Physiology: Baroreceptor Reflex for Short Term Control of MAP Flashcards

1
Q

what is blood pressure

A

outwards pressure exerted by blood on blood vessel walls

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2
Q

systolic bp + normal

A

when heart contracts

<140mmHg

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3
Q

diastolic bp + normal

A

when heart relaxes

<90mmHg

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4
Q

hypertension definition

A

clinical >140/90mmHg, daytime avg. 135/95mmHg

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5
Q

pulse pressure + normal range

A

difference between systolic and diastolic bp 30-50mmHg

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6
Q

MAP

A

avg. arterial bp during a single cardiac cycle

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7
Q

estimating MAP + normal range

A

((2xdiastole)+systole) / 3
1/3 pulse pressure + diastolic
70-105mmHg

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8
Q

a MAP of _ mmHg is needed to perfuse _

A

60

brain, kidneys and heart

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9
Q

where are baroreceptors found

A

carotids and aorta

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10
Q

how do carotid and aortic baroreceptors reach the brain

A

carotid - to medulla via CNIX

aortic - to medulla via CNX

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11
Q

what type of receptors are barorecepetors and what are the sensitive to

A

mechano receptors

stretch

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12
Q

draw the flow chart describing the different components of the baroreceptor reflex

A

**

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13
Q

what happens to the firing rate in baroreceptor afferent neurons when MAP increases/decreases

A

MAP increases - firing increase

MAP decreases - firing decreases

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14
Q

describe what happens to afferent impulses from baroreceptors

A
  • 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
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15
Q

NTS

A

nucleus tract solitarus - 1st synapse for all CVS afferents in medulla (relays info)

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16
Q

MAP = _ x _

A

CO x SVR

17
Q

CO

A

vol of blood pumped by each V per min

18
Q

CO = _ X _

A

SV x HR

19
Q

SV

A

vol of blood pumped by each V per heart beat

20
Q

SVR

A

sum of resistance in all systemic vasculature

21
Q

MAP can be regulated via regulation of

A

HR, SV, SVR

22
Q

autorhythmicity

A

beating rhythmically in absence of stimuli

23
Q

what does the ANS modify

A

HR

24
Q

the SNS acts through what to _ HR

A
  • noradrenaline acting on beta1 receptors

- accelerates

25
Q

the PNS acts through what to _ HR

A
  • CNX stimulation and ACh on muscarinic receptors

- slows

26
Q

SV increases if what increases and is regulated by

A

contractile strength, ANS

27
Q

the ventricular myocardium in innervated by

A

sympathetic nerves

28
Q

stimulation of ventricular S nerves increases what

A

force of contraction and therefore SV

29
Q

intrinsic control of SV is mainly regulated via what

A

Frank-Starling Mechanism

30
Q

what regulates SVR and what is the main site of SVR

A

SM and arterioles

31
Q

contraction of vascular SM _ SVR and MAP via _

A

increases via vasoconstriction

32
Q

relaxation of vascular SM _ SVR and MAP via _

A

decreases via vasodilation

33
Q

vascular SM are innervated by _ acting through _

A

S nerves, noradrenaline via alpha receptors

34
Q

vasomotor tone

A

vascular SM are partial constricted at resr due to tonic discharge by S nerves and continuous noradrenaline release

35
Q

what are the exceptions to no significant P innervation of arterial SM

A

penis and clitoris

36
Q

why cant baroreceptors maintain MAP long term

A

the ‘set point’ resets if there is a chronic change in MAP

- new steady state

37
Q

what controls MAP long term

A

hormonal control of blood vol

38
Q

draw thw flow chart describing all the changes in the baroreceptor reflex

A

**