regulation 4 Flashcards

1
Q

Humoral control of the vasculature

A
  1. Renin-Angiotensin-Aldosterone

2. Atrial Natriuretic Peptide

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2
Q

What is the Primary system for long-term control of blood pressure?

A

Renin-Angiotensin-Aldosterone system

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3
Q

renin release is stimulated by

A

sympathetic stimulation, decreased blood pressure in renal artery, and decreased Na+ reabsorption

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4
Q

angiotensin converting enzyme (ACE) function

A

cleaves angiotensin I to Angiotensin II (AII)

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5
Q

A2 is a

A

vasoconstrictor

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6
Q

ACE inhibitors & Angiotensin II receptor blockers = Therapeutics for treatment of

A

hypertension & heart failure

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7
Q

direct effects of AII (A2)

A

systemic vasoconstriction via binding to GPCRs on VSMCs.

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8
Q

indirect effects of AII (A2)

A

Stimulates sympathetic activity and release of aldosterone, endothelin, and ADH

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9
Q

aldosterone is a

A

steroid hormone produced by the adrenal cortex

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10
Q

aldosterone functions to

A
  1. promote reabsorption of Na and water in the kidney collecting duct
  2. increased blood volume and blood pressure
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11
Q

anti-diuretic hormones are

A
  1. ADH
  2. arginine vasopressin

they are peptide hormones

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12
Q

anti-diuretic hormones are formed in the

A

hypothalamus and released by pituitary

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13
Q

anti-diuretic hormones release is stimulated by

A
  1. hypovolemia
  2. hypotension
  3. high osmolaroty
  4. angiotensin II
  5. sympathetic stimulation
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14
Q

anti-diuretic hormones functions

A
  1. Increases water reabsorption in kidney

2. Can also bind to receptors in vasculature to cause vasoconstriction.

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15
Q

Atrial Natriuretic Peptide is released by the

A

atria (mostly right) in response to stretch

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16
Q

ANP functions

A
  1. Long-term regulation of Na+ and water balance

2. increases glomerular filtration rate and secretion of Na+ and water (natriuresis and diuresis).

17
Q

ANP mechanism

A
  1. ANP binds to Natriuretic Peptide Receptors

2. Receptor guanylate cyclases (not GPCRs), produce cGMP

18
Q

natriuretic means

A

sodium excretion

19
Q

Integrated Responses of the Cardiovascular System

A
  1. Gravity
  2. Exercise
  3. Hemorrhage
20
Q

Immediate Effects of Standing

A
  1. Right atrial pressure drops
  2. Venous pressure in legs increases
  3. Blood pools in veins
21
Q

Secondary Effects of Standing

A

Increased capillary hydrostatic pressure (Pc) causes:
1. net capillary filtration
2. increased interstitial fluid
3. decreased blood volume
(which leads to decreased mean arterial pressure)

22
Q

What decreases with age?

A
  1. Spontaneous AP firing rate in Sinoatrial Myocytes
  2. max heart rate
  3. intrinsic hr
23
Q

why do vasoactive metabolites result in increased extracellular K+?

A

Na+/K+-ATPase can’t keep up, so K+ accumulates in interstitial space

24
Q

What is a counter part to adenylate cyclase?

A

Phosphodiesterases

25
Q

HCN functions

A

Promotes excitability and spontaneous action potentials

26
Q

HCN expressed in

A

Highly expressed in sinoatrial myocytes

27
Q

HCN activity increased by

A

sympathetic stimulation via cAMP binding

28
Q

NCX serve to

A

remove Ca2+ from cytoplasm

29
Q

NCX promote

A

excitability and spontaneous action potentials