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Flashcards in CVS 1 Deck (65)
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1

Describe the structure of capillaries

Single layer of endothelial cells surrounded by a basal lamina.

2

How can small hydrophilic molecules, like glucose, pass out of capillaries into interstitial tissue space?

Through small aqueous pores in between the endothelial cells lining the capillary. Except in the brain where there is tighter junctions between endothelial cells (blood-brain barrier).

3

State factors that affect the rate of diffusion

1. Concentration gradient
2. Diffusion distance
3. Diffusion resistance - usually low
4. Surface area available for exchange

4

What affects the diffusion resistance?

1. Nature of molecule - lipophilic, hydrophilic, size
2. Nature of barrier - pore size, number of pores for hydrophilic molecules
3. Path length - depends on capillary density, path length is shorter in more active tissues

5

How does the rate of blood flow through the capillary bed affect the concentration gradient?

If it is too slow, the concentration gradient will dissipate. Therefore the blood flow must be matched to the rate of use by tissues.

6

What is the perfusion rate?

the rate of blood flow through the capillaries per unit mass of tissue, expressed in milliliters per minute per 100 g

7

Which organs receive a steady blood flow?

Brain and kidneys

8

What is the cardiac output at rest of a 70kg man?

5l/minute

9

During exercise the cardiac ouput can increase from 5l/min to ...

25l/min

10

What are the 4 components of the cardiovascular system?

1. Pump - heart
2. Distribution system - vessels and blood
3. Exchange mechanism - capillaries
4. Flow control - arterioles and pre-capillary sphincters

11

Why is resistance an essential component of the cardiovascular system?

In order to regulate blood flow so that it doesn't only perfuse those areas which are easiest (e.g. not against gravity). By reducing the ease of blood flow in some areas you direct it to areas that are more difficult to perfuse.

12

What component of the cardiovascular system provides a temporary store of blood, which can be returned to the heart at a different rate?

The veins. They have thin, distensible walls and therefore easily distend and collapse acting as temporary reservoirs.

13

Define capacitance/compliance

The distensibility of blood vessels located within the body; it is inversely proportional to elasticity. Therefore, the greater the amount of elastic tissue in a blood vessel, the greater the elasticity, and the smaller the compliance.

14

What determines the direction of blood flow around the circulatory system?

Flow travels from higher pressure to lower pressure.

15

Where is the largest proportion of blood found in the cardiovascular system?

Veins

16

Where is blood flow the fastest?

Where the total cross-section is the least

17

In which vessels is blood flow the slowest?

Capillaries

18

What are the major elastic arteries of the body?

Right and left pulmonary arteries
Brachiocephalic artery
Left carotid artery
Left subclavian artery
Aorta
Left and Right common iliac arteries

19

Where are the semi-lunar valves found?

Aortic and pulmonary valves

20

Where is a bi-cuspid valve found?

Mitral valve - left atrio-ventricular valve

21

Where is a tri-cuspid valve found?

Right atrio-ventricular valve

22

What essential function do elastic arteries have during diastole?

They act as pressure reservoirs - they store elastic energy during systole and release it (recoil) during diastole maintaining blood pressure.

23

Why are pulses only found in arteries and to as lesser extent arterioles?

Because these are elastic vessels which are stretching and recoiling during systole and diastole respectively.

24

What are the three major types of arteries?

1. Elastic conducting arteries (widest)
2. Muscular distributing arteries (intermediate diameter - most of the named arteries)
3. Arterioles - narrowest

25

What three layers make up the walls of arteries and veins?

Tunica intima
Tunica media
Tunica adventitia - usually connective tissue

26

What are vasa vasorum? Where are they found?

They are 'vessels of the vessels' - small blood vessels that supply the walls of large vessels such as elastic arteries, muscular arteries and large veins.

27

What type of cell produces the elastin, collagen and extracellular matrix found in the tunica media?

smooth muscle cells

28

What is aortic dissection?

The separation of elastic llamelae by high pressure blood forcing its way in e.g. aortic dissection.

29

Why are individual's with Marfan's syndrome at high risk of aortic dissection?

Marfan's syndrome is a genetic syndrome. A defect in the fibrillin-1 gene (a glycoproteins which forms elastic fibres in connective tissue), weakens elastic fibres, such as those found in the tunica media of elastic arteries. This makes them more vulnerable to damage by the high pressure blood flow in these vessels.

30

Where do aortic dissections occur? How are they treated?

They can occur anywhere along the aorta. They are treated by insertion of a stent.