Cardiovascular System Overview

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Questions and Answers

Which of the following is NOT a primary function of the cardiovascular system?

  • Transporting hormones
  • Regulating body temperature
  • Producing red blood cells (correct)
  • Buffering acidity

What is the role of the pulmonary circulation?

  • Filtering waste in the kidneys
  • Delivering oxygen to muscles
  • Transporting blood to the brain
  • Exchanging gases in the lungs (correct)

Which type of blood vessel carries blood away from the heart?

  • Venules
  • Arterioles
  • Veins
  • Arteries (correct)

What is the primary role of the atria?

<p>Receiving blood returning to the heart (A)</p> Signup and view all the answers

Which heart valve prevents backflow of blood from the left ventricle into the left atrium?

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

What is the function of the semilunar valves?

<p>Preventing backflow into the ventricles (C)</p> Signup and view all the answers

During ventricular systole, what causes the atrioventricular (AV) valves to close?

<p>Increased ventricular pressure (A)</p> Signup and view all the answers

Which event occurs during the diastole phase of the cardiac cycle?

<p>The ventricles fill with blood. (D)</p> Signup and view all the answers

What is the role of the sinoatrial (SA) node in the cardiac cycle?

<p>Initiating the electrical impulse (D)</p> Signup and view all the answers

What is the effect of parasympathetic stimulation on heart rate?

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

According to the Frank-Starling Law, what happens to ventricular contraction force when venous return increases?

<p>It increases because of increased stretch (C)</p> Signup and view all the answers

What is the influence of an increase in blood vessel radius on resistance and blood flow?

<p>Decreases resistance, increases blood flow (A)</p> Signup and view all the answers

During exercise, blood flow is redistributed to favor active tissues. What helps enable this redistribution to active tissues?

<p>Vasodilation in active muscles (A)</p> Signup and view all the answers

What effect does endurance training have on resting heart rate?

<p>Decreases it (A)</p> Signup and view all the answers

Which of the following factors causes an increase in venous return?

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

What component makes up the highest percentage of blood plasma?

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

Which of the following best describes the role of autorhythmic cells within the heart?

<p>Initiating electrical signals (C)</p> Signup and view all the answers

What is the impact a chronic hypertension will have on cardiac wall thickness, and why is this considered detrimental for the heart?

<p>It increases wall thickness in a disorganized way, leading to stiffness (D)</p> Signup and view all the answers

Which statement accurately compares arterial and venous blood?

<p>Arterial blood is leaving the heart; venous blood is returning to the heart (C)</p> Signup and view all the answers

Which of the following explains why a trained swimmer might see a reduced increase in stroke volume (SV) compared to a runner?

<p>The supine position in swimming elevates resting EDV (D)</p> Signup and view all the answers

Which is the correct order of blood passage through the heart?

<p>Right Atrium → Right Ventricle → Pulmonary Artery → Lungs → Left Atrium → Left Ventricle → Aorta (A)</p> Signup and view all the answers

What is the significance of intercalated discs in cardiac muscle tissue?

<p>They facilitate rapid impulse spread between cells. (D)</p> Signup and view all the answers

Which is the most accurate description of the events that occur during ventricular systole?

<p>Ventricular pressure &gt; atrial pressure; AV valves close (A)</p> Signup and view all the answers

How does increased heart rate primarily impact stroke volume (SV)?

<p>Decreases SV due to reduced filling time (C)</p> Signup and view all the answers

During exercise, vasodilation occurs in active muscles and vasoconstriction occurs in inactive tissues. What controls vasodilation in active muscles?

<p>Intrinsic mechanisms triggered by local metabolic changes (D)</p> Signup and view all the answers

Which change in blood characteristics would significantly decrease resistance to blood flow during exercise?

<p>An increase in vessel compliance (D)</p> Signup and view all the answers

In normotensive individuals, which of these responses would you expect to see during incremental aerobic exercise?

