Cardiovascular System Overview
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Questions and Answers

What factor does NOT influence Systemic Vascular Resistance (SVR)?

  • Blood viscosity
  • Vessel elasticity (correct)
  • Vessel diameter
  • Blood volume
  • Which reflex primarily regulates blood pressure by detecting changes in pH, carbon dioxide, and oxygen levels?

  • Proprioceptor reflex
  • Chemoreceptor reflex (correct)
  • Baroreceptor reflex
  • Afferent reflex
  • What sound is produced by the closure of the atrioventricular valves?

  • S2
  • Korotkoff sound
  • Murmur
  • S1 (correct)
  • Murmurs are classified based on which two criteria?

    <p>Timing within the cardiac cycle and intensity</p> Signup and view all the answers

    What is the primary role of baroreceptors?

    <p>Detect stretch in blood vessels</p> Signup and view all the answers

    During blood pressure measurement, what do Korotkoff sounds represent?

    <p>Resumption of blood flow</p> Signup and view all the answers

    The SA node serves what function in the cardiovascular system?

    <p>Acts as the primary pacemaker</p> Signup and view all the answers

    What phase of the cardiac cycle does the QRS complex represent?

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

    What is the primary function of the cardiovascular system?

    <p>To maintain homeostasis by providing tissues with nutrients and oxygen, while removing waste products</p> Signup and view all the answers

    Which layer of the heart is responsible for its contraction?

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

    What is the normal heart rate set by the sinoatrial (SA) node without neural regulation?

    <p>100 beats per minute</p> Signup and view all the answers

    What role does the atrioventricular (AV) node play in the cardiac conduction system?

    <p>It synchronizes atrial and ventricular contractions</p> Signup and view all the answers

    How much blood does the heart pump in a day?

    <p>3,700 to 7,500 liters</p> Signup and view all the answers

    Where is the sinoatrial (SA) node located?

    <p>In the right atrium</p> Signup and view all the answers

    Which structure transmits impulses from the AV node to the ventricles?

    <p>Bundle of His</p> Signup and view all the answers

    What are the layers of the pericardium?

    <p>Fibrous outer layer and serous inner layer, divided into visceral and parietal layers</p> Signup and view all the answers

    What does the P wave on an ECG represent?

    <p>Atrial depolarisation</p> Signup and view all the answers

    Which wave on the ECG corresponds to ventricular repolarisation?

    <p>T Wave</p> Signup and view all the answers

    During which phase of the cardiac cycle does the QRS complex occur?

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

    What is indicated by changes in the ST segment of an ECG?

    <p>Myocardial ischaemia or necrosis</p> Signup and view all the answers

    What role does the muscle pump play in venous circulation?

    <p>Assists venous return by compressing veins</p> Signup and view all the answers

    Which mechanism contributes to capillary exchange by moving substances down their concentration gradients?

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

    What is the primary function of the valves in the venous system?

    <p>Prevent backflow of blood</p> Signup and view all the answers

    What is the relationship between the respiratory pump and venous return during inspiration?

    <p>Decreases pressure in the thoracic cavity</p> Signup and view all the answers

    Which factor does not directly influence systemic vascular resistance (SVR)?

    <p>Heart rate</p> Signup and view all the answers

    What causes the first heart sound (S1)?

    <p>Closure of the atrioventricular valves</p> Signup and view all the answers

    Which reflex is responsible for adjusting heart rate in response to changes in blood pressure?

    <p>Baroreceptor reflex</p> Signup and view all the answers

    What indicates ongoing myocardial injury in an ECG?

    <p>ST-segment elevation</p> Signup and view all the answers

    What is a common symptom of congestive heart failure?

    <p>Shortness of breath</p> Signup and view all the answers

    How does myocardial infarction lead to permanent damage if not treated promptly?

    <p>Due to prolonged ischemia</p> Signup and view all the answers

    Which finding is indicative of elevated central venous pressure in congestive heart failure?

    <p>Distended neck veins</p> Signup and view all the answers

    What physiological mechanism primarily leads to fluid accumulation in congestive heart failure?

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

    Study Notes

    Cardiovascular System

    •  The cardiovascular system maintains homeostasis by delivering nutrients and oxygen to tissues and removing waste products.
    • It includes the heart, blood vessels, and blood.

    Introduction to the Cardiovascular System

    • The heart is located in the mediastinum of the thoracic cavity.
    • It weighs approximately 350 grams and pumps 3700-7500 liters of blood per day.
    • The myocardium (heart muscle) constitutes 99% of the heart's tissue.
    • The pericardium is a double-layered sac surrounding the heart, with a fibrous outer layer and a serous inner layer.

    Cardiac Conduction System

    • The heart's rhythmic contractions are regulated by the intrinsic conduction system, which generates and propagates electrical impulses.
    • The sinoatrial (SA) node, often called the pacemaker, sets the heart rate at approximately 100 beats per minute (bpm) without neural regulation.
    • The atrioventricular (AV) node delays the electrical impulse, allowing the atria to fully contract and fill the ventricles before ventricular contraction, slowing the heart rate to around 60 bpm.

    The Electrocardiogram (ECG)

    • An ECG is a graphical representation of the heart's electrical activity.
    • Sinus rhythm, the normal heart rhythm initiated by the SA node, is characterised by P waves, QRS complexes, and T waves on an ECG.
    • The P wave represents atrial depolarisation (leading to atrial contraction).
    • The QRS complex represents ventricular depolarisation and the initiation of ventricular contraction. The Q wave marks septal depolarisation, the R wave depolarisation of the main ventricular walls, and the S wave depolarisation of the Purkinje fibres.
    • The T wave represents ventricular repolarisation, preparing the ventricles for the next cycle of contraction.
    • The ST segment is the flat section between the end of the QRS complex and the beginning of the T wave, and changes in this segment can indicate myocardial ischaemia.

    Peripheral Circulation and Blood Vessels

    • Capillary exchange involves diffusion of substances like oxygen and carbon dioxide and bulk flow of fluids and solutes across capillary membranes based on pressure gradients.
    • Venous return is aided by muscle pumps and respiratory pumps to push blood back towards the heart.

    Regulation of Blood Pressure

    • Baroreceptors in the carotid arteries, aortic arch, and right atrium detect changes in blood pressure.
    • Chemoreceptors in the carotid and aortic bodies respond to changes in blood pH, carbon dioxide, and oxygen levels, helping modulate blood pressure and vessel tone.

    Clinical Considerations

    • Heart sounds (S1 and S2) are generated by the closing of heart valves.
    • Murmurs are abnormal heart sounds that are often caused by turbulent blood flow through diseased heart valves.
    • Korotkoff sounds are heard during blood pressure measurements as the cuff pressure is released.

    Clinical Cases

    • Myocardial infarction (heart attack) is caused by a blocked coronary artery, resulting in myocardial necrosis.
    • Congestive heart failure occurs when the heart is unable to pump blood efficiently, leading to fluid buildup in the lungs and peripheral tissues.

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    Description

    Explore the vital components of the cardiovascular system, including the heart, blood, and blood vessels. This quiz will cover essential topics such as the structure of the heart, its conduction system, and how it maintains homeostasis in the body.

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