Cardiovascular Physiology
(The course with a heart!)


Outline Of Lectures, Labs & Readings
Lecture - in Harder 103
Tues.- Thurs.11:10-12:30
Lab - in 316 or Harder 103 if Lecture 1rst
updated 8/26/2010

Outline now current through Dec.10

Warning Forever Under Construction!!!!!!

 
 Month  Orig.Date  Lecture topic/Added Readings  Smith & K. 3  Berne & L. 8* /other
I. General Principles
 Sept.

 04
 Organizational / Decisons as to approach / Intro to hemodynamics?

 Ch. 1

 Ch.1
   09  Hemodynamics I  16-30  115-133
   10  Hemodynamics II Applications HO, Vogel problem  16-30  115-133
 
   11  (Lec) Cardiac Mechanics/Structure-Functional anatomy
advice-concentrate on cardiac cycle B&L fig 3-11, S&K fig. 3.5
______________________________________________________________
(lab) Progressive Anemia - web-HUMAN - effects on CO, O2A, O2V & VENT
 1-5,31-46  1-5, 66-78
   16  Cardiac Mechanics/ Cardiac Cycle- functional mechanics - Applications HO  31-46  66 [contractility]-78 [Fick]
 

 17
 Mechanics Clinical Case I - Mitral Stenosis data + questions
______________________________________________________________
(lab) Cardiac gross & microanatomy - Da 316
Central Vascular Anatomy - Calf Heart valve ring & base to apex dissections,
Anatomy atlas - plates 200-01,03-04,06,08-013,2016 (ie.all in 200 series)
   Case HO + questions
II. The Heart
   18  (Lec) Cardiac Cellular Physiology- Mechanical Activity I - Preload, Afterload, Contractility - 1) Ca2+ mobilizing mechanisms 2) contractility - cell & whole heart  71-88  55-67
   23  Cardiac Cellular Physiology- Cell Electrical Activity I  47-58  7-31
 

 24
 Cardiac Cellular Physiology- Cell Electrical Activity II - Applications HO - see email for revisions to #6 & #10. Revised handout
________________________________________________________________________
(lab) Autonomic Control of Cardiovascular Reflexes - part 1 - ECG recording of human reflexes & preliminary HRV analysis

 47-58

 7-34, 39-40 + fig. 2-34
   25  (Lec)Electrocardiography I- Basics, scalar cardiography, Rate & Rhythm Disturbances  59-70*  43-51 [omit the vector material: 43, Standard Limb Leads->46, Box 2-11 ]
   30  Electrocardiography II- Applications, vector cardiography  59-70  43-51
 Oct.

 01
 
(lec) Cardiographic problems/analysis - discussion - ECG HO
______________________________________________________________
(lab) Autonomic Control of Cardiovascular Reflexes - part 2- ECG recording of human reflexes continued & HRV analysis of autonomic tone
- separation of cold immersion and face immersion components

 
59-70

 
43-51 *, ECG HO
Anemia HO
 

 02

Cardiac Output- Concepts, Classical Synthesis, Starling (Starling HO)


116-121, 77-82


98-113
83-95 (skim)
  07  Cardiac Output- Control I, Guyton Analysis (Basic CO-VReturn curves HO)  110-116 199-213
 

 08
 Cardiac Output- Control II ( CO-VR concluded - Applications - Heart failure/sympathetic stimulation/decompensated failure ______________________________________________________________
(lab) Presentation of Autonomic Reflexes as evaluated via HRV analysis

 121-127

 199-213, 76-80, 83-95
III. The peripheral vascular system
 

 09
(lec) Case Conference II- Congenital defects
(note: This topic continues below with the CV development section)

45-46, 259-61
---
S&K fig 1.8, 3.7,3.8

 case handout
  14  Microcirculation 1- Exchange, Capillaries, Lymphatics  128-137  Chap. 7
 

 15
(lec) Microcirculation2 - Edema ______________________________________________________________
(lab) Vectorcardiography - basic recording, construction of six lead frontal plane cardiogram, study of effect of respiration on cardiac frontal vector direction & size

 137-139

  Chap. 7
  16   => Examination #1 - it's over!!! Pick up readings for nexts week's topic Friday  ----- -----
 

 21
 CV development I / Congenital cardiovascular defects - Fetal Circulation handout - Embryology HO, sample
data from defects
 B&L 264-268 plus below
 

 22
 CV development II / Embryology of the CV system, analysis of congenital defects and central vascular shunts - atrial, ventricular and ductus shunts, transposition of the great vessels, tetrology of Fallot /
- analysis of 4 mini-congenital defects cases
________________________________________________________________
(lab) - web-HUMAN - locate the congenital cardiovascular shunt
 handout - Embryology HO, sample
data from defects
1- Embryology of the heart
2- Fetal & Perinatal Circulation
3- Genetic Blueprint... - skim
4- Neuropeptide Y - Current Research - FYI & see B&L fig. 4-5
 

 23
 (lec) Guest class - Kathleen Getty - "arrhythmia ablations, pacemakers and defibrillators"
Thanks! Great class.
 .

