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1 BGYC34 PhysioEx Lab 5 Cardiovascular Dynamics Marking Scheme Part 1 Complete PhysioEx lab #5. Hand-in all of the pages associated with the lab. Note that there are 8 activities to be completed. You DO NOT need to hand in the histology review supplement. (5 marks) Marking Note: There are 45 questions. Each question is worth 1 mark. Obtain a mark out of 45 and then convert it to a mark out of 5. Activity 1: Studying the Effect of Flow Tube Radius on Fluid Flow 1. What happened to fluid flow as the radius of the flow tube was increased? Blood flow increased as the radius of the flow tube increased. 2. Circle the correct term within the parentheses: Because fluid flow is proportional to the fourth power of the radius, increases in tube radius cause increases in fluid flow (decreases cause decreases). 3. Is the relationship between fluid flow and flow tube radius linear or exponential? Exponential. 4. In this experiment, a simulated motor changes the diameter of the flow tube. Explain how our blood vessels alter blood flow. Blood vessels can alter blood flow by either constricting (vasoconstriction) or dilating (vasodilation). Rings of smooth muscle around vessels either relax or constrict to cause the vasodilation or vasoconstriction. Noradrenaline released from sympathetic nerves can cause vasoconstriction by acting on alpha adrenoceptors. Adrenaline released from the adrenal gland can cause vasoconstriction or vasodilation by acting on alpha and beta adrenoceptors, respectively. The relative quantity of alpha and beta receptors, in any particular organ, will determine whether there is vasoconstriction or vasodilation. 5. After a heavy meal when we are relatively inactive, we might expect blood vessels in the skeletal muscles to be somewhat constricted whereas blood vessels in the digestive organs are probably dilated. Activity 2: Studying the Effect of Viscocity on Fluid Flow 6. How does fluid flow change as viscosity is modified? 2 As viscosity increases, blood flow decreases. 7. Is fluid flow versus viscosity an inverse or direct relationship? The relationship is an inverse one. 8. How does the effect of viscosity compare with the effect of radius on blood flow? Increases in radius cause blood flow to increase. Increases in viscosity cause blood flow to decrease. Changes in radius have a greater effect on blood flow than do changes in viscosity. 9. Predict the effect of anaemia (e.g., fewer red blood cells than normal) on blood flow. Anaemia would lead to a reduction in blood viscosity and therefore an increase in blood flow. 10. What might happen to blood flow if we increased the number of red blood cells? An increase in the number of red blood cells would lead to an increase in blood viscosity and therefore a decrease in blood flow. 11. Explain why changing blood viscosity would or would not be a reasonable method for the body to control blood flow? Changing blood viscosity is not a reasonable method for the body to control changes in blood flow. Red blood cells take energy and time to synthesise. Therefore there would not necessarily be an available supply of red blood cells (in the spleen) to increase blood viscosity. Furthermore, changes in blood flow are often required for certain organs but not for others. A change in red cell numbers would affect blood viscosity, and therefore flow, in all organs to an equal extent. Activity 3: Studying the Effect of Flow Tube Length on Fluid Flow 12. How does flow tube length affect fluid flow? As blood vessel length increases, blood flow decreases in a negative exponential manner. 13. Explain why altering blood vessel length would or would not be an good method of controlling blood flow in the body? Altering blood vessel length is not a good method of controlling blood flow in the body. Blood vessel length changes during growth but it is not something that is physiologically regulated in the short term. Activity 4: Studying the Effect of Pressure on Fluid Flow 14. How does driving pressure affect fluid flow? An increase in driving pressure increases blood flow. 15. How does this plot differ from the plots of tube radius, viscosity and tube length? 3 The relationship between pressure and flow is linear. The relationship between radius, viscosity and length is exponential. Activity 5: Studying the Effect of Radius on Pump Activity 16. When the piston is at the bottom of its travel, the volume remaining in the pump is analogous to the ESV (end systolic volume) of the heart. 17. The amount of fluid ejected into the right beaker by a single pump cycle is analogous to stroke volume of the heart. 18. The volume of blood in the heart just before systole is called the EDV (end diastolic volume) and is analogous to the volume of the fluid present in the simulated pump when it is at the top of its stroke. 19. Try to explain why this graph differs from the radius plot in the Vessel Resistance experiment. Remember that the flow rate into the pump did not change, whereas the flow rate out of the pump varied according to your radius manipulation. In the experiment in Activity 1, you increased vessel radius and observed an exponential increase in blood flow that was initially quite flat but then increased exponentially and continued to increase. In the current experiment (Activity 5) you increase the radius of the vessel leaving the pump on the right hand side and see an exponential increase in blood flow as vessel radius increases. However, in this case the flow rate begins to plateau once the vessel radius reaches 4 mm. In this case, the flow is being limited by the amount of time that the pump is active (analogous to the time taken for an individual heart beat; systole). Flow cannot increase indefinitely (like in Activity 1) because there is a limited time for the blood to flow out of the pump. 20. As the right flow tube radius is increased, fluid flow rate increases. This is analogous to dilation of blood vessels in the human body. 21. Even though the pump pressure remains constant, the pump rate increases as the radius of the right flow tube is increased. This happens because the resistance to flow is decreased. 