ANS cardiovascular il Flashcards

1
Q

primary neurotransmitters in SNS

A

EPI and NE

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1
Q

SNS receptors

A

adrenergic receptors (a,b1,b2)

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2
Q

alpha-1 receptors (α1)

A

α1 receptors act on all blood vessels (both arterial and venous)
○ responsible for smooth muscle contraction
○ α1 receptors have a TONIC effect on b.v. = constant level of constriction
○ Receptors activated by EPI and NE

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3
Q

beta-1 receptors (β1)

A

○ β1 affects the heart and kidney (w/ major emphasis on the heart!)
○ Cardiac muscle contraction
○ Increased renin secretion in kidney (↑ blood volume)
○ Receptors activated by EPI and NE

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4
Q

beta-2 receptors (β2)

A

○ β2 mainly effects skeletal muscle b.v and the b.v. in the liver
○ activation causes smooth muscle relaxation
○ Receptors activated by EPI only!

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5
Q

parasympathetic effects

A
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6
Q

Muscarinic receptors are

A

G-coupled protein receptors involved in the parasympathetic nervous system. The only exception to these receptors is the sweat glands, which possess muscarinic receptors but are part of the sympathetic nervous system

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7
Q

parasympathetic effects on heart

A

decreased hear rate (SA node)
decreased conduction through the AV node

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8
Q

sympathetic effects (NE and EPI)

A

heart beta 1 receptor mediated
increased
heart reate
conduction through AV node
contractility (atrial and ventricular muscle)

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9
Q

blood vessels thorugh sympathetic effects

A

arteria and venous constriction (alpha1 receptor mediated)
vasodilation in skeletal muscle b.v and b.v to the liver (beta2 receptor)

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10
Q

sympathetic effects on kidney

A

increased renin secretion (beta1 receptor mediated)
increased blood volume

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11
Q

SBP

A

systolic blood pressure
peak arterial pressure reached when heart contracts
reflects cardiac output (depends on contractility)
higher contractility = higher SBP

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12
Q

DBP (diastolic blood pressure )

A

lowest arterial pressure reached when the heart relaxes
depends on the resistance in the arteries (afterload)
DBP reflects the degree of resistance; higher resistance = higher DBP

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13
Q

pulse pressure (PP )

A

the difference between systolic and diastolic pressures

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14
Q

TPR (total peripheral resistance)

A

resistance of the entire systemic circulation (relates to the tone in the arteries)

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15
Q

afterload

A

the force against which the heart contracts

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16
Q

CO= cardiac output (L/min)

A

amount of blood pumped out of the left ventricle per minute (normal at rest = 5 L/min)
CO= SV x HR

17
Q

HR heart rate

A

number of heart beats per minute (normal resting HR = 70 beats/min)

18
Q

SV= stroke volume L

A

amount of blood pumped out of the left ventricle

19
Q

VR venous return

A

amount of blood flowing from the veins into the heart ( right atrium)/ minute
the higher the VR the higher the preload (the stretch in the myocardium prior to contraction)

20
Q

venous tone

A

the level of constriction in the veins

21
Q

blood volume

A

is regulated by the kidneys

22
Q

preload

A

can be defined as intial stretching of the cardiac myocytes prior to contraction (EDV)

23
Q

afterload

A

afterload is the load against which the heart has to pump (TPR)

24
Q

ANS effects on blood pressure

A

BP= CO x TPR

25
Q

primary neurotransmitter in parasympathetics

A

Acetylcholine (ACh)

26
Q

the parasympathetics has tonic (constant) effects on the heart which means what

A

it keeps the heart rate lower (HIGH YIELD APPARENTLY)

27
Q

in the heart, ACh acts on musarinic receptors, which has inhibatory effect leading to decreased HR

A
28
Q

PSNS effect on SA node

A

PSNS has tonic inhibition of conduction
decreased HR via Ach activation of mussacrinic receptors in cardiac tissue

29
Q

SNS effect on SA node

A

increased conduction
increased HR via NE/EPI activation of B1 receptors

30
Q

which is fastest and which is slowest node

A

SA is fastest and primary
AV is slower pacemaker

31
Q

PSNS effect on AV node

A

decreased conduction = decrease HR

32
Q

SNS effect on AV node

A

increase conduction = increase HR

33
Q

think atria
r atrium ___ blood

A

recieves deoxygenated blood

34
Q

left atritum receives

A

oxygenated blood

35
Q

PSNS effect on atria

A

decreases contractility

36
Q

SNS effect on atria

A

increases contractility

37
Q

does PSNS have an effect on ventricules

A

no PSNS only decreases contractility in atria

38
Q

SNS effects on ventricules

A

increases contractility in ventricles and in atria

39
Q
A