Vascular biology III Flashcards
What are factors that contribute to vascular wall stress?
Elevation in BP or increased flow
How does high flow affect an vessel?
- Larger lumen diameter
- Larger overall diameter
- Wall thickness stays the same
How does low flow affect a vessel?
- Smaller lumen diameter
- Smaller overall diameter
- Wall thickness stays the same
How does a large artery respond to increased pressure?
Outward hypertrophy:
- Thicker wall (larger overall diameter)
- Same lumenal diameter
How does a small artery respond to increased pressure?
Inward hypertrophy:
- Wall gets thicker in an INWARD direction (same overall diameter)
- Smaller lumenal diameter
How does an arteriole respond to increased pressure?
Three options:
Inward hypertrophy:
- Increased wall thickness
- Decreased lumenal diameter
- Same overall thickness
Inward (eutrophic) remodeling
- Decreased wall thickness
- Decreased wall diameter
Rarefaction (disappears)
What are the three layers of the heart?
- Endocardium
- Myocardium
- Epicardium
What is found in the subendocardium?
- Loose CT
- Small blood vessels
- Nerve fibers
- Purkinje cells or fibers (ventricles only)
What are the layers of the endocardium?
- Endothelium
- Subendothelial layer
- Myoelastic layer
- Subendocardium
What are the three types of cardiocytes?
- Contractile
- Myoendocrine
- Specialized conductive
What are the important functions / characteristics of myoendocrine cells?
- Atrial natriuretic factor
- B-type natriuretic factor ventricles)
- Diuresis and vasodilation
Which myoendocrine cell is elevated in CHF?
B-type natriuretic factor
What is anchored to the cardiac skeleton?
Cardiac muscles and valves
What are the three layers of AV valves?
- Atrialis
- Spongiosa
- Fibrosa
What are the three layers of semilunar valves?
- Fibrosa
- Spongiosa
- Ventricularis