L87- Physiology of hypertension 2 Flashcards

1
Q

What is the volume during cardiac output at rest?

A

5.8L/min

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2
Q

What is the volume during cardiac output at vigorous exercise?

A

25.6L/min

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3
Q

What is the flow of blood like during vasoconstriction?

A

slower flow

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4
Q

what happens to pressure and resistance during vasoconstriction?

A

increases

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5
Q

what is the 3 layers in arteries and veins?

A

 Tunica intima – innermost, includes the endothelium -
squamous cells
 Tunica media – middle, mainly circular smooth muscle and elastin
 Tunica adventitia –fibrous connective tissue, rich in collagen and elastin

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6
Q

what are the structure of cardiac, smooth and skeletal muscles cells?

A
  • cardiac= branched
  • skeletal= in fibres
  • smooth= not always contractile cells
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7
Q

how does muscle contraction occur in smooth muscles?

A
  • Intracellular Ca2+ concentrations increase when Ca2+ renters the cell and is released from the sarcoplasmic reticulum.
    -Ca2+ binds to calmodulin
    -Ca2+ –calmodulin activates myosin light chain kinase (MLCK)
    -MLCK phosphorylates light chains in myosin heads and increase myosin ATPase activity
    -Active myosin cross bridges slide along actin and creates
    muscle tension
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8
Q

How many Ca2+ molecules can calmodulin allow to bind to itself?

A

4

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9
Q

what is wall shear stress?

A

is a frictional force parallel to the wall at the surface of the endothelium directly related to blood flow velocity.

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10
Q

what does shear stress cause to happen?

A

stimulates Nitric oxide production

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11
Q

What is eNOS?

A

NITRIC OXIDE SYNTHASE

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12
Q

How is NO produced and what happens next?

A
  • eNOS synthesises NO which is readily diffused across the plasma membrane into smooth muscle cell
  • where it activates guanylyl cyclase cGMP
  • this leads muscle relaxation and blood vessels dilating
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13
Q

what are the 3 variables that resistance depend on?

A
  • blood viscosity
  • vessel length
  • vessel radius
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