4 Autonomic Control of the CVS Flashcards

1
Q

What nerve is responsible for parasympathetic control of the heart?

A

Vagus - CNX

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2
Q

Where does the Vagus nerve synapse with the heart?

A

Epicardial surface or within the walls of the heart at the SA and AV node

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3
Q

What neurotransmitter does the vagus nerve release?

A

ACh

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4
Q

What neurotransmitter acts on M2 receptors and what is the result?

A

ACh, decrease heart rate and decreased AV node conduction velocity

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5
Q

What nerve is responsible for sympathetic input to the heart?

A

Postganglionic fibres of the sympathetic trunk, the cardiac nerve

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6
Q

What does the cardiac nerve innervate?

A

SA node, AV node, myocardium

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7
Q

What receptor does it act on mainly?

A

beta 1 adrenoreceptors

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8
Q

What do beta 1 adreno receptor do?

A

Increase heart rate and increase force of contraction

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9
Q

Label the SA node action potential?

A

cool

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10
Q

What are the names of the channels that set up the funny current?

A

Hyperpolarization-activated cyclic nucleotide gated channels

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11
Q

What is the affect of increased sympathetic activity on the funny current?

A

Increased slope

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12
Q

What is the affect parasympathetic activity on the funny current?

A

Decreased slope

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13
Q

Explain why the sympathetic activity increases the slope?

A
  • released NA
  • acts on the Beta1 receptor
  • causes an increase in the cAMP
  • leads to more HCN channels being open
  • speeds up depolarization
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14
Q

How does NA increase the force of contraction?

A

NA–>beta1–>increase cAMP–>PKA–> phosphorylation of the calcium channels, leading to increased calcium entry, more calcium, more contraction

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15
Q

What adrenoreceptors are found on blood vessels?

A
  • most arteries and veins have alpa1-adrenoreceptors

- coronary and skeletal muscle vasculature also have beta2 receptors

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16
Q

What has a higher affinity for adrenaline alpha 1 adrenoreceptors or beta2 adrenoreceptors?

A

beta2 adrenoreceptors

17
Q

What effects do activated adreno-receptors have on vascular smooth muscle?

A
beta2 = vasodilation
alpha1 = vasoconstriction
18
Q

What is the role of local metabolites?

A

Have a strong vasodilator effect