CVS: Autonomic Control Of The CVS Flashcards

1
Q

Where does the parasympathetic system originate?

A

Cervical sacral sections

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2
Q

Where does the sympathetic system originate?

A

Lumbar-Thoracic regions

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3
Q

What neurotransmitters are released in the parasympathetic system?

A

ACh

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4
Q

What neurotransmitters are released in the sympathetic nervous system?

A

Noradrenaline/adrenaline

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5
Q

Where does the parasympathetic system innovate the heart?

A

SA and AV node

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6
Q

Where does the sympathetic system innovate the heart?

A

SA, AV and myocardium

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7
Q

How does the sympathetic system effect pacemaker potentials?

A

Act on beta-1 receptors. Gs protein coupled receptors stimulate the production of adenyl Cyclase which stimulates an increase in cAMP. This directly affects HCN receptors making the depolarisation occur faster and hence speeding you the pacemaker potential.

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8
Q

How does the parasympathetic system effect pacemaker potentials?

A

It slows the rate of depolarisation.

Mediated by M2 G-protein coupled receptors. Increases potassium conductance and decreases cAMP (therefore decreasing the activity of HCN channels)

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9
Q

How does noradrenaline increase the force of contraction?

A
  1. NA acting on B1 receptors in myocardium causes an increase in cAMP which activates PKA.
  2. Phosphorylation of calcium channels increasing calcium influx
  3. Increased uptake of calcium into SR
  4. Increased sensitivity of contractile machinery to calcium
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10
Q

Do most vessels receive sympathetic or parasympathetic innervation?

A

Sympathetic

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11
Q

Does circulating adrenaline have a higher affinity for B2 or A1 receptors?

A

B2

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12
Q

TRUE OR FALSE: at higher concentrations, adrenaline will also activate A1 receptors?

A

True

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13
Q

What does activating B2 receptors cause?

A

Vasodilation

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14
Q

What does activating A1 receptors cause?

A

Vasoconstriction

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15
Q

True or false: Metabolites are more important for ensuring adequate perfusion of skeletal and coronary muscle than activation of β2-receptors.

A

True

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16
Q

Where are baroreceptors found?

A

high pressure side of the system

17
Q

Where are atrial receptors found?

A

low pressure side of the system

18
Q

What are baroreceptors sensitive to?

A

Stretch

19
Q

What are sympathomimetics?

A

Drugs which mimic the sympathetic nervous system.

20
Q

Why might sympathomimetics be used?

A
  • Cardiovascular: administration of adrenaline to restore function in cardiac arrest (act on alpha 1)
  • Salbutamol fro treatment of asthma
  • Dobutamine may be given in cardigenic shock
  • Adrenaline administered for anaphylactic shock
21
Q

What are some clinical applications of adrenoreceptor antagonists?

A
  • Anti-hypertensive?