PHS 206 CVS 2 Flashcards

1
Q

Types of blood vessels

A

Arteries
Arterioles
Venules
Veins
Capillaries

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2
Q

Arteries

A

(aorta is largest)
-Thick-walled, extensive elastic tissue, smooth muscle, and connective tissue
-Under highest pressure
-Stressed Volume—volume of blood contained in arteries

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3
Q

Arterioles (smallest branches of the arteries)

A

-Extensive smooth muscle in walls
-Site of highest resistance to blood flow
-Innervated by sympathetic adrenergic nerve fibers

*α-Adrenergic receptors caused constriction of smooth muscle (resistance to blood flow)
●Found in skin and splanchnic vasculature
*β2-Adrenergic receptors cause relaxation of smooth muscle (decrease resistance)
●Found in skeletal muscle

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4
Q

Capillaries

A

-Lined by single layer of endothelial cells
-Site where nutrients, gases, water, and solutes are exchanged between blood and tissues
-Lipid-soluble substances (O2, CO2) diffuse across capillary wall
-Water-soluble substances (ions) use pores to cross capillary wall
-Not all capillaries are perfused with blood at all times
*Selective perfusion is determined by degree of dilation or constriction of arterioles and precapillary sphincters

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5
Q

Venules and veins

A

-Venules are thin-walled
-Veins have modest amount of elastic tissue, smooth muscle, and connective tissue
-Large capacitance (capacity to hold blood)
-Contain largest percentage of blood in cardiovascular system
-Unstressed volume—volume of blood contained in veins
-Smooth muscle in walls of veins innervated by sympathetic nerve fibers
*Increases in sympathetic nerve activity contracts veins lowering their capacitance and therefore reduces unstressed volume

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6
Q

Types of heart rate regulation

A

Intrinsic (situated within the heart) regulation
Extrinsic (originating outside the heart) regulation

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7
Q

Types extrinsic regulation

A

Neural
Cortical Input
Peripheral Input

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7
Q

Describe instrinsic regulation

A

Depolarization muscle membrane creates an action potential or electrical impulse
Impulse travels through the heart in an established pathway
SA node →across atria →AV node →AV bundle →left & right bundle branches → Purkinjie fibers → Ventricles

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8
Q

Describe the neural control of HR

A

Neural Influences override intrinsic rhythm

Sympathetic: catecholamines
Epinephrine: increases heart rate (tachycardia) and contractility
Norepinephrine: acts as a vasoconstrictor

Parasympathetic
Acetylcholine: decreases heart rate (bradycardia) and contractility
Endurance (aerobic) trg. increases vagal dominance

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9
Q

Nerve fibres involved in the neural control of HR

A

Cardiac accelerator nerves
Vagus nerves

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10
Q

Discuss the cardiac accelerator nerves

A

Sympathetic Fibers

Innervate SA node & ventricles
Increase heart rate
Increase contractility
Increase pressure

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11
Q

Discuss the vagus nerves

A

Parasympathetic Nerve
Innervates SA node & AV node
Releases acetylcholine
Slows heart rate
Lowers pressure

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12
Q

Discuss the cortical influence on the heart

A

Cerebral cortex impulses pass through cardiovascular control center in medulla oblongata.
Emotional state affects cardiovascular response
Cause heart rate to increase in anticipation of exercise

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13
Q

Discuss the peripheral influence on the heart

A

Peripheral receptors monitor the state of active muscle; and modify vagal or sympathetic

Chemoreceptors
Monitor pCO2, H+, pO2

Mechanoreceptors
Heart and skeletal muscle mechanical receptors

Baroreceptors in the carotid sinus and aortic arch.
↑ pressure → increase HR & contractility
↓ pressure → decrease HR & contractility

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14
Q

List the phases of the cardiac cycle

A
  1. rest
  2. atrial systole
  3. ventricular systole (isovolumetric ventricular contraction)
  4. ventricular ejection
  5. ventricular diastole (isovolumetric relaxation)
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15
Q

Long term regulation of bp

A

Hormonal control

  1. RAAS
  2. ADH
  3. ANP
16
Q

How does RAAS increase bp

A

Angiotensin II produced
1. promotes sodium and water retention in the kidney
2. stimulates vasoconstriction
3. induces release of ADH and aldosterone which also promote sodium and water retention in the kidney

17
Q

Action of ANP

A

Atrial natriuretic peptide:
1. promotes vasodilation
2. promotes sodium and water excretion
3. antagonizes RAAS therefore reducing blood volume and pressure

18
Q

Hormones which increase BP by vasoconstriction

A
  • Adrenaline
  • Thyroxine
  • Vasopressin
  • Aldosterone
  • Noradrenalin
  • Angiotensins
  • Serotonin
19
Q

Hormones which decrease BP by vasodilation

A
  1. Vasoactive intestinal polypeptide (VIP)
  2. Bradykinin
  3. Prostaglandin
  4. Histamine
  5. Acetylcholine
  6. Atrial natriuretic peptide
  7. Brain natriuretic peptide