Term
meaning of the word cardiovascular |
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Definition
Cardio- heart; vascular- blood vessels |
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Term
some of the transport roles of blood |
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Definition
-O2 and CO2 (together with the respiratory system)
-Nutritive functions – transport of the digested products
-Excretory substances – metabolic wastes (urea), water & ions |
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Term
some of the regulatory roles of blood |
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Definition
-hormonal regulation -temperature regulation |
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Term
some of the protective roles of blood |
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Definition
-Leukocytes (WBC) and body defense -Blood clotting mechanism |
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Term
some things that can happen as a result of lack of oxygen |
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Definition
-Interruption of blood to brain for 8 sec – unconsciousness
-Lack of O2 (cardiac arrest) for 6 min – brain death |
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Term
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Definition
4 chambers -2 atria -2 ventricles [image] |
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Term
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Definition
receive venous blood pump it into ventricles [image] |
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Term
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Definition
receive atrial blood pump it into arterial systems [image] |
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Term
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Definition
systemic circulation [image] |
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Term
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Definition
pulmonary circulation [image] |
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Term
The cardiac cycle (contraction & relaxation) |
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Definition
-When pumps contract (systole) – ejection of blood to arteries -When pumps relax (diastole) – filling of blood -Intermittent (on & off) pattern of blood flow in the heart – during relaxation (filling), no blood flow to blood vessels |
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Term
diagram of the pulmonary and systemic circulation of the circulatory system |
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Definition
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Term
the pathway for systemic circulation |
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Definition
left atrium (oxygenated blood, high PO2) --> ventricle --> aorta --> arteries --> arterioles --> peripheral capillaries --> (deoxy blood, low PO2) --> … --> veins --> vena cava --> right atrium |
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Term
the pathway for pulmonary circulation |
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Definition
right atrium (deoxy blood) --> ventricle --> pul artery --> pul arterioles --> pul capillaries for gas exchange (oxygenated blood) --> … --> pul vein --> left atrium |
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Term
how the pulmonary and systemic circulations relate to each other |
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Definition
Pulmonary + systemic circulations = one close-type circulatory system --> flow rate through systemic circulation = flow rate through pulmonary circulation [image][image] |
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Term
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Definition
the part of the circulatory system that does gas exchange in the lungs |
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Term
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Definition
the part of the circulatory system that delivers oxygen to the peripheral tissue |
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Term
why the rates of pulmonary and systemic circulation have to be equal to each other |
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Definition
because if they're not, there will be congestion of blood in either the lungs or the systemic circulation |
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Term
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Definition
-left pump: left atrium and left ventricle -right pump: right atrium and right ventricle [image] |
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Term
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Definition
-aorta -arteries -arterioles -capillaries -venules -veins -vena cava [image] |
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Term
some components of the lymphatic system |
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Definition
-lymphatic vessels -lymph nodes |
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Term
the function of cardiac valves |
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Definition
they allow the circulation one-directional |
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Term
Atrioventricular (AV) valves a.k.a. bicuspid (left) & tricuspid (right) valves |
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Definition
Allow blood to flow from atria to ventricles [image] |
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Term
Semilunar valves a.k.a. aortic (left) & pulmonic (right) valves |
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Definition
Allow blood leave ventricles --> pulmonary or systemic circulation [image] |
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Term
some details about the flow of blood |
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Definition
-based on pressure gradient -blood flow from high pressure to low pressure -relaxation sucks blood in -cardiac contraction pushes blood out |
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Term
basic structure of arteries and veins |
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Definition
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Term
the layers of blood vessels |
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Definition
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Term
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Definition
endothelial cell layer present in all vessels (arteries, veins, capillaries) -separates the lumen of the blood vessel from the rest of the structures in the blood vessel [image] |
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Term
how the composition of arteries differs from that of veins |
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Definition
arteries contain more smooth muscle and elastin than veins |
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Term
compliance aka distensibility aka expansibility |
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Definition
how well this blood vessel can be expanded [image] |
