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20 Cards in this Set

  • Front
  • Back
what are the main determinants of blood flow? (4)
blood pressure = Q x TPR
heart suction - diastole - filling pressure drops in ventricles - systole - ventricular contraction pulls atria down, atria expand and increases VR
breathing - causes a pumping action
skeletal muscle pump - stimulates Frank-Starling Mechanism
Determinants of blood flow - Poiseuille's equation? (4)
pressure - increase driving force
radius - flow varies to the 4th power of radius
viscosity - depends on Hct
siphon - pressure differences between two points, can overcome gravity
what are the main controls of tissue circulation?
internal pressure of circulation - high at major arteries, low in capillary beds
arterioles and precapillary sphincters - act as valves
no precapillary sphincters in muscle capillary beds - determined by terminal arterioles and sphincters in major arteries
how is the CVS regulated?
Intrinsically - tissue metabolism
extrinsically - blood pressure
what is the neural control of the heart?
sympathetic nerves increase heart rate and contractility and parasympathetic nerves do the opposite by innervating the SA and AV nodes
neural control of the cardiovascular system?
cerebral cortex contain cardiovascular control centre which receives information from peripheral afferents
when is the hypothalamus particularly influential?
during temperature challenges from environment or exercise
how do baroreceptors work as a control mechanism?
there are stretch receptors in the heart and major arteries
a BP set point is established and this is increased with exercise
inhibit CVC pressor area - vasodilate muscle circulation
how do chemoreceptors work as a control mechanism?
in aortic and carotid bodies
respond to decreased PO2, increased PCO2, decreased pH, also send impulses to pressor area of CVC
how do muscle afferents work as a control mechanism?
respond to mechanical, thermal and chemical stimuli
send signal to CVC to increase BP by increase HR, cardiac contractility and vasoconstriction
type III-activated by muscle contraction
type IV to chemical stimuli
how do hormonal mechanisms work to control the CV and how is it affected by training?
catecholamines enhance the effect of sympathetic stimulation
epinephrine and norepinephrine stimulates alpha adrenergic receptors - vasoconstriction
epinephrine alone stimulates beta andrenergic receptors to induce vasodilation
training reduces the catecholamine response to allow more BF to other tissues
what counteracts the catecholamine response?
AcH and adenosine decrease HR and cardiac contractility to protect the heart
what is the function of vasopressin?
most potent vasoconstrictor to combat CV drift - drop in BP and increase HR during exercise
how do Renin and angiotensin II react to a fall in blood pressure?
renin is released from the kidney which leads to the production of angiontensin II, a potent vasoconstrictor
this causes the kidney to retain fluid and salt which increases blood volume
it also causes aldosterone secretion which has the same effects
what is the skeletal BF determined by?
need to balance BP and the muscle metabolic needs
what are vasodilators (5)?
adenosine, lowering of PO2, high PCO2, low pH and La
what makes vascular smooth muscle relax (3)?
NO, prostacyclin, EDHF
NO is most potent vasodilator - released by RBCs and promoted by catecholamines
what regulates Brain blood flow?
Cerebral blood flow is stimulated by carbon dioxide and can increase by 25% during exercise
what regulates coronary artery blood flow and how much does it increase during exercise?
NO release by endothelial cells
no flow during systole, only during diastole
increases from 260ml/min to 900ml/min during max exercise
what regulates skeletal muscle blood flow to isolated muscle and how much does it increase?
heart limits blood flow to maintain cardiac output and isolated muscles can increase to 300ml/100g/min from 60-100ml/100g/min