<p>Systolic BP increases, diastolic BP changes very little (C)</p> Signup and view all the answers

What adaptation in trained athletes leads to a greater stroke volume compared to untrained individuals?

<p>Increased plasma volume (D)</p> Signup and view all the answers

What are the main mechanisms by which oxygen delivery to muscle is increased during exercise?

<p>Vasodilation, increased heart rate, increased a-vO2 difference (D)</p> Signup and view all the answers

Following endurance training, what adaptations contribute to the increase in maximal cardiac output (Qmax)?

<p>Increased heart rate and increased stroke volume (C)</p> Signup and view all the answers

Which best describes why diastolic blood pressure (DBP) normally increases so little during aerobic exercise?

<p>Due to a local arterial vasodilation. (B)</p> Signup and view all the answers

What is the primary contributor to the increased blood volume observed with endurance training?

<p>Increased plasma volume (C)</p> Signup and view all the answers

A person's mean arterial pressure (MAP) is 93.2 mmHg. Their diastolic blood pressure (DBP) is 80 mmHg. What is their systolic blood pressure (SBP)?

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

What hematocrit level is suggestive of anemia?

<p>4.0 mm (B)</p> Signup and view all the answers

Aorta branches off to supply which sides of the heart?

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

Cardiac output is a product of which of the following variables?

<p>Heart rate and stroke volume (B)</p> Signup and view all the answers

Where do coronary veins drain following circulation?

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

What is the pericardium?

<p>The sac encasing the heart (A)</p> Signup and view all the answers

What does it mean if someone is experiencing tachycardia?

<p>They have a fast heart rate (A)</p> Signup and view all the answers

What is a potential solution for people who have arterial blockage?

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

Match the activity with where the majority of the blood is concentrated during exercise.

<p>All of the above (D)</p> Signup and view all the answers

What changes following training can cause the heart to require more time to supply blood?

<p>Longer diastolic phase (C)</p> Signup and view all the answers

An untrained individual has a cardiac output of 22 L/Min. A trained individual has a cardiac output of 40 L/Min, which variable is responsible for the change?

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

In the cardiac slit cycle, what keeps blood from flowing back into the Venvtricles during ventricular diastole.

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

In the Cardiac Slit Cycle, if the atria are relaxing, what valves must be closed

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

Which of the following is the best definition of preload?

<p>Blood volume and myocardial fiber length (A)</p> Signup and view all the answers

Which of the following accurately describes the relationship between blood flow velocity and capillary cross-sectional area?

<p>Velocity of blood flow decreases as capillary cross-sectional area increases. (A)</p> Signup and view all the answers

What is the primary significance of the one-way valves found in veins?

<p>They prevent the backflow of blood, ensuring it moves toward the heart. (C)</p> Signup and view all the answers

Which heart chamber receives deoxygenated blood from the body via the superior and inferior vena cava?

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

Physical training, including both endurance and resistance training, typically results in which adaptation to the right ventricle?

<p>Small increase in right ventricular mass (A)</p> Signup and view all the answers

During atrial diastole, which of the following is most accurate?

<p>The atria are relaxing and filling with blood; the atrioventricular valves have to be closed. (D)</p> Signup and view all the answers

Why is it important for the AV node to delay the impulse it receives from the SA node by approximately 1/10th of a second?

<p>To allow the atria to contract before the ventricles, ensuring optimal ventricular filling. (B)</p> Signup and view all the answers

What is the purpose of an active cool-down following exercise?

<p>To support continued blood circulation, preventing blood pooling and aiding brain blood flow. (C)</p> Signup and view all the answers

Respiratory pump affects venous return. How does the respiratory pump execute this function?

<p>By causing pressure changes in the thoracic and abdominal cavities during breathing. (C)</p> Signup and view all the answers

Which best describes the effect of the sympathetic nervous system stimulation on venous return, and where is this impact most effective?

