Cardiovascular System Overview

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Questions and Answers

Several factors increase BP, including obesity, insulin resistance, high alcohol intake, and high ______ intake.

salt

Blood flow can be increased by either an increase in BP or a decrease in ______.

resistance

According to Ohm's Law, Flow is equal to the difference in ______ divided by resistance.

pressure

During exercise, HR, SV, and ______ all increase to meet the body's metabolic demands.

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

Resting Heart Rate typically ranges from 60 to ______ bpm.

<p>80</p> Signup and view all the answers

Vascular remodeling leads to increased ______ diameter in larger arteries.

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

Varicose veins occur when the valves within a vein fail to maintain their ______ flow.

<p>one-way</p> Signup and view all the answers

A warm-down after exercise helps to distribute blood back to ______ from which it came.

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

Exercise does not prevent varicose veins, but regular exercise can minimize ______.

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

The endothelial lining of a healthy heart produces ______ oxide.

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

Oxygen extracted from the blood is measured as it travels through the ______.

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

The difference in oxygen content between arterial blood and ______ blood is used to calculate oxygen extraction.

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

During exercise, the amount of oxygen extracted increases as more oxygen is taken from ______.

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

The Fick equation represents the relationship of the body's oxygen consumption (VO2) to the arterial-venous oxygen difference (a-vO2 diff) and ______ output (Q).

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

Central Command Theory proposes that the initial signal to the cardiovascular system at the beginning of exercise comes from ______ brain centers.

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

The heart uses the cardiac conduction system to signal a ______.

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

The intrinsic rate of contraction for the heart ranges between ______ beats per minute.

<p>60 and 100</p> Signup and view all the answers

During the cardiac cycle, systole is the ______ period of the heart.

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

The relaxation period of the heart is known as ______.

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

The two most prominent factors that influence heart rate are the parasympathetic and ______ nervous systems.

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

The vagus nerve is responsible for ______ control of the heart.

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

Initial increases in heart rate during exercise are due to withdrawal of ______ tone.

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

Stimulation of the SA and AV nodes by the sympathetic nervous system involves the release of ______.

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

Arteries carry blood away from the heart to __________.

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

The main function of red blood cells is to transport __________.

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

Blood passes from capillaries to __________.

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

Plasma typically constitutes __________% of blood volume.

<p>55-60</p> Signup and view all the answers

Veins contain __________ that prevent the backflow of blood.

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

The total blood volume is composed of plasma and formed __________.

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

Hematocrit typically makes up __________% of blood volume.

<p>40-45</p> Signup and view all the answers

Anemia is characterized by an abnormally low count of __________.

<p>red blood cells</p> Signup and view all the answers

The highest value achieved in an all-out effort is known as the maximum ______.

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

To estimate your age-predicted max HR, you can use the formula 220 - ______.

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

The Target Heart Rate can be calculated using the formula THR = 0.75 x (220 - ______).

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

Cardiac output (Q) is calculated by multiplying heart rate (HR) by ______.

<p>stroke volume</p> Signup and view all the answers

An increase in ______ is one of the factors that can increase stroke volume with exercise.

<p>ventricular size</p> Signup and view all the answers

Vasodilation to working muscles decreases ______ at a given load.

<p>blood pressure</p> Signup and view all the answers

At intensities over 40% to 60% of max exercise, ______ is the only mechanism that can increase cardiac output.

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

The Frank Starling mechanism relates to ______ contractility.

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

Flashcards

Autoconduction

The ability of cardiac muscle to generate its own electrical signal to contract, independent of external stimuli.

Cardiac Conduction System

The system of specialized cells in the heart that conducts electrical impulses, coordinating the heart's contractions.

Systole

The period of contraction in the heart cycle, where blood is pumped out.

Diastole

The period of relaxation in the heart cycle, where the chambers fill with blood.

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Parasympathetic Nervous System

The branch of the autonomic nervous system that slows down heart rate by releasing acetylcholine (ACh).

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Sympathetic Nervous System

The branch of the autonomic nervous system that speeds up heart rate by releasing norepinephrine.

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Hyperpolarization

The state where neurons become more polarized and less likely to fire an action potential.

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Withdrawal of Vagal Tone

The initial increase in heart rate during exercise, up to 100 beats per minute, is caused by the withdrawal of the vagal tone.

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Vascular System

The system that transports blood throughout the body, consisting of the heart, blood vessels (arteries, veins, and capillaries), and blood itself.

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Arteries

Blood vessels that carry oxygenated blood away from the heart to the rest of the body.

