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What is the primary role of the right side of the heart in circulation?
What is the primary role of the right side of the heart in circulation?
The right side of the heart receives deoxygenated blood from the body and pumps it to the lungs for oxygenation.
Describe how blood becomes oxygen-rich.
Describe how blood becomes oxygen-rich.
Blood becomes oxygen-rich after it travels through the lungs, where it unloads carbon dioxide and picks up oxygen.
What is the difference in workload between the right and left ventricles?
What is the difference in workload between the right and left ventricles?
The right ventricle has a short, low-pressure workload while the left ventricle has a long pathway with high pressure and more resistance.
What is the primary function of the coronary arteries?
What is the primary function of the coronary arteries?
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Explain why coronary blood flow is ineffective during ventricular contraction.
Explain why coronary blood flow is ineffective during ventricular contraction.
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What is the significance of the Na+ and K+ concentration in myocardial cells at rest?
What is the significance of the Na+ and K+ concentration in myocardial cells at rest?
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Describe the two main circuits of blood circulation in the heart.
Describe the two main circuits of blood circulation in the heart.
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How do cardiac action potentials contribute to heart function?
How do cardiac action potentials contribute to heart function?
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What role does K+ movement play in the resting membrane potential of ventricular cells?
What role does K+ movement play in the resting membrane potential of ventricular cells?
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What occurs when the membrane potential of a myocardial cell reaches the threshold value?
What occurs when the membrane potential of a myocardial cell reaches the threshold value?
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What are the normal serum potassium (K+) levels?
What are the normal serum potassium (K+) levels?
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List two components of the cardiac cycle.
List two components of the cardiac cycle.
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What is cardiac output and how is it calculated?
What is cardiac output and how is it calculated?
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Define preload in the context of stroke volume determination.
Define preload in the context of stroke volume determination.
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What are the functions of the electrical conduction system in the heart?
What are the functions of the electrical conduction system in the heart?
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What happens during early repolarization of a myocardial cell?
What happens during early repolarization of a myocardial cell?
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What is the significance of maintaining electrolyte balance in cardiac function?
What is the significance of maintaining electrolyte balance in cardiac function?
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Explain the process of late rapid repolarization in cardiac cells.
Explain the process of late rapid repolarization in cardiac cells.
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What are the primary components of the circulatory system?
What are the primary components of the circulatory system?
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Differentiate between the right and left ventricles in terms of blood type they receive.
Differentiate between the right and left ventricles in terms of blood type they receive.
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What is the function of the pericardium?
What is the function of the pericardium?
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Name the valves present in the heart.
Name the valves present in the heart.
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Describe the flow of deoxygenated blood through the right side of the heart.
Describe the flow of deoxygenated blood through the right side of the heart.
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How does the left atrium receive blood, and what happens to that blood?
How does the left atrium receive blood, and what happens to that blood?
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What is the role of the vascular system?
What is the role of the vascular system?
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What do arteries do in the circulatory system?
What do arteries do in the circulatory system?
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What type of blood does the pulmonary artery carry, and where does it go?
What type of blood does the pulmonary artery carry, and where does it go?
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What differentiates veins from arteries anatomically?
What differentiates veins from arteries anatomically?
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What are the primary effects of volatile anesthetic agents on the heart?
What are the primary effects of volatile anesthetic agents on the heart?
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Define pericarditis and its potential complications.
Define pericarditis and its potential complications.
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What is the difference between stenotic and regurgitant valvular heart disease?
What is the difference between stenotic and regurgitant valvular heart disease?
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What is myocarditis, and what does it represent?
What is myocarditis, and what does it represent?
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How does infective endocarditis affect the heart?
How does infective endocarditis affect the heart?
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What are the major factors affecting cardiac stroke volume?
What are the major factors affecting cardiac stroke volume?
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Describe Frank Starling's Law in relation to cardiac function.
Describe Frank Starling's Law in relation to cardiac function.
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How does the sympathetic nervous system affect heart function?
How does the sympathetic nervous system affect heart function?
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What role do baroreceptors play in blood pressure regulation?
What role do baroreceptors play in blood pressure regulation?
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Explain the intermediate control of arterial blood pressure.
Explain the intermediate control of arterial blood pressure.
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What is the formula for estimating Mean Arterial Pressure (MAP)?
What is the formula for estimating Mean Arterial Pressure (MAP)?
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What is the long-term control mechanism for blood pressure?
What is the long-term control mechanism for blood pressure?
