Lecture 7: Body Circulation - The Heart
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Questions and Answers

How can mean arterial pressure (MAP) be mathematically expressed?

  • MAP = CO x TPR (correct)
  • MAP = F x R
  • MAP = HR + SV + TPR
  • MAP = HR x SV x R
  • Which regulatory mechanisms can affect mean arterial pressure (MAP)?

  • Neither short-term nor long-term mechanisms
  • Only short-term mechanisms
  • Only long-term mechanisms
  • Both short-term and long-term mechanisms (correct)
  • Which of the following components is essential for the excitation-contraction coupling of the heart?

  • Myocardial oxygen consumption
  • Neurotransmitters only
  • Endocrine signaling
  • Cardiac action potentials (correct)
  • What is the primary function of the baroreceptor reflex in relation to MAP?

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

    What does the Wiggers diagram illustrate in relation to the cardiac cycle?

    <p>The interaction between electrical and mechanical events</p> Signup and view all the answers

    What is the primary function of the cardiovascular system concerning waste management?

    <p>To remove CO2 and other wastes</p> Signup and view all the answers

    Which equation correctly represents the relationship between mean arterial pressure (MAP), cardiac output (CO), and total peripheral resistance (TPR)?

    <p>MAP = CO x TPR</p> Signup and view all the answers

    How does atrial contraction contribute to ventricular filling?

    <p>It adds to ventricular filling but is not significant.</p> Signup and view all the answers

    What is the primary role of the ventricles in the heart?

    <p>Discharging blood to the systemic and pulmonary circuits</p> Signup and view all the answers

    What are the two phases of the cardiac cycle?

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

    What anatomical feature distinguishes the base and apex of the heart?

    <p>The base is larger and flat while the apex is tapered.</p> Signup and view all the answers

    What role do the sinoatrial (SA) node and the intrinsic conduction system play in the heart?

    <p>They initiate and regulate the heart's electrical events.</p> Signup and view all the answers

    What type of muscle cells are found in the myocardium of the heart?

    <p>Cardiac muscle cells</p> Signup and view all the answers

    What is the intrinsic depolarization rate of the SA node without any extrinsic control?

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

    Which system primarily influences the heart rate at rest?

    <p>Parasympathetic nervous system</p> Signup and view all the answers

    Where is the SA node located in the heart?

    <p>Right atrium near the superior vena cava</p> Signup and view all the answers

    What does the P wave in an electrocardiogram (ECG) represent?

    <p>Atrial depolarization</p> Signup and view all the answers

    Which phase of the cardiac cycle does the QRS complex correspond to?

    <p>Ventricular depolarization</p> Signup and view all the answers

    What is primarily responsible for the spread of depolarization across the heart?

    <p>Intrinsic conduction system</p> Signup and view all the answers

    What happens to the heart rate during stress?

    <p>It increases</p> Signup and view all the answers

    Which component is involved in action potential generation by the SA node that is typically not present in neurons?

    <p>Calcium ions</p> Signup and view all the answers

    What is the primary reason for the greater muscular mass of the left ventricle compared to the right ventricle?

    <p>Pumps blood into the aorta</p> Signup and view all the answers

    How do cardiac valves function to regulate blood flow in the heart?

    <p>They respond to pressure gradients</p> Signup and view all the answers

    What are gap junctions in cardiac tissue crucial for during excitation-contraction coupling?

    <p>Linking cytosol of adjacent cells</p> Signup and view all the answers

    What effect does the autonomic nervous system have on the heart's electrical events?

    <p>It can alter the heart's rhythm</p> Signup and view all the answers

    Which statement is true regarding the process of blood flow through the heart?

    <p>Blood color changes from blue to red due to oxygenation</p> Signup and view all the answers

    Which component primarily initiates the cardiac action potential for contraction?

    <p>Sinoatrial node</p> Signup and view all the answers

    What is the role of the atrioventricular (AV) valves during ventricular contraction?

    <p>They prevent backflow into the atria</p> Signup and view all the answers

    Which vessels carry oxygenated blood away from the heart?

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

    What occurs during isovolumetric ventricular relaxation?

    <p>Ventricular pressure exceeds atrial pressure</p> Signup and view all the answers

    What is the formula for calculating stroke volume?

    <p>SV = EDV - ESV</p> Signup and view all the answers

    What is a clinical index of cardiac contractility?

    <p>Ejection fraction</p> Signup and view all the answers

    Which equation approximates mean arterial pressure (MAP)?

    <p>MAP = 1/3 systolic pressure + 2/3 diastolic pressure</p> Signup and view all the answers

    What happens to pulse pressure (PP) as one moves away from the heart?

