Sunday, October 5, 2025

STUDY NOTES: Mathematical Applications in Blood Pressure & Circulation

1. Blood Pressure (BP)

  • BP = Blood Pressure

  • CO = Cardiac Output (amount of blood pumped per minute)

  • SVR = Systemic Vascular Resistance (resistance of blood vessels to flow)

 2. Cardiac Output (CO)

  • HR = Heart Rate (beats per minute)

  • SV = Stroke Volume (mL of blood ejected per beat)

Example:

If HR = 70 bpm and SV = 70 mL
→ CO = 70 × 70 = 4900 mL/min (≈ 5 L/min)

This shows that an adult heart pumps about 5 liters of blood per minute.

3. Mean Arterial Pressure (MAP)

  • SBP = Systolic BP

  • DBP = Diastolic BP

Example:
If BP = 120/80 mmHg
→ MAP = 80 + ⅓ (40) = 93 mmHg
MAP represents average arterial pressure during one cardiac cycle — the key to perfusion.

4. Poiseuille’s Law (Flow in Circulation)

  • Q = Blood flow

  • r = Vessel radius

  • ΔP = Pressure difference

  • η = Blood viscosity

  • L = Length of the vessel

Meaning:
Flow is proportional to the fourth power of radius — small changes in vessel diameter cause large changes in blood flow.
Vasoconstriction = huge ↓ in flow
Vasodilation = huge ↑ in flow

 5. Ohm’s Law in Circulation

Analogous to electricity:

 6. Height and Circulatory Dynamics

  • Taller individuals have longer blood vessels → greater resistance (R ∝ length of vessel).

  • The heart must generate slightly higher pressure to maintain perfusion to the brain in taller people (gravity effect).

  • Hydrostatic pressure difference increases with height:

    • ρ = blood density

    • g = gravity

    • h = height difference (heart to head)

Clinical example:
When standing suddenly, blood pools in the legs due to gravity -causing a drop in cerebral perfusion (orthostatic hypotension).

7. Velocity and Cross-sectional Area

  • v = Velocity of blood flow

  • Q = Flow rate

  • A = Cross-sectional area

Meaning:

  • In capillaries (huge total area) → velocity ↓ → allows gas/nutrient exchange.

  • In aorta (small total area) → velocity ↑.

8. Pulse Pressure (PP)


Wider pulse pressure can indicate arterial stiffness or increased stroke volume (e.g., in aging or aortic regurgitation).

9. Ejection Fraction (EF)

  • SV = Stroke Volume

  • EDV = End-Diastolic Volume

Normal EF = 55–70%
Represents how effectively the heart pumps blood with each beat.

10. Body Surface Area (BSA) and Height

Used to normalize cardiac measures (e.g., cardiac index):

Normal CI = 2.8–3.6 L/min/m²

Table

Concept Formula Physiological Meaning
BP CO × SVR Blood pressure depends on flow and resistance
CO HR × SV Heart pumping efficiency
MAP DBP + ⅓(SBP − DBP) Average perfusion pressure
Flow (Poiseuille) (πr⁴ΔP)/(8ηL) Flow depends heavily on vessel radius
Flow (Ohm’s Law) ΔP / R Flow is pressure over resistance
Velocity Q / A Inverse relationship with area
PP SBP − DBP Arterial elasticity
EF SV / EDV × 100 Ventricular performance
CI CO / BSA Flow adjusted to body size

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