Cardiac output as you know is made up of heart rate and stroke volume. At rest, these are relatively constant however with exercise the heart beats faster, and more blood is pumped out with each beat. These factors both contribute to a rise in BP, as would any other factor that caused the heart to speed up
FULL WEB Interactive version
http://www.scribd.com/doc/182401977/Physiologic-and-Pathophysiologic-Function-of-the-Heart-Cardiac-Cycle-Graphs-Curves-Loops-and-CO-Calculations
FULL WEB Interactive version
http://www.scribd.com/doc/182401977/Physiologic-and-Pathophysiologic-Function-of-the-Heart-Cardiac-Cycle-Graphs-Curves-Loops-and-CO-Calculations
“Cardiac output refers to the volume of blood pumped out per ventricle per minute.”
Cardiac output is the function of heart rate and stroke volume.
STROKE VOLUME:
The amount of blood pumped by the left ventricle in one compression is called the stroke volume.
Heart Rate
The cardiac output increases with the increase in heart rate.
This slide will help the learners to know about the effect of postural change on blood pressure and heart rate. This method is very crucial in diagnosis of Postural Hypotension in subjects.
Cardiac output (The Guyton and Hall Physiology)Maryam Fida
The volume of blood pumped by each ventricle per minute is called cardiac output
Cardiac output = Stroke Volume X Heart Rate
Normal value = 5 Liters /Minute
Cardiac output = Stroke Volume X Heart Rate
The factors which regulate stroke volume and Heart rate are basically regulating Cardiac output
Volume of blood ejected by each ventricle in single systole; Normal Value = 70 ml/beat
Stroke Volume = End diastolic Volume – End Systolic Volume
So stroke volume is mainly controlled by
EDV
ESV
VENOUS RETURN: What ever blood volume returns to the heart, same is pumped forward through the Frank’s Starlings Law. According to this law 13- 15 liters of blood volume can be pumped out without cardiac stimulation.
DURATION OF DIASTOLE OR FILLING TIME: ventricular filling occurs during diastole, so there must be adequate ventricular filling time.
DISTENSIBILITY OF THE VENTRICLES: Normally ventricles are distensible to accommodate adequate blood volume. Infarction decreases the distensibility which decreases the EDV.
ATRIAL CONTRACTION: There must be adequate atrial contraction to have adequate EDV. If atrial function is not adequate then EDV will decrease.
E.S.V is basically CONTROLLED BY MYOCARDIAL CONTRACTION
FORCE OF MYOCARDIAL CONTRACTION: It depends upon the initial length of muscle fibers according to frank’s starlings law.
PRELOAD: The effect of EDV on initial length is called preload. So EDV also effects the ESV.
AFTER LOAD: Force of contraction is also dependant upon the resistance against which the ventricles have to pump
CONDITION OF THE MYOCARDIUM : It also effects the force of contraction.
AUTONOMIC NERVES : Sympathetic stimulation increases and parasympathetic stimulation decreases force of contraction
HORMONES: Catecholamines, thyroxine, glucagon, digitalis, calcium, increased temp, caffeine, theophyline increase the force.
Force decreases by hypoxia, acidosis, barniturates, procainamide and quinidine decrease the force of contraction.
this is a detailed study on blood pressure measurement on clinical watching , methods , equipment's , common problems ,and all major aspects of blood pressure measurement is mentioned in detail .
please comment
thank you
“Cardiac output refers to the volume of blood pumped out per ventricle per minute.”
Cardiac output is the function of heart rate and stroke volume.
STROKE VOLUME:
The amount of blood pumped by the left ventricle in one compression is called the stroke volume.
Heart Rate
The cardiac output increases with the increase in heart rate.
This slide will help the learners to know about the effect of postural change on blood pressure and heart rate. This method is very crucial in diagnosis of Postural Hypotension in subjects.
