Global and local control of circulation Flashcards

1
Q

What is basal tone?

A

minimal amount of contraction in vascular smooth muscle in resting conditions

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2
Q

What is resting sympathetic tone?

A

in resting conditions, have basal sympathetic activity (through Epi). Allows contraction of smooth muscle, so have higher resistance than basal tone

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3
Q

What happens to SM tone when you increase sympathetic adrenergic influence?

A

active vasoconstriction

if you remove it or decrease: passive vasodilation

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4
Q

Where are alpha 1 receptors found?

A

adrenergic: work through NE or epi
when activated lead to vasoconstriction/venoconstriction
*not found in heart or brain! (no wanna constrict)

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5
Q

How do alpha 1 receptors work?

A

constriction leads to decrease in compliance or increase in tone in veins

  • causes increase blood flow back to the heart
  • incr BP
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6
Q

Where are Beta 1 receptors found?

A

only on heart! (no SM)

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7
Q

How do Beta 1 receptors work?

A

increase contractility of heart plus incr HR

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8
Q

Where are Beta 2 receptors found?

A

25% in heart and rest in smooth muscle!

  • heart: same as beta 1- incr contractility + HR (used during heart damage)
  • SM: vasodilator
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9
Q

How do cholinergic receptors work?

A

muscarinic recepotrs stimulated by Ach

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10
Q

What do cholinergic parasympathetic receptors innervate?

A

splanchnic, genitalia, bladder and large bowel

NO SM!

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11
Q

What do sympathetic cholinergic receptors innervate?

A

sweat glands! release Ach on them

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12
Q

Where are baroreceptors found?

A

carotid sinus [IX] (more sensitive) and aortic arch [X]

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13
Q

When are baroreceptors activated?

A

During decrease in Pressure (CHANGES)- start firing more

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14
Q

How do baroreceptors work?

A

they activate sympathetic NS and shut off para

  • cause veno and vasoconstriction (incr peripheral resistance)
  • incr HR (incr CO)
  • incr contractility (more SV- incr CO)
  • -> Incr BP!

*negative feedback: sense higher BP so fire to active parasympathetic to balance it out

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15
Q

What happens to baroreceptors in patients with HTN?

A

They reset at the higher pressure, less sensitive to changes

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16
Q

What are chemoreceptors for?

A

respiratory system! @ aortic and carotid bodies
afferents IX and X
-work in cardiovasc system during severe hypoxia only

17
Q

How do chemoreceptors work?

A

They respond to decrease in pO2 or pH (incr pCO2)

End result: vasoconstriction and tachycardia (lungs blocked parasymp)

18
Q

What is the system used for hormonal control of circulation? When is is used?

A

RAAS- renin angiotensine aldosterone system

long term! e.g. dehydration

19
Q

Explain the RAAS system

A

The kidneys sense a low arterial pressure and they release RENIN which converts angiotensinogen (always chilling in blood) into angiotensin I
when this blood goes through lungs and kidneys, they release ACE! which converts angio I into angio II
-vasocontricts vessels (incr BP)
-incr Na+ reabsorption (retain more water)
-stim thirst and ADH (more water!)
*all those increase fluid volume and thus BP

20
Q

What are the global mechanisms to control blood flow?

A

Neural and hormonal

21
Q

What are the local mechs to control blood flow?

A

myogenic, metabolic, endothelial, mechanical

22
Q

What is autoregulation?

A

maintains const blood flow despite changes in gravity

works only in certain range

23
Q

What tissues have autoregulation?

A

Those that need constant blood flow:
heart, brain, kidneys, skeletal muscles

none: skin and lungs (separate regulation)
weak: splanchincs

24
Q

How does autoregulation work? 2 hypothesis

A
  1. Myogenic: increase in P/flow stretches the muscles which causes it to constrict (to incr R and decr flow). decr in P causes muscle to relax (dilate)
  2. Metabolic: slower flow will cause metabolites to accumulate so will cause vasodilation. Fast flow will wash away so will cause vasoconstriction
25
Q

Does autoregulation work during exercise?

A

Nopes!! you make a bunch of metabolites which vasodilate so this overcomes -> incr blood flow to muscles

26
Q

What is endothelial mediated regulation? How does it work?

A

When flow/P is increased the endothelial cells sense sheer stress so release NO/EDRF) –> vasodilators!
*positive feedback

27
Q

Where does metabolic regulation occur?

A

In highly metabolic tissues: brain, heart, skel muscles,

28
Q

What is active hyperemia?

A

When exercise, you produce metabolites that will vasodilator and further increase blood flow

29
Q

What is hyperactive hyperemia?

A

Occurs when a vessel is occluded or blocked
The metabolites accumulate so when you unblock u get a greater response than normal
-the longer it takes for occlusion to clear, the larger the flow

30
Q

What is mechanical tissue pressure?

A

An incr in tissue pressure can mechanically compress small vessels and alter blood flow

  • in skeletal muscle: squeeze more so more blood flows back to heart!
  • in heart: affect endocardial coronary vessels- if LV pressure is too high then can cut off the blood
31
Q

Name the important vasoconstrictors

A

calcium, stretch-activated receptors, endothelin, alpha adrenergic receptors (not in heart, brain, lungs)

32
Q

Name the important vasodilators

A

B 2 receptors (activate cAMP), NO receptors, histamine receptors, adenosine!