Cardiovascular Physiology Overview
1. Circulation
main branches and vessels (basic anatomy)
distribution of blood and blood flow in organs;
transport of oxygen, nutrients and heat
anatomy and properties of arterial and venular walls and the law of Laplace
2. Hemodynamics
relationships between pressure, flow, resistance, cross section and velocity
flow and effective resistance in elements connected in parallel and/or in series
laminar and turbulent flow, radius and resistance: Poiseuille’s law
non-ideal fluid properties of blood
3. Heart
general anatomy: position, chambers, valves, inlets/outlets
cardiac cycle: timing, valve function, pressure and volume in chambers, correlation with ECG (Wigger’s diagram)
heart muscle: contractile properties, E-C coupling mechanism,
action potential and the mechanism of AP propagation
pacemaker mechanism: ionic currents and properties of channels
nodes and conduction pathways, role of gap junctions,
electrical activity during contraction cycle, causes of arrhythmias and fibrillation, ECG as a diagnostic tool
heart innervation, sympathetic and parasympathetic control of heart activity
4. Systemic circulation and microcirculation
pressure profile across the systemic circuit
colloid-osmotic properties of the blood, capillary filtration and absorption,
causes of edema
flow redistribution in tissue microcirculation: sphincters and anastamoses
neural, hormonal and metabolic control of hydrodynamic resistance and flow
coronary circulation and disease
5. Cardiovascular function and regulation
Balance between systemic and pulmonary blood flows, Starlings’ law
Cardiac output: heart rate, stroke volume (contractility), DPAV and TPR
Venous return: heart rate, systemic filling pressure, total blood volume,
vascular tone and compliance, TPR
Arterial pressure and compliance, atherosclerosis and hypertension
BP regulation: baroreceptor reflex and hormonal regulation of blood volume
cardiovascular pharmacology
cardiovascular function during exercise