Cardiac output (The Guyton and Hall Physiology)Maryam Fida
The volume of blood pumped by each ventricle per minute is called cardiac output
Cardiac output = Stroke Volume X Heart Rate
Normal value = 5 Liters /Minute
Cardiac output = Stroke Volume X Heart Rate
The factors which regulate stroke volume and Heart rate are basically regulating Cardiac output
Volume of blood ejected by each ventricle in single systole; Normal Value = 70 ml/beat
Stroke Volume = End diastolic Volume – End Systolic Volume
So stroke volume is mainly controlled by
EDV
ESV
VENOUS RETURN: What ever blood volume returns to the heart, same is pumped forward through the Frank’s Starlings Law. According to this law 13- 15 liters of blood volume can be pumped out without cardiac stimulation.
DURATION OF DIASTOLE OR FILLING TIME: ventricular filling occurs during diastole, so there must be adequate ventricular filling time.
DISTENSIBILITY OF THE VENTRICLES: Normally ventricles are distensible to accommodate adequate blood volume. Infarction decreases the distensibility which decreases the EDV.
ATRIAL CONTRACTION: There must be adequate atrial contraction to have adequate EDV. If atrial function is not adequate then EDV will decrease.
E.S.V is basically CONTROLLED BY MYOCARDIAL CONTRACTION
FORCE OF MYOCARDIAL CONTRACTION: It depends upon the initial length of muscle fibers according to frank’s starlings law.
PRELOAD: The effect of EDV on initial length is called preload. So EDV also effects the ESV.
AFTER LOAD: Force of contraction is also dependant upon the resistance against which the ventricles have to pump
CONDITION OF THE MYOCARDIUM : It also effects the force of contraction.
AUTONOMIC NERVES : Sympathetic stimulation increases and parasympathetic stimulation decreases force of contraction
HORMONES: Catecholamines, thyroxine, glucagon, digitalis, calcium, increased temp, caffeine, theophyline increase the force.
Force decreases by hypoxia, acidosis, barniturates, procainamide and quinidine decrease the force of contraction.
this is a detailed study on blood pressure measurement on clinical watching , methods , equipment's , common problems ,and all major aspects of blood pressure measurement is mentioned in detail .
please comment
thank you
Cardiac output by Dr. Amruta Nitin Kumbhar Assistant Professor, Dept. of Phys...Physiology Dept
Definition of cardiac output and related terms
Measurement of cardiac output
Variations in cardiac output
Regulation of cardiac output
Cardiac output control mechanisms
Role of heart rate in control of cardiac output
Integrated control of cardiac output
Heart–lung preparation
Blood pressure is one of the important vital signs. This ppt is for the First year General Nursing and Midwifery (GNM) students to understand the topic with simple language and pictures
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
3. • Upon completing this chapter students should be able to:
1.Define Blood pressure
2.Describe Pulse and Cardiac Output
3
Learning Objectives
4. BLOOD PRESSURE
Blood pressure (BP) is a measure of the
force that the circulating blood exerts
against the arterial wall.
4
SYSTOLIC PRESSURE
• Systolic pressure is the maximum pressure exerted by the blood against the arterial walls.
• It results when the ventricles contract (systole )
5. 5
DIASTOLIC PRESSURE
• Diastolic Pressure is the lowest pressure in the artery.
• It result when the ventricles are relaxed (diastole )
Blood Pressure measurement
•Office BP measurement:
Two readings, 5 minutes apart, sitting.
•Ambulatory BP monitoring:
For white coat hypertension.
•Self-measurement of BP:
Information on response to therapy, may improve adherence to therapy.
Time of measurement
• Use multiple readings at different times during the waking hours of the patient.
• For patient taking antihypertensive medications monitoring of blood pressure should be done
before taking the scheduled dose.
6. 6
Patient position
• BP should be measured in sitting position. Patient should sit for 5 minutes before measuring BP.
• In elderly, supine and standing position can be used to detect postural hypotension.
