Podcast
Questions and Answers
What condition is most likely to result in a higher pulse wave velocity?
What condition is most likely to result in a higher pulse wave velocity?
- Stiff central arteries (correct)
- Decreased blood pressure
- Increased physical activity
- Lower heart rate
Which phase of the cardiac cycle is affected by the backward-traveling pulse wave in patients with stiff arteries?
Which phase of the cardiac cycle is affected by the backward-traveling pulse wave in patients with stiff arteries?
- Isovolumetric relaxation
- Early diastole
- Late filling
- Systole (correct)
What is one potential outcome of elevated pulse wave velocity in patients with stiff arteries?
What is one potential outcome of elevated pulse wave velocity in patients with stiff arteries?
- Augmentation of aortic systolic pressure (correct)
- Decreased pulse pressure
- Elimination of inflection points
- Prolonged diastolic filling time
Which patient demographic is more likely to have stiff central arteries?
Which patient demographic is more likely to have stiff central arteries?
What is the primary factor leading to the premature arrival of the backward-traveling pulse wave?
What is the primary factor leading to the premature arrival of the backward-traveling pulse wave?
What property of elastic arteries allows them to stretch during systole?
What property of elastic arteries allows them to stretch during systole?
Which phase of the cardiac cycle is primarily associated with elastic recoil in elastic arteries?
Which phase of the cardiac cycle is primarily associated with elastic recoil in elastic arteries?
What is the main function of elastic arteries during the cardiac cycle?
What is the main function of elastic arteries during the cardiac cycle?
What mechanism does the heart use to exert pressure on the elastic arteries?
What mechanism does the heart use to exert pressure on the elastic arteries?
Which statement correctly describes the walls of elastic arteries?
Which statement correctly describes the walls of elastic arteries?
What is the primary function of elastic vessels during ventricular diastole?
What is the primary function of elastic vessels during ventricular diastole?
How does the windkessel effect benefit the heart?
How does the windkessel effect benefit the heart?
What occurs as a result of elastic recoil in blood vessels during diastole?
What occurs as a result of elastic recoil in blood vessels during diastole?
What effect does elastic recoil have on the blood flow during diastole?
What effect does elastic recoil have on the blood flow during diastole?
Which statement best describes the influence of elastic vessels on heart function?
Which statement best describes the influence of elastic vessels on heart function?
What is considered the reference point for assessing arterial and venous pressure?
What is considered the reference point for assessing arterial and venous pressure?
How does gravity primarily affect venous pressure in the body?
How does gravity primarily affect venous pressure in the body?
In terms of venous pressure, what role does the heart play?
In terms of venous pressure, what role does the heart play?
Which factor is least likely to affect venous pressure?
Which factor is least likely to affect venous pressure?
What physiological effect does gravity have on the circulation of blood in the body?
What physiological effect does gravity have on the circulation of blood in the body?
What primarily increases the venous pressure below the heart?
What primarily increases the venous pressure below the heart?
What happens to the neck veins when the venous pressure is close to zero?
What happens to the neck veins when the venous pressure is close to zero?
What pressure condition exists along the collapsed segment of the neck veins?
What pressure condition exists along the collapsed segment of the neck veins?
Which statement is true regarding venous pressure and gravity?
Which statement is true regarding venous pressure and gravity?
Which statement best describes the relationship between neck veins and venous pressure?
Which statement best describes the relationship between neck veins and venous pressure?
What happens to blood in the lower parts of the body when gravitational force is acting in an erect posture?
What happens to blood in the lower parts of the body when gravitational force is acting in an erect posture?
How does the gravitational force influence venous return from the lower limbs?
How does the gravitational force influence venous return from the lower limbs?
In an erect posture, the effect of gravity on the body's venous pressure is most pronounced in which areas?
In an erect posture, the effect of gravity on the body's venous pressure is most pronounced in which areas?
What is the primary consequence of increased pressure in the veins of the lower limbs due to gravity?
What is the primary consequence of increased pressure in the veins of the lower limbs due to gravity?
Which of the following best describes the relationship between gravitational force and venous pressure in the lower body?
Which of the following best describes the relationship between gravitational force and venous pressure in the lower body?
Flashcards
Pulse Wave Velocity (PWV)
Pulse Wave Velocity (PWV)
The speed at which a pressure wave travels through an artery.
Stiff Central Arteries
Stiff Central Arteries
The condition where the arteries become stiff and less flexible, often associated with age or atherosclerosis.