Review your cardiac electrophys! 
  28  Arterial pressure(AP)1- determinants/measurement
11 questions for discussion on AP measurement (HO)
 S&K ch6 B&L Box 6-2, fig. 6-16
B&L Ch6 (optional)
  29  Arterial pressure(AP)2 - Control/short term
_______________________________________________________________________
(lab) Pressure-Flow I - anesthesia, recording ECG, blood pressure instrumentation/calibration
 S&K 161-178 B&L 187-193
 

30
 Arterial pressure(AP)3 - Control/ long term

 S&K 178-9

 B&L TBA, HO
Nov. 04  Control of Q-P 1 - Principles of CV Pharmacology I- Autonomic NS neurochemicals and receptors Shepard HO- 1) Principles 2) Adrenergic agonsists & antagonists 3) systemic response to NE  *read 1rst
Pharm lecs mostly handout based
----
  06  (lab) Electromagnetic Flow Measurements in acute preparations I - introduction/ surgery for flow masurements ---- ----   
  05  Exam #2 - all or partly in web-HUMAN w/ in class analysis
Likely topics: Control of arterial blood pressure in web-HUMAN and Functional Shunt Analysis
Final Paper Guidelines handouts distriibuted
 ----- -----
  11  1) Control of Q-P 2- Principles of CVPharmacology II
read: Shepard HO, use outline HO
 S & K Ch.9
esp. 199-
 B & L Ch.8 
IV. Organ Circulation
  12 web-HUMAN - Creation of 3 modules
1) Systemic response to NE infusion 2) Systemic response to an E infusion 3) Use of adrenergic blockers - prep: scrutinize variables & parameters list
 S&K 191-198  B&L Ch 10
 

 13

(lab) Electromagnetic Flow Measurements in acute preparations II - full preparation & recording

---

---
  see 19 Case Conference III: Coronary artery disease -HO - Reading resources --> S&K 191-198 B&L Ch 10
  18 Organ Circulation1- pulmonary + pulmonary discussion HO questions 215-219 250-255
  19

Organ Circulation2- coronary 1(basic characteristics, myocardial energetics) + coronary circ. discussion questions (HO) - plus read S&K IHD esp. 284-288
______________________________________________________________

Case Conference III: Coronary artery disease -HO - Reading resources, see listing above

 191-8
85-88
  Ch.10
  20 Organ Circulation3- renal (& blood pressure control) + HO questions 198-204+ review
Long term BP
control 
255-259
  25  Organ Circulation4 - cerebral, other + HO questions 182-191 247-250 

 Thankgiving Vacation 26-30
 
IV. Integrative & Pathologic Cardiovascular Physiology
 Dec.

 02
 Heart Disease & Heart Failure

  274-299

 93,213-16,Ch10,
   03  Case Conference IV- Heart Disease and Heart Failure - case HO
Last date for final paper topic approval
----- ----- 
 

 04
 Hemorrhage & shock

311-327, 267-270

 278-285
 

 09
  Hypertension - lecture
--------------------------------------------------------
Hypertension of unknown origin (pheochromocytoma) - web-HUMAN - lab
303, 309-311, 146  
  10  Final Symposium in lab (Harder 103) Papers due 4:30

* Exam III -optional at your choice or mine
-----  ----- 

 

Schedule of Major Clinical Case Conferences
Date  Case  Location
 Sept. 17 Mitral stenosis in lab
Oct. 09 Congenital cardiac defects in lab
Nov. 19 Coronary artery disease in lab
Dec. 03 Heart Failure in lab

 


General information

1) Readings - Texts & Articles

2) Handouts H or HO a) case study handout b) journal article handout c) other text source

3) Attendance is required (see course hardcopy handout)

4) Grades- Exam average 75%, lab average 25% (including final paper & presentation)
- there are sometimes announced half-exams

5) All are expected to read ahead; lecture does not 'repeat' the reading but compliments it.

* Articles are picked on a rolling basis from current literature. Citations will be posted as they are selected.


 

More to come.......