Physiology heart

24 important questions on Physiology heart

Why do you need platelets? What is another name?

Other name: thrombocytes
Important for the clotting of the blood (coagulation or thrombosis)

What are the requirements for the cardiovascular system?

  • Pressure-regulated, closed system
  • Blood must be fluid
  • Blood must not run off indefinitely if damage occurs

When do you use serum in medicine?

For blood typing and diagnostic tests (levels of HcG, cholesterol, proteins, sugar).
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When do you use plasma in medicine?

For transfusion (hemophilia, immunodeficiency, shock, burns)

What do you know about hemostasis and endothelium?

The endothelial cells in the blood vessels are anti-thrombotic: they will always try to keep the blood fluid.
Hemostasis is the prevention of blood loss (opposite to what endothelial cells do).
These two systems must be in balance with each other.

What are the four mechanisms of hemostasis?

  1. Vasoconstriction: reduced blood flow
  2. Formation of a platelet plug
  3. Formation of a blood clot due to coagulation (thrombosis)
  4. Dissolution of the fibrin (blood) clot (fibrinolysis)

What is the function of the von Willebrand Factor (vWF)?

Adhesion of platelets to e.g. collagen.

What is the function of glycoprotein IIb/IIIa?

It is activated after platelet adhesion, fibrinogen can bind and cross-link the platelets.

What are the steps in the formation of a blood clot due to coagulation (thrombosis)?

There is an extrinsic and intrinsic pathway to the formation of thrombin. Thrombin makes from fibrinogen fibrin. Fibrin consists of an E- and D-domain. The α, β, and γ-chain come together in the E-domain. D -domains interact with each other to form a network.

How is the fibrin clot dossoluted (fibrinolysis)?

Tissue-type plasminogen activator (t-PA): lysis of fibrin clot in the blood
Urokinase-type plasminogen activator (u-PA): lysis of fibrin clot in the tissues

What inhibits the plasminogen activators (t-PA and u-PA)?

Plasminogen activator inhibitor (PAI)

Endothelial cells are anti-thrombotic. What are the three mechanisms?

  1. Antithrombine III
  2. Activated C protein
  3. Tissue Factor Pathway Inhibitor

How is protein C activated?

By thrombin bound to the epithelial receptor thrombomodulin.

What are the different plasma types?

  • EDTA-plasma
  • Citrate-plasma
  • Heparine-plasma

What is special about EDTA plasma?

EDTA removes Ca2+ from the plasma.

What is special about citrate-plasma?

Plasma mixed with sodium citrate to prevent clotting.

What is special about heparine-plasma?

Heparine blocks factor X, prevents blood clotting.

What is the pulse pressure?

The difference between the systolic and diastolic pressure.

What are the three blood pressure regulating systems?

  • The heart
  • The kidneys
  • The blood vessels

Where can blood pressure be regulated?

  1. Local/autoregulation (in tissues)
  2. Central/endocrine regulation (long-lasting)
  3. Central/neural regulation (short-lasting)

What is local regulation of the blood pressure?

To vasoconstrict: make endothelin-1
To vasodilate: make nitric oxide (NO)
So if endothelial cells detect vasodilation they will make endothelin-1, if they detect vasoconstriction they will make NO.

Where do new RBC originate? What is this process called?

New RBC originate in the BM. This process is called erythropoiesis.

Epo is needed to go from stemcell to erythrocyte. But what do you need to produce functional erythrocytes?

Iron

What is capillary hydrostatic pressure (CHP)?

Water + solvents move to the tissues
Proteins do not move into the tissues
Blood also moves into the tissues, but osmotic forces cause the blood to move back into capillaries --> blood colloid osmotic pressure (BCOP)

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