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Term
Elasticity aka contractility |
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Definition
how well this blood vessel can bounce back to its original shape, original diameter, after expansion [image] |
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Term
the role of smooth muscle and elastin in arteries |
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Definition
reduce the magnitude of bp fluctuation in the arteries |
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Term
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Definition
they prevent black flow, ensure uni-directional flow -they need valves because they don't have as much smooth muscle as arteries do |
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Term
type of blood vessel with no smooth muscle |
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Definition
capillaries; they only have endothelium |
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Term
function of skeletal muscle pump |
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Definition
-Rhythmic contraction & relaxation of skeletal muscles surrounding the veins --> ↑ blood return to right atrium -“Second heart” of the body [image] |
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Term
Compliance/elasticity is mainly due to... |
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Definition
elastic fibers (rubber bands) |
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Term
the process of compliance (expansibility, distensibility) |
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Definition
↑ in BP during systole (ventricles are larger than aorta) --> ↑ lumen diameters --> BP? --> limits the magnitude of BP rise [image] |
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Term
the process of elasticity (contractility) |
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Definition
↓ in BP during diastole --> ↑ arterial elasticity (tendency to recoil to previous shape after deformation) --> sustains BP from dropping too low --> allows continuous blood perfusion to tissues [image] |
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Term
the distribution of blood in veins and arteries |
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Definition
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Term
some functions of the lymphatic system |
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Definition
-Transports interstitial fluid (lymph) -Transports absorbed fat from small intestine to blood -Lymph nodes and lymphocytes –immune functions |
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Term
the flow between the lymphatic system and the cardiovascular system |
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Definition
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Term
structure of lymphatic vessels |
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Definition
Closed-ended lymphatic capillaries in systemic and pulmonary circulations [image] |
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Term
the path lymph takes in the lymphatic system to the circulatory system |
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Definition
Lymphatic capillaries --> lymph ducts --> thoracic duct (lt.) and right lymphatic duct --> subclavian veins --> vena cava --> rt. atrium |
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Term
how blood is separated into its components |
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Definition
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Term
the components of blood and their percentages |
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Definition
-plasma: 55% -buffy coat (leukocytes and platelets): <1% -erythrocytes: 45% |
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Term
dome substances found in blood plasma |
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Definition
-Dissolved ions – Na+ (major) and others
-Plasma proteins (7-9% of plasma, gm/dl) --> colloid osmotic P
+Albumins
+Globulins |
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Term
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Definition
-~60%-80% of plasma proteins -produced by the liver -for osmotic P and buffering blood pH |
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Term
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Definition
-alpha & beta globulins -produced by liver -transport of lipids & fat-soluble vitamins -gamma globulins (immunoglobulins) |
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Term
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Definition
the force that the fluid needs to overcome before fluid can go out of capillary pores, into the interstitial tissue |
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Term
why the blood plasma needs plasma proteins |
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Definition
to create colloid osmotic pressure to prevent the fluid from going out of capillary pores, into the interstitial tissue |
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Term
the cause and effect of blood plasma concentration being too low in the blood plasma |
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Definition
-caused by liver problem -edema results |
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Term
composition of buffy coat component of blood |
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Definition
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Term
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Definition
flattened biconcave discs to increase surface area for the diffusion of oxygen -No nuclei, no mitochondria -Hemoglobin (Hb) – O2 & CO2 |
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Term
the number of RBC (erythrocytes) produced each day |
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Definition
Produce 300 x 109 RBCs each day |
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Term
RBC (erythrocyte) levels in men and women and why it's different |
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Definition
♂ – 5.1-5.8; ♀ – 4.3-5.2 (106/mm3)
-the difference is because testosterone stimulates production of erythropoietin, which stimulates RBC production |
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Term
the types of formed elements that can be found in blood |
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
why erythrocytes (RBCs) are biconcave discs |
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Definition
to increase surface area for the diffusion of oxygen |
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Term
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Definition
white blood cells that have granules in the cytoplasm, such as basophils (fewest), eosinophils, and neutrophils aka polymorphonuclear cells (PMN) (50-70% WBC) |
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Term
the types of granulocytes |
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Definition
