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14 Cards in this Set

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Factors affecting cardiac output

PSYM nerve activity- slows the heart rate, lowers CO


SYM nerve activity- raises the heart rate, increases CO


Arterial pressure- increases afterload, decreases CO


Filling pressure- increases preload and increases CO

ANS control of the heart- PSYM

PSYM nerves- cholinergic


comes through the vagus and affects the heart by slowing it. also innervates the external genitalia, causes erections

ANS control of the heart- SYM

SYM nerves- adrenergic. wider distribution


Affects the adrenal medulla to release NE and EPI, which affect the heart in addition to systemic effects


SA/AV nodes and muscle itself is stimulated by the NE


SYM causes increased NA and Ca permeability that increases heart rate and contractility


vascular smooth muscle- has alpha receptors. SYM activity constricts the arterioles and causes increase in pressure

Autoregulation of bloodflow

smooth muscle will adjust to pressure and try to keep flow going through as constant as possible (due to sympathetic activity)


Local metabolic control of blood flow: build up of metabolic waste products acts as vasodilators for smooth muscle. the vascular smooth muscle relaxes and increases blood flow to flush these out. very strong in the heart, brain, skeletal muscle.
in skin, kidney, and splanchnic organs, sympathetic has more control

Mean arterial pressure

MAP = CO x TPR


it is a combination of sytolic and diastolic pressure (

Phase 1 of the cardiac cycle

atrial contraction


AV valves open, semilunar vlaves close


Initiated by the p wave


S4 MAY be audible due to ventricular vibration

Phase 2 of the cardiac cycle

Isovolumetric contraction


All valves closed- no way for blood to get out


Closure of the AV valves cause the first sound, S1


initiated by QRS, pressure rises rapidly in ventricular chamber

phase 3 of the cardiac cycle

rapid ejection


AV valves closed, aortic and pulmonic valves open


ventricular pressure exceed pressure in the aorta and the pulmonary artery, pushing the valves open


no sound generated unless there is an ejection murmur


passive filling of the atrium

phase 4 of the cardiac cycle

isovolumtric relaxation


All valves closed- valve closure of the aortic and pulmonic valve cause S2


A/P valves close when the ventricular pressure drops enough


no ECG activity link to this phase


atrial pressure contrinues to rise due to venous return

phase 6 of the cardaic cycle

rapid filling


AV valves open, AP valves close


atrial pressure rapidly decreases as blood flows into the ventricle


3rd sound might be heard if ventricular failure/dilation

phase 7 of the cardiac cycle

reduced filling


ventricular filling slows


aortic and pulmonary artery pressure continues to fall

Degrees of AV block

1st degree- common in horses and dogs, still a 1:1 ratio of P to QRS, it just takes longer


2nd degree- some action potentials get through


3rd degree- none of the action potentials get through

hyperkalemia on the ECG

Slowed conduction velocity, everything gets wider


Very big T wave as repolarization occurs in the ventricle

3 categories of wide QRS

Ventricular hypertrophy


Conduction disturbanve (global-hyperkalemia, or focal)


Ectopic ventricular activity