<p>Vasoconstriction of veins; most effective in non-skeletal muscle tissues (D)</p> Signup and view all the answers

If an individual's ejection fraction increases, what does this signify regarding ventricular function?

<p>An increase in ventricular function (A)</p> Signup and view all the answers

What effect does arteriolar dilation have on resistance and afterload?

<p>Decreases both resistance and afterload. (A)</p> Signup and view all the answers

During exercise, the body redistributes blood flow. What is the primary mechanism by which active skeletal muscles receive a greater proportion of cardiac output?

<p>Vasodilation in active tissues (D)</p> Signup and view all the answers

Which of the following best describes the extrinsic control of blood vessel diameter to inactive tissues?

<p>Increased sympathetic activity causing vasoconstriction (B)</p> Signup and view all the answers

Which local factors cause vasodilation in active skeletal muscles during exercise?

<p>Changes in carbon dioxide, lactic acid, potassium, and other substances that stimulate chemoreceptors (C)</p> Signup and view all the answers

The formula for determining maximal oxygen consumption depends on 2 variables. Which of the following formulas is correct?

<p>VO2max = Cardiac output X arterial to venous oxygen difference (D)</p> Signup and view all the answers

What best describes the change of cardiac output during submaximal exercise?

<p>Cardiac output increases, until it reaches a steady state. (D)</p> Signup and view all the answers

What best describes the change of heart rate during submaximal exercise?

<p>Heart rate increases until it reaches a plateau. (C)</p> Signup and view all the answers

What best describes the change of heart rate maximum exercise?

<p>Heart rate increases linearly until an individual's max heart rate is reached. (D)</p> Signup and view all the answers

Following endurance training, how does stroke volume change relative to exercise intensity?

<p>Stroke volume increases until about 40–50% of maximal capacity then plateaus. (C)</p> Signup and view all the answers

What are the primary factors that cause stroke volume to increase with exercise?

<p>Increased preload, decreased afterload, increased contractility (D)</p> Signup and view all the answers

Endurance and resistance training increase which adaptations?

<p>There are differences in increase with resistance and endurance training (C)</p> Signup and view all the answers

If a patient has a blood pressure of 180/120 mm Hg and a resting heart rate of 110 bpm, which of the following mechanisms is most likely responsible for the elevated blood pressure at rest?

<p>Decreased left ventricle elasticity (D)</p> Signup and view all the answers

Which of the following accurately describes how blood plasma volume adapts during exercise compared to adaptations due to training/ acclimatization to heat?

<p>During acute exercise, there is an acute decrease in plasma volume (hemoconcentration), and during acclimatization, there is an expansion in plasma volume. (D)</p> Signup and view all the answers

Venous return can occur through several mechanisms. Of the following list, which one is NOT one of the primary modes of venous return?

<p>Capillary recruitment (A)</p> Signup and view all the answers

What best describes the role and purpose of pre-capillary sphincters?

<p>Muscular rings at the entrance to the capillary bed that can allow or restrict blood flow (D)</p> Signup and view all the answers

Which statement accurately reflects the hematocrit values shown in the example?

<p>Patient 1 = 5.4mm, Patient 2 = 4mm, Patient 3 =4mm, therefore patients 2 &amp; 3 may have anemia but it's impossible to tell without additional information. (A)</p> Signup and view all the answers

Which chamber, as a result of training, requires a greater thickness so that the blood can pump to reach the body?

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

If the blood is traveling through the arteries of the heart, which one of the two scenarios listed is accurate?

<p>Blood is leaving the heart (D)</p> Signup and view all the answers

All of the following are associated with increasing the stroke volume of the heart, except:

<p>High venous restriction (D)</p> Signup and view all the answers

With a blood vessel constricted by blood is high in viscosity, what changes are happening within the blood?

<p>There is a higher concentration of red blood cells with respect to plasma (B)</p> Signup and view all the answers

What role does diastole have with the heart?

