Cardiovascular System Overview
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Questions and Answers

Which vessels bring de-oxygenated blood to the right atrium?

  • Superior vena cava (correct)
  • Inferior vena cava (correct)
  • Pulmonary arteries
  • Aorta

What is the primary function of the heart valves mentioned in the content?

  • To allow flow in only one direction (correct)
  • To increase blood pressure
  • To separate the chambers of the heart
  • To pump oxygenated blood

What is the relationship between blood flow (Q), pressure gradient ( extdelta-P), and resistance (R)?

  • Q = extdelta-P / R (correct)
  • Q = R / extdelta-P
  • Q = extdelta-P + R
  • Q = extdelta-P x R

Which valve separates the right atrium from the right ventricle?

<p>Tricuspid valve (D)</p> Signup and view all the answers

Which chamber of the heart receives oxygenated blood from the pulmonary circulation?

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

What type of valve is located between the left atrium and left ventricle?

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

What structure maintains the one-way flow of blood from the right ventricle to the pulmonary arteries?

<p>Pulmonary artery valve (A)</p> Signup and view all the answers

Which factor primarily influences blood flow through the circulatory system?

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

What function does the sinoatrial node serve in the heart?

<p>It generates impulses that set the basic heart rate. (D)</p> Signup and view all the answers

Which structure is the only point allowing electrical current to pass from the atria to the ventricles?

<p>Atrioventricular node (A)</p> Signup and view all the answers

What is the primary role of the atrioventricular node in the heart's conduction system?

<p>To delay the electrical current briefly. (B)</p> Signup and view all the answers

How does the conduction speed through the Purkinje fibers compare to that through the atrioventricular node?

<p>It is faster than through the AV node. (A)</p> Signup and view all the answers

What is the significance of the electrical insulation between the atria and ventricles?

<p>It prevents simultaneous contraction of atria and ventricles. (A)</p> Signup and view all the answers

Which of the following structures conducts current very rapidly through the right and left atria?

<p>Inter-nodal pathways (B)</p> Signup and view all the answers

What is the role of the mitral and tricuspid valves during cardiac contraction?

<p>To prevent backflow of blood into the atria. (C)</p> Signup and view all the answers

Where does the electrical conduction from the atrioventricular node primarily lead?

<p>To the apex of the heart and ventricular walls. (D)</p> Signup and view all the answers

What initiates the electrical currents measured by an ECG?

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

Where are electrodes typically placed for the classical three-lead ECG?

<p>On both arms and the left leg (C)</p> Signup and view all the answers

What is the purpose of the earth lead in a three-lead ECG setup?

<p>To provide a ground reference point (B)</p> Signup and view all the answers

Which statement correctly describes a 'lead' in the context of an ECG?

<p>The recording from a pair of electrodes (A)</p> Signup and view all the answers

What is the alternative placement for electrodes when the subject is exercising?

<p>On the shoulders and lower abdomen (D)</p> Signup and view all the answers

What does the term 'bipolar' signify in a three-lead ECG?

<p>It uses positive and negative electrodes (B)</p> Signup and view all the answers

Which lead configuration is associated with the right arm being positive?

<p>None of the above (D)</p> Signup and view all the answers

What physiological basis underlies the recording of an ECG?

<p>Electrical potentials due to cardiac depolarization (B)</p> Signup and view all the answers

During diastole, which valves are open?

<p>Atrioventricular valves and semilunar valves (A)</p> Signup and view all the answers

What happens during systole with respect to the valves in the heart?

<p>Atrioventricular valves are closed and semilunar valves are open (D)</p> Signup and view all the answers

What is the state of blood flow during mid-diastole?

<p>Blood flows passively into the ventricles from the atria (A)</p> Signup and view all the answers

What is the pressure in the left ventricle during mid-diastole?

<p>It is very low, around 2 to 3 mmHg (D)</p> Signup and view all the answers

What indicates that the heart is in a relaxing state during mid-diastole?

<p>Absence of heart sounds (C)</p> Signup and view all the answers

What is the pressure of the blood in the aorta during mid-diastole?

