arteries, veins and control of PVR Flashcards
structural feature of arteries
-thick muscular-to-elastic tunica media
-plentiful elastic fibres
-high compliance: walls stretch easily
structural features of veins
-do not readily maintain shape
-slower pressure
-thinner wall
-less elastic
-collagenous and smooth muscle tissue
-bicuspid valves
venules
-drain capillary blood
tunica intima
inner lining of endothelial cells that makes contact with the blood
-another component is the basement membrane
basement membrane
made of collagen fibres that provides tensile strength and stretch/recoil
tunica media
middle layer primarily made of smooth muscle and elastic fibres
-smooth muscle regulates diameter of lumen
Vasoconstrict/Vasodilate
controlled by smooth muscle and innervation from sympathetic innervation (ANS)
elastic arteries
largest arteries (e.g., aorta) that branch into muscular arteries
muscular arteries
branch into atrioles
-tunica media contains smooth muscle and fewer elastic fibres
capillary
one cell thick and contain 5% of the total blood volume
tunica adventitia
composed of mainly collagen and elastic tissue
-nerves and lymphatic vessels found within these layers
-small vessels supply blood to tissue through vessel (vasa vasorum)
nitric oxide
inhibits platelet aggregation
compliance
ability of an organ to distend in response to applied pressure
-declines with age and it can raise BP
blood pressure
circulation of fluid contained within a space of definitive volume
pressure falls during
systemic circulation and pulmonary circulation
MAP
diastolic BP + 1/3 pulse pressure
pulse pressure
systolic-diastolic
MAP
DP - 1/3(DP-SP)
arterial BP
blood ejected into the arteries from ventricles
-elastic artery wall stretch out by raised temp
arteries
small amount of blood at high pressure - very thick walled
arterioles
variable resistance system which distributes blood - dissipate most of pressure
capillaries
vast surface area where interchange of fluid can occur in the ECF - one cell thick
venules/veins
collecting/reservoir system which contains most of blood - very distensible
factor influence transport
hydrostatic pressure and colloid pressure
hydrostatic pressure
blood in capillaries exerts a pressure on capillary wall (favour movement out capillary)
-decrease as BP drops
colloid pressure
plasma has intrinsic osmotic pressure due to plasma proteins (favour movement into capillary)
colloid pressure when BP is low
-remains the same as albumin is too big to leave capillary
-therefore fluid moves out at arterial end and back in venous end
tissue fluid net filtration
4 litres per day (not including kidneys)
oedema
build up of tissue fluid: body moves fluid back into blood using lymph capillaries and vessels
lymph vessels
contract to aid movement of fluid; also responsible for moving absorbed fat into the circulation
alpha1 selective e.g., praxosin and doxazosin
decrease vasoconstrictor tone (PVR)
no direct change in HR or CO
alpha1 non-selective e.g., phentolamine
decrease vasoconstrictor tone (PVR)
not used therapeutically
noradrenaline mechanism
negative feedback to stop production at the terminal.
-acts on alpha2 receptor to inhibit its own release
issue with non-selective alpha agonist
blocks negative feedback of noradrenaline
endothelial cells function
-release constrictors
-proliferative state of tension
-release free radicals
-express molecules which tether inflammatory cells
calcification
healing response to the presence of dead cells - increased risk of myocardial infraction
normal BP
120/80 (systolic/diastolic)
reactive hyperaemia
when blood flow is blocked
active hyperaemia
changes in O2/CO2 can dilate arterioles
evohaler
beta2 agonist
- activate adenylate cyclase to relax bronchial smooth muscle
factor controlling blood flow
- length of vessel
- viscosity of liquid
- pressure gradient
venodilation
caused by nitrates - reducing filling on the heart so reducing cardiac work
baroreceptors
present in cartoid sinus and aortic arch and are more sensitive around MAP
vagus nerve X
aortic arch baroreceptor sends signal via this
hering nerve IX
cartoid sinus baroreceptor
clonidine
alpha2 agonist
- activates presynaptic receptor in brain vasomotor centre to lower sympathetic output