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Cardiac cycle/output
| Question | Answer |
|---|---|
| What is systole | contraction period of the heart |
| What is diastole | relaxation period of the heart |
| What does the cardiac cycle include | all events associated with the blood flow through the heart during one complete heart beat |
| In the cardiac cycle, atrial systole and diastole are followed by what | ventricular systole and diastole |
| What is the first part of the cardiac cycle | ventricular filling |
| In ventricular filling, is the heart in systole or diastole | mid to late diastole |
| What is the pressure like in the heart in the first step | low |
| The blood returning from circulation in ventricular filling is flowing passively through the atria and what | the AV valves |
| What valves are closed during ventricular filling | pulmonary |
| What percentage of blood fills the ventricles during this stage | 80 |
| After most of the ventricles are filled, what starts to drift closed | the AV valves |
| What percentage of blood is delivered to the ventricles after the atria contract | 20 |
| When atrial systole occurs, what happens to the blood in their chambers | it is compressed |
| This causes a rise in what | arterial pressure |
| This rise propels residual blood into what | ventricles |
| At this point, the ventricles are in the last part of what | diastole |
| What is the EDV | the end diastolic volume; the point at which the ventricles have the maxiumum volume of blood they will contain in the cycle |
| What is the second step of the cardiac cycle | Ventricular systole |
| As the atria relax, what do the ventricles do | contract |
| What happens to the walls of the heart when the ventricles contract | they close in on the blood in their chambers |
| What happens to the ventricular pressure | it rises rapidly |
| What does this cause the AV valves to do | close |
| What is isovolumentric contraction | the split second where all of the valves are closed and the blood is completely contained |
| When the pressure continues to rise and finally exceeds pressure in the large arteries, what happens | blood is expelled from the ventricles |
| When the isovolumetric contraction ends, what happens | the SL valves open and expell the blood into the aorta and pulmonary trunk |
| When the SL valves open and expell the blood into the Aorta and pulmonary trunk, this is called | the ventricular ejection phase |
| What is the last part of cardiac cycle | isovolumetric relaxation |
| Isovolumetric relaxation happens when | early diastole of the ventricles |
| What is the ESV | end systolic volume; the blood remaining in their chambers during early diastole of ventricles |
| In the ESV, the blood is no longer | compressed |
| This causes what to happen to the pressure | it rapidly drops |
| This causes the blood in the aorta and pulmonary trunk to do what | flow back toward the heart and close the SL valves |
| This causes what | the dicrotic notch |
| What is the dicrotic notch | the brief rise in aortic pressure |
| What is cardiac output | the amount of blood pumped out by each ventricle in one minute |
| CO= | heart rate x stroke volume |
| The heart rate stands for what | how many beats per minute |
| the stroke volume stands for what | the volume of blood pumped out by a ventricle with each beat |
| Stroke volume is correlated with what | the force of ventricular contraction |
| At rest, CO= | HR(75 beats/min) x SV (70 ml/beat)= 5 25 L/min |
| What is maximal cardiac out put | 4-5 times the resting CO in a nonathletic person |
| In trained athletes, what can cardiac output reach | 35 L/min |
| What is cardiac reserve | the difference between resting CO and maximal CO |
| The sympathetic nervous system is activated by what | emotional and physical stressors |
| This causes the release of what from the sympathetic nerve fibers | norepinephrine |
| This release causes the pacemaker to do what | fire rapidly so the heart responds and beats faster |
| What does ACh do to the pacemaker cells | hyperpolarizes them by opening the K+ channels |
| Because the heart has a vagal tone, what does this mean about the heart rate | if the vagal nerves did not innervate it the heart rate would be much faster |
| What is the Atrial (Bainbridge) reflex | sypathetic reflex initiated by increased venous return and atrial filling |
| In the atrial reflex, how does the stretching of arterial walls increase heart rate | by stimulating the SA node and the atrial stretch receptors which activate sympathetic reflexes |
| What are other influences on heartrate | age, gender, exercise, body temperature |
| What is tachycardia | abnormally fast heart rate |
| If tachycardia is persistant it may lead to | fibrillation |
| What is bradycardia | heart rate slower than 60 bpm |
| This can result in what | grossly adquate blood circulation |
| Bradycardia may be a desirable result of what | endurance training |
| What is congestive heart failure | a progressive condition where CO is so low that blood circulation is inadequate to meet tissue needs |
| Congestive heart failure can be caused by | coronary atherosclerosis, persistant blood pressure, multiple myocardial infarcts, dialated cardiomyopathy |
| What are the 2 fetal heart structures that bypass pulmonary circulation | foramen oval and ductus arteriosis |
| What does the foramen ovale connect | the two atria |
| What does the ductus arteriosis connect | pulmonary trunk and aorta |
| Congenital heart defects leads to the mixing of what | systemic and pulmonary blood |
| Congenital heart defect involves | narrowed valves or vessels that increase the work load on the heart |
| What are four age related changes | sclerosis and the thickening of valve flaps, decline in cardiac reserve, fibrosis of cardiac muscle, and atherosclerosis |