Short term control of blood pressure Flashcards
importance of regulating mean arterial pressure
MAP is the driving force pushing blood through the circulation and so has to be regulated if too low u can faint if too high hypertension
arterial baroreflex
sensors in the aortic arch and internal carotid arteries. stretch receptors which sense stretch and start firing action potentials. aortic arch travels up to medulla in vagus nerve, carotid sinus travel up in cranial nerve. this comes back to heart and blood vessels via sympathetic nerves, parasympathetic nerves and adrenaline
inputs to medullary cardiovascular centres
cardiopulmonary baroreceptors, central chemoreceptors, chemoreceptors in muscle, joint receptors, higher centres
effect of changes in posture on cardiovascular system
when you stand up blood pools in the venules and veins of feet and legs so end diastolic volume is reduced, preload is reduced so stroke volume is reduced so cardiac output is reduced so MAP is reduced
valsalva manoeuvre
forced expiration against a closed glottis. stops venous return and reduces the preload on the heart and therefore reduces cardiac output. used to asses strength of baroreflex
valsalva manoeuvre process
increased thoracic pressure transmitted to aorta, reduces filling pressure from veins which reduces venous return, end diastolic volume, stroke volume, cardiac output, MAP, reduced MAP is detected by baroreceptors which initiate reflex increase in CO and TPR, then manoeuvre ends, decrease in thoracic pressure is transmitted to aorta, so VR is restored so SV increases so CO and MAP increases