Blood Vessels Flashcards
Is flow at capillary level pulsatile?
NO - continuous, slow flow
What do endothelial cells release to stop blood sticking to vessel walls?
heparin
What gas relaxes blood vessels?
nitric oxide
Why is resistance to blood flow lower in pulmonary arterioles?
Less muscular
What local metabolic control do pulmonary vessels have?
Constriction when there is low alveolar O2
Is systemic capillary pressure higher or lower than pulmonary arterial pressure?
Higher
How much ml is cerebral circulation per min? what % of cardiac output is this?
750ml
15%
What is auto regulation of cerebral vessels?
They will try to keep the same pressure by dilating if pressure increases
What can failure of autoregulation safeguards result in?
stroke
What determines cerebral flow?
viscosity of blood and dilation of vessels
What can happen if there is low pressure in cerebral vessels?
impaired dilation and artery collapse
What can happen if there is high pressure in cerebral vessels?
Increased flow, vasogenic cerebral oedema (disruption of the BBB) –> high risk of haemorrhage stroke
What organ has the highest basal oxygen consumption, and therefore the highest arterial/venous oxygen difference?
Heart
Which hormone is an important mediator of increasing blood flow and auto regulation in the heart?
Adenosine
What stimulates the release of NO
rubbing against the endothelium - occurs in hypertension
Why is coronary flow reduced during systole?
Extravascular compression
When does most coronary flow occur?
Diastole
Which heart layer is must vulnerable to ischaemia and why?
Endocardial layer - pressure within the heart
What does a white thrombus contain and when is it formed?
Lots of platelets
fast moving blood (damage to endothelium releases platelets)
What does a red thrombus contain and where does it form?
Lots of RBCs
Slow moving blood
What medication treats white and red thrombi?
white = antiplatelets red = anticoagulants
What does the sympathetic nervous system release that acts on the blood vessels?
Adrenaline and noradrenaline