Chapter 17 ( local and humoral control of tissue blood flow. Flashcards Preview

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Flashcards in Chapter 17 ( local and humoral control of tissue blood flow. Deck (26):
1

specific needs of tissue for blood flow include.....

Oxygen delivery, other nutrient delivery ( glucose, amino acids, fatty acids), removal of CO2 and hydrogen ions, maintenance of proper concentration of other ions, hormone transport.

2

acute control in pressure

Rapid changes in vasodilation and vasoconstriction

3

Long-term control in pressure

Slow controlled changes over days, weeks, or months. These result from actual increases or decreases in blood vessels supplying the tissues

4

Acute flow regulation when O2 availability changes

When O2 availability goes down as in ( pneumonia, CO2 poisening, high altitude...) the blood flow to the tissue increases

5

Name the 2 theories for regulation of blood flow when either the rate of tissue metabolism changes or availability of O2 changes

Vasodilator theory for acute local blood flow regulation.
Oxygen lack theory for local blood flow.

6

describe the vasodilator theory for acute local blood flow regulation

different compounds cause vasodilation like adenosine, CO2, Adenosine phosphate compounds, histamine, potassium, hyrdogen ions

7

describe the Oxygen lack theory for local blood flow

O2 is needed for constriction. So without O2 the muslces relax and dilate.

8

what is vasomotion

opening and closing of precapillary sphincters and metarterioles which is proportional to the metabolic need of the tissue

9

reactive hyperemia( example of acute metabolic control)

flow is stopped for a few seconds up to an hour and then is unblocked. The flow returns up to 4-7 times the normal and lasts for a few seconds to hours

10

active hyperemia( example of acute metabolic control)

increase metabolism causes cells to devour tissue fluid nutrients rapidly and secrete vasodