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6 Cards in this Set

  • Front
  • Back
Describe PANS regulation of CV function.
explained multiple times already
Explain why vagal nerve stimulation results in decreased HR at a much greater extent than an M receptor agonist or Ach
a. Vagal nerve stimulation targets the nodal cells directly and activates Beta 1 receptors. However, if you administer an M receptor agonist or Ach, they will promote vasodilation by binding onto M3 receptors in smooth muscle which activate NO synthase producing NO → thereby decreasing blood pressure. The arterial baroreceptors will sense the decrease and try to increase CO by increasing HR (ANS reflex)
Sketch a synapse between a postganglionic SANS nerve and a cardiac cell, and put in the steps involved in SANS neurotransmission, starting from neurotrans synthesis and ending with termination of neutrans activity.
a. Neurotrans synthesis: “Tyra likes dope, not E” → Tyrosine → L-Dopa → Dopamine → Norepinephrine → Epinephrine
b. Neurotrans termination: reuptake into cells via transporters, COMT (outside cell) and MOA (inside cell) will degrade NE
c. Autoreceptors- alpha-2 receptors can bind NE and inhibit further release of NE
d. Heteroreceptors- M2 receptors on the synaptic terminal can bind ACh and therefore inhibit release of NE
Describe SANS regulation of CV function, and, for each major effect, name the receptor responsible for mediating the effect.
a. Uses NE on nodal cells to increase activation of Ca channels (through Gs → adenyl cyclase → cAMP → pKA
i. Leads to increase in contractility
b. Also increase If → increase HR
c. Alpha receptors on arterioles promotes vasoconstriction
d. Beta-2 receptors on skeletal muscle promotes vasodilation
Diagram the short-term and long-term systems responsible for protecting mean arterial blood pressure and, for each sympathetic and parasympathetic effect, indicate the receptor responsible for the reflex response.
See picture
Compare and contrast the effects of Epi and NE on BP and explain the basis of the differences between them
a. NE → vasoconstriction via alpha-2 receptors on arterioles; vasoconstriction via alpha-2 receptors on venules/veins → increase venous return and therefore CO; increased contractility + HR on B-1 receptors in heart
b. Epi → activates same receptors as NE, but also B-2 in the skeletal muscles leading to vasodilation → thus, no change in HR usually observed. However, in high enough vasodilation, you could activate PANS reflex