vascular control Flashcards

1
Q

why is the circulatory system called the closed system?

A

blood remains within the vessels

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2
Q

diagram of the circulatory system?

A

slide 4
lecture 9 Vascular control

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3
Q

what is the inner lumen for arterial, capillary and venous systems for?

A

to regulate movement of blood in/out of the circulation

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4
Q

what is the structure of capillaries?

A

single layer endothelial cells
lack smooth muscle cells
basement membrane of collagen and pericytes
fenestrations in some for movement of larger moelcules

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5
Q

what is the purpose of capillaries?

A

deliver oxygen to tissues and bring about metabolic exchnage

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6
Q

what arteries and veins change structure when blood is carried?

A

muscular arteries
elastic arteries
arterioles
valves
position of veins around arteries and skeletal muscles to push blood

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7
Q

how are arteries and venules connected?

A

capillaries

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8
Q

what happens at the arteriole end?

A

muscle constricts to regulate blood flow

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9
Q

what are anastomoses?

A

direct link between arteriole and venule

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10
Q

how does oncotic and hydrostatic pressure differences in capillary bed effect molecule movement?

A

regulates movement of molecules in circulation system

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11
Q

what are the systolic and diastolic ventricular wall stresses influenced by?

A

systemic arteriolar and venous tone

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12
Q

what do arteriole tones control?

A

vascular resistance and therefore blood pressure

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13
Q

what are arteries and small muscular arteries known as?

A

resistant vessels

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14
Q

what are baroreceptors and chemoreceptors for?

A

regulate mean arteriole pressure

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15
Q

where are baroreceptors and chemoreceptors located?

A

carotid arteries and aorta

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16
Q

what effects blood flow and blood pressure?

A

cardiac output- blood flow from the heart
compliance- ability to expand if increases in content
volume of blood- increases blood pressure
viscosity of blood-number of blood cells
blood vessel length and diameter- effects tone

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17
Q

what is afterload?

A

systolic ventricular wall stress include vascular resistance/ arteiolar tone

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18
Q

what is preload?

A

end-diastolic ventricular wall stress includes venous tone which regulates blood returning to the heart

19
Q

how is tissue perfusion ensured?

A

balanced O2 delivery to the heart

20
Q

when does coronary perfusion occur?

A

during diastole

21
Q

when does Myocardial ischemia occur?

A

when O2 supply and demand isn’t balanced

22
Q

what are the roles of endothelium?

A

transport of blood
haemostasis for clotting
vascular tone to control constriction
haemodynamic controls flow, viscosity and wall tension
Host defence
Angiogenesis for tissue repair
growth factors

23
Q

what is the structure of endothelium cells?

A

very flat
central nucleus
long axes parallel to direction of blood flow
stress fibres
gap junctions

24
Q

what is the structure and characteristics of smooth muscle cells?

A

lack sarcomeres
actin-myosin filaments arranged indirectly
action potentials are varied
anchor points for actin
interact with neighbouring cells
slower contraction time
sustained for longer periods

25
Q

draw diagram of vascular smooth muscle?

A

slide14
lecture 9 vascular control

26
Q

how does contraction occur in vascular smooth muscles?

A

dependant on Ca2+
uses calmodulin instead of troponin
Ca2+ binds to calmodulin and activates myosin light chain kinase (MLCK)
myosin heads are phosphorylated and increase myosin ATPase activity
Depolarization / hyperpolarization is dependant on Ca2+ and K+

27
Q

what are the mechanics of smooth muscle contraction?

A

contraction is slow and sustained
dense bodies are analogous to Z liens in cardiac muscle
myosin head are in side polar arrangements
dense bodies pulled closer by contraction

28
Q

difference between cardiac muscle and smooth muscle?

A

smooth muscle aren’t arranged parallel
they cause a twisting contraction

29
Q

what is vascular tone regulated by?

A

NO and Ca2+ stimulate contraction and relaxation

30
Q

what is nitric oxide for?

A

a gas released by endothelial cells for vasodilation/relaxation

31
Q

what does nitric oxide do in blood?

A

inhibits platelet adhesion

32
Q

what is endothelin?

A

vasoconstrictor peptide and is the mirror image of NO
produced by endothelial cells

33
Q

what are the three different isoforms of endothelin?

A

ET-1, ET-2, and ET-3

34
Q

what are endothelin subtypes?

A

ETA and ETB

35
Q

what does ETA do?

A

mediates vasoconstricition

36
Q

what does ETB do?

A

mediate vasodilation

37
Q

what is the renin-angiotensin-aldosterone system involved in?

A

regulated blood volume and fluid metabolism

38
Q

what is the role of the enzyme renin?

A

converts circulating angiotensinogen into angiotensin I
then converted to angiotensin ll by angiotensin converting enzyme (ACE)

39
Q

what is angiotensin ll?

A

potent vasoconstrictor peptide by releasing Ca2+

40
Q

what molecules stimulate vasoconstriction?

A

epinephrine
EPO
Antidiuretic hormone
Activation of α1-adrenergic receptors

41
Q

how vascular smooth muscle relaxed?

A

Atrial natriuretic peptide increasing intracellular cGMP causing dephosphorylation of MLCK and causing vasorelaxation

42
Q

how does autonomic nervous system influence vascular tone?

A

because vascular beds have sympathetic innervation and no parasympathetic innervation

43
Q

how does Ca2+ blockers effect the cardiovascular system?

A

Ca2+ regulates constriction of myocardium