ANS cardiovascular il Flashcards
primary neurotransmitters in SNS
EPI and NE
SNS receptors
adrenergic receptors (a,b1,b2)
alpha-1 receptors (α1)
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
beta-1 receptors (β1)
○ 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
beta-2 receptors (β2)
○ β2 mainly effects skeletal muscle b.v and the b.v. in the liver
○ activation causes smooth muscle relaxation
○ Receptors activated by EPI only!
parasympathetic effects
Muscarinic receptors are
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
parasympathetic effects on heart
decreased hear rate (SA node)
decreased conduction through the AV node
sympathetic effects (NE and EPI)
heart beta 1 receptor mediated
increased
heart reate
conduction through AV node
contractility (atrial and ventricular muscle)
blood vessels thorugh sympathetic effects
arteria and venous constriction (alpha1 receptor mediated)
vasodilation in skeletal muscle b.v and b.v to the liver (beta2 receptor)
sympathetic effects on kidney
increased renin secretion (beta1 receptor mediated)
increased blood volume
SBP
systolic blood pressure
peak arterial pressure reached when heart contracts
reflects cardiac output (depends on contractility)
higher contractility = higher SBP
DBP (diastolic blood pressure )
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
pulse pressure (PP )
the difference between systolic and diastolic pressures
TPR (total peripheral resistance)
resistance of the entire systemic circulation (relates to the tone in the arteries)
afterload
the force against which the heart contracts