Physiology Flashcards
Short term regulation of BP
Baroreceptor reflex
Korotkoff sounds
1st is peak systolic pressure
Last sound is heard at minimum diastolic pressure. DIASTOLIC PRESSURE IS RECORDED AS THE FIFTH KOROTKOFF SOUND
Right atrium pressure
0
Main driving force for blood is the MAP
Normal MAP?
70-105mmHg
Minimal MAP needed to perfuse brain, arteries and kidneys?
60mmHg
Cardiac output
Volume of blood umped by each ventricle of the heart per minute
The major resistance vessels?
Arterioles
Where are the baroreceptors?
Aortic arch and carotid sinus
(carotid signals via IXth CN)
(aortic signals via CNX)
Important in moment to moment regulation of arterial blood pressure including prevention of postural changes
Baroreceptors reflex
What causes postural hypotension?
Results from failure of baroreceptor responses to gravitational shifts in blood, when moving from horizontal to vertical position
Why do baroreceptors only respond to acute changes in blood pressure?
Baroreceptors firing decreases if high blood pressure is sustained
Baroreceptors “re-set” - they will fire again only if there is an acute change in MAP above the new higher steady state level
Therefore, the Baroreceptors cannot supply information about prevailing steady state blood pressure
Control of MAP in the longer-term is largely by control of Blood Volume