Reflected Wave
Reflected Wave
The backward-traveling wave of pressure that reflects back from the periphery.
Inflection Point
Inflection Point
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Augmentation of Aortic Systolic Pressure
Augmentation of Aortic Systolic Pressure
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Distensability of arteries
Distensability of arteries
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Elastic Recoil of arteries
Elastic Recoil of arteries
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Systole
Systole
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Diastole
Diastole
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Elastic Arteries
Elastic Arteries
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Elasticity of blood vessels
Elasticity of blood vessels
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What is ventricular diastole?
What is ventricular diastole?
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Windkessel effect
Windkessel effect
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Energy expenditure of the heart
Energy expenditure of the heart
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How the Windkessel effect saves energy
How the Windkessel effect saves energy
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Gravitational force
Gravitational force
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Gravity's effect on Venous pressure
Gravity's effect on Venous pressure
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Heart as a reference point
Heart as a reference point
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Venous Pressure and Gravity
Venous Pressure and Gravity
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Venous Collapse
Venous Collapse
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Collapsed Vein Pressure
Collapsed Vein Pressure
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Pressure in a Collapsed Vein
Pressure in a Collapsed Vein
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Venous Pressure
Venous Pressure
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Gravity
Gravity
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Gravitational Force on Blood
Gravitational Force on Blood
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Venous Return
Venous Return
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Gravity's Effect on Veins
Gravity's Effect on Veins
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Study Notes
Vascular Physiology Lecture 3
- The lecture covers arterial pulse, elastic arteries, delayed compliance, and gravitational forces on the cardiovascular system (CVS).
Overview
- Concept 1: Arterial Pulse
- Concept 2: Elastic arteries
- Concept 3: Delayed compliance
- Concept 4: Changes in CVS caused by gravitational forces
Concept 1: Arterial Pulse
- Blood flows through the circulatory system, exiting the left ventricle and entering the aorta.
- During systole, the left ventricle contracts, forcing blood into the ascending aorta. The aortic wall dilates, creating a pressure wave (pulse wave) that travels through the arteries.
- The pressure wave expands arterial walls, creating a palpable pulse.
- Features of the pulse wave (or pressure wave):
- Systolic pressure: Peak pressure (e.g., 120 mmHg)
- Diastolic pressure: Lowest pressure (e.g., 80 mmHg)
- Diastolic pressure corresponds to end ventricular diastolic pressure and the opening of the aortic valve.
- Note: Diastolic pressure in the aorta is not equal to diastolic pressure in the ventricle.
Concept 2: Elastic Arteries
- Large arteries (e.g., aorta, carotid, iliac, axillary arteries) contain elastic tissues.
- These arteries exhibit two main properties that contribute to blood flow
- Distensibility (in Systole): The ability of arteries to expand to accommodate the blood pumped by the heart with a relatively moderate increase in pressure.
- Elastic recoil (in Diastole): The ability of elastic arteries to return to their original shape and exert this potential energy on blood, facilitating continuous blood flow even during diastole.
Concept 3: Delayed Compliance
- The term "delayed compliance" describes how blood vessels react when their volume increases.
- At first, there is a substantial pressure increase, but the progressive stretching of smooth muscles in vessel walls eventually allows the pressure to return to normal levels (minutes to hours).
- In other words: A sudden increase in blood volume momentarily elevates pressure, but subsequent relaxation of the vessel walls progressively reduces the pressure over time.
Concept 4: Gravitational Forces
-
Gravity affects hydrostatic pressure in the body's fluid systems, including the cardiovascular system
-
Hydrostatic pressure: Force exerted by fluids at rest due to gravity.
- Factors: Acceleration of gravity (g), height (h), and density (ρ)
- The formula: P = pgh
- Factors: Acceleration of gravity (g), height (h), and density (ρ)
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In a supine (lying down) position, the cardiovascular system is roughly at the same horizontal level, mitigating hydrostatic pressure variance.
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Vertical differences are consequential. Blood in the lower extremities increases pressure there, but reduces pressure in the upper parts of the body.
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Effect of gravity on venous pressure: In the upright position,
- Decreases venous pressure in body parts above the heart.
- Increases venous pressure in body parts below the heart.
-
Effect of gravity on arterial pressure:
- Adds 0.77 mmHg to arterial pressure for each cm below the heart.
- Subtracts 0.77 mmHg from arterial pressure for each cm above the heart.
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