Phys- Regulation of Blood Pressure Flashcards

1
Q

Describe baroreceptor stretch receptors

A

highly branched, enmeshed within the elastin matrix of the vessel wall

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2
Q

Name some things that infulence MAP

A

1.) Cardiac 2.) Systemic Nervous System 3.) Humoral 4.) Renal Fluid Volume control 5.) Local control

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3
Q

Reflex arc

A

feedback loops in which a stimulus is transmitted via afferent pathways to the central nervous system wher it gets processed and integrated to generate an appropriate output signal that is sent to the periphery via efferent pathway to an effector organ

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4
Q

Pressor Center Response to increased pressure

A

In response to increased pressure the pressor center causes a decrease in sympathetic output and passive vasodilation

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5
Q

Rate of baroreceptor firing is greatest during (systole/diastole) and decreases during (systole/diastole)

A

Greatest during systole (get burst of activity) and decreases during diastole

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6
Q

Medulla Oblongata

A

contains a number of important information receiving and integrating celnters for both the cardiovascular and respiratory systems. Stimulation results in specific effects

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7
Q

Which baroreceptors are tonically active (what does this mean)

A

Carotid baroreceptors (always firing)

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8
Q

relationship between arterial pressure and firing frequency in carotid baroreceptors

A

increased pressure causes distention and increased firing freqency (decreased pressure causes decreased fring frequency )

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9
Q

Cerebral cortex and regulation

A

1.) Emotional stimuli (extreme fear, anxiety, embarassment) can alter efferent output 2.) Painful stimuli can evoke powerful sympathetic stimulation that originates in the spinal cord

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10
Q

what is the driving force for tissue perfusion

A

arterial blood pressure

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11
Q

increased sympathetic activity to arterioles causes

A

ACTIVE vasoconstriction

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12
Q

Cardioinhibitory center

A

tonically active. Controls PARASYMPATHETIC (vagal output)

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13
Q

CO equation

A

CO= HR x SV

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14
Q

Pressor Center

A

TONICALLY ACTIVE. Controls peripheral resistance by controling sympathetic output. In face of increased pressure it causes a decrease in sympathetic output and passive vasodilation

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15
Q

Baroreflex negative feedback system

A

in response to DECREASED ARTERIAL PRESSURE the reflex acts to increase sympathetic activity - increase in caradiac output and causes peripheral vasoconstriction to raise pressure. In response to INCREASED ARTERIAL PRESSURE the reflex decreases sympathetic activity and increases sympathetic activity to decrease blood pressure

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16
Q

Why is the baroreflex considered superior to the other mechanisms that influence blood pressure

A

barorelflex mechanism responds most rapidly (within 15-20 seconds) and with a greater gain that other mechanisms

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17
Q

what is the pimary mechanism involved in regulating moment to moment changes in arterial blood pressure

A

Barorelflex

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18
Q

which “center” is not tonically active

A

Depressor center

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19
Q

Components of the baroreflex arc

A

1.) Baroreceptors in the carotid sinus, aortic arch, and other large thoracic arteries 2.) Afferent pathways in cranial nerves IX and X 3.) Medullary centers 4.) Efferent autonomic (sympathetic and parasympathetic) pathways 5.) Effector organs (heart, arterioles, and venules/veins

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20
Q

what is “effective circulating blood volume”

A

pressure in the system (blood pressure) that drives perfusion to the tissues

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21
Q

Response of hypothalamus to decreased arterial pressure

A

sends inhibitory signals to the nucleus ambiguous (cardioinhibitory center) and decreases vagal output

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22
Q

Aortic baroreceptor afferents

A

carried in the aortic nerve via the vagus nerve (CN X)

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23
Q

cardiostimulatory center

A

tonically active. Controls the sympathetic output of the heart (SA and AV nodes and ventricular myocardium)

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24
Q

define regultaion

A

maintanance at a CONSTANT level - the ability of the body to keep arterial pressure constant in the face of stress (eg: changes in body position or exertion)