-basophils (fewest) -eosinophils -neutrophils aka polymorphonuclear cells (PMN) (50-70% WBC) |
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Term
why neutrophils are also called polymorphonuclear cells (PMN) |
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Definition
because their nucleus divides into multiple leaflets; the older the neutrophil, the more leaflets |
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Term
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Definition
white blood cells that do not contain granules in their cytoplasm, such as monocytes & lymphocytes (adaptive immunity) |
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Term
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Definition
fragments of megakaryocytes |
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Term
how Thrombocytes (platelets) are formed |
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Definition
liver and kidneys produce thrombopoietin, which stimulates bone marrow to produce megakaryocytes, which then fragment into smaller pieces |
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Term
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Definition
formation of blood cells -Erythropoiesis (production of RBC) -Leukopoiesis (production of WBC) -Thrombopoiesis (production of thrombocytes) |
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Term
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Definition
production of RBC
-Stimulated by erythropoietin from kidney (low PO2)
-Site of production – bone marrow
-RBC life span – 120 days |
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Term
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Definition
production of WBC
-Controlled by inflammatory cytokines
-Site of production – lymphoid tissues, such as the thymus, the lymph nodes, and spleen
-WBC conc. ~ 5-9x103/mm3
-life span – 100-300 days (agranular WBC, such as monocytes and lymphocytes), <3 days (granular WBC, such as neutrophils) |
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Term
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Definition
production of thrombocytes -Thrombopoietin – produced by liver and kidneys -Action site – bone marrow; life span - 5-9 days |
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Term
what happens to old red blood cells after 120 days? |
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Definition
they get degraded by lymphoid tissue, plus the liver, and become bilirubin -after being oxidized, part of that bilirubin becomes part of the feces and part of it becomes the color of the urine |
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Term
the white blood cell that is the first line of defense |
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Definition
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Term
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Definition
physically separates blood from collagen and other platelet activators
-secrete nitric oxide (NO) and prostacyclin (PGI2) for ↑ Vasodilation and ↓ platelet aggregation |
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Term
how endothelial cells prevent blood clotting in intact vessels |
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Definition
-they secrete nitric oxide (NO) and prostacyclin (PGI2) for ↑ Vasodilation and ↓ platelet aggregation
-Endothelial membrane contains CD39 to:
Convert blood ADP --> AMP + Pi, thus ↓ ADP --> ↓ platelet plug formation
[image] |
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Term
what happens when the blood vessel is damaged? |
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Definition
injury --> von Willebrand factor (VWF) from injured endothelial cells binds to collagen and platelets --> platelets adhere to subendothelial collagen --> Activated platelets release ADP and thromboxane (TxA2) --> Thromboxane & serotonin cause vasoconstriction --> ADP & thromboxane attract other platelets --> forms the platelet plug
[image] |
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Term
how aspirin reduces blood clotting |
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Definition
Aspirin --> ↓ formation of thromboxane --> ↓ formation of platelet plug |
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Term
depiction of the intrinsic and extrinsic pathways of blood clotting |
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Definition
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Term
Intrinsic pathway of blood clotting |
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Definition
activated by collagen of damaged b.v. (within) [image] |
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Term
Extrinsic pathway of blood clotting |
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Definition
activated by tissue thromboplastin (tissue factor) from the surrounding damaged tissue (outside b.v.) [image] |
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Term
Intrinsic and extrinsic pathways of blood clotting working together |
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Definition
--> common pathway (factor X) -Factor X activates prothrombin --> thrombin -Thrombin activates fibrinogen (soluble) into fibrin (insoluble) |
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Term
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Definition
platelet plug + fibrin meshwork + RBC |
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Term
The clotting sequence requires... |
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Definition
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Term
what happens to plasma after clot formation? |
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Definition
plasma --> serum -plasma = serum + fibrinogen |
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Term
the clot dissolution process |
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Definition
1: Plasminogen – produced by liver, inactive, in blood 2: Tissue plasminogen activator (tPA) from endothelial cells converts plasminogen → plasmin (bioactive) 3: Plasmin cleaves fibrin into split products → clot removed |
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Term
how anticoagulants reduce blood clotting |
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Definition
Endogenous heparin → ↑ plasma antithrombin III → ↓ clot formation |
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Term
some examples of anticoagulants |
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Definition
Sodium citrate & EDTA – chelate Ca2+
NOTE: they can only be used in vica levels in bloodtro, because you dont want to deplete |
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Term
Function of vitamin K in clotting |
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Definition
-Vit K convert glutamate into gamma-CO-glutamate in some clotting factors (II, VII, IX & X) → functional clotting factors
-gamma-CO-glutamate attracts Ca2+ to clotting factors |
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Term
how Coumarin inhibits blood clotting |
