Lecture 18 - The Baroceptor Reflex Flashcards

1
Q

What is arterial blood pressure controlled by

A

Cardiac output, total peripheral resistance and blood volume

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2
Q

How is arterial blood pressure regulated short term

A

Neuronal mechanisms

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3
Q

How is arterial blood pressure regulated long term

A

Hormonal mechanisms

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4
Q

Baroreceptors found where monitor arterial pressure

A

The aortic arch and carotid sinus

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5
Q

Where do baroreceptors project nerve fibres to

A

The cardiovascular centre in the brain stem

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6
Q

Is the baroreceptor reflex neuronal or hormonal

A

Neuronal

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7
Q

What does the baroreceptor reflex consist of

A

A detector, afferent neural pathways, a coordinating centre, efferent neural pathways and effectors

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8
Q

What is the function of the afferent neural pathways

A

Conway information to the CNS

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9
Q

What is the coordinating centre and where is it

A

It compares signals detected in the periphery and compare them to a set-point and generates an error message. It is found in the CNS

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10
Q

What is the function of efferent neural pathways

A

They relay the output of the coordinating centre to the periphery

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11
Q

What is the function of the effectors

A

The execute an appropriate response and alter the controlled variable, correcting the deviation from the set-point

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12
Q

What does increase mean arterial pressure cause

A

Vasodilation and bradycardia

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13
Q

What does decreased mean arterial blood pressure cause

A

Vasoconstriction and tachycardia

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14
Q

What does blood flow to the brain through

A

The carotid arteries

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15
Q

What type of receptors are baroreceptors

A

Mechanoreceptors

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16
Q

How are baroreceptors activated in vessels

A

By stretch, not directly by pressure

17
Q

What nerve do the carotid sinus afferents travel on

A

The sinus nerve

18
Q

What cranial nerve do carotid sinus afferent end up on

A

The glossopharyngeal

19
Q

What part of the brain stem is the cardiovascular centre found

A

In the medulla

20
Q

What nerve do the aortic arch afferents travel in

A

The vagus nerve

21
Q

What are baroreceptors the terminals of

A

Myelinated and unmyelinated sensory fibres

22
Q

What do myelinated and unmyelinated sensory fibres express

A

Cation-selective ion channels activated by stretch

23
Q

When the cation-selective ion channels are open what do they generate

A

A graded receptor potential that causes an action potential generation with both static and dynamic qualities

24
Q

What is dynamic in relation to pressure

A

When the pressure is changing

25
Q

What is static, in relation to pressure

A

When the pressure is constant

26
Q

When does baroreceptor activity stop

A

At very low pressures (40-60 mmHg)

27
Q

How is central coordination of the baroreceptor reflex accomplished

A

By a complex of medullary nuclei collectively termed the cardiovascular centre

28
Q

What is the most important transmitter within bulbospinal neurones

A

Glutamate

29
Q

Bulbospinal neurones synapse with preganglionic sympathetic neurones between what levels of the spinal cord

A

T1 and L3

30
Q

When preganglionic neurones excite post ganglionic neurones through the sympathetic nervous system what does it cause

A

Vasodilation, increased heart rate and force of contraction

31
Q

How do preganglionic neurones excite adrenomedullary chromaffin cells

A

Via the release of ACh and activation of nicotinic receptors causing the release of adrenaline and noradrenaline

32
Q

When preganglionic neurones excite post ganglionic neurones through the parasympathetic nervous system what does it cause

A

A decreased heart rate and limited vasodilation

33
Q

What are the reflex effects of baroreceptor unloading

A

Increased sympathetic activity, decreased vagal parasympathetic activity so this causes increased HR and contractility so increases CO, arteriolar vasoconstriction so increased TPR and venoconstriction which supports central venous pressure and stroke volume