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25
Example of regulation and control
under normal circumstances mean arterial pressure is REGULATED at aprox 95 mmhg through reflexes that CONTROL cardiac output and peripheral resistance
26
tonic component of baroreceptor firing
depending on the magnitude of mean arterial pressure (average number of spikes over time) Static component
27
reflex
harwired involuntary response to a stimulus
28
what factors does the pressor center adjust to change MAP
Adjusts Total peripheral resistance (TPR) and Venous Capacitance
29
Response of capacitance vessels to baroreflex
change in effective circulating blood volume
30
Respone of the Resistance vessels to baroreflex
change peripheral vascular resistance through control of arteriole size (vascular resistance) - primarily under sympathetic control
31
response of cardiostimulatory center to increased pressure
decrease sympathetic outflow leading to decreased heart rate, contractility, and conduction velocity
32
Depressor Center
NOT TONICALLY ACTIVE. Inhibits pressor center
33
what is responsible for short term blood pressure (seconds, minutes, hours)
Cardiovascular system
34
Role of Hypothalamus in regulation of blood pressure
1.) recieves input from low pressure baroreceptors in the right artrium and pulmonary artery. Hypothalamus sends signals to the the cardiostimulayory and cardioinhibitory centers to alter sympathetc and parasympathetic activity 2.) Thermoregulation
35
Baroreceptor adaptation
afferent output resets in the face of chronic change in pressure. EX: in the face of chronically elevated pressure (early stages of hypertension) the baroreceptors will have a lower sensitivity at a given blood pressure. Sensitivity curve shifts to the right so that NOW the baroreceptor is most sensitive at the NEW mean. Adaptation occurs over hours to days
36
Aortic baroreceptor threshold
100-110 mmhg (not as sensitive as carotid baroreceptors)
37
define sensitivity in terms of baroreceptors
number of impulses per mmHg
38
decreased sympathetic activity to arterioles causes
PASSIVE vasoconstriction
39
which "center" acts through parasympathetic output
cardioinhibitory center
40
what is responsible for long term regulation of arterial blood pressure
Kidney
41
Thermoregulation and arterial pressure
changes in core body temperature can alter the regional distribution of blood flow which can compromise regulation of arterial pressure
42
define control
change in the activity level of a given system (ex: changing cardiac output, peripheral vascular resistance)
43
what are the five components of the reflex arc
1.) Receptor 2.) Afferent Pathway 3.) Central integrator 4.) Efferent pathway 5.) Effector organ
44
Carotid Sinus barorecptors threshold
50-60 mmhg (most sensitive and effective baroreceptors)
45
Response of medulla to baroreflex
release of epinephrine
46
Where is the sensitivity of baroreceptors the greatest? What is the significance of this?
90-100 mmHg (the normal mean arterial pressure) Allows Baroreceptors to be very responsive to small changes in arterial pressure
47
what modulates the activity of the pressor center
Depressor center (inhibits the pressor center)
48
How does changing Vascular capacitance help to maintain blood pressure
constriction of smooth musle in large capacitance veins and an increase in the "effective" circulating blood volume that can help maintain blood pressure
49
response of cardioinhibitory center to decreased pressure
decreased pressure results in decreased vagal output and increased heart rate
50
response of cardiostimulatory center to decreased pressure
increase sympathetic outflow to increase heart rate, contractility and conduction velocity
51
which "centers" act to change peripheral resistance
1.) Pressor center 2.) Depressor center
52
Carotid baroreceptor afferents
carried in the carotid sinus nerve via CN IX (glossipharyngeal)
53
Response of the heart to baroreflex
changes in cardiac output via changes in heart rate and contractility (which influences stroke volume)
54
Baroreflex receptor type
stretch receptors - changes in transmural pressure elicits an action potential (stretch determines firing frequency)
55
components involed in maintaining short term blood pressure
Integration of: 1.) Cardiac output 2.) Peripheral vascular resistance 3.) effective circulating blood volume
56
Location of baroreceptors
1.) Carotid Sinus (bilaterally) 2.) Aortic arch and other large vessels of the throrax
57
response of cardioinhibitory center to increased pressure
increaed pressure results in increased vagal output leading to decreased heart rate, decreased afferent input
58
examples of effector organs in the reflex arc
Heart, vessels, respiratory muscle, kidney, GI mucosa, sweat glands
59
Phasic component of baroreceptor firing
reflects the rate of change of pressure (burst pattern) Dynamic component
60
Depressor response to increased arterial pressure
Increaed inhibition of th pressor center to cause decreased sympathetic outflow resulting in passive vasodilation
61
Baroreceptor sensitivity zone
50-200 mmHg
62
Mean Arterial pressure equation
MAP = CO X TPR
63
Nucleus tractus solitarius
caudal medulla that receives afferent information and relays it to the four control centers.
64
Afferents from baroreceptors travel where?
to the nucleus tractus solitarius of the medulla
65
which "centers" act to change cardiac output
1.) Cardiostimulatory center 2.) Cardioinhibitory center