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Arterioles

Small blood vessels that connect arteries to capillaries, helping regulate blood flow.

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Capillaries

Microscopic blood vessels that connect arterioles to venules, allowing for exchange of oxygen, nutrients, and waste products.

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Veins

Blood vessels that carry deoxygenated blood back to the heart from the rest of the body.

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Venules

Small blood vessels that collect blood from capillaries and carry it to veins.

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Hematocrit

A measure of the percentage of red blood cells in a sample of blood.

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Hemoglobin

The oxygen-carrying protein found in red blood cells that binds to oxygen molecules.

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What is Blood Pressure (BP)?

Blood pressure (BP) is the force of blood pushing against the artery walls. It's measured in millimeters of mercury (mmHg) and has two components: systolic (highest pressure during contraction) and diastolic (lowest pressure during relaxation).

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What is Hypertension?

High blood pressure (hypertension) occurs when the force of blood pushing against artery walls is consistently too high. This increases the risk of heart disease, stroke, and other health problems.

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Name some factors that contribute to Hypertension.

Several factors can contribute to hypertension, including obesity, insulin resistance, high alcohol intake, high salt intake, aging, sedentary lifestyle, stress, low potassium intake, and low calcium intake.

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What drives blood flow?

Blood flow is driven by the difference in pressure between arteries and veins. It is also influenced by the resistance of blood vessels to flow.

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What is Poiseuille's Equation?

Poiseuille's Equation describes the relationship between flow, pressure, and vessel radius. It shows that even a small change in vessel radius can have a large impact on blood flow.

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What is blood pressure?

Blood pressure is the force that blood exerts against the walls of blood vessels during each heartbeat.

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How does cardiac output affect blood pressure?

Cardiac output is the amount of blood the heart pumps per minute. A stronger heart pumps more blood.

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What is the role of blood volume in blood pressure?

Blood volume is the total amount of blood in the body. More blood means higher pressure.

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How does blood viscosity affect blood pressure?

Blood viscosity is the thickness of blood. Thicker blood has higher pressure.

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How does peripheral vascular resistance affect blood pressure?

Peripheral vascular resistance is the resistance of blood vessels to blood flow. Narrower vessels have higher resistance.

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a-vO2 diff

The difference in oxygen content between arterial blood and venous blood.

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Fick Equation

The relationship between oxygen consumption (VO2), cardiac output (Q), and the difference in oxygen content between arterial and venous blood (a-vO2 diff).

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Central Command Theory

The initial signal to the cardiovascular system at the start of exercise comes from higher brain centers.

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Fine-tuning of the CV response

Fine-tuning of the cardiovascular response to exercise is achieved through feedback loops from muscle chemoreceptors, mechanoreceptors, and arterial baroreceptors.

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Exercise and VO2

The increase in oxygen consumption during exercise, calculated by the product of cardiac output (Q) and the difference in oxygen content between arterial and venous blood (a-vO2 diff).

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Maximum Heart Rate (MHR)

The maximum heart rate (MHR) achievable during an all-out effort. It remains relatively consistent over time, but can be influenced by factors like age and fitness level.

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Karvonen's Heart Rate Reserve (HRR) Method

A method to calculate the target heart rate (THR) zone for exercise, based on a percentage of the difference between your maximum heart rate (MHR) and resting heart rate (RHR). This range is typically 75-85% of your heart rate reserve.

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Stroke Volume (SV)

The volume of blood ejected from the left ventricle of the heart with each beat. It increases with exercise intensity up to a certain point.

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Cardiac Output (Q)

The amount of blood pumped by the heart per minute. It increases with exercise intensity, influenced by both heart rate and stroke volume.

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Ventricle Contractility

The ability of the heart's ventricle to contract more forcefully during exercise, leading to increased stroke volume and higher cardiac output.

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Frank-Starling Mechanism

The mechanism by which the heart adjusts its stroke volume based on the amount of blood returning to the ventricles. More blood in, stronger contraction, bigger stroke volume.

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Aortic Pressure

The pressure within the blood vessels during the resting phase between heartbeats. It decreases during exercise due to vasodilation in working muscles.

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Vasodilation

The process where the blood vessels in working muscles widen, allowing more blood flow to the muscles.

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Study Notes

Cardiovascular System Overview

  • The cardiovascular system plays a crucial role in bodily functions, supporting other physiological systems.
  • All bodily functions rely on its proper functioning.
  • The circulatory and respiratory systems work closely together, inseparable.
  • Exercise significantly impacts homeostasis, increasing oxygen demand 15-25 times.
  • Chronic exercise leads to adaptations in the system.