<p>The diastole phase allows the blood to fill the chamber and also allows for relaxation (A)</p> Signup and view all the answers

If high blood pressure is a health concern, which chamber will be most effective? Why?

<p>Increased ventricle size, decreased ventricular, not enough pressure to open the SV valves (C)</p> Signup and view all the answers

If a person stands at attention for a long period, what impact is that having on their body?

<p>Blood will pool at the legs causing them to faint (A)</p> Signup and view all the answers

Why is it important to have an active cool-down after a period of intense exercise?

<p>Decreased blood pooling at the brain (A)</p> Signup and view all the answers

Which equation is the most accurate in showcasing stroke volume and relating end volume?

<p>Stroke volume = end diastolic volume - end systolic volume (A)</p> Signup and view all the answers

Which has no effect on increasing stroke volume?

<p>All have an increased effect (A)</p> Signup and view all the answers

Following the SA Node, what is its next path?

<p>Atria, AV node, bundle branches, ventricles (B)</p> Signup and view all the answers

An elite marathon runner is preparing for a competition at high altitude. How would their cardiovascular adaptations differ from an untrained individual at the same altitude?

<p>The trained runner will have a slight advantage despite the adverse conditions. (E)</p> Signup and view all the answers

Commotio Cordis has what effect on the heart?

<p>Low impact can cause ventricular fibrillation (B)</p> Signup and view all the answers

What is the primary benefit of the one-way direction of blood flow enforced by the heart valve?

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

Which heart valves are responsible for preventing backflow into the ventricles?

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

What is the primary function of the atrioventricular (AV) node?

<p>Briefly delaying the electrical impulse. (A)</p> Signup and view all the answers

What is the correct sequence of the electrical impulse pathway in the heart?

<p>SA node → AV node → Bundle of His → Purkinje fibers (D)</p> Signup and view all the answers

Which of the following changes would result from parasympathetic stimulation of the heart?

<p>Decreased heart rate (D)</p> Signup and view all the answers

Which of the following is associated with increased sympathetic activity?

<p>Increased heart contractility (C)</p> Signup and view all the answers

According to the Frank-Starling mechanism, what directly influences the force of ventricular contraction?

<p>The diastolic volume of the ventricle. (A)</p> Signup and view all the answers

During strenuous exercise, how does afterload typically change and why?

<p>Decreases, due to arteriole dilation in working muscles. (B)</p> Signup and view all the answers

What is the most significant factor affecting blood flow?

<p>Diameter of the blood vessel (B)</p> Signup and view all the answers

Which adaptation would you expect to see in an individual who has acclimatized to heat through regular exercise?

<p>An expansion of plasma volume to maintain blood volume. (A)</p> Signup and view all the answers

When soldiers are required to stand at attention for long periods, what physiological mechanism puts them at risk of fainting?

<p>Pooling of blood in the legs, reducing venous return (D)</p> Signup and view all the answers

Which of the following is the primary reason for performing an active cool-down after exercise?

<p>To prevent blood pooling and maintain blood flow to the brain (A)</p> Signup and view all the answers

What primarily triggers vasodilation in active skeletal muscles during exercise?

<p>Local metabolic factors such as increased $CO_2$, $H^+$, and lactic acid (B)</p> Signup and view all the answers

What changes occur in blood volume during acute exercise, and what is the primary cause?

<p>Decrease due to fluid loss from vascular space caused by exercise. (B)</p> Signup and view all the answers

Which adaptation leads to a higher maximal cardiac output ($Q_{max}$) in endurance-trained athletes?

<p>Improved redistribution of blood flow and increased stroke volume (D)</p> Signup and view all the answers

How does endurance training affect resting blood pressure, and what vascular adaptation contributes to this change?

<p>Decreases resting BP; arterial vasodilation (A)</p> Signup and view all the answers

An individual has a arterial-venous oxygen difference of 5 mL $O_2$/100 mL of blood at rest and 15 mL $O_2$/100 mL of blood during maximal exercise. What is this an indication of?