<p>Falls to about 80 mmHg (B)</p> Signup and view all the answers

Which phase of the cardiac cycle allows for the passive filling of the ventricles?

<p>Mid-diastole (A)</p> Signup and view all the answers

What occurs after the T wave during the cardiac cycle?

<p>Heart enters systole phase (B)</p> Signup and view all the answers

What does the QT interval represent in an ECG?

<p>The total time the ventricles are depolarized and repolarized (B)</p> Signup and view all the answers

Which of the following factors can affect the length of the QT interval?

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

What condition can result from a prolonged QT interval?

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

What does a depressed ST segment on an ECG suggest?

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

What effect does increased preload have on stroke volume?

<p>It increases stroke volume. (A)</p> Signup and view all the answers

If the ST segment is elevated, what condition may this indicate?

<p>Myocardial infarction (D)</p> Signup and view all the answers

Which electrolyte imbalances can affect the QT interval?

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

What is the primary relationship described by Starling's Law of the Heart?

<p>Stroke volume depends on end diastolic volume. (B)</p> Signup and view all the answers

Which factor primarily determines the afterload on the heart?

<p>Peripheral resistance. (D)</p> Signup and view all the answers

How might one remember the relationship between depressed ST segments and ischemia?

<p>Both terms contain an 's' (A)</p> Signup and view all the answers

Which of the following is a potential impact of ventricular fibrillation?

<p>Uncoordinated cardiac muscle contractions (B)</p> Signup and view all the answers

What happens to stroke volume when end diastolic volume decreases?

<p>Stroke volume decreases. (B)</p> Signup and view all the answers

How does increased end diastolic volume affect the heart's contractile force?

<p>It increases contractile force. (A)</p> Signup and view all the answers

What does the Starling curve illustrate?

<p>The relationship between ventricular filling and stroke volume. (D)</p> Signup and view all the answers

In heart physiology, what does the term 'preload' refer to?

<p>The amount of blood returned to the heart before contraction. (C)</p> Signup and view all the answers

What role does peripheral resistance play in heart function?

<p>It determines the afterload on the heart. (A)</p> Signup and view all the answers

Flashcards

Blood flow

The movement of blood through the circulatory system, driven by the pressure difference between the heart and the rest of the circulation.

Pressure Gradient (Blood)

The difference in pressure between the heart and other parts of the circulatory system.

Resistance (Bloodflow)

Opposition to blood flow in the blood vessels.

Right Heart

Part of the heart that receives deoxygenated blood from the body and pumps it to the lungs.

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Left Heart

Part of the heart that receives oxygenated blood from the lungs and pumps it to the body.

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Atrioventricular Valves

Heart valves that separate the atria from the ventricles.

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Tricuspid Valve

The atrioventricular valve on the right side of the heart.

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Bicuspid (Mitral) Valve

The atrioventricular valve on the left side of the heart.

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Sinoatrial node (SA node)

The heart's natural pacemaker, initiating electrical signals that regulate heart rate.

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Atrioventricular (AV) node

The only electrical connection between the atria and ventricles; it slows electrical signals slightly, allowing atrial contraction.

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Atrial contraction

The squeezing of the atria to push blood into the ventricles.

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Conduction Delay

A brief pause in electrical signal at the AV node to allow atrial contraction.

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Purkinje fibers

Specialized conducting tissues that rapidly transmit electrical signals from the AV node to ventricles.

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Heart rate

The speed at which the heart pumps blood, regulated by the SA node's electrical pulses.

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Inter-nodal pathways

Specialized structures that quickly carry electrical impulses through the atria.

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Atrioventricular bundle (Bundle of His)

Specialised conducting tissue carrying electrical signals from the AV node to the ventricles via Purkinje fibers.

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What is an ECG?

An electrocardiogram (ECG) records the electrical activity of the heart using electrodes placed on the skin. It detects the electrical signals produced by the heart's depolarization during each heartbeat.

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How many leads are in a 3-lead ECG?

A 3-lead ECG uses three pairs of electrodes to measure electrical activity, forming three distinct leads.

