Vascular Physiology Lecture 3
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Questions and Answers

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?

  • Isovolumetric relaxation
  • Early diastole
  • Late filling
  • Systole (correct)
  • 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?

    <p>Elderly patients</p> Signup and view all the answers

    What is the primary factor leading to the premature arrival of the backward-traveling pulse wave?

    <p>Higher pulse wave velocity</p> Signup and view all the answers

    What property of elastic arteries allows them to stretch during systole?

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

    Which phase of the cardiac cycle is primarily associated with elastic recoil in elastic arteries?

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

    What is the main function of elastic arteries during the cardiac cycle?

    <p>To maintain a continuous blood flow</p> Signup and view all the answers

    What mechanism does the heart use to exert pressure on the elastic arteries?

    <p>Systolic ejection</p> Signup and view all the answers

    Which statement correctly describes the walls of elastic arteries?

    <p>Abundant in elastic tissue to allow distensability</p> Signup and view all the answers

    What is the primary function of elastic vessels during ventricular diastole?

    <p>They increase the velocity of blood flow.</p> Signup and view all the answers

    How does the windkessel effect benefit the heart?

    <p>By reducing energy expenditure of the heart.</p> Signup and view all the answers

    What occurs as a result of elastic recoil in blood vessels during diastole?

    <p>Blood flow velocity increases.</p> Signup and view all the answers

    What effect does elastic recoil have on the blood flow during diastole?

    <p>It enhances the preservation of kinetic energy.</p> Signup and view all the answers

    Which statement best describes the influence of elastic vessels on heart function?

    <p>They assist in the energy-efficient flow of blood.</p> Signup and view all the answers

    What is considered the reference point for assessing arterial and venous pressure?

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

    How does gravity primarily affect venous pressure in the body?

    <p>It increases venous pressure in the lower extremities.</p> Signup and view all the answers

    In terms of venous pressure, what role does the heart play?

    <p>It acts as a reference point for measurement.</p> Signup and view all the answers

    Which factor is least likely to affect venous pressure?

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

    What physiological effect does gravity have on the circulation of blood in the body?

    <p>It creates a pressure gradient that affects blood return to the heart.</p> Signup and view all the answers

    What primarily increases the venous pressure below the heart?

    <p>Force of gravity</p> Signup and view all the answers

    What happens to the neck veins when the venous pressure is close to zero?

    <p>They collapse</p> Signup and view all the answers

    What pressure condition exists along the collapsed segment of the neck veins?

    <p>Close to zero pressure</p> Signup and view all the answers

    Which statement is true regarding venous pressure and gravity?

    <p>Gravity increases venous pressure below the heart.</p> Signup and view all the answers

    Which statement best describes the relationship between neck veins and venous pressure?

    <p>Neck veins collapse above the point where venous pressure is close to zero.</p> Signup and view all the answers

    What happens to blood in the lower parts of the body when gravitational force is acting in an erect posture?

    <p>Gravity causes an increase in venous pressure in the lower limbs.</p> Signup and view all the answers

    How does the gravitational force influence venous return from the lower limbs?

    <p>It decreases venous return from the lower limbs.</p> Signup and view all the answers

    In an erect posture, the effect of gravity on the body's venous pressure is most pronounced in which areas?

    <p>Dependent parts of the body.</p> Signup and view all the answers

    What is the primary consequence of increased pressure in the veins of the lower limbs due to gravity?

    <p>Stasis of blood in the lower veins.</p> Signup and view all the answers

    Which of the following best describes the relationship between gravitational force and venous pressure in the lower body?

    <p>Gravitational force leads to increased venous pressure in the dependent areas.</p> Signup and view all the answers

    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
    • In a supine (lying down) position, the cardiovascular system is roughly at the same horizontal level, mitigating hydrostatic pressure variance.

    • Vertical differences are consequential. Blood in the lower extremities increases pressure there, but reduces pressure in the upper parts of the body.

    • 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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    Description

    This lecture focuses on various aspects of vascular physiology, including arterial pulse, elastic arteries, and the effects of gravitational forces on the cardiovascular system. It explores how pressure waves are generated and their characteristics. Join us to deepen your understanding of these vital concepts.

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