<p>A more efficient utilization of exercise-induced oxygen extraction at the tissue level. (C)</p> Signup and view all the answers

What factors cause the increase in stroke volume with exercise?

<p>Increase preload/EDV, Increase contractility, decrease afterload. (B)</p> Signup and view all the answers

Given that $\text{cardiac output} = \text{stroke volume} \times \text{heart rate}$ if two people have the same cardiac output (Q), but One person is untrained and the other is trained but they have the same Q, what does the tell us about their stroke volumes (SV) and heart rates (HR)?

<p>The trained person has a lower HR and higher SV. (D)</p> Signup and view all the answers

Why might high blood pressure be a significant health concern in the context of ventricular systole, even if the ventricle can still push blood out with more pressure?

<p>It could directly reduce the size of the ventricle -&gt; can hold less blood, and the blood volume might not be enough to open the semilunar valves. (C)</p> Signup and view all the answers

What is the likely mechanism by which commotio cordis exerts its deleterious effect on the heart?

<p>Disruption of electrical activity due to chest impact on sensitive repolarization phase. (B)</p> Signup and view all the answers

Flashcards

Cardiovascular System

The cardiovascular system consists of the heart and blood vessels.

Cardiovascular functions

The heart transports substances, regulates body temperature, buffers acidity, and protects against blood loss/infection.

Pulmonary Circulation

Blood from the right side of the heart circulates to the lungs and then back to the heart.

Peripheral Circulation

Blood from the left side of the heart circulates to the body (excluding lungs) then back to the heart.

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Arteries

They carry blood away from the heart.

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Blood vessel sequence

Arteries branch into arterioles, which connect to capillaries, leading to venules and then veins.

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Large Capillary Area

It decreases blood flow velocity and improves oxygen uptake.

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Arterial Blood

Arteries leaving the heart.

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Venous Blood

Blood is returning to the heart.

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Heart Chambers

The heart has four chambers: two atria and two ventricles.

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Right Side of Heart

The right side receives blood from peripheral circulation and pumps it to pulmonary circulation.

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Left Side of Heart

The left side receives blood from pulmonary circulation and pumps it to peripheral circulation.

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Atria

They are separated by the interatrial septum.

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Ventricles

They are separated by the interventricular septum.

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Right Atrium

The right atrium receives deoxygenated blood from the body via the superior and inferior vena cava.

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Left Atrium

The left atrium receives oxygenated blood from the lungs via the left pulmonary vein.

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Right Ventricle

The right ventricle pumps deoxygenated blood into pulmonary circulation.

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Left Ventricle

The left ventricle pumps oxygenated blood into the aorta for peripheral circulation.

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Heart Valves

Ensures unidirectional blood flow and prevents backflow.

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Atrioventricular Valves

Atrioventricular (AV) valves are located between the atria and ventricles.

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Semilunar valves

Semilunar valves are located between the ventricles and major arteries.

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AV valves names

Tricuspid and bicuspid

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Coronary Circulation

One circuit into venous system.

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Cardiac Muscle

Cardiac muscle is autorhythmic and connected by intercalated discs.

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Cardiac Wall Thickness

The force is greater with a thicker wall.

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Cardiac Cycle

Refers to the contraction and relaxation of the heart chambers.

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Diastole

The heart muscle is in a relaxation phase.

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Systole

The heart muscle is in a contraction phase.

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Diastole events

Includes Ventricular Filling and Repolarization.

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Systole facts

Consists of forces from blood through the valves into the ventricles and helps to fill ventricles during their relaxation .

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Cardiac Cycle

Electrical events trigger mechanical events, leading to contraction and pressure changes for blood flow.

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SA nodes

These nodes are autorhythmic cardiac muscle fibers termed pacemakers; they set the intrinsic rate of heart beating.

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Intrinsic Heart Control

Specialized nervous tissues within the heart control contraction sequence of the atria.