    <p>PP declines due to increased resistance</p> Signup and view all the answers

    What happens when ventricular pressure decreases below atrial pressure?

    <p>The AV valve opens</p> Signup and view all the answers

    Which component of the ECG represents atrial depolarization?

    <p>P wave</p> Signup and view all the answers

    Which structure initiates the intrinsic conduction system of the heart?

    <p>SA node</p> Signup and view all the answers

    What is the correct order of phases in the action potential of the SA node?

    <p>Pacemaker potential → Depolarization → Repolarization</p> Signup and view all the answers

    Which autonomic system activation decreases the frequency of action potentials fired by the SA node?

    <p>Parasympathetic activation</p> Signup and view all the answers

    What occurs immediately after atrial contraction during the cardiac cycle?

    <p>Increased atrial pressure</p> Signup and view all the answers

    What is the term for the volume of blood in the ventricle at the end of diastole?

    <p>End-diastolic volume (EDV)</p> Signup and view all the answers

    During isovolumetric ventricular contraction, what occurs?

    <p>All heart valves are closed while pressure builds in the ventricles</p> Signup and view all the answers

    What event occurs when the ventricular pressure exceeds aortic pressure?

    <p>The aortic valve opens, allowing ventricular ejection</p> Signup and view all the answers

    What characterizes the T wave in an ECG?

    <p>Ventricular repolarization</p> Signup and view all the answers

    Which phase follows the plateau phase in the action potential of cardiac muscle cells?

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

    What happens to the aortic pressure during ventricular ejection?

    <p>It increases as blood enters the aorta</p> Signup and view all the answers

    At which point does the aortic valve close during the cardiac cycle?

    <p>When ventricular pressure drops below aortic pressure</p> Signup and view all the answers

    Study Notes

    Lecture 7: Body Circulation - The Heart

    • The cardiovascular system delivers oxygen and nutrients, removes carbon dioxide and waste, transports hormones and other molecules, maintains temperature and fluid balance, and supports immune function.

    Lecture Outline

    • Mean arterial pressure (MAP) can be approximated using both systolic and diastolic pressure.
    • MAP regulation occurs through short-term and long-term mechanisms.
    • The baroreceptor reflex is a regulatory mechanism.
    • Excitation-contraction (EC) of the heart is described.
    • Action potentials of the SA node are explained.
    • Action potentials of cardiac muscle cells (myocardial cells) are described.
    • The cardiac cycle's electrical and mechanical events are discussed.
    • The Wiggers diagram's importance is noted.

    Pre-class Assignment

    • Micromodule Six: Why does the human heart need a pacemaker?
    • Defines a pacemaker for the human heart and describes the intrinsic conduction system.

    Concept Recall (Lecture 6)

    • MAP (mean arterial pressure) is the driving force for blood flow in the systemic circuit.
    • MAP = CO x TPR (cardiac output x total peripheral resistance)
    • MAP = HR x SV x TPR (heart rate x stroke volume x total peripheral resistance)

    MAP and Hypotension

    • Factors causing a fall in MAP (hypotension) are illustrated in a diagram.
    • Diagram shows sympathetic/parasympathetic activity, veins, venomotor tone, compliance, venous pressure, venous return, atrial pressure, end-diastolic pressure, and total peripheral resistance.

    The Heart

    • The heart is shaped like an inverted cone.
    • The base of the heart is larger and flat.
    • The apex of the heart is inferior, tapering to a blunt, rounded point.

    Four Chambers

    • The heart has four chambers: two atria and two ventricles.
    • The direction of arrows in a diagram represents the route of blood flow.
    • The diagram displays the four chambers and associated valves, arteries, and veins.

    Atria

    • Atria are the receiving chambers of the heart, through which blood flows from veins to ventricles.
    • Atrial contraction contributes to ventricular filling, but it's not substantial.
    • Atrial walls are thin and small.

    Ventricles

    • Ventricles are the pumping/discharging chambers of the heart.
    • Contractions generate pressures that drive blood flow through the pulmonary and systemic vascular systems and return to the heart.
    • Ventricles occupy most of the heart's volume.
    • The right ventricle pumps blood into the pulmonary trunk.
    • The left ventricle pumps blood into the aorta.
    • The left ventricle has a thicker muscle wall than the right ventricle.

    Cardiac Valves

    • Cardiac valves ensure one-way blood flow through the heart.
    • They open and close in response to pressure gradients.
    • Atrioventricular (AV) valves prevent backflow into the atria when ventricles contract. Tricuspid (right AV) and mitral (left AV) valves are included in the AV valves.
    • Semilunar (SL) valves prevent backflow into ventricles when ventricles relax. Aortic and pulmonary valves are included in the SL valves.

