Neural Control Of Circulation Flashcards

1
Q

Where is the medullary cardiovascular centre located?

A

In the medulla, within there is a region called pressor and depressor region

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2
Q

What is the pressor region responsible for?

A

Raising BP - it is sympathetic

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3
Q

How does the pressor region increase BP?

A

By increasing:
Vasoconstriction
Cardiac output ( by increasing heart rate and stroke vol)
Contractility

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4
Q

What pathway does it go from the pressor region to the heart?

A
Pressor region
Sympathetic route
Medulla
Spinal cord
Synapses at T1 to L2
Heart
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5
Q

Describe the sympathetic effect on cardiovascular system

A

Sympathetic postganglionic fibers innervation the entire heart

Controlled by adrenaline and nor adrenaline (which binds to beta 1 receptors in the heart)

Increase heart rate and cardiac output
Increase force of contraction

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6
Q

What is the depressor region responsible for?

A

Lowering BP- parasympathetic

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7
Q

How does the depressor region decrease BP?

A

Inhibits the pressor region

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8
Q

What is the pathway from depressor region to heart?

A
Depressor region
Parasympathetic route 
Medulla
Vagus nerve
Heart
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9
Q

What is the parasympathetic effect on the cardiovascular system?

A
Fibers transmitted via vagus nerve
Controlled by acetyl choline which binds to muscarinic type 2 receptors 
Decrease heart rate 
Decrease force of contraction 
Decreased cardiac output
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10
Q

What do central chemoreceptors in the medulla respond to and why?

A

A decrease in pH

Due to CO2 diffusing across blood brain barrier reducing pH of CSF

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11
Q

Peripheral chemoreceptors
Where are they found?
What are they sensitive to?
What is the response?

A

Aortic arch and carotid sinus

Increase CO2, decrease O2 and decrease pH

Impulses to pressor region of the medulla
Sympathetic NS
Increase BP

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12
Q

Arterial Baroreceptors
Where are they found?
What are they sensitive to?
How do they respond?

A

Aortic arch and carotid sinus

Stretch receptors, increase BP

Increased BP = increased firing rate (more distorted baroreceptor)
Increased impulses to the depressor centre of medulla
Parasympathetic NS
Decrease BP

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13
Q

What is the route of the arterial baroreceptor in the aortic arch?

A

Aortic arch, vagus nerve, medulla, decrease sympathetic, increase parasympathetic, decrease BP

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14
Q

What is the route of the arterial baroreceptor in the carotid sinus ?

A

Two receptors where left and right common carotid divide into 2 smaller arteries (internal and external carotid)-this part of the artery is known as the carotid sinus

Carotid sinus, sinus nerve, glossopharyngeal, medulla, decrease sympathetic, increase parasympathetic, decrease BP

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15
Q

Cardiopulmonary baroreceptor
Where are they found?
What are they sensitive to?
What is the response?

A

Atria, ventricles, pulmonary artery

Increased blood volume

Increase BV = increase BP = more distorted baroreceptor
Increased impulses sent to the depressor region of medulla
Parasympathetic route, decrease BP

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16
Q

What do the cardiopulmonary baroreceptors do to decrease BP?

A

Inhibit pressor region/vasoconstrictor centre in medulla

Inhibits RAAS - as angiotensin II stimulates vasoconstriction & aldosterone stimulates reabsorption increasing blood vol & pressure

Inhibits ADH- water reabsorption

17
Q

What controls BP long term?

A

Fluid intake
RAAS
ADH

18
Q

When is RAAS activated?

A

Low BP or low NaCl

19
Q

What are local substances/factors that are vasodilators?

A
Hypoxia - systemic
Decrease pH, increase H+, increase CO2
Bradykinin
NO
Prostacyclin
Increase K+
20
Q

What are local substances/factors that are vasoconstrictors?

A
Endothelin 1
(Injured endothelium)
21
Q

What are are hormones/neurotransmitters that are vasodilators?

A

Ach

ANP

22
Q

What are are hormones/neurotransmitters that are vasoconstrictors?

A

Angiotensin II
ADH
NAd (noradrenaline)