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AV Node

The signal spreads here after the SA node.

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Parasympathetic Effects

Parasympathetic stimulation decreases heart rate.

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Reduced Parasympathetic input

Remove parasympathetic stimulation to increase heart rate.

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Sympathetic Nerves

Sympathetic stimulation increases heart rate and force of contraction.

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Increased Hormones.

Increased heart rate.

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Depolarization

Contraction and stimulation.

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Repolarization

Ion movement back to resting levels for muscle relaxation.

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Commotio Cordis

Ventricular fibrillation happens at peak of cardiac function. It's when something like a hockey puck strikes the chest when heart wall has already fully depolarized. The heart suddenly stops due to electrical disruption.

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What to measure with ECC

By rate. By function; ex. myocardial ischemia.

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Cardiac Output

Volume of blood pumped per minute (L/min).

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Cardiac Output Equation

Cardiac Output = Heart Rate X Stroke Volume

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Preload

The amount of blood filling the ventricles during diastole affects the amount ejected during systole.

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End Diastolic Volume (EDV)

Volume of blood in ventricles at the end of diastole.

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Relationship: SV = EDV-ESV

Why does stroke volume also increase?

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Frank-Starling Law

Increased venous return stretches the ventricle.

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Affects venous return

  1. Skeletal muscle pump. 2. Respiratory pump. 3. Venoconstriction.
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Valves prevents backflow

Pumping blood back to heart with 1 way valves.

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Venoconstriction

Veins contain 65% of the body's blood volume and contract from sympathetic stimulation.

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Afterload

Force exerted by left ventricle to overcome aortic pressure and eject blood.

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Contractility

Force ventricles develop at a given preload.

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Afterload during exercise

It increases, there is decreased resistance.

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Plasma

It is made up of 55% total blood volume, 90% water, 7% proteins, 3% nutrients, and electrolytes.

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Trained individuals more bloodflow

The answer is that blood flow increased to the area.

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Blood Plasma

The fluid portion of whole blood.

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What are Formed Elements primarily?

Made of 45% of RBC and WBC

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Red Blood Cells

Transports oxygen to cells.

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Systolic Blood Pressure

Highest pressure during systole.

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Diastolic Blood Pressure

Lowest pressure during diastole.

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Map measurement

Mean arterial pressure(MAP) and MAP=DBP

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Blood Flow Direction

Blood flows from high to low.

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Blood Flow Equation

Blood flow equals change in pressure over resistance.

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Blood flow factors

Length, viscosity and radius.

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Viscosity Changes

Increase viscosity, decrease blood flow.

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Vessel Radius Importance

Influential factor.

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Increases for Oxygen

Oxygen demand.

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Delivery in issues with oxygen

Oxygen delivery, tissues, amount of blood.

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Oxygen consumption measurement

Oxygen consumption. VO2 = blood flow x oxygen removed

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Measuring Oxygen

Arterial venous oxygen content = 20

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Response and exercise acute

HR+ SV heart rate

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Linear Increases

Cardiac output increases linearly.

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Resting output Q

The time is at about

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Submaximal exercises

1 Steady state HR that influences fitness then uses predictive tests.

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PNS increase in HR

Withdrawal for exercise onset

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SV increase in exercise

Is to increase pre load and decrease afterload.

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Low resistance/High resistance

To increase venous return. To reduce

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SV in High resistance

Stroke volume will be smaller.

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Factors affecting blood Redistribution

Blood flow has large factors.

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Extrinsic Control vasodilation

By sympathetic activity, it results in dilation.

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Incrinsic control

Autoregulation is the skeletal muscles ability to release nitric oxide (NO)

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What is the effect on SBP and DBP during aerobic activity?

SBP will increase and diastolic pressure, will not show an increase.

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what does this help to do? How many liters of sweat in heat exhaustion

Results in hemoconcentration causing oxygen to be able to be more efficient.

