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Regulatory Control of Blood Pressure and Tissue Blood Flow
Regulatory Control of Blood Pressure and Tissue Blood Flow by Dr. Gibbons
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Professional
10/03/2011

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Term
Example of short term regulation of MAP
Definition
baroflexes
Term
4 examples of long term regulation of MAP
Definition
renin-angiotensin-aldosterone system
ADH
ANP
Kidney (sodium/water-volume control)
Term
where the baroreceptors are located
Definition
the carotid sinus and the aortic arch
Term
where is renin produced?
Definition
in the justoaglomerular cells of the kidney
Term
these 3 can have what effect on renin production:
1. increased renal sympathetic tone
2, decreases renal perfusion pressure
3. decreased NaCl in the distal tubule
Definition
cause an increase in renin secreation
Term
Where is aldosterone produced?
Definition
in the adreanl cortex glumerulosa cells
Term
causes the conversion of angiotensin I to angiotensin II
Definition
ACE found in the lungs and kidneys
Term
causses the conversion of angiotensin to angiotensin I
Definition
renin
Term
the funmction of aldosterone
Definition
increases Na reabsorption
Term
a potent vasoconstrictor that stimulates aldosterone secretion
Definition
angiotensin II
Term
changes that are measured by peripheral chemoreceptors
Definition
decreases in arterial O2
increases in CO2
decreases in pH
Term
increased sympathetic outflow causes
Definition
arteriolar vasoconstriction in skeletal muscles, renal and splanchnic vascular bed
Term
increased parasympathetic outflow causes
Definition
decreases heart rate
Term
increased ventilation causes
Definition
increases heart rate
Term
where are the central chemorecptors located
Definition
in the medulla of the brain
Term
central receptors respond to
Definition
changes in arterial CO2 and pH (brain ischemia)
They are less sensitive to O2
Term
the effects of central chemoreceptor responses
Definition
increased sympathetic outflow which leads to arterial vasoconstriction to redirect blood flow to the brain this increases peripheral resistance and increases arterial pressure
Term
these reflexes minize changes in arterial pressure as a consequence of changes oin blood volume
Definition
volume reflexes
Term
a compuond that senses increases serum osmolarity and decreases in blood pressure and casues vascular smooth muscle constriction and increases water reabsortpion
Definition
ADH
Term
the type of ADH/vasopressin receptors that cause smooth muscle constriction
Definition
V1
Term
the type of ADH/ vasopressin receptors in the renal collecting ducts that lead to water reabsortpion
Definition
V2
Term
this substance is released due to increases in ECF volume and atrial pressure and causes vasodilation by decreasing TPR and also leads ro increased Na and water excretion from the kidneys
Definition
ANP atrial natriuretic peptide
Term
What causes these physiologic effects: decreased ADH and renin and increased ANP all to increase urine output
leads to a lower blood pressure and a higher HR
Definition
these will be activated when there is an increase stretch in the low pressure receptors
Term
THese responses occur because: the goal is to retain urine output, this is done by decreasing ANP secretion, increasing ADH secretion,increasing renin secretion which leads to inreased aldosterone and increase Na retention vasoconstriction and increases blood pressure
Definition
decreased stretch of low pressure receptors
Term
causes the rate of acute local control of blood flow
Definition
the rate of metabolism in local tissues and changes in oxygen availablity
Term
chronic local control of blood flow can lead to
Definition
physical changes in the sizes and numbers of blood vessels supplying the tissues
Term
the 2 special phenomean that occur during acute local control
Definition
reactive hyperemia and autoregulation
Term
global and central control of blood flow is controlled by
Definition
the autonomic nervous system and other neural reflexes
Term
the local increase of blood flow to a tissue when this tissue becomes active
Definition
active hyperemia
Term
this is the mechanism behind what physiologic concept:
active tissue--> increases in local metabolism--> use up more nutrients and the release of more vasodilators-->increased blood flow
Definition
active hyperemia
Term
examples of vasodilator substances
Definition
adenosine, NO, CO2, K
Term
transient increase in blood flow after a brief period of arterial occlusion (ischemia)
Definition
reactive hyperemia
Term
This is the mechaism behind what process:
