Physiology: Baroreceptor Reflex for Short Term Control of MAP Flashcards
what is blood pressure
outwards pressure exerted by blood on blood vessel walls
systolic bp + normal
when heart contracts
<140mmHg
diastolic bp + normal
when heart relaxes
<90mmHg
hypertension definition
clinical >140/90mmHg, daytime avg. 135/95mmHg
pulse pressure + normal range
difference between systolic and diastolic bp 30-50mmHg
MAP
avg. arterial bp during a single cardiac cycle
estimating MAP + normal range
((2xdiastole)+systole) / 3
1/3 pulse pressure + diastolic
70-105mmHg
a MAP of _ mmHg is needed to perfuse _
60
brain, kidneys and heart
where are baroreceptors found
carotids and aorta
how do carotid and aortic baroreceptors reach the brain
carotid - to medulla via CNIX
aortic - to medulla via CNX
what type of receptors are barorecepetors and what are the sensitive to
mechano receptors
stretch
draw the flow chart describing the different components of the baroreceptor reflex
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what happens to the firing rate in baroreceptor afferent neurons when MAP increases/decreases
MAP increases - firing increase
MAP decreases - firing decreases
describe what happens to afferent impulses from baroreceptors
- CVS control centre (NTS) recieves afferent infro
- NTS then relays info to other parts of the brain
- vagal outflow generated and sent to nucelus ambigous in the medulla
- spinal sympathetic neurones regulated
NTS
nucleus tract solitarus - 1st synapse for all CVS afferents in medulla (relays info)
MAP = _ x _
CO x SVR
CO
vol of blood pumped by each V per min
CO = _ X _
SV x HR
SV
vol of blood pumped by each V per heart beat
SVR
sum of resistance in all systemic vasculature
MAP can be regulated via regulation of
HR, SV, SVR
autorhythmicity
beating rhythmically in absence of stimuli
what does the ANS modify
HR
the SNS acts through what to _ HR
- noradrenaline acting on beta1 receptors
- accelerates
the PNS acts through what to _ HR
- CNX stimulation and ACh on muscarinic receptors
- slows
SV increases if what increases and is regulated by
contractile strength, ANS
the ventricular myocardium in innervated by
sympathetic nerves
stimulation of ventricular S nerves increases what
force of contraction and therefore SV
intrinsic control of SV is mainly regulated via what
Frank-Starling Mechanism
what regulates SVR and what is the main site of SVR
SM and arterioles
contraction of vascular SM _ SVR and MAP via _
increases via vasoconstriction
relaxation of vascular SM _ SVR and MAP via _
decreases via vasodilation
vascular SM are innervated by _ acting through _
S nerves, noradrenaline via alpha receptors
vasomotor tone
vascular SM are partial constricted at resr due to tonic discharge by S nerves and continuous noradrenaline release
what are the exceptions to no significant P innervation of arterial SM
penis and clitoris
why cant baroreceptors maintain MAP long term
the ‘set point’ resets if there is a chronic change in MAP
- new steady state
what controls MAP long term
hormonal control of blood vol
draw thw flow chart describing all the changes in the baroreceptor reflex
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