Blood Pressure Flashcards

1
Q

systolic BP

A

pressure in arteries during contraction

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2
Q

diastolic BP

A

pressure in arteries during relaxation

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3
Q

sphygmomanometer

A

measures BP by occluding an artery of extremity e.g arm with an inflatable cuff

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4
Q

korotkoff sounds

A

blood flow sounds

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5
Q

baroreceptors

A

mechanoreceptors that detect the degree of stretch in blood vessel walls

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6
Q

where are baroreceptors most abundant

A

in the aortic arch and carotid sinus

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7
Q

what nerve innervates the carotid sinus baroreceptors

A

sinus nerve of hering (branch of glossopharyngeal)

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8
Q

what nerve innervates aortic arch baroreceptors

A

aortic nerve

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9
Q

what baroreceptors have a higher threshold to pressure

A

aortic arch therefore they are less sensitive than carotid sinus baroreceptors to changes in stretch

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10
Q

how to baroreceptors influence a change in arterial pressure

A

1 - barorecpetors detect and increase /decrease in pressure resulting in an increase/ decrease in the APs they fire
2. - this info travels along afferent neurons to CV centre in medulla
3 - medulla then increasing stimulation of either the parasympathetic NS or the sympathetic NS

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11
Q

valsalva manoeuvre

A

attempt to expire against closed airways

raises BP and HR

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12
Q

why are baroreceptors regarded as only short term regulators of blood pressure

A

if there is a prolonged increase in BP the threshold of baroreceptor firing will also increase

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13
Q

what is a long term regulator of blood pressure

A

blood volume
an increase in blood volume sees an increase in blood pressure
however
an increase in blood pressure sees a decrease in blood volume via increased renal excretion of salt and water
(negative feedback loop)

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14
Q

how is local control of blood pressure achieved

A

by changing arteriole radius
to decrease radius - sympathetic nerves release noradrenaline thats bind to alpha 1 adrenoreceptors
to increase radius - sympathetic nerves release noradrenaline that binds to beta 2 adrenorecpetors

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15
Q

hypertension

A

high blood pressure characterised by 140/90 mmHg or higher

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16
Q

what are risk factors for hypertension

A

age, overweight, smoking, stress, genetics, low exercise, alcohol

17
Q

secondary hypertension

A

refers to hypertension caused by an underlying medical condition or from taking certain medications

18
Q

what can prolonged hypertension cause

A
brain aneurysms 
thickening of arteries 
left ventricle hypertrophy (increase in muscle) 
stroke 
heart attack 
heart failure due to LVH
19
Q

hypotension

A

low BP characteised by 90/60mmHG or lower

20
Q

postural hypotension

A

abnormal trop in BP when standing up after laying/ sitting down
can be caused by dehydration, certain medications etc