Blood Pressure Flashcards
Causes of Increase in Blood Pressure
Increase in cardiac output
Increase in blood volume
Increase in peripheral resistance
CO = PR x HR
Effect of exercise on blood vessels
peripheral vasodilation: muscle/skin
vasoconstriction: splanchnic circulation
BP systolic increases, diastolic decreases
Heart rate increases
Effect of standing on blood vessels
Initially - drop in BP, then compensatory recovery
peripheral vasoconstriction
No change in systolic, increase in diastolic
Heart rate increases
Pulmonary Circulation
High capillary density, low vascular resistance
Acts as blood reservoir and a filter
CO2, O2 and pH have opposite effects to those in systemic circulation
Low O2 –> arterioles constrict - minimises amount of poorly oxygenated blood
1) Baroreceptors
2) Chemoreceptors
1) located in transverse aortic arch and carotid sinuses of coronary arteries
2) located in carotid and aortic bodies, detect low O2
Factors affecting Preload
Increased: atrial contractility, ventricular compliance, aortic pressure, central venous pressure
Decreased: heart rate, venous compliance
(preload = initial stretching of myocytes during diastole
Afterload
resistance that the chambers of the heart must overcome to eject blood
increased by back pressure
increases if exit valve fails to open properly
Thoracic Pump
pulls blood to the right atrium during inspiration
Creates a pressure gradient (intrathoracic = negative, abdominal pressure = positive)
Muscle Pump
rhythmical contraction of limb muscles as occurs during normal ocomotor activity
squeezes blood out of nearby veins
Local Vasomotor Control
endothelial cells release vasodilator compounds (NO)
controlled by local blood flow conditions
hydrostatic pressure and shear force
Control of systemic BP
Local: endothelial and NO
Neurological: autonomic system
Humoral: renal/pituitary/adrenal
Autonomic control of BP
increase sympathetic –> constricts blood vessels, increases heart rate, cardiac output, peripheral resistance
parasympathetic (Vagus) –> no effect on BVs, relaxes heart