-At low temperatures, the number of successful collisions between the enzyme and substrate is reduced because their molecular movement decreases. The reaction is slow
-Higher temperatures disrupt the shape of the active site, which will reduce its activity, or prevent it from working. The enzyme will have been denatured.
-Enzymes therefore work best at an optimum temperature. (37)
-open as wide as it should, restricting blood flow through the heart - this means less blood reaches the body, pressure builds up and the lungs can swell with fluid
-doesn't close properly and allow blood to leak back through into the atrium
-An artificial pacemaker is a small, battery-operated electronic device implanted in a person's chest that sends out regular, adjustable electrical impulses to produce normal contractions of the heart.
-Always carry blood away from the heart-Carry blood under high pressure-Have thick muscular and elastic walls to pump and accommodate blood-connective tissue provides strength-narrow lumen
Always carry blood to the heart-Carry blood under low or negative pressure-Have thin walls - have less muscular tissue than arteries-Have less connective tissue than arteries-Have a wide lumen
-Capillaries connect the smallest branches of arteries and veins
-The walls of capillaries are just one cell thick. -allow the exchange of molecules between the blood and the body's cells - molecules can diffuse across their walls. This exchange of molecules is not possible across the walls of other types of blood vessel.
-The coronary arteries may become blocked by a build-up of fatty material, caused by certain kinds of 'bad' cholesterol. As the fatty material increases, one or more coronary arteries narrow, and can become blocked.
- the amount of oxygen reaching the heart muscle is reduced. -A person will develop chest pain, and if left untreated, a heart attack is the result.
-can lead to death of heart muscle or heart failure
How can we treat coronary heart disease with an artificial heart? ( ad & dis)
In the case of heart failure a donor heart, or heart and lungs can be transplanted. Artificial hearts are occasionally used to keep patients alive whilst waiting for a heart transplant, or to allow the heart to rest as an aid to recovery
dis: infection
ad: less likely to be rejected by immune system
dis: mechanical failure
dis: blood clots leading to stroke ( blood thinners are then taken)