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Definition
-inhibits vit K activities (slow) -Warfarin as a rodenticide, clinically used as a blood thinner |
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Term
how heparin is an anticoagulant |
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Definition
Endogenous heparin → ↑ plasma antithrombin III → ↓ clot formation |
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Term
something bad blood thinners can do to the brain |
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Definition
sometimes cause microembolism in brain |
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Term
the 2 major parts of the cardiac cycle |
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Definition
-Systole – contraction phase, for ejection -Diastole – relaxation phase, for filling into ventricle |
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Term
diagram of the sequence of the cardiac cycle for a cycle of 0.8 seconds (75 cycles per minute) |
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Definition
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Term
the timing of the contraction of the atria and the ventricles and why |
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Definition
-Atria contract simultaneously; ventricles follow 0.1-0.2 seconds (second) later -Atria contract first due to the location of pacemaker -both atria have the same myocardium and both ventricles have the same myocardium |
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Term
The end-diastolic volume (EDV) |
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Definition
-Also known as preload -80% EDV is due to ventricular relaxation -The final 20% EDV is due to atrial contraction |
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Term
The end-systolic volume (ESV) |
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Definition
-Also known as afterload -Ejection fraction – systole ejects about 2/3 (55-70%) of its blood vol, leaving about 1/3 as ESV |
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Term
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Definition
the amount of blood ejected from ventricles during systole |
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Term
the sequence of the cardiac cycle |
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Definition
1: atrial contraction during the final phase of ventricular relaxation -conduction delay from atria --> ventricles = 0.1-0.2 seconds 2: atrial contraction --> ventricular contraction (systole) 3: atria relax during ventricular relaxation (systole) 4: ventricular relaxation during the 2nd half of atrial relaxation 5: atria contract in the last 0.1 second of (ventricular) diastole |
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Term
depiction of how blood moves through the heart |
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Definition
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Term
During diastole, the intra-ventricular pressure can be ______, whereas the systemic arterial pressure is... |
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Definition
as low as 0 mm Hg ~80 mm Hg
this is because of the smooth muscles tone in the vessels |
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Term
chart of the systolic and diastolic phase of the cardiac cycle |
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Definition
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Term
the systolic ventricular part of the cardiac cycle (ventricular relaxation) |
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Definition
-Isovolumetric contraction (#1) – ventricles contract → ↑ ventricular BP; when > atrial BP → close AV valves; arterial BP still > ventricular BP → semilunar valves remain closed → no ejection of blood (iso-volume)
-Phase of ejection (#2) – when ventricular BP > arterial BP → open semilunar valves → blood ejects to arteries until ventricular BP < arterial BP → semilunar valves close → diastole [image] |
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Term
Isovolumetric contraction |
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Definition
ventricles contract → ↑ ventricular BP; when > atrial BP → close AV valves; arterial BP still > ventricular BP → semilunar valves remain closed → no ejection of blood (iso-volume) |
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Term
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Definition
when ventricular BP > arterial BP → open semilunar valves → blood ejects to arteries until ventricular BP < arterial BP → semilunar valves close → diastole |
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Term
the diastolic ventricular part of the cardiac cycle (ventricular relaxation) |
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Definition
-Isovolumetric relaxation (#3) – ↓ ventricular BP ventricular BP
-Phase of rapid filling (#4) – when atrial BP > ventricular BP → AV valves open → rapid filling
-Phase of the final filling (#5) – caused by atrial contraction (beginning of the next cardiac cycle) [image] |
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Term
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Definition
↓ ventricular BP ventricular BP |
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Term
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Definition
when atrial BP > ventricular BP → AV valves open → rapid filling |
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Term
Phase of the final filling |
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Definition
caused by atrial contraction (beginning of the next cardiac cycle) |
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Term
the sequence leading to the 1st "lub" sound of the heartbeat |
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Definition
caused by closure of AV valves
At the beginning of systole, when ventricular BP exceeds atrial BP --> AV valves closure --> turbulent blood flow --> produces the first heart sound, or "lub" at beginning of systole |
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Term
the sequence leading to the 2nd "dub" sound of the heartbeat |
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Definition
caused by closure of semilunar valves
At the end of systole (near the beginning of diastole), when arterial BP exceeds ventricular BP intra-atrial P --> semilunar valves closure --> turbulent blood flow --> produces the second heart sound, or "dub" |
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Term
the sequence that leads to the 3rd heart sound |
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Definition
caused by turbulence
occurs just after S2 when AV valve open --> rapid passive filling of ventricles --> turbulent blood flow --> S3 |
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Term
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Definition
abnormal heart sounds produced by turbulent blood flow -caused by valvular defects |
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Term