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What is a lead in an ECG?

An ECG 'lead' refers to the electrical circuit created by a pair of electrodes placed on opposite sides of the heart, recording the electrical activity between them.

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Where are the electrodes placed in a 3-lead ECG?

In a standard 3-lead ECG, electrodes are placed on the wrists (both arms) and the left ankle. An earth electrode can be placed on the right ankle.

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What is the purpose of the earth electrode in an ECG?

The earth (or ground) electrode helps to reduce electrical noise and interference during the recording process.

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Can electrodes be placed on the abdomen for a 3-lead ECG?

Yes, electrodes can be placed on the shoulders and lower abdomen for convenience, particularly during exercise, providing a similar recording to the traditional placement.

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What does the ECG recording show?

ECG recordings display electrical activity as a series of waves and deflections, reflecting different phases of the heart's electrical cycle.

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What is Lead 1 in a 3-lead ECG?

Lead 1 measures the electrical activity between the right arm (positive) and the left arm (negative), providing information about the heart's electrical activity in the frontal plane.

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Ventricular Diastole

The relaxation phase of the ventricle where it fills with blood.

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Semilunar Valves During Diastole

The aortic and pulmonary valves are closed during diastole to prevent blood from flowing back into the ventricles.

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Atrioventricular Valves During Diastole

The tricuspid and mitral valves are open during diastole to allow blood to flow from the atria into the ventricles.

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Passive Blood Flow (Diastole)

Blood flows passively from the atria into the ventricles during diastole, driven by the pressure difference.

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Aortic Pressure During Diastole

Aortic pressure decreases during diastole as the ventricle relaxes and fills with blood.

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Left Ventricle Pressure During Diastole

The pressure inside the left ventricle is very low during diastole, allowing blood to passively flow in.

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Left Atrial Pressure During Diastole

The pressure in the left atrium is relatively low compared to the aorta, contributing to passive blood flow into the ventricle.

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Absence of Heart Sounds During Diastole

There are no heart sounds during diastole because the blood flow is smooth and the valves are open.

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What is the QT interval?

The QT interval represents the time it takes for the ventricles to fully depolarize and repolarize. It's measured from the beginning of the Q wave to the end of the T wave.

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What factors affect the QT interval?

The QT interval is influenced by heart rate, age, and gender. Generally, women have a slightly longer QT interval than men.

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What is prolonged QT syndrome?

Prolonged QT syndrome occurs when the QT interval is longer than normal, indicating the ventricles are depolarized for a longer duration. This can lead to dangerous heart rhythm problems.

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What are the risks of prolonged QT syndrome?

Prolonged QT syndrome increases the risk of ventricular arrhythmias, where the ventricles don't contract properly, and ventricular fibrillation, where the heart beats chaotically and cannot pump blood effectively.

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How do electrolytes affect the QT interval?

Electrolyte imbalances, especially in potassium and calcium levels, can significantly influence the QT interval.

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What are the ST segment changes?

ST segment changes are significant as they can indicate heart problems: ST depression suggests ischemia (insufficient blood flow) and ST elevation indicates a myocardial infarct (heart attack).

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What is ischemia?

Ischemia is a condition where a part of the heart muscle doesn't receive enough oxygen, usually due to reduced blood flow.

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What is a myocardial infarct?

A myocardial infarct, or heart attack, occurs when a portion of the heart muscle is damaged due to a complete blockage of blood flow and oxygen supply.

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What is preload?

The amount of stretch on the heart wall before it contracts. It's determined by the volume of blood in the ventricle at the end of diastole (end diastolic volume).

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How does preload affect stroke volume?

Increased preload leads to increased stroke volume. The heart contracts more forcefully when it's stretched more, resulting in a larger volume of blood ejected with each beat.

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What is Starling's Law of the Heart?

The relationship between end diastolic volume (preload) and stroke volume. It states that increased end diastolic volume leads to increased stroke volume due to a more forceful contraction of the heart.

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What is afterload?

