Lecture 16: Local Control of Blood FLow Flashcards

1
Q

what 3 things regulate arteriolar diameter

A

local, auto-regulatory control
autonomic fiber release of nitric oxide
sympathetic NS (like Epi)

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2
Q

what is metabolic theory (active hyperemia)

A

local metabolic factors can increase blood flow to active muscles

tissue supply of oxygen matches the tissue demand for oxygen

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3
Q

what is myogenic response (flow autoregulation)

A

arteriolar smooth muscle responds to changes in arteriolar blood pressure

this protects fragile capillaries when arteriolar pressure gets too high

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4
Q

ventilation-perfusion coupling occurs when

A

poorly ventilated lung segments vasoconstrict
(hypoxia causes vasoconstriction)

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5
Q

what factors cause vasodilation –> active hyperemia in skeletal muscle

A

decrease in O2 levels in tissue
increased CO2 levels in tissue
decreased tissue pH
increased tissue temperature
K+ levels

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6
Q

chemical signals that result in vasodilation

A
  • CO2
  • K+ ions
  • Adenosine
  • Lactic acid
  • nitric oxide
  • Thromboxane
  • prostacyclin
  • histamine
    -bradykinin
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7
Q

chemical signals that result in vasoconstriction

A

O2
endothelin-1

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8
Q

why are negative feedback loops w/in capillary beds so important?

A

b/c if capillary beds were to remain dilated it messes with the pressure gradient and therefore blood flow

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9
Q

what is active hyperemia?

A

blood flow response to increased tissue metabolic activity

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10
Q

what is reactive hyperemia?

A

blood flow response to a blood flow occlusion that causes the build up of waste products and an inability to deliver oxygen and nutrients

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11
Q

explain why blood flow through the coronary arteries is not consistent

A

blood flow through the coronary arteries increases during diastole and decreases during systole

  • during diastole, vessels are NOT compressed so blood flow increases
  • during systole, vessels are compressed so blood flow is reduced
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12
Q

explain nitric oxides role in adaptation to animals living at high altitude

A

O2 partial pressure is low at high altitudes and can cause chronic poor ventilation / pulmonary hypoxia

  • big horn sheep & lama have chronically elevated production of nitric oxide (vasodilator)
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13
Q

what condition has the strongest control of arterial diameter

A

hpoxia

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14
Q

what does hypoxia lead to in lungs?

A

hypoxia in the lungs causes vasoconstriction of pulmonary arteries

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15
Q

what does hypoxia lead to in skeletal muscle?

A

vasodilation

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16
Q

active hyperemia in skeletal muscle causes what

A

vasodilation

17
Q

what is active hyperemia?

A

blood flow response to an increase in tissue metabolic activity

18
Q

what is reactive hyperemia?

A

blood flow in response to flow occlusion

19
Q

what are local controls of blood flow

A

CO2, O2, pH

20
Q

what is metabolic theory

A

local metabolic factors can cause increased blood flow to active muscles

the tissue supply of O2 matches the tissue demand for O2

21
Q

explain ventilation-perfusion coupling

A

poorly ventilated lung segments vasoconstrict

22
Q

what are myogenic responses (flow autoregulation)

A

arteriolar smooth muscles responds to changes in arteriolar BP

23
Q

what is epinephrines’ effect on blood flow

A

epinephrine causes vasodilation via B2 adrenergic receptors, causing relaxation of smooth muscle at arterioles and skeletal muscle

24
Q

what is angiotensin II effect on blood flow

A

angiostensin II is a potent vasoconstrictor, it acts on smooth muscle of arterioles

gets synthesized when BP is low
increases aldosterone synthesis

25
what is vasopressins (ADH/AVP) effect on blood flow
vasopressin is a peptide released from the posterior pituitary - arteriolar vasoconstrictor - released when plasma osmolarity or BP is low - increases the reabsorption of water in kidney
26
what is the CV response to aerobic exercise
an increased demand for O2 rich blood & nutrients in muscle increased need to remove CO2 - this demand is met in part by an increased CO but also by redirecting blood flow
27
why is blood flow redirected 4 fold times to the skin during exercise?
thermoregulation
28
what are the 2 psychogenic responses?
defense alarm reaction (fight or flight) and vasovagal syncope
29
what occurs during the defense-alarm reaction
the baroreceptor reflex is reset (there is a change in setpoint) in order to maintain higher BP increased sympathetic - causes Epi and NE release - causes ADH + Angiotensin II - ↑ HR, ↑SV, ↑BP - vasoconstriction of non-critical organs - vasodilation of coronary vessels and working skeletal muscle
30
what occurs during vasovagal syncope
- the opposite of the defense alarm reaction - occurs when an emotional state overrides the typical response of baroreceptors - results in fainting or playing dead
31
explain the regulation of arteriolar diameter via the sympathetic NS
- decreased parasympathetic innervation to the heart - ↑ HR, ↑CO - ↑Sympathetic activity - SA node ↑HR, contractile cells ↑SV - Vasomotor fibers to veins and arterioles ↑TPR -all this results in an ↑MAP
32
what are the 3 main hormonal controls of arteriolar diameter?
epinephrine (vasodilation, B2 receptors) Angiotensin II (vasoconstriction) Vasopressin (ADH/AVP) - vasoconstriction