how valvular insufficiency/incompetent valves lead to heart murmurs |
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Definition
a valve that does not close adequately --> retrograde flow -Damage to papillary muscles Valves do not close properly. Murmurs produced as blood regurgitates through valve flaps |
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Term
how valvular stenosis leads to heart murmurs |
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Definition
a valve which does not open adequately (thickened or calcified) --> restricts flow -Impairs blood flow from left atrium to left ventricle -Accumulation of blood in left atrium may cause pulmonary hypertension |
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Term
how infection can lead to heart murmurs |
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Definition
Infection (rheumatic endocarditis) leads to valvular stenosis, which causes heart murmurs |
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Term
Septal defects in the heart |
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Definition
-usually congenital -Holes in septum between the left and right sides of the heart May occur either in interatrial (ASD) or interventricular septum (VSD) Blood passes from left to right -can cause heart murmurs [image] |
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Term
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Definition
desmosome (physical connection) + connexon (gap junction for ionic conductance)
this is between all adjacent heart cells |
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Term
where the intercalated disc is located between adjacent heart cells |
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Definition
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Term
how the action potential spreads through myocardial (heart) cells |
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Definition
Action potentials spread through myocardial cells through intercalated discs (gap junctions) --> Cardiac muscle functions as syncytium (atria vs. ventricles) |
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Term
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Definition
resting membrane potential |
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Term
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Definition
-pacemaker, spontaneous depolarization --> automaticity
-Caused by Na+ inflow through hyperpolarization-activated cyclic nucleotide-gated (HCN) channels that opens when hyperpolarized, open faster with cAMP stimulation |
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Term
how the pacemaker action potential works |
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Definition
-Depolarization – (main) voltage-gated Ca2+ channels --> Ca2+ inflow; (secondary) voltage-gated Na+ channels
-Repolarization – VG K+ channels open --> K+ diffuses outward
[image] |
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Term
Resting membrane potential of contractile cells |
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Definition
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Term
sequence by which an action potential causes a heartbeat |
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Definition
AP at SA node (auto-rhythmic cells) --> AP at contractile cells --> voltage-gated fast Na+ channels open --> Na+ inflow --> rapid depolarization |
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Term
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Definition
-Rapid reversal in membrane polarity to –15 mV
-Voltage-gated slow Ca2+ channels open --> Ca2+ inflow --> Ca2+ --> release from sarcoplasmic reticulum (SR) through Ca2+ stimulated Ca2+ release channels
-lasts ~100 ms in atria; ~300 ms in ventricles
-the Ca getting into the cells maintains the plateau phase, causing the action potential to last longer
[image] |
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Term
changes in action potential, heart vs. neuron |
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Definition
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Term
the path of the action potential from the SA node to causing the atria to contract |
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Definition
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Term
the path the action potential takes from atria to ventricles |
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Definition
atria --> AV node (slow conducting) --> Bundle of His --> Purkinje fibers --> all ventricular muscle cells --> Ca2+ inflow --> Ca2+ ↑ release from sarcoplasmic reticulum --> contraction of both ventricles simultaneously
the contraction of the ventricle is caused by excitation-contraction coupling |
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Term
chart showing the action potential compared to the contraction |
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Definition
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Term
the path the action potential takes from sinoatrial (SA) node to the atria and then the ventricles |
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Definition
SA node --> atria --> AV node (slow conducting) --> Bundle of His --> Purkinje fibers --> all ventricular muscle cells --> Excitation-contraction coupling
Ca2+ inflow --> Ca2+ ↑ release from sarcoplasmic reticulum --> contraction of both ventricles simultaneously |
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Term
why summation (tetanus) soes not occur in the heart |
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Definition
Refractory Periods -Refractory periods ~ contraction time ~ 300 msec in ventricles -Summation cannot occur |
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Term
electrocardiogram (ECG or EKG) |
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Definition
records the electrical activity of the heart by picking up the movement of ions in body tissues in response to this activity |
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Term
how the ECG/EKG measures the electrical activity outside the heart |
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Definition
Electrodes connect to outside of the heart muscle -Heart is bathed in the interstitial fluid with electrolytes --> conductive to electric flow [image] |
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Term
what the ECG/EKG does NOT do |
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Definition
-does NOT record the movement of ions of individual cells (the electrodes don't insert into the inside of the cells) -does NOT record action potentials, but results from waves of depolarization -does NOT record contraction or relaxation, but the electrical events leading to contraction and relaxation |
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Term
depiction of the stages of the heartbeat and the ECG/EKG reading |
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Definition
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Term
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Definition