The resistance the heart has to overcome to eject blood during contraction. Think of the pressure the heart needs to generate to push the blood through the arteries.

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What determines afterload?

Peripheral resistance, which is the resistance to blood flow offered by the arteries. The tighter the arteries, the higher the afterload.

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How does afterload affect stroke volume?

Increased afterload leads to decreased stroke volume. The heart has to work harder to pump the blood out against the higher resistance, resulting in less blood ejected per beat.

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What is the relationship between venous return and stroke volume?

Venous return (blood flowing back to the heart) directly affects stroke volume (blood ejected by the heart). Increased venous return leads to increased stroke volume.

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What is a Starling curve?

A graph showing the relationship between end diastolic volume (preload) and stroke volume. It shows that the heart contracts with greater force when the end diastolic volume is increased.

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Study Notes

Cardiovascular System Function

  • Homeostasis: The cardiovascular system maintains a stable internal environment for life by transporting materials and removing waste.
  • Material Transport: Delivers nutrients (oxygen, glucose, amino acids, fats) and removes waste (carbon dioxide, lactic acid, urea) to/from interstitial fluid surrounding tissues.
  • Signaling: Carries hormones between tissues and organs, assisting in thermoregulation, immunity, and responses to infection.
  • Plasma Flow: Maintains proper nutrient levels, delivering materials in plasma and removing waste substances from interstitial fluid.
  • Diffusion: Oxygen diffuses across capillaries into interstitial fluid. Carbon dioxide moves in opposite direction.
  • Convection: Substances are carried by the plasma (e.g., oxygen, nutrients).

Heart Function

  • Two Sides & Four Chambers: The heart has a right and left side (two atria and two ventricles), where the right side receives deoxygenated blood and the left receives oxygenated blood.
  • Pulmonary Circulation: Right side pumps blood to the lungs for oxygen uptake.
  • Systemic Circulation: Left side pumps oxygenated blood to the rest of the body.
  • Valves: Prevent backflow: Atrioventricular valves (tricuspid & bicuspid) between atria & ventricles; semilunar valves (pulmonary and aortic) between ventricles and arteries.
  • Pressure Gradient: The pressure gradient between the heart and circulation drives blood flow.
  • Resistance: Blood flow depends on blood vessels' resistance to the blood flow.

Cardiac Cycle: Electrical Events

  • Sinoatrial Node (SA): The heart's natural pacemaker, initiating electrical signals.
  • Action Potentials: Depolarization leads to contraction. Repolarization leads to relaxation.
  • Conduction System: Special conducting pathways transmit signals rapidly through the heart allowing all cells to contract simultaneously.
  • Atrioventricular Node (AV): Delays signal and coordinate atrial and ventricular contraction.
  • Internodal pathways: rapidly transmit signals through the atria.
  • Electrocardiogram (ECG): A recording of the heart's electrical activity.

Cardiac Cycle: Mechanical Events

  • Diastole: Heart relaxation and filling.
  • Systole: Heart contraction and emptying.
  • Four Phases: Diastolic filling, isovolumetric contraction, ventricular ejection, isovolumetric relaxation.
  • Electrolyte balance: Potassium and calcium levels affect cardiac function.
  • Ventricular Filling: AV valves open; blood passively flows from atria to ventricles.
  • Ventricular Ejection: Pressure in ventricles exceeds pressure in arteries, causing semilunar valves to open and blood ejection.

Cardiac Output

  • Cardiac output: The volume of blood pumped by the heart per minute (product of heart rate x stroke volume).
  • Stroke volume (SV): The volume of blood ejected by a ventricle in each contraction.
  • Preload: Degree of stretch on ventricular walls before contraction.
  • Afterload: Resistance to blood flow from the ventricles.
  • Control: Autonomic nervous system (sympathetic and parasympathetic) and hormones (adrenaline) regulate heart rate and contractility.
  • Exercise or other physical activity increases the output needed.

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Description

Explore the essential functions of the cardiovascular system, including homeostasis, material transport, and hormonal signaling. This quiz will deepen your understanding of how the heart and blood vessels work together to maintain internal balance and support life.

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