Shared Flashcard Set

Details

Cardiopulmonary 14
Elements of Vascular and Microvascular Function
19
Medical
Graduate
12/10/2012

Additional Medical Flashcards

 


 

Cards

Term
what is the best way to change the flow to a region?
Definition
change the resistance
Term
where does the greatest resistance in the vasculature reside?
Definition
in the arterioles
Term
true or false, all exchange of gases and nutrients takes place at the capillaries?
Definition
true
Term
why are veins called capacitance vessels?
Definition
because of their ability to act as a blood reservoir
Term
what are three functions of vascular cells?
Definition
contractility (control resistance), plasticity (hypertrophy), secretion
Term
define vascular tone and vasomotion.
Definition
vascular tone - state of contraction due to intrinsic and extrinsic factors

vasomotion - a change in the caliber of a blood vessel
Term
what affect does calcium have on vascular smooth muscle cells and what factors raise/lower intracellular calcium?
Definition
calcium causes the cells to contract

norepinephrine, angiotensin, acetylcholine and other things that lower cAMP raise intracellular Ca

prostacylin, beta adrenergics and others that raise cAMP or cGMP lower intracellular Ca
Term
define rarefaction and what role does it have in vascular resistance.
Definition
the reduced density of vessels as a result of vessel closure,

this would raise the resistance through a region
Term
what role do precapillary sphincters play in microcirculation?
Definition
they can close when they are stimulated by local factors and shut off flow to a certain region, this is necessary because capillaries do not have smooth muscle surrounding them
Term
define metaarteriole.
Definition
it is a vessel that is part arteriole part capillary
it has discontinuous smooth muscle around it.
Term
explain how small and large molecules are transported across the capillaries.
Definition
small molecules are filtered or diffuse across the capillary, whereas large molecules cross via pinocytosis and vesicular transport
Term
where are capillaries with tight junctions, fenestrations, and sinusoids found?
Definition
the brain

the kidneys, intestines, and endocrine glands

the liver, spleen and bone marrow
Term
what are some endothelial derived vasodilators / vasoconstrictors?
Definition
dilator - nitric oxide, prostacyclin
constrictor - endothelin, angiotensin II
Term
what are some metabolic processes of vascular endothelium?
Definition
process vasoactive factors, breakdown bradykinin
Term
why is nitric oxide not able to control overall blood pressure and what causes its release?
Definition
because it is very short lived and only acts on local tissue

sheer stress and/or endothelial cell receptor activation
Term
what amino acid is important in NO production?
Definition
arginine
Term
what is the difference between endothelium depending / independent reactions and what are some activators of each?
Definition
dependent require endothelium for reaction, whereas independent do not, the factor acts directly on the smooth muscle

independent vasoconstrictor is vasopressin
independent vasodilator is ANP

dependent vasoconstrictor is endothelin
dependent vasodilator is NO, PGI2
Term
what is endothelium hyperpolarizing factor and what role does it play on the vasculature?
Definition
it is a factor secreted by endothelial cells that tell the smooth muscle cells to hyperpolarize and thus dilate
Term
describe vascular wall role in platelet activity during a healthy and injured state.
Definition
healthy endothelium releases vasodilators and EDRF's which prevent platelets from sticking to them

when the endothelium is injured the lack of these factors causes vasoconstriction and platelet aggregation
Supporting users have an ad free experience!