caused by depolarization of the atria, when the entire mass of atria is depolarized, ECG returns to baseline [image] |
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Term
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Definition
caused by depolarization of the ventricles; during this time atria repolarize, but the event is hidden by the greater depolarization in ventricles [image] |
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Term
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Definition
produced by repolarization of the ventricles [image] |
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Term
the electrical path for the 1st heart sound |
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Definition
QRS wave --> systole (ventricular contraction) --> rise of intraventricular P --> AV valves close (1st heart sound) --> S1 |
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Term
the electrical path for the 2nd heart sound |
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Definition
T wave --> ventricular repolarization --> intraventricular P lower than arterial P --> semilunar valves close (2nd heart sound) --> S2 |
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Term
the electrical path for the S-T segment |
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Definition
AP transmission in ventricle --> plateau phase --> systole |
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Term
how defective heart valves can lead to heart murmurs |
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Definition
congenital defects or infection (rheumatic endocarditis) --> valves damaged |
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Term
how mitral stenosis can lead to heart murmurs |
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Definition
mitral valve becomes thickened and calcified -narrows mitral valve such that it impairs blood flow from left atrium to right ventricle -accumulation of blood in left atrium may cause pulmonary HTN (hypertension?) |
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Term
LDL (low density lipoprotein) |
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Definition
delivers cholesterol from liver to peripheral tissues, including blood vessel walls |
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Term
HDL (high density lipoprotein) |
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Definition
delivers cholesterol from peripheral tissues to liver --> bile --> gut --> feces (eliminates excessive cholesterol from the body) |
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Term
process by which atherosclerosis forms |
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Definition
arteroial endothelial cells contain LDL R --> LDL-LDL R --> endocytosis --> oxidized LDL --> ... --> formation of atheroma (localized plaques of fat) --> atherosclerosis --> atherosclerosis --> reduce blood flow --> ↑ clot formation [image] |
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Term
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Definition
localized plaques of fat that protrude into the lumen of the arteries --> reduce blood flow --> ↑ clot formation |
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Term
some nutrients that seem to reduce the risk of atherosclerosis |
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Definition
vit C, E, beta-carotene -they reduce oxidation of LDL |
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Term
meaning of the word atherosclerosis |
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Definition
sclerosis (hardening) of the artery due to atheromas |
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Term
why the flow rate in pulmonary and systemic circulation has to be the same |
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Definition
so that there's a smooth flow of blood through the big loop (analogous to traffic and traffic jams) |
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Term
some structural components of the blood vessels |
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Definition
-Vascular lumen – hollow portion, allows blood flow -Tunica interna (intima) – endothelium & elastic layer -Tunica media – smooth muscle (more in arteries than in veins) +this means veins have larger lumens -Tunica externa (adventitia) – prevent overstretching -Elastic fibers (elastins) are present in all 3 layers (interna, media & externa) of arteries, mainly in aorta & large arteries [image] |
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Term
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Definition
Blood pressure (BP) = Force/Area |
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Term
depiction of how the pressure gradient enables blood flow |
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Definition
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Term
why the pressure for systemic circulation is higher than that for the pulmonary circulation |
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Definition
-because the syatemic circulation has to pump blood to the brain and the feet -also, the level of the lung is very close to that of the heart, so doesn't need as high a blood pressure |
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Term
the difference in blood pressure between the various parts of the circulatory system |
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Definition
Ventricular contraction generates ΔP → > arterial BP > capillary BP > venular BP > atrial BP [image] |
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Term
what happens if the compliance of a blood vessel = 0? |
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Definition
can lead to hypertension or breaking of blood vessel or hemorrhage of weak blood vessel, such as stroke |
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Term
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Definition
-Connect arterioles & venules
-Gas exchange (O2 & CO2)
-Fluid exchange (blood plasma <--> interstitial fluid)
-The exchange of nutrients, hormones, metabolic wastes etc.
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Term
composition of capillaries |
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Definition
Smallest blood vessel -Consist of endothelial cells (endothelium) & basement membrane -Pores on endothelium -Do NOT contain smooth muscle [image] [image] |
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Term
how the structure of veins and venules differs from that of arteries |
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Definition
-Thinner walls than arteries -less smooth muscle -larger lumen -contain valves [image] |
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Term
Key functions of veins and venules |
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Definition
-adjust venous return of blood to right atrium -valves inside veins at low BP (~6 mmHg), prevent black flow, ensuring uni-directional flow |
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