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1. Introduction to CRR
Clay Goodman
26
Biology
Graduate
09/19/2011

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Term
Organization of cardiovascular system
Definition
Consists of pulmonary and systemic circulations.
Circuits go in series (Artery to arteriole to capillaries, etc.) and in parallel (branch off to different organs).
Term
Cardiac Output of CV system
Definition
Established by the aorta. About 5L/min
Term
Properties of veins and venules
Definition
Have very minor resistance components, essentially just tubes for transporting blood.Smooth flow of blood in veins, no pulsatile flow.
1. Returns deoxygenated blood to right atrium
2. Capacitance (contains largest % of blood)
3. Blood Volume Reserve
Term
Properties of capillaries
Definition
Single cell thick, facilitates exchange of gases and metabolites.. Has the most cross sectional area out of all CV vessels.
1. Oxygen offloading to tissues.
2. CO2 pickup to lungs
3. Metabolite Exchange
Term
Sequence of blood flow in CV System
Definition
Left atrium->Left ventricle->Aorta->Arteries->Arterioles->Capillaries->Venules->Veins->IVC and SVC->Right Atrium->Right Ventricle->Pulmonary Artery->Lungs->Pulmonary Veins->Back to left atrium
Term
Properties of Aorta and Arteries
Definition
1. Blood flow/distribution
2. Elastic, creates pulsatile flow
3. Creates resistance through arterioles
Term
Flow equation
Definition
Flow= (P1-P2)/R

Differences in pressure is driving force for flow.
Term
Pressure in left ventricle and right ventricle
Definition
LV pressure (~120mmHg)>RV pressure (~12-20mmHg)
Term
Systemic Flow Equation
Definition
(Aortic Pressure-Right Atrium Pressure)=CO x TPR

*CO=flow
Term
Pulmonary Flow Equation
Definition
(Pressure of Pul. Art.-Pressure of Left Atrium)=CO x TPuR
Term
Mean Arterial Pressure (MAP) equation
Definition
MAP=CO x TPR
MAP=1/3 Pulse pressure + Diastolic pressure
Term
Factors that affect blood flow speed
Definition
V=Q/A

The larger the cross sectional area, the slower the blood flow. Cross sectional area in capillaries optimized for nutrient exchange. Blood flow slow in capillaries, fast in aorta, heart and vena cava.
Term
Laminar Flow
Definition
Normal blood flow, silent.
Unidirectional with blood in center of vessel traveling faster than blood in periphery (due to resistance of walls of vessel). Functional consequence: cells travel in center of vessel, with extracellular fluid near walls.
Term
Turbulent flow
Definition
Pathological, inefficient flow.
Caused by high velocity blood flow. Commonly check for turbulent flow in carotid artery of elderly patients.
Term
Murmur
Definition
Noise generated by turbulent flow in heart.
Term
Bruits
Definition
Noise generated by turbulent flow in arteries.
Term
Series resistance in CV system
Definition
Total resistance=R1+R2+R3+R4...
Occurs when going from artery to arteriole to capillaries to venules to veins.
Term
Parallel Resistance in CV System
Definition
Total Resistance= (1/R1)+(1/R2)+(!/R3)...
Occurs when vessels branch to different organs.
Term
Factors affecting resistance
Definition
1. Length of Vessel
2. Fluid Viscosity
3. Radius (most important)

Arterioles tune resistance by changing radius.
Term
Systole
Definition
Right and left ventricles contract and eject blood into pulmonary artery and aorta respectively. Atrial valve is closed during ventricle contraction. Pressure in system is maximal, can be felt as a pulse. Closure of the atrial valve creates dichrotic notch in the pressure peak.
Term
Diastole
Definition
Right and left ventricles are filling with blood for the next contraction. The atria contract to fill ventricles with the maximum amount of blood.Atrial valve is closed. Pressure in CV system is at its lowest point.
Term
Cardiac Cycle
Definition
Consists of systole (1/3) and diastole (2/3).
Term
Pulse Pressure
Definition
Systolic pressure-Diastolic Pressure
Term
Methods of measuring BP
Definition
Direct Catheterization and BP Cuff
Term
Direct Catheterization for BP
Definition
One tip of catheter is positioned perpendicular to flow, commonly inserted into radial artery. Other side is hooked to pressure transducer. Can measure BP in Heart, Arteries or Veins. Usually used in ICU or surgery, very invasive.
Term
Measurement of BP using BP cuff
Definition
1. Increase pressure in cuff until it exceeds the systolic pressure.
2. Slowly release pressure in cuff until cuff pressure=systolic pressure.
3. This allows a spurt of tubulent flow blood to pass through brachial artery, can be heard through steth (Systolic BP).
4. When pressure in cuff=diastolic, the brachial artery is no longer constricted, laminar flow returns and noise dissipates (Diastolic BP).
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