Arterial Blood Pressure Regulation Flashcards
Enumerate aims of ABP regulation
- Keep ABP in an adequate value prevent excessive rise or fall.
- To dec minute-to-minute fluctuations of ABP
- To readjust ABP whenever it is disturbed.
Compare short and long term regulation of ABP
Short: involve nervous mechanisms & rapid acting hormones. Very rapid (few seconds to one minute), does not last long and does not reach full correction of ABP. Affect capacity
Long: renal mecganisms by pressure diuresis and pressure naturesis occur by action of hormones on salt and water excretion affrct volume. Slow onset within days or weeks, prolonged action (months to years). It can reach full correction of ABP.
Define intermediate term regulation
Vascular mechanisms, starts after some minutes continues to hours or days. Involve both volume (capillary fluid shift) and capacity (stress and antistress relaxation)
Mention the range of sensitivity of each type of receptor
Baroreceptors, 60-200 mmHg for carotid but 80-200 for aortic
Chemoreceptors, below 80 mmHg
CNS ischemic reflex (VMC itself is the receptor), below 50 mmHg
The only receptors acting normally all the time are ….
Arterial baroreceptors
Classify baroreceptors
A. Arterial baroreceptors: carotid sinus & aortic arch baroreceptors
B. Cardiopulmonary baroreceptors: atrial (A & B), ventricular, pulmonary receptors
Arterial baroreceptors are located in ….
Adventitia of carotid sinus & aortic arch
Define buffer nerves
Sinus nerve branch from glossopharyngeal from carotid sinus
Aortic nerve branch from vagus from aortic arch
To VMC & CIC
Mention stimuli for arterial baroreceptors
MAP
Pulse pressure
GR: At any MAP, baroreceptor reflex is enhanced at high rather than low PP
Because they are easily adapted
Describe function of arterial baroreceptor
Short term regulation only. Their primary response is to regulate ABP adequately to prevent excessive rise in ABP & minimize fluctuations to nearly third. Also responsible for vagal tone & HR maintenance.
Describe function of arterial baro in normal ABP
Their discharge leads to:
Stimulated depressor area & dec vasomotor tone, thus dec TPR
Stimulated CIC, thus decrease HR by inc vagal tone
Nmention role of baroreceptors in inc ABP
Baroreceptor reflex is enhanced leading to more inhibition if VM tone & more decrease in HR
Nmention role of baroreceptors in excessive inc ABP
Besides maximal activation of baroreceptor reflex, the hypothalamic symoathetic dilator center is stimulated leading to active VD of skeletal muscle BV by cholinergic symp
May inhibit respiratory center (adrenaline apnea)
Nmention role of baroreceptors in dec ABP
Less baroreceptor discharge leading to stimulation of pressor area and inc VM tone lesding to inc TPR, inhibition of CIC leading to inc HR
Describe effect of hemorrhage on baroreceptors
SBP dec due to dec SV & DBP is inc due to inc HR. Dec in PP keeps baroreceptors less stimulated leadsing maintainance if VC & normalization of ABP. Carotid sinus baroreceptors have the major role since they respond to inc and dec if ABP, while aortic only sense inc.
Postural changes mainly stimulate ……
Carotid sinus baroreceptors