Cardiovascular 5 Flashcards

1
Q

Definition:

Specialized stretch receptors located within thin areas of blood vessels and send impulses to the cardiovascular centre in the medulla oblongata to regulate blood pressure

A

Baroreceptors

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2
Q

Where are vascular baroreceptors found?

A

Aorta and carotid sinuses

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3
Q

T/F: Parasympathetic reflexes are initiated if PB falls

A

False! It’s sympathetic

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4
Q

How to chemoreceptors responde to falling pH?

A

Increase cardiac output and constrict peripheral vessels to increase return to the lungs

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5
Q

How do chemorecptors respond to rising pH?

A

Decrease cardiac output and dilate peripheral vessels to decrease return to lungs

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6
Q

What does neurological regulation of BP depend on?

A

cardiovascular centres located in the medulla oblongata

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7
Q

How does neurological regulation decrease cardiac function?

A

Dec HR and SV via parasympathetic stimulation

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8
Q

How does neurological regulation increase cardiac function?

A

regulate HR and SV via sympathetic stimulation

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9
Q

How does neurological regulation control vessel tone?

A

via vasomotor centres

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10
Q

What is the main way the endocrine system plays a role in managing the cardiovascular system?

A

Catecholamines (epinephrine and norepinephrine) and several hormone that interact with the kidneys to regulate blood volume

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11
Q

What occurs when catecholamnies are released by the adrenal medulla?

A

They ehance and extend the body’s synmpathetic fight-or-flight response
- increase HR and contractile force
- increase blood flow to the liver, muscles and heart
- decrease blood flow to non-essential organs

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12
Q

How does ADH help control BP?

A

Signals to kidneys to reansorb more water, dec fluid loss in urine which increases overall fluid levels and helps restore blood volume and pressure

Also plays a small role in peripheral vessel constriction

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13
Q

How does the renin-angiotensin-aldosterone system aid in BP control?

A
  • specialized cells in the kidneys screte renin in response to decreased blood flow
  • renin activates angiotensinogen from the liver into angiotenis I, which is then overted into angiotensin II in the lungs which stimulates thirst in the hypothalamus
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14
Q

T/F: Angiotensin II is a powerful vasoconstrictor helping increase BP

A

True

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15
Q

T/F: Angiotensin II stimulates release of ADH and aldosterone

A

True

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16
Q

What triggers the thirst response?

A

Osmoreceptors sense an increase in the osmolaity ( concentration) of the blood

17
Q

What causes a release of atrial natriuretic hormone (ANH)?

A

released in respoinse to stretch in the atria as this detects increased blood volume

18
Q

T/F: ANH is an agonist to angiotensin II

A

False! Its an antagonist

19
Q

What does ANH do?

A
  • causes of loss of Na and water from the kidney
  • supresses renin, aldosterone and ADH production and release
20
Q

What are the differences between the renin-angiotensin-aldosterone system and ANH?

A

R-A-A:
- overall effects are to limit losses in blood volume, combine with vasoconstriction leading to raised BP

ANH:
- overall effect is to promote loss of fluid from the body so blood volume and BP will decrease

21
Q

BP

What are autoregulation mechanism?

A

Mechanisms that do not require specialized nervous stimulation or endocrine control. They are local self-regulatory mechanisms that allow each region to adjust its own blood flow and perfusion

22
Q

What controls precapillary sphincters?

A

chemical signals

23
Q

What causes precapillary sphincters to dilate? Constrict?

A

release of nitric oxide (NO) from endothelial cells, which allows for blood to flow

Contriction is cuased by release of endothelins (vasocontrictors) released from endothelial cells

24
Q

What is a largely protective function against dramtic changes in BP and blood flow?

A

Myogenic response which is the reaction to stretching of the arteriole smooth muscle

25
What is the bayliss effect?
increased transmural pressure evokes a myogenic response which causes activation of Na and Ca channels in the smooth muscle layer of the blood vessel
26
What are the short term controls for BP? Long term?
Short: - baroreceptors - cardiovascular system Long: - renal/blood volumes
27
What is the valsava maneuver?
forced expiration against a closed epiglottis which causes and inc in intrathoracic pressure, leading to a reduction in preload of the heart
28
What is phase I of the valsava maneuver?
Transient rise in BP because of the emptying of some blood from the large veins and pulmonary circulation
29
What is phase II of the valsava maneuver?
- positive intrathoracic pressure leads to a reduced VR - reduced VR, reduces preload and SV falls along with BP dec - vagal withdrawal is followed by sympathetic discharge causing tachycardia, inc CO, and vasoconstriction leading to the recovery of BP
30
What is phase III of the valsava maneuver?
- release of strain which leads to a sudden dip in BP - release of positive pressure leads to expansion of pulmonary vascular bed and reduces left ventricular cross-sectional area resulting in a transient fall in BP
31
What is phase IV of the valsava maneuver?
- overshoot of BP due to return of normal VR stimulated by the sympathetic system - overshoot causes stimulation of baroreflex leading to bradycardia and a return of normal BP