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How does afterload affect cardiac stroke volume?
How does afterload affect cardiac stroke volume?
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What impact does contractility have on cardiac output?
What impact does contractility have on cardiac output?
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How do the sympathetic and parasympathetic nervous systems work together to regulate heart rate?
How do the sympathetic and parasympathetic nervous systems work together to regulate heart rate?
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Study Notes
Circulation through Heart
- Blood flow through pulmonary circuit is from the right side of the heart through the lungs and back to the left side of the heart.
- Blood flow through systemic circuit is from the left side of the heart through the body and back to the right side of the heart.
- Systemic circuit has higher pressure than pulmonary circuit.
Coronary Circulation
- Coronary arteries are the shortest circulation in the body.
- Coronary arteries supply the heart muscle with blood.
- Coronary arteries are located at the base of the aorta.
- Coronary arteries are blocked by the aortic valve when the heart is contracting.
Cardiac Physiology
- Myocardial membrane is permeable to Potassium (K+) but not Sodium (Na+) at rest.
- Action potential is caused when the membrane potential becomes less negative and reaches a threshold value.
- Electrolytes play a key role in cardiac function.
Electrical Conduction System
- The heart has a specialized electrical conduction system composed of:
- Sinoatrial (SA) node
- Atrioventricular (AV) node
- Bundle of His
- Right and Left Bundle Branches
- Purkinje Fibers
Mechanical function of the heart
- The Cardiac Cycle has two components:
- Diastole: Filling of the chamber
- Systole: Contraction of the chamber and ejection of blood
Cardiac Output
- Cardiac Output (CO) = Stroke Volume (SV) x Heart Rate (HR)
- Stroke Volume: Amount of blood ejected from the ventricle in one contraction
- Heart Rate: Number of cardiac cycles in one minute
Determination of Stroke Volume
- Preload: Amount of blood delivered to the chamber.
- Contractility: Efficiency and strength of contraction.
- Afterload: Resistance to forward blood flow by the vessel walls.
Major Factors affecting Cardiac Stroke Volume
- Preload
- Afterload
- Contractility
- Wall motion abnormalities
- Valvular dysfunction
Autonomic Nervous System
- Sympathetic Nervous System: Increases heart rate, conduction, and contractility.
- Parasympathetic Nervous System: Decreases heart rate and conduction times.
Arterial Blood Pressure
- Mean Arterial Pressure (MAP) is proportional to the product of Systemic Vascular Resistance (SVR) × Cardiac Output (CO).
- MAP can be estimated by: Diastolic pressure + Pulse pressure / 3 or 2 × Diastolic pressure + Systolic pressure / 3.
Control of Arterial Blood Pressure
- Immediate Control: Autonomic nervous system controls blood pressure minute by minute using baroreceptors.
- Intermediate Control: Activation of the renin-angiotensin aldosterone system and arginine vasopressin (AVP) secretion are stimulated by sustained decrease in blood pressure. Both angiotensin II and AVP increase vasoconstriction.
- Long-term Control: Kidney alters sodium and water balance to restore blood pressure to normal.
Effects of Anesthetic Agents
- Volatile anesthetic agents can cause coronary vasodilation, reducing myocardial metabolic requirements.
- Volatile agents are beneficial in experimental myocardial ischemia and infarction.
Pathophysiology - Pericardial, Myocardial and Endocardial Disease
- Pericarditis: Inflammation of the pericardium.
- Effusion: Excess fluid/blood/pus in the pericardial sac.
- Tamponade: Compression of the heart due to pericardial effusion.
- Myocarditis: Inflammation of the myocardium.
- Cardiomyopathies: Dilatation, hypertrophy or non-compliance of the myocardium.
- Infective Endocarditis: Infective organisms invade the endothelium of the heart, affecting valves and causing vegetations.
Pathophysiology - Valvular Heart Disease
- Stenosis: Valve cannot open fully restricting forward blood flow, increasing afterload leading to hypertrophy.
- Regurgitation (Insufficiency, Incompetence): Valve cannot close fully, permitting backward blood flow, increasing volume load leading to chamber dilation.
- Rheumatic Heart Disease: Inflamation and scarring of the valves.
- Infective Endocarditis: Infective organisms invade the heart valves causing vegetations.
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Description
Explore the mechanisms of blood flow through the heart, including the pulmonary and systemic circuits. Understand the coronary circulation and the electrical conduction system that governs cardiac function. This quiz will test your knowledge on key concepts related to heart physiology.