22. The heart must contract more forcefully to maintain cardiac output if the resistance to blood flow in the vessels exiting the heart is increased. 23. Increasing the resistance (that is, constricting) the blood vessels entering the heart would increase the time needed to fill the heart chambers. 24. What do you think would happen to the flow rate and the pump rate if the left flow tube radius is changed (either increased or decreased)? Changing the left flow tube radius would lead to changes in the blood supply to the pump. Decreasing the left flow tube radius would lead to a decrease in the 4 blood supply and therefore reduce the flow rate. Increasing the left flow tube radius would lead to an increase in the blood supply and therefore increase the flow rate. Note, you can observe this on the simulation by altering the left tube radius and observing the effects on flow. Activity 6: Studying the Effect of Stroke Volume on Pump Activity 25. What happened to the pump’s rate as its stroke volume was increased? As stroke volume increased, the pump (heart) rate decreased in an exponential fashion. Note that the total flow remained constant. As SV increased, rate decreased to maintain a constant flow (cardiac output). 26. Using your simulation results as a basis for your answer, explain why an athlete’s resting heart rate might be lower than that of the average person. An athlete’s heart is likely to be stronger and more efficient at pumping blood. Therefore, they would likely have a larger stroke volume than an average person. Since stroke volume is higher, heart rate can be lower in order to maintain an appropriate level of cardiac output under resting conditions. 27. Applying the simulation outcomes to the human heart, predict the effect of increasing the stroke volume on cardiac output (at any given rate). At any given heart rate, increasing stroke volume would increase cardiac output. 28. Circle the correct term in parentheses: When heart rate is increased, the time of ventricular filling is decreased which in turn decreases the stroke volume. 29. What do you think might happen to the pressure in the pump during filling if the valve in the right flow tube becomes leaky? Remember that the pump offers no resistance to filling. If the right flow tube becomes leaky, then some of the blood within the tube would flow back into the right pump during the period when the pump is not pumping. This would be expected to increase the pressure in the pump as blood is now flowing into it from both the left and the right tubes. 30. Applying the concept to the human heart, what might occur in the left heart and the pulmonary blood vessels if the aortic valve became leaky? If the aortic valve becomes leaky then you would expect an increase in pressure within the left heart (ventricle) which in turn would lead to an increase in pressure in the pulmonary blood vessels. This would likely lead to pulmonary edaema. 31. What might occur if the aortic valve became slightly constricted? If the aortic valve became constricted then stroke volume would decrease. The heart would have to work harder to pump blood through a constricted valve. This could lead to cardiac hypertrophy and also a pressure increase that could lead to pulmonary edaema. 5 Activity 7: Studying Combined Effects 32. How is flow rate affected when the right flow tube radius is kept constant (at 3.0 mm) and the left flow tube radius is modified (either up or down)? Changing the left flow tube radius would lead to changes in the blood supply to the pump. Decreasing the left flow tube radius would lead to a decrease in the blood supply and therefore reduce the flow rate. Increasing the left flow tube radius would lead to an increase in the blood supply and therefore increase the flow rate. 33. How does increasing left flow tube radius affect pump chamber filling time? Does it affect pump chamber emptying? Decreasing the left flow tube radius increases pump filling time. Altering the left flow tube radius does not alter stroke volume. However, the total amount of flow out of the chamber is reduced because the increase in filling time has decreased (heart) rate. 34. What happens to flow and pump rate when you keep the end volume constant and alter the start volume to manipulate stroke volume? If you manipulate the start volume (EDV) and keep the end systolic volume constant then flow (cardiac output) remains the same but (heart) rate increases. Rate increases to compensate for the decrease in stroke volume. 35. How does changing the left beaker pressure affect flow rate? This change would be similar to changing pulmonary vein pressure. Increasing left beaker (pulmonary vein) pressure increases flow rate by increasing (heart) rate. Stroke volume remains the same. In this case there is more blood flowing into the pump (left heart) because of the increased pulmonary vein pressure. You might, in a real person, expect stroke volume to increase due to the Starling Effect. 36. If the left beaker pressure is decreased to 10 mmHg, how is pump filling time affected? Decreasing left beaker (pulmonary vein) pressure increases filling time. 37. What happens to the pump rate if the filling time is shortened? Increasing filling time leads to a decrease in heart rate. Remember that stroke volume isn’t changing in this simulation because it has been set (i.e., you control what it is). 