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Changes of blood flow during endurance training

During training the volume increases

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Increases of volume

Increase in total and size of heart wall

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SV with exercise

These adaptations will help in reducing after load

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Factors max of what Q

HR and Q max SV max SV.

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Aerobic, heart change heart adapt more

More from endurance.

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Study Notes

Overview of the Cardiovascular System

  • The cardiovascular system consists of the heart, blood vessels, and blood.
  • Its primary functions include transporting substances, regulating body temperature, buffering acidity, and protecting against blood loss and infection.

Circulation Types

  • Pulmonary circulation: Blood flows from the right side of the heart to the lungs and then back to the heart.
  • Peripheral circulation: Blood flows from the left side of the heart to the body and then back to the heart (excluding the lungs).
  • Arterial blood: Leaving the heart
  • Venous blood: Returns to the heart

Blood Vessel Structure and Function

  • Arteries: Carry blood away from the heart. The sequence is arteries, arterioles, capillaries, venules, and then veins.
  • Large capillary cross-sectional area: Decreases blood flow velocity, improving oxygen uptake.
  • Arteries have thicker walls and store volume and pressure better than veins.
  • Oxygenated blood: Shown in red on diagrams
  • Deoxygenated blood: Shown in blue on diagrams

The Heart: Structure and Function

  • The heart is a pump with two sides, where each side has an atrium and a ventrical.
  • Right Side: Receives blood from the peripheral circulation, then pumps it to the pulmonary circulation.
  • Left Side: Receives blood from the pulmonary circulation and pumps it to the peripheral circulation.
  • The interatrial septum separates the atria, while the interventricular septum separates the ventricles.

Atria

  • Atria: Thin-walled chambers that receive blood, specifically the right atrium receives deoxygenated blood from the body via the vena cava, and the left atrium receives oxygenated blood from the lungs via the pulmonary vein.

Ventricles

  • Ventricles: Primarily makes up the volume of the heart. Containing thicker walls than the atria.
  • The Right Ventricle pumps deoxygenated blood into the pulmonary circuit.
  • The Left Ventricle pumps oxygenated blood into the aorta for the peripheral circuit.

Heart Musculature

  • The thicker the cardiac wall, the greater the force generated.
  • The left ventricle has a greater mass than the right ventricle to pump blood to the entire body.
  • The heart is encased by a tough membranous sac that is known as the Pericardium
  • Physical training/chronic hypertension: Thickening of the left ventricle wall and increased left ventricular mass.

Heart Valves

  • Heart valves ensure one-directional blood flow, preventing backflow. The flow is Atria -> Ventricles -> Circulation. They open and close in response to pressure changes. There are two major types of valves.
  • Atrioventricular valves (AV valves): Located between the atria and ventricles.
  • Semilunar valves: Located between the ventricles and major arteries.
  • Tricuspid and bicuspid valves: Are two types of AV valves.
  • Aortic and pulmonary valves: Are both types of semilunar valves.

Blood Supply to the Heart

  • Oxygenated blood is supplied to the heart tissue via the Aorta to supply left and right sides of the heart.
  • Left/right coronary arteries
  • Located on the outer surface to avoid compression during contraction.
  • Alternate routes between arteries is known as Anastomosis
  • Coronary veins drain the muscle tissue.
  • Coronary sinus drains major vein on the posterior surface and Circulation enters right atrium.

Cardiac Muscle Characteristics

  • Myocardium is autorhythmic, contracting without neural control like intercalated discs which allowing impulse spread from cell to cell and function collectively.
  • It has only one fiber type, high mitochondrial density, an extensive capillary network, and uses aerobic metabolism for efficient ATP production.

Cardiac Wall Thickness

  • Thicker walls = stronger force.
  • Left ventricle is thicker than the right because it pumps blood to the whole body.
  • Physical training and chronic hypertension results in thickening of the LV wall, and increased LV mass.

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