Cardiovascular System Functions

  • Delivers oxygen and other nutrients.
  • Removes carbon dioxide and other waste products.
  • Transports hormones.
  • Maintains homeostasis (body temperature, pH).
  • Plays a role in immune function.

Cardiovascular System Components

  • Heart: The pump.
  • Vasculature: Channels for transport (arteries, arterioles, capillaries, venules, veins).
  • Blood: The fluid that circulates, transporting nutrients, etc.

Cardiac Arteries and Veins

  • Key arteries delivering blood to the heart: -Right coronary artery (RCA) -Posterior descending artery (PDA) -Right marginal artery (RMA) -Left coronary artery (LCA) -Left anterior descending (LAD) -Left circumflex artery (Cx)

Myocardium

  • The cardiac muscle.
  • Highly aerobic, containing many mitochondria.
  • The thickness varies with the stress on its walls (e.g., exercise, hypertension).
  • The left ventricle is the thickest.
  • Cardiac muscle fibers are shorter, branched rather than elongated.
  • Contains specialized structures (desmosomes, gap junctions).

Cardiac Conduction System

  • The heart generates its own electrical signals to contract (autoconduction).
  • Intrinsic rate of contraction: 60-100 bpm (AV Node, Ventricular Cells).
  • The heart acts as a functional syncytium.
  • Atria contract before ventricles, moving blood.
  • Left ventricle walls are thicker than right ventricle.
  • The electrical signals spread throughout the heart, coordinated contraction.
    • Sinoatrial (SA) node serves as the pacemaker.
    • Atrioventricular (AV) node delays signals, allowing atria to empty.

Cardiac Cycle

  • Includes systole (contraction) and diastole (relaxation) phases.
  • All heart chambers undergo both systole and diastole within a cycle.
  • About 2/3 of the cycle is diastole.
  • Duration of systole and diastole varies slightly under different conditions (rest vs. exercise).

Regulation of Heart Rate

  • Primarily controlled by sympathetic and parasympathetic nervous systems.
  • Vagus nerve (parasympathetic): releases ACh, leading to hyperpolarization, decreasing SA and AV node activity.
  • Sympathetic nervous system (norepinephrine): stimulates β-receptors, increasing heart rate and contraction force, important during exercise.

Vascular System

  • Arteries carry blood away from the heart.
  • Arterioles are smaller branches leading to capillaries.
  • Capillaries facilitate exchange of nutrients, waste, etc., between blood and tissues.
  • Venules collect blood from capillaries.
  • Veins return blood to the heart.
  • Valves prevent backflow in veins.

Blood

  • Transports gases, nutrients, and waste.
  • Regulates temperature and pH.
  • Varies in volume based on body size and aerobic condition- • 5-6 liters in men; 4- 5 liters in women.
  • Composed of mostly water, ions, proteins and hormones, red blood cell. white blood cells and platelets.
  •  Hemoglobin in red blood cells transports oxygen.

Blood Distribution

  • Metabolically active tissues receive most of the blood—liver, kidneys, skeletal muscles.
  • During exercise, blood flow shifts dramatically to working muscles, up to ~80% or more.
  • Other factors like eating and heat stress also affect blood distribution.
  • Distribution regulated by arteriole dilation and constriction, controlled by factors like oxygen demand, pH and sympathetic innervation

Blood Pressure

  • The pressure of blood against vessel walls.
  • Systolic blood pressure (SBP): Highest pressure during ventricular contraction (normal resting range: 100-140 mmHg).
  • Diastolic blood pressure (DBP): Lowest pressure during ventricular relaxation (normal range: 70-90 mmHg).
  • Mean arterial pressure is the average pressure during a cardiac cycle.
  • Hypertension is high blood pressure, and hypotension is low blood pressure.

Blood Pressure and Exercise

  • Systolic blood pressure frequently increases with exercise intensity.
  • Diastolic blood pressure usually remains unchanged or decreases slightly during exercise.
  • Resistance exercise can cause a greater increase in blood pressure due to factors like the Valsalva maneuver.

Cardiovascular Drift

  • A decrease in stroke volume while heart rate is increasing over time during prolonged exercise.
  • This is due to changes in plasma volume and increase in blood flow to active tissue.

Warm-ups and Cool-downs

  • Warm-ups increase blood flow, muscle temperature, and nerve impulse speed.
  • Warm-downs assist blood flow back to organs and remove cellular waste products.

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