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27 Cards in this Set

  • Front
  • Back

What happens to arterial pressure during diastole?

It drops gradually

In a pressure map of the left ventricular, what is the slight bump before the sudden rise in ventricular pressure indicate?

Atrial kick

When do arterial and ventricular pressure peak?

At systole

What does the S1 sound come from?

Closure of atrioventricular valve

What does the S2 sound come from?

Closure of the pulmonic and aortic valve

How is stroke volume calculated from the volumes of the Left ventricle during systole and diastole?

SV = LVEDV - LVESV

What must occur for the AV valve to close?

Ventricular pressure must exceed atrial pressure

What is the real job of the atria?

Receiving chambers during ejection to rapidly fill ventricle during diastole

What value is LVEDP an index for?

preload



(which is really the length of the muscle fibers)

What does the rate in the development of Left Ventricular pressure tell us?

Contractility

What are the 4 phases of the cardiac cycle?

1) Isovolumic contraction


2) Ejection


3) Isovolumic relaxation


4) Filling

To what value is LV diastolic pressure related?

To LV diastolic volume

What equation defines compliance?

Change in volume / Change in pressure

What happens to the pressure-volume curve with decreased compliance?

Increases in slope

What can cause a reduction of compliance? (3)

- Hypertrophy


- Amyloidosis


- Aging

What does the area in the pressure volume graph indicate?

MVO2

How is LVEDP measured?

Swan-Ganz catheter used to measure pulmonary capillary wedge pressure

Does sympathetic stimulation change preload?

No

Does sympathathetic stimulation change ventricular contractility?

Yes, increases it

If LVEDV decreased, what would happen to stroke volume?

Also decrease

If Stroke volume increased, what would occur to LVEDV?

Decrease

How are right and left ventricles of the heart balanced by Starling's law?

Changes in preload

How does a heart maintain cardiac output when it is failing?

Dilation

What effect does increasing left ventricular volume without any change in afterload have on work performed?

Work is increased

What is Laplace's law?

P = 2T/r



P = Pressure


T = Tension


r = radius

How does a positive inotropism (contractility) increase stroke volume without affecting preload?

Decreases End Systolic volume

What effect will an increase of preload have on cardiac output?

Increases it