vascular system Flashcards
vascular control mechanisms: identify the mechanisms regulating vascular tone and peripheral vascular resistance
peripheral resistance: vasoconstrictors and vasodilators
angiotensin II, noradrenaline, ATP, aldosterone; NO (prostaglandins can do both)
how does increased SNS discharge increase arterial pressure
increased sympathetic discharge to arterioles (excluding brain and heart) -> increased arteriolar constriction -> increased peripheral resistance -> increased arterial pressure
arterioles: vasoconstriction
decreased radius, increased resistance, decreased flow to that tissue
arterioles: vasodilation
increased radius, decreased resistance, increased flow
arteriole smooth muscle in normal state
displays state of partial constriction (vascular tone)
blood pressure calculation
cardiac output x total peripheral resistance
classic systolic/diastolic BP for hypertension
consistently over 140/90 (dependent on size, gender, mass etc.)
what is hypertension the single most important risk factor for
stroke (causes approx. 50% ischaemic strokes)
what is hypertension a major risk factor for
heart failure (approx. 25%, increasing in elderly), myocardial infarction, chronic kidney disease
ultimate goal of hypertension therapy
reduce mortality from cardiovascular or renal events