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

What is the primary role of baroreceptors?

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

During blood pressure measurement, what do Korotkoff sounds represent?

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

The SA node serves what function in the cardiovascular system?

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

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

<p>Ventricular depolarization (D)</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 (A)</p> Signup and view all the answers

Which layer of the heart is responsible for its contraction?

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

How much blood does the heart pump in a day?

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

Where is the sinoatrial (SA) node located?

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

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

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

What does the P wave on an ECG represent?

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

Which wave on the ECG corresponds to ventricular repolarisation?

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

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

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

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

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

What role does the muscle pump play in venous circulation?

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

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

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

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

<p>Prevent backflow of blood (C)</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 (A)</p> Signup and view all the answers

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

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

What causes the first heart sound (S1)?

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

What indicates ongoing myocardial injury in an ECG?

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

What is a common symptom of congestive heart failure?

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

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

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

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

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

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

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

Flashcards

Cardiac action potential

The rapid electrical depolarization and repolarization of heart muscle cells that enables coordinated contraction and relaxation during the cardiac cycle.

Electrocardiogram (ECG)

A graphical representation of the heart's electrical activity as it travels through the conduction system.

Sinus rhythm

The normal rhythm of the heart, initiated by the SA node. Characterized by P waves, QRS complexes, and T waves on an ECG.

P wave

Represents atrial depolarization, leading to atrial contraction. This phase moves blood from the atria into the ventricles.

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QRS complex

Reflects ventricular depolarization and the initiation of ventricular contraction. Consists of three waves: Q wave (septal depolarization), R wave (depolarization of the main ventricular walls), and S wave (depolarization of the Purkinje fibers).

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T wave

Represents ventricular repolarization, preparing the ventricles for the next cycle of contraction.

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ST segment

The flat section between the end of the QRS complex and the beginning of the T wave. Changes in the ST segment can indicate myocardial ischaemia or necrosis.

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Peripheral circulation

The systemic distribution of blood through arteries, veins, and capillaries.

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What is the heart?

The heart's central organ, responsible for pumping blood throughout the body. It's located in the mediastinum, a central compartment in the thoracic cavity, flanked by the lungs. It's roughly the size of a clenched fist and weighs about 350 grams.

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What is the myocardium?

The specialized muscle tissue that makes up the heart, responsible for its contractions.

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What is the pericardium?

A double-layered sac that encloses the heart, composed of a fibrous outer layer and a serous inner layer. The serous pericardium further divides into the visceral layer (epicardium) that covers the heart and the parietal layer that lines the fibrous sac.

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What is the cardiac conduction system?

The heart's electrical control system, responsible for generating and propagating impulses that regulate its rhythmic contractions.

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What is the sinoatrial (SA) node?

The natural pacemaker of the heart, located in the right atrium. It sets the heart rate at approximately 100 beats per minute in the absence of neural regulation.

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What is the atrioventricular (AV) node?

Located at the junction of the atria and ventricles, the AV node delays the electrical impulse to allow the atria to finish contracting and fill the ventricles with blood before the ventricles contract. This delay slows the heart rate to about 60 bpm.

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What is the Bundle of His and Purkinje fibers?

A pathway that transmits the electrical impulse from the AV node to the bundle branches in the ventricles, which then carry the impulse through the Purkinje fibers, triggering ventricular contraction.

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How does the heart's electrical activity work?

The process by which the heart's electrical impulses are generated and propagated, leading to rhythmic contractions.

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Systemic Vascular Resistance (SVR)

The total resistance to blood flow in the systemic circulation, influenced by blood volume, vessel diameter, and blood viscosity.

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Baroreceptors

Specialized sensory receptors located in the carotid arteries, aortic arch, and right atrium that detect changes in blood pressure, sending signals to the cardiovascular center.

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Chemoreceptors

Specialized sensory receptors in the carotid and aortic bodies that respond to changes in blood pH, CO2, and oxygen levels. They contribute to blood pressure regulation by adjusting heart rate and vessel tone.

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Proprioceptors

Sensory receptors in muscles and joints that provide feedback about body position and movement, affecting cardiovascular responses during physical activity.

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Heart Sounds (S1 and S2)

Heart sounds produced by the closing of heart valves. S1 corresponds to the closure of the atrioventricular valves (mitral and tricuspid), while S2 corresponds to the closure of the semilunar valves (aortic and pulmonary).

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Murmurs

Abnormal heart sounds indicating turbulent blood flow within the heart, potentially caused by a stenotic or regurgitant valve.

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Korotkoff Sounds

Sounds heard during blood pressure measurement using a sphygmomanometer, reflecting the resumption of blood flow as cuff pressure is gradually released.

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Sinoatrial (SA) Node

The primary pacemaker of the heart, located in the upper right atrium. It generates electrical impulses that initiate the heartbeat.

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What factor does NOT affect systemic vascular resistance?

Blood viscosity, vessel diameter, and vessel length all directly influence systemic vascular resistance (SVR). Heart rate, however, is not a direct factor in SVR. SVR refers to the resistance to blood flow in the systemic circulation.

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What event causes the first heart sound (S1)?

The first heart sound (S1) is caused by the closure of the atrioventricular valves (mitral and tricuspid valves). This occurs at the start of ventricular systole, when the ventricles contract and pressure rises, forcing blood against the closed valves.

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Which reflex adjusts heart rate in response to blood pressure changes?

The baroreceptor reflex is a crucial mechanism for regulating blood pressure. Baroreceptors are specialized sensory cells located in the aorta and carotid arteries. They detect changes in blood pressure and send signals to the brain, which then adjusts heart rate and blood vessel diameter to maintain blood pressure within a normal range.

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What causes an ST-segment elevation in a myocardial infarction?

A myocardial infarction, commonly known as a heart attack, happens when a coronary artery is blocked, preventing blood and oxygen from reaching a part of the heart muscle. This deprivation leads to damage and cell death (necrosis) in the affected area. ST-segment elevation on an electrocardiogram (ECG) is a specific sign that indicates ongoing damage to the heart muscle and is a critical indicator of a heart attack.

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What are the symptoms and causes of congestive heart failure?

Congestive heart failure (CHF) occurs when the heart is unable to pump blood effectively, leading to a buildup of pressure in the circulatory system. This can cause fluid to back up into the lungs, leading to shortness of breath and fatigue. The fluid buildup can also affect the legs and feet, causing swelling. Distended neck veins indicate increased pressure in the right atrium and are another sign of CHF.

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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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