temporary blood occlusion leads to oxygen defiency and increas vasodilators in local tissue leads to vasodialtion and increased blood flow
Definition
reactive hyperemia
Term
the intrinisic ability of an organ to maintain a constant blood flow despite changes in perfusion pressure
Definition
autoregulation
Term
the two ways tissues can acheive autoregulation
Definition
metabolic theory and myogenic theory
Term
increased stretch in vascular smooth muscle caused by high blood pressure which leads to increased intercellular calcuim and increased contraction of smooth muscle in small vessels, leads to increased resistance, so flow stays the same
Definition
myogenic theory of autoregulation
Term
the 2 metabolic theories of wutoregulation
Definition
vasodilator theory and O2 lack theory
Term
increase tissue metabolites cause relaxation of vascular smooth muscles leads to increase blood flow
Definition
vasodilator theory of metobolic autoregulation
Term
precapillary sphincters and metarterioles open and
close cyclically several times/min (vasomotion) based on availability
of O2 and others nutrients
decreased O2, decreased nutrients leads to relaxation and increase blood flow
Definition
O2 lack theory of metabolic autoregulation
Term
the 4 pathways that are the main mechanisms of regulating blood flow during autoregulation
Definition
1. cerebral circulation
2. coronary circualtion
3. renal circulation
4. circulation of skeletal muscle during exercise
Term
Examples of vasocistricting agents
Definition
NE, epinephrine,endothelin, angiotensin II, serotonin, and vasopressin
Term
vasodilator agents
Definition
NO, bradykinin, histamine, K (inhibit smooth muscle contraction), Mg, H, CO2
Term
the AA that is used to produce NO
Definition
L-arginine
Term
what causes the formation of new blood vessels to keep up with metabolic demand during long tern regulation of blood flow
Definition
vascualar endotheial growth factor (VEGF), fibroblast growth factor, angiogenin
Term
during global autonomic control stimulation of a1 adrenergic receptors in the arteries, arterioles, and veins casue
Definition
vasoconstriction
Term
during global autonomic control stimulation of b2 adrenergic receptors in the arteries, arterioles, and veins casue
Definition
vasodilation
Term
mucarinic cholinergic receptors on endotheial cells lead to
Definition
vasodialtion of adjacent smooth muscles mediated by NO
Term
how is blood volume controlled during global control
Definition
aldosterone, ANP, erythropoietin
Term
Central control reflexes
Definition
arterial baroreceptor reflex, volume reflexes, chemoreceptor reflex, central ischemic response and Cushing's reflex
Term
the organs in the body with minimal sympathetic control and local potent control
Definition
the brain and heart
Term
an area where blood is shunted during vasoconstriction in exercise
Definition
liver and splanchnic
Term
what determines the blood flow to skeletal muscles and how is it controlled
Definition
blood flow is depend on the metabolic demands of the cells.

Controlled by the sympathetic autonomic nervous system
local control: increase local metabolites
Term
the miliking action on veins with rhythmic contractions that is important with isometric contraction
Definition
extravascular compression of right ventricle
Term
with gastrointestinal (splanchnic) circulation how is it controlled
Definition
by the sympathetic nervous system alpha 1, no cholinergic, local- intrinic basal tone in the intestine and hormones are very important
Term
for the splanchnic circulation extravascular compression is important in exercise because it
Definition
aids in venous return
Term
how is coronoary circulation controlled?
Definition
neural- only for fine tuning
local- metabolic (dominant factor), intrinsic basal tone
Term
when does the heart get blood flow
Definition
diastole
Term
the type of flood flow during systole and diastole in the left and right coronary artery
Definition
phasic
Term
describe cerebral circulation
Definition
overall metabolic activity does not change much and the blood flow is relatively constant
Term
a powerful vasoconstrictor in the brain that protects against sudden increases in arterial pressure
Definition
NPY
Term
powerful vasoconstrictor (vasospasm with subarachnoid
hemorrhage
Definition
5HT
Term
what is Cushing refelsx and what are the effects?
Definition
Maintain cerebral blood flow via cerebral chemoreceptors
Causes: increase intracranial pressure (e.g. brain tumors) 
compression of cerebral arteries  decrease blood perfusion 
increase PCO2 and decrease pH
Effects: increase sympathetic outflow to blood vessels 
vasoconstriction (redirect blood to the brain) and increase in arterial
pressure
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