4. Control of arterial pressure Flashcards

1
Q

What is blood pressure defined as?

A

Blood pressure is the pressure exerted on the walls of the arteries

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2
Q

When does arterial blood pressure peak and nadir?

A

Peaks during systole

nadir during diastole

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3
Q

What is the pulse pressure?

A

Diastolic pressure + 1/3 systolic pressure

due to heart spending twice as long in diastole than systole

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4
Q

What are the factors that effect arterial blood pressure?

A

Pulse pressure
Mean arterial pressure
Effect of posture
Effect of age

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5
Q

What are the determines of BP?

A

C.O.

Total peripheral resistance

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6
Q

What are the determines of BP?

A

C.O.

Total peripheral resistance

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7
Q

How is the BP calculated?

A

C.O. x T.P.R.

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8
Q

What are baroreceptors?

A

Stretch receptors in the walls of the carotid sinus and aortic arch

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9
Q

Where does the baroreceptors signal?

A

Signal via the vagal and glossopharyngeal afferents to the medullary cardiac and vasomotor areas

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10
Q

Where do the afferents from the baroreceptors synapse?

A

They synapse in the NTS of the medulla

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11
Q

What is the relationship between neurons and sympathetic outflow?

A

Neurons are inhibitory to sympathetic outlfow

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12
Q

What is the relationship between neurons and vagal outflow?

A

Neurons excitatory to vagal outflow

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13
Q

What is the net effect of baroreceptors?

A

Net effect is to reduce cardiac output

slow heart and cardiac contractibility

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14
Q

What will a rise in BP lead to?

A
Increased baroreceptor stimulation 
Decreased sympathetic output to Heart
Increase in vagal tone 
Decrease in vasomotor tone 
Decrease in cardiac output 
Decrease in TPR
Both changes acts to reduce BP back to normal
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15
Q

What does a fall in BP lead to?

A
Increased baroreceptor stimulation 
Decreased sympathetic output to Heart
Increase in vagal tone 
Decrease in vasomotor tone 
Decrease in cardiac output 
Decrease in TPR
Both changes acts to reduce BP back to normal
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16
Q

What does a carotid massage do?

A

slows down baroreceptors and therefore increasing vagal response

17
Q

What are the different baroreceptor tests?

A

Simply standing up
Infusing an alpha-adrenergic agonist phenylephrine
Valsalva manoeuvre

18
Q

Look at slide 13-16 again

A

this was not completed at time of study