Selecting the most accurate blood pressure cuff
• The length of the bladder should be at least 80% of the circumference of the upper arm.
• The width of the bladder should be approximately 40% of the circumference of the upper
arm.
7. 7Where to listen for blood pressure
sounds
1- Locate the antecubital fossa of the patient’s arm
and palpate the brachial artery. This location is the
point over which the stethoscope is placed to listen for
Korotkoff sounds later.
2-Wrap the cuff approximately 2.5 inch above the
antecubital fossa.
8. 8Determining the palpated systolic pressure
and the maximum inflation level
3. While palpating the radial pulse, inflate the cuff until
you feel the radial pulse disappear.
Note the pressure on the manometer at this point and rapidly
deflate the cuff.
9. 9Measurement of BP
4- Place the stethoscope lightly over the brachial artery and inflate the cuff to a pressure 30 mm Hg
greater than estimated systolic pressure.
5- Deflate the cuff slowly at a rate of 2 mm Hg per heartbeat.
6- Systolic pressure equal the pulse first heard by auscultation
7- Deflate the cuff until the sounds become muffled and then disappear.The
disappearance of sound estimate the diastolic pressure.
8- Record the blood pressure reading in even numbers. Note patient’s position, cuff
size, and arm used for measurement.
11. CARDIAC OUTPUT
Cardiac output is defined as amount of
blood pumped out of each ventricle per
minute.
Cardiac output is expressed in two forms,
1)stroke volume
2) minute volume
Unit – litre (ml) / min
11
12. 12CO = SV x HR
cardiac output = stroke volume X heart rate (ml/minute) (ml/beat) (beats/min)
a.Average heart rate = 70 bpm
b.Average stroke volume = 70−80 ml/beat
c.Average cardiac output = 5000 ml/minute
Cardiac output varies widely with the level of activity of the body.
FACTORS EFFECTING CARDIAC OUTPUT
Heart rate
When heart rate increases ,cardiac output also increases. Any factor which changes heart rate
will also changes cardiac output.
Force of contraction of heart
When the force of contraction of the heart increases, stroke volume will increase. Therefore
cardiac output will increase.
Blood volume
When blood volume increases cardiac output increases.
Venous return
14. STROKE VOLUME
Stroke volume ( SV ) is the volume
of blood pumped out of each ventricle per
beat or contraction .
As the stroke volume increases the
cardiac output also increases.
Stroke Volume depends upon
1. End diastolic Volume
2. Contractility
SV = EDV – ESV
14
15. 15The stroke volumes for each ventricle are generally equal, both being approximately 70
ml in a healthy 70 kg man.
Men, on average, have higher stroke volumes than women due to the larger size of their
hearts.
Physiological variations of cardiac output
1. Age: Cardiac output is more in adults than in children because blood volume is more.
2. Gender: cardiac output is more in male than females.
3. Altitude: cardiac output increases at high altitude places.
4. Pregnancy: cardiac output increases during pregnancy
5. Exercise: cardiac output increases during exercise
6. Emotion: cardiac output increases during emotional expressions.
17. RELATIONSHIP WITH BP
As Cardiac output is made up of heart rate and stroke volume - at rest
these are relatively constant.
With exercise the heart beats faster - more
blood is pumped out with each beat
contributing to a rise in BP.
Changes in the volume of blood within the cardiovascular system will also
affect Bp.
17
18. 18
A person was severely dehydrated or lost a large quantity of blood through a wound,
there would be less blood for the heart to pump, thereby reducing cardiac output and
BP.
For a typical, fit young person, the cardiac output might go up to about 20 litres/min at
the peak of exercise.
For a world-class athlete in an endurance sport, the maximum cardiac output might be
around 35 litres/min.
REGULATION OF CARDIAC OUTPUT
It means maintaining a constant cardiac output around 5 litres/min under normal
conditions and adjusting the cardiac output as per the physiological demands.
It has to be regulated to have an optimum cardiovascular efficiency.