Blood Pressure Control and Hypertension Flashcards

1
Q

What is the primary purpose of circulation?

A

To provide adequate blood flow to organs

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2
Q

What is MAP?

A

TPR x CO

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3
Q

Can capillaries change resistance?

A

No

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4
Q

How is TPR controlled?

A

Arterial constriction and relaxation

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5
Q

How is BP regulated in the short term?

A

neural - via the baroreflex

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6
Q

How is the baroreflex detected?

A

Stretch in arterial walls

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7
Q

Where are the baroreceptors located?

A

In the carotid sinus and the aortic arch

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8
Q

What causes more firing of the baroreceptors?

A

More stretch

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9
Q

How quick is the baroreceptor reflex response?

A

Very quick - occurs within one cardiac cycle

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10
Q

Where do the nerves from the baroreceptors go?

A

To the CV control centre in the medulla (in the brain stem)

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11
Q

What is the output of the CV control centre?

A

Sympathetic and parasympathetic nerves

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12
Q

What happens when the carotid artery is crushed?

A

The baroreceptor cells are stretched which makes the system think that pressure is too high, responds by dropping pressure and this results in a lack of perfusion to the brain and fainting

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13
Q

What is the action of the sympathetic nervous system on the CV system?

A

increase heart rate, decrease atrioventricular conduction time, increase contractility, increase TPR, increase venous tone

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14
Q

What is the action of the parasympathetic nervous system on the CV system?

A

reduce heart rate, increase atrioventricular conduction time

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15
Q

Can the baroreflex be reset?

A

Yes - responds to ambient change that persists for a few days

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16
Q

What is the role of chemoreceptors?

A

to respond to low oxygen, high carbon dioxide and low pH - important when pressure is so low that baroreceptors are no longer firing

17
Q

Where are the chemoreceptors located?

A

In the carotid and aortic bodies (outside of the arteries)

18
Q

What does high blood pressure predispose you too?

A

coronary heart disease, stroke, cardiac hypertrophy, heart failure, kidney failure

19
Q

How much higher is blood pressure in males than females?

A

5mmHg

20
Q

How does age influence blood pressure?

A

Systolic blood pressure will continue to rise with age but dystolic blood pressure will fall after 60 years of age - results in a wider pulse pressure

21
Q

Why does pulse pressure increase with age?

A

Because of the hardening of arteries resulting in reduced compliance

22
Q

How does body size influence blood pressure?

A

The bigger you are the higher your blood pressure is

23
Q

How much lower is blood pressure at night?

A

20mmHg - also less variable at night due to less sympathetic activity

24
Q

How much lower is blood pressure in summer?

A

3mmHg

25
Q

What is the cut off for hypertension?

A

140mmHg systolic