    Excitation-Contraction (EC) Coupling

    • EC coupling is the mechanism by which cardiac action potentials stimulate cardiac contraction.
    • Two types of cardiac action potentials exist.
    • Diagrams illustrate the excitation, excitation (step 2), and contraction (step 3) phases. The action potentials of the pacemaker cell (sinoatrial node) and cardiac muscle cells are displayed, showing the different phases clearly.
    • Gap junctions are protein channels connecting the cytoplasm of adjacent cells. Action potentials spread from one cell to another through these junctions.

    Path of Blood Flow

    • Both sides of the heart pump simultaneously to maintain the same stroke volume (SV) and cardiac output (CO).
    • A diagram illustrates blood flow through the heart and major vessels, showing capillaries, the superior vena cava, the inferior vena cava, the coronary sinus, right atrium, right AV valve, right ventricle, pulmonary valve, and pulmonary trunk, as well as pulmonary arteries and systemic capillaries.

    Electrical Events of The Heart

    • The heart depolarizes and contracts at a resting rate of 60-100 beats per minute.
    • The autonomic nervous system (ANS), including sympathetic and parasympathetic input, modifies this rhythm.
    • The SA node fires at an intrinsic rate of 100/min, with no extrinsic control on heart rate (HR).
    • During rest, the parasympathetic system predominates, leading to a rate of 70-75 bpm.
    • During stress, the sympathetic system takes over, increasing the HR.

    The SA Node

    • The sinoatrial (SA) node is the heart's intrinsic pacemaker.
    • It spontaneously generates action potentials leading to cardiac cell depolarization.
    • The intrinsic conduction system spreads depolarization throughout the heart.
    • The SA node is situated in the right atrium, near the superior vena cava's entrance.
    • Action potentials spread from the SA node through the atria and then into the ventricles.

    Spread of Electrical Excitation

    • A diagram shows electrical excitation through the heart's conduction system.
    • The intrinsic conduction system involves nodal cells and conducting fibers.

    Electrocardiogram (ECG)

    • An ECG detects electrical excitation of the heart. Diagrams display atrial and ventricular excitation and relaxation, showing their correspondence with ECG components.
    • ECG components are described with reference to waves (P, QRS, T).

    Wave Components of an ECG

    • P wave corresponds to atrial depolarization.
    • QRS complex corresponds to ventricular depolarization.
    • T wave corresponds to ventricular repolarization.

    Action Potential of the SA Node

    • The SA (sinoatrial) node generates action potentials in three distinct phases: pacemaker potential, depolarization, repolarization.
    • Specific ions (Na+, Ca2+, K+) are involved in each phase.

    Effects of Autonomic Nervous System

    • Sympathetic and parasympathetic nervous system influences heart rate by modulating the frequency of action potentials generated by the SA node. Diagrams present how the activation of each system affects the SA nodal cell action potentials.

    Action Potential of Cardiac Muscle Cell

    • Cardiac muscle cell action potentials have five phases: depolarisation, small repolarisation, plateau, repolarisation, and resting membrane potential. Specific ions and their roles are detailed.

    Mechanical Events of Cardiac Cycle (Systole)

    • Mechanical events of cardiac cycle involving contraction occur during systole. Includes isovolumetric ventricular contraction and ventricular ejection.

    Mechanical Events of Cardiac Cycle (Diastole)

    • Mechanical events of cardiac cycle involving relaxation occur during diastole. Includes isovolumetric ventricular relaxation and ventricular filling.

    Summary of Mechanical Events

    • Contraction and relaxation of the heart influence blood pressure and volume within cardiac chambers and the aorta. A diagram illustrates these events.

    Path of Blood Flow: Detailed Steps

    • The detailed steps of blood flow are described.

    Stroke Volume and Ejection Fraction

    • Stroke volume (SV),end-diastolic volume, and end-systolic volume are defined in terms of the cardiac cycle phases.
    • Ejection fraction (EF) is presented as the percent of end-diastolic volume pumped. A formula describes EF.

    Mean Arterial Blood Pressure (MAP)

    • MAP is the pressure that pushes blood to tissues. A formula describes MAP.
    • Pulse pressure (PP) and MAP both decrease with increasing distance from the heart due to resistance.
    • Systolic and diastolic pressures can be measured by a sphygmomanometer.

    Learning Outcomes

    • Learning objectives for the lecture, including definitions and descriptions of related physiology.

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    Description

    Explore the mechanisms of body circulation through the heart in this comprehensive quiz. Understand the cardiovascular system's functions, Mean arterial pressure, and the important role of the baroreceptor reflex. Additionally, examine the cardiac cycle and the significance of the Wiggers diagram.

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