autonomic control of the CVS Flashcards

1
Q

name the neurotransmitters and receptors involved in the sympathetic nervous system

A

pre ganglionic= ach and nicotinic receptors

post ganglionic = usually noradrenaline and beta/alpha receptors

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2
Q

name the neurotransmitters and receptors involved in the parasympathetic nervous system

A

pre ganglionic= ach and nicotinic receptors

post ganglionic= ach and muscarinic receptors

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3
Q

what is the enteric nervous system

A

surrounds GI tract and is controlled via para and sympathetic fibres

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4
Q

which GPCR’s allow contraction and dilation of the lungs

A
relaxation= beta 2 (sympathetic)
contraction= M3 (parasympathetic)
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5
Q

how can sympathetic NS be increased without increasing the response of all tissues

A

can be very specific where only 1 thing is increased. however, also have fight or flight response which is a more coordinated overwhelming response of lots of tissues reacting to sympathetic stimuli.

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6
Q

what does the autonomic nervous system control in the CVS

A

controls heart rate, blood pressure and peripheral resistance BUT not electrical activity of heart - a denervated heart still beats but just much faster as usually heart is under vagal (parasympathetic) influence.

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7
Q

how parasympathetic NS inputs heart rate

A

vagus nerve connects to SAN and AVN in walls of heart releasing ach acting on M2 receptors decreasing heart rate (negative chronotropic effect) by decreasing AVN conduction velocity

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8
Q

how sympathetic NS inputs heart rate

A

sympathetic trunk (containing accelerator nerve) connects to AVN, SAN and myocardium. noradrenaline stimulates beta 1 receptors increasing heart rate and force of contraction. (positive chronotropic effect and positive inotropic effect)

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9
Q

how ANS affects pace maker cells (sympathetic)

A

beta 1 Gas- s stands for stimulating. this causes increase in cAMP (a type of cyclic nucleotide) meaning more HCN channel stimulation and increased rate of their activation leading to more frequent depolarisations.

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10
Q

how ANS affects pace maker cells (sympathetic)

A

m2 gai- I stands for inhibitory. this causing less cAMP meaning reduced stimulation of HCN channels decreasing the frequency of depolarisation and therefore contractions of the heart

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11
Q

how does noradrenaline increase the force of contraction

A

acts on beta 1 cells in the myocardium which release cAMP and therefore PKA. this leads to phosphorylation of ca2+ channels and a calcium influx which also increases the rate of CICR. = increased force of contraction

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12
Q

how the ANS affects the vascuculture (describe how this works at rest)

A

vessels receive sympathetic innveration, have alpha 1 receptors affected by noradrenaline. at their resting condition they have small amount of sympathetic activation. no need for parasympathetic.

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13
Q

discuss the effect of also having beta 2 receptors in the walls of some vessels regarding the affinity of adrenaline for these receptors

A

circulating adrenaline has much higher affinity for beta 2 receptors therefore they are more likely to bind to beta receptors. alpha 1 receptors activated by noradrenaline via neurone

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14
Q

explain how beta 2 receptors cause vasodilation and how alpha 1 receptors cause vasoconstriction

A

vasodilation- b2 activates as which produces cAMP and PKA which then inhibits MLCK which prevents muscle contraction
vasocontriction - alpha 1 receptor activates aq which results in IP3 causing increase in calcium conc and contraction

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15
Q

what is the role of local metabolites

A

adenosine, H+, K+ high pCO2 ensure perfusion of skeletal and coronary muscles

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16
Q

what has overall control of CNS

A

medulla oblongata. changes communicated by baroreceptors (pressure increase) and atrial receptors (pressure decrease)

17
Q

what are barroreceptors and how doe they work

A

found in cortid sinus and aortic arch. they are sensitive to pressure changes. when pressure increases they stretch and increase the AP’s sent to the medulla oblongata. medulla oblongata then ensures that heart rate decreases and vasodilation occurs in order to decrease pressure

18
Q

what are sympathomimetics

A

drugs that mimic sympathetic NS
adrenaline restores function of CNS in cardiac arrest and in anaphylactic shocks. if high enough dose it acts on alpha 1 receptors 2 and promotes vasoconstriction and heart to pump
beta 2 agonist - cardiac shock- dobutamine and salbutamol for asthma

19
Q

what are adrenoreceptor antagonists

A

a1 antagonists e.g prazosin
antihypertensive . inhibits noradrenaline action on smooth muscles resulting in vasodilatation
b1/b2 antagonists
slows heart rate, force of contraction and result in bronchocontriction. for arrhythmia would rather a drug specific to b1 so don’t also get bronchoconstriction

20
Q

what are cholinergics

A

muscarinic agonists- used in glaucoma treatment because activates constricted papillae muscle in eye
muscarinic antagonists- increase HR and bronchial dilation. used to examine the eye by dilation of pupil