Download pdf - Vascular Function Curve

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  • Qheart = 0L/min

    t0: Q = 0Qresistance vessles = 0L/min

    Parteries = 7mmHgPveins = 7mmHg

    t0: Q = 0Mean Circulatory Pressure or Static Pressure = 7mmHgCompliance and Volume only factorsFlow = 0

    1)Stepwise increase in COSee how CVP changes

    SVR = 20mmHg/L/min

    Cardiace Output increase = decrease in CVP

    t1: Q = 1Initial increase in CO-Blood redistributes from Venous circulaiton-Blood accumulates in Arterial circulationthis is due to an IMBALANCE between output from the Heart and Resistance vessles T1: Q = 1

    Qrv < (Qco =1)

    Pressure hereincreasesPressure

    Here decreases

    P here providesDriving Force requiredto Match ow throughResistance vessels with

    CO

    P

    P depends on SVR

    Qvein = Qresistance vessels

    Veins Resistance Vs

    = Volume = 1

    19191 Pressure

    Compliance xCompliance x 1919

    Pressure1919

    constant, same for veins and resistance vessles

    dV = C x dP

    Compliance Arteries = 1Compliance Veins = 19

    dPveins = 1 dPresist vs = 19

    Card

    iac

    Out

    put L

    /min

    CVP mmHg

    1

    2

    3

    4

    5

    6

    7

    -1 0 1 2 3 4 5 6 7 8 9

    8

    9

    Mean Circulatory

    Pressure = 7mm

    Hg

    Cardiac output0 1 2 3 4 5 6 7

    140

    130

    120

    110

    100

    90

    80

    70

    60

    50

    40

    30

    20

    10

    0

    Arterial Pressure m

    mH

    g

    7

    6

    5

    4

    3

    2

    1

    0

    -1

    Veno

    us P

    ress

    ure

    mm

    Hg

    Resistance: 20mmHg/L/minCompliance: Cveins 19x Cartery

    Blood Volume: Mean Circulatory Pressure = 7mmHg

    CO: independent variable

    Vascular Function Curve

    Vascular Function Curve

    Factors that aect Vascular Function Curve1) Volume: shifts parallel2) Resistance: Rotates3) Venous Compliance: -Changes mean circulatory pressure (+) venous Com = (-) MCP -Venous Compliance also changes slope

    Cardiac output = Venous Return

    Cardi

    ac Fu

    nctio

    n = Cu

    rve St

    arling

    Curve

    Equilibrium Point = where CV system is operatingCO = 5 CVP = 2, only point that really exists

    Increased Blood Volume

    (-) inotropic state(+) Afterload(-HR)

    (+) HR(-) Afterload(+) Inotropic state

    Decresed Blood Volume

    Increase SVR

    Decrease SVR


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