.

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What are the cardiovascular benefits of exercise training?

Exercise training has numerous cardiovascular benefits, including reduced blood pressure, decreased inflammation, increased baroreflex sensitivity, improved cardiovascular risk factors, enhance autonomic function, and increased cardiorespiratory capacity.

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What is atherosclerosis and its potential consequences?

Atherosclerosis is a condition where plaque builds up inside arteries, narrowing them and restricting blood flow. This can lead to complications like heart attack and kidney failure.

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How is the resting membrane potential of a heart cell maintained?

The resting membrane potential of a heart cell is maintained by the sodium-potassium pump. This pump actively transports potassium ions (K+) into the cell and sodium ions (Na+) out, creating an electrical imbalance.

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Study Notes

Cardiovascular System

  • Regulation of pH during strenuous activity becomes challenging due to increased CO2 production and lactate formation, resulting in decreased blood pH.

  • Ventilatory Threshold: At initial exercise intensities, ventilation increases linearly with O2 consumption (Ve=Vo2). However, at higher intensities, ventilation increases faster than O2 consumption (ventilatory threshold). Lactate threshold occurs when lactate accumulates faster than the body can remove it, approximating the ventilatory threshold.

  • Acid buffering occurs from aerobic glycolysis due to the need to breathe more, to help maintain a stable internal environment by buffering the acid produced.

Purpose of the Cardiovascular System

  • Transports blood and nutrients throughout the body.
  • Generates pressure for gradients required for efficient transport.
  • Maintains blood pressure using negative feedback loops and adjustments to vasoconstriction and vasodilation, as well as altering cardiac output.

Important Equations

  • Cardiac output (CO) = Heart rate (HR) x Stroke volume (SV)
  • Mean arterial pressure (MAP) = CO x Systemic vascular resistance (SVR)

Systemic Circulation

  • Blood flow through major organs and tissues (skeletal muscle, skin, gastrointestinal tract, liver, kidneys, brain).
  • Blood distribution differs at rest compared to during exercise.

Structure of the Heart

  • The heart, weighing 9-11 oz, has four chambers (atria and ventricles).
  • Atria are receiving chambers, and ventricles are pumping chambers.
  • Valves (atrioventricular and semilunar valves) prevent backflow of blood.
  • Blood flows through the heart in a specific order (superior and inferior vena cava >> right atrium >> right ventricle >> pulmonary artery >> lungs >> pulmonary veins >> left atrium >> left ventricle >> aorta).
  • The heart has its own circulatory system (coronary circulation), receiving blood from the aorta.

Cardiovascular System Pt2

  • Cardiac Muscle: Single nucleus per fiber, branches between fibers and intercalated discs.
  • Systole/Diastole: Atrial systole (atria contract) ventricle diastole (ventricles relaxed). Atrial diastole, ventricle systole (atria relax, ventricles contract).

Electrical Conduction Pathway

  • The heart's electrical conduction system begins with the sinoatrial (SA) node, which acts as the pacemaker, initiating the heartbeat. SA node is in right atrium. Impulses begin in the SA node and spread through atria to the AV node. AV node conducts impulses to the Bundle of His. The signal then goes to the Bundle of branches and then the Purkinje fibers.

Coronary Circulation

  • Coronary arteries supply the heart with oxygen and nutrients.
  • Blood flow to heart increases with exercise to meet the increased needs of myocardial metabolism.
  • Coronary blood flow is primarily regulated by oxygen demand.
  • Myocardial O2 extraction is much higher at rest than during strenuous exercise.

Blood Flow and Pressure

  • Arteries: Thick walls, small lumen, made of elastic fibers that help maintain pressure.
  • Veins: Thin walls, large lumen, less muscle/elastic fiber, contain valves to prevent backflow.
  • Capillaries: Single cell wall, large surface area for exchange of substances, allow for one erythrocyte at a time.
  • High pressure blood transfer in the arterial system compared with the venous system (less pressure in venous system).

Blood Flow and Pressure Regulations

  • Skeletal muscle pump and venous valves are important for returning blood to the heart.
  • Gravity plays a role, so standing too long can decrease venous return.
  • Body temperature and hydration also impact blood volume and pressure.

Blood Pressure

  • Mean arterial pressure (MAP): refers to an average pressure in the arterial system over time, related to cardiac output and systemic vascular resistance.

Components of Blood

  • Hematocrit: Percentage of red blood cells in the blood.
  • Anemia: Condition characterized by low RBC count.
  • Polycythemia: Condition characterized by high RBC count.

Cardiovascular Effects of Exercise

  • Cardiovascular Drift: A gradual increase in heart rate during prolonged exercise, potentially due to a decrease in plasma volume.
  • Acute and Chronic Adaptations: The heart and blood vessels change due to exercise. The body adapts to regulate blood pressure, blood flow, and heart rate, which leads to more efficient delivery of O2 to working muscles.
  • Increased blood flow is associated with vasoconstriction of areas that are not essential at higher-intensity exercise. Increased blood flow is associated with vasodilation in areas that need more O2, such as skeletal muscles.
  • Physiological Concepts related to Exercise: Capillaries, Homeostasis, Blood flow, and Acetylcholine/Catecholamines.

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