38. What happens to fluid flow when the right beaker pressure equals the pump pressure? There is an increase in fluid flow when right beaker pressure increases; this doesn’t change when right beaker pressure is increased to the same level as pump pressure. 6 Activity 8: Studying Compensation 39. Now decrease the right flow tube radius to 2.5 mm and run another trial. How does this flow rate compare with “normal”? Flow rate decreases. 40. Leave the right flow tube radius at 2.5 mm and try to adjust one or more conditions to return flow to normal. How were you able to accomplish this? 1. Decreasing right beaker pressure (full compensation) 2. Increasing pump pressure (full compensation) 3. Increasing left beaker (pulmonary) pressure (partial compensation at least under these simulation conditions) 4. Increase stroke volume (partial compensation at least under these simulation conditions) 5. Increase left flow tube radius (partial compensation at least under these simulation conditions) 41. Circle the correct term within the parentheses: Decreasing the right flow tube radius is similar to a partial blockage of the aortic valve or increased resistance in the arterial system. 42. Explain how the human heart might compensate for such a condition. The heart would have to work harder (generate more contractile force) to overcome a valve blockage or increased resistance to flow. 43. To increase (or decrease) blood flow to a particular body system would it be better to adjust heart rate or blood vessel diameter? It would be better to adjust blood vessel diameter as changing heart rate could affect blood flow to all of the organs in the body. 44. If we decreased overall peripheral resistance in the human body the heart would need to generate more pressure to deliver an adequate amount of blood flow and arterial pressure would be most likely lower because a reduction in TPR lowers blood pressure. The compensatory increase in heart rate or stroke volume may or may not restore blood pressure to normal. 45. If the diameter of the arteries of the body were partly filled with fatty deposits, the heart would need to generate more force to maintain blood flow and pressure in the arterial system would be higher than normal. 7 Part 2 (10 marks) Answer the following questions. Staple the answers to the back of the PhysioEx pages. 1) What is Poiseuille’s Law? How would each of the physiological factors in Poiseuille’s Law (equation) affect blood flow? (2.5 marks) R = 8Lη / πr4 (1 mark) R = resistance L= vessel length η =viscosity r = radius Increasing blood vessel length would increase resistance and therefore decrease blood flow. (0.5 marks) Increasing viscosity would increase resistance and therefore decrease blood flow. (0.5 marks) Increasing blood vessel radius would decrease resistance and therefore increase blood flow. (0.5 marks) 2) How might anaemia, polycythaemia, low erythropoietin levels, splenectomy and infection affect blood flow? (2.5 marks) It is sufficient if they say how blood flow is affected. They don’t need to say why (I should have asked this specifically but I didn’t). Anaemia is a reduction in the number of red blood cells. Anaemia would reduce blood viscosity, reduce resistance to flow, and therefore lead to an increase in blood flow. (0.5 marks) Polycythaemia is an increase in the number of red blood cells. This would increase blood viscosity, increase resistance to blood flow and lead to a decrease in blood flow. (0.5 marks) Erythropoietin is involved in the production of red blood cells. Low levels would lead to a reduction in red cell production and therefore a decrease in blood viscosity, a decrease in resistance to flow and increased blood flow. (0.5 marks) Splenectomy (removal of the spleen) would hinder the body’s ability to make and store red blood cells leading to reduced blood viscosity, reduced resistance and an increase in blood flow. (0.5 marks) 8 Infection would lead to an increase in the number of circulating white blood cells which would increase blood viscosity, increase resistance and decrease blood flow. (0.5 marks) 3) Cardiac output equals heart rate X stroke volume. All things being equal, increasing either heart rate or stroke volume will increase cardiac output. However, if heart rate increases too much, cardiac output can actually decrease. Why? How does increased sympathetic activity prevent this decrease in cardiac output (2.5 marks) If heart rate increases to much then filling time decreases. (0.5 marks) If filling time decreases then end diastolic volume decreases which in turn leads to a decrease in stroke volume. (0.5 marks) If heart rate becomes to high, the decrease in stroke volume is so great that cardiac output decreases despite the increase in heart rate. (0.5 marks) Increased sympathetic activity enhances calcium sequestering in the endoplasmic reticulum of the cardiac muscle cells. Therefore, it increases the rate at which the heart relaxes following systole. This allows the heart to spend more time in diastole (despite a high heart rate) which allows more time for filling. (1 mark) 4) What is aortic valve stenosis? How and why would aortic valve stenosis be expected to affect stroke volume? (2.5 marks) Aortic valve stenosis is a condition in which the aortic valve doesn’t open properly. (1 mark) Aortic valve stenosis would be expected to reduce stroke volume (1 mark). This is because the diameter of the opening between the left ventricle and the aorta is reduced when the valve isn’t properly open. (0.5 marks)