November 29, 2023 Flashcards

1
Q

Questions at beginning of lecture:

  1. Explain to yourself how digitalis works
  2. Why is training-induced bradycardia such an important adaptation?
A
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2
Q

Smooth muscle tone:

A

how much vasoconstriction or vasodilation

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3
Q

how does Smooth muscle tone work

A

NE binds to alpha1 adrenergic receptors and causes contraction of smooth muscle and narrowing of vessel

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4
Q

Sympathetic drive =

A

vasoconstriction (increased vascular tone)

Modest vasoconstriction is usually occurring in our bodies at any given time

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5
Q

Metabolites produced by exercising muscle …….

A

reduces vascular smooth muscle contraction/tone (opens vessels to improve flow)

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6
Q

what are the two metabolites produced by exercising muscle

A

Adenosine

Potassium

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7
Q

How does Adenosine (metabolite) reduce vascular tone

A

AMP becomes adenosine when it loses a phosphate (ATP without the phosphate)

This means that adenosine can escape the cell since it is phosphate free

This acts as a metabolite that inhibits the release of NE from sympathetic neurons; no NE means reduction in vascular tone and will widen

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8
Q

How does Potassium (metabolite) reduce vascular tone

A

inhibits NE release from sympathetic neurons

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9
Q

Central command consists of:

A

Recruiting motor units so you can exercise

  • Sympathetic drive →
  • NE release →
  • binds to a1 adrenergic receptors on vascular smooth muscle →
  • vasoconstriction everywhere

But, in exercising muscle:

  • metabolites(ex: K and adenosine) →
  • inhibit NE release locally →
  • vasodilation →
  • increase in blood flow
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10
Q

Vasoconstriction is happening everywhere except where you are exercising

A
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11
Q

Vasoconstriction and Vasodilation during exercise lead to

A

a redistribution of blood flow

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12
Q

Mom said: “wait 2 hours after you eat before going swimming!” Why?

A

competition between redistribution of blood flow

between digestive muscles and skeletal muscles

causes cramps

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13
Q

does brain blood flow increase during exercise?

A

yes

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14
Q

does skin blood flow increase during exercise

A

yes

Blood flow increases for heat dissipation or is reduced for heat conservation (depends on environment temp)

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15
Q

Factors that increase blood flow to skeletal muscle as a result of skeletal muscle activity

A

Metabolic vasodilation

Muscle pump

Increase in sympatho-adrenal system

Deeper Breathing

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16
Q

how does skeletal muscle activity → Metabolic vasodilation → increase BF in skeletal muscle

A

skeletal muscle activity →
Metabolic Vasodialtion →
↓ total peripheral resistance →
↑ SV →
↑ Q →
↑ BF in skeletal muscle

also because:
easier for heart to eject blood

17
Q

how does skeletal muscle activity → Muscle pump → increase BF in skeletal muscle

A

skeletal muscle activity →
Muscle pump →
improved venous return →
↑ SV →
↑ CO →
↑ BF in skeletal muscle

18
Q

Increase in sympatho-adrenal system → increase BF in skeletal muscle

A

Increase in sympatho-adrenal system →
↑ cardiac rate and SV →
↑ CO →
↑ BF in skeletal muscle

also:
increases sympathetic vasoconstriction in viscera
redistributes blood flow to places where it’s needed

19
Q

How does Deeper breathing → increase BF in skeletal muscle

A

Deeper breathing →
↓ intrathoracic pressure →
Improved VR
↑ SV →
↑ CO →
↑BF in skeletal muscle

20
Q

MAP =

A

(HR x SV) x TPR

21
Q

Metaboreceptors (IV afferents) respond to?

A

metabolites and help to increase
sympathetic drive to the heart and periphery

22
Q

Mechanoreceptors (III afferents) respond to

A

contractile activity leads to increase in
AP frequency which accelerates sympathetic outflow

23
Q

Mechanoreceptors (III afferents) and Metaboreceptors (IV afferents) are known as

A

“pressor reflex” and acts opposite to BRR

24
Q

what is Baroreceptor reflex

A

have protective mechanisms that prevent over increase in BP

25
Factors that influence BP Response to Exercise
Amount of active vs. inactive muscle mass Intensity and duration of contractile effort The type of contraction; resistance vs. dynamic - determining blood vessel compression and blood distribution valsalva maneuver and changes in intrathoracic pressure determining venous return to heart
26
what do the factors that influence BP response to exercise determine:
extent of the pressor reflex amount of sympathetic drive degree of vasodilation (reduction of TPR)
27
Valsalva maneuver
leads to increase in thoracic pressure