Arterioles: regulate blood flow to Tissues Flashcards
Arterioles: regulate blood flow to Tissues
– Branches of an artery within an organ
– High resistance vessels due to small radius
– Profound fall in mean pressure as blood flows through these small vessels (93>37 mmHg)
– This pressure difference helps to maintain flow of blood downstream
Arterioles: regulate blood flow to Tissues
– MAP for all organs is identical, but the amount of blood delivered to each organ varies (& can be temporally adjusted)
– These differences are determined by:
• Organ vascularisation
• Arteriolar resistance
R can be changed independently in organs why & how?
- distribute blood variably according to needs at any point in 4me
- help regulate arterial blood pressure
Vascular tone:
partial constriction for
Sympathetic innervation
baseline resistance due to myogenic activity (intracellular Ca2+) & continuous sympathetic innervation
- Vasoconstriction/dilation:
sensitive to various factors & highly innervated by sympathetic nerves
Factors that affect arteriolar radius, & therefore R
The vascular smooth muscle can undergo changes in force without ac4on potentials (unlike skeletal & cardiac)
not all or nothing, undergo graded changes
Intrinsic factors
– Chemical
regulate distribution of blood, local, right at the site of injury
– Chemical
• Metabolic changes: O2, CO2, lac4c acid, K+, osmolarity,
adenosine, vasoca4ve paracrines from endothelial cells
• Histamine release: not released in response to local changes, important in pathology
Intrinsic factors
– Physical
• Vessel stretch/myogenic: opening of mechanically-gated
cation channels causes Ca2+ influx & contraction
• Shear stress: friction of blood on inner surface of vessels
creates a force, releasing NO
• Hot/cold: heat causes localised vasodilation & cold causes vasoconstriction
Extrinsic factors
- sympathetic
regulate BP (maintains brain blood flow) * sympathetic NS, more general to whole body – Noradrenaline binds to α1-adrenergic receptors on arteriolar smooth muscle (none on cerebral arterioles) • Contributes to ongoing vascular tone & generalised vasoconstriction increases TPR & therefore MAP
Extrinsic factors
– Hormonal
• Noradrenaline & adrenalin generally reinforce the
sympathe4c nervous system
• An4-diure4c hormone & angiotensin II also important in fluid balance & blood volume
Arterioles
Of all systemic peripheral vessels, arteriolar resistance has the greatest impact on TPR > primary resistance vessels
summary
- Arteries: pressure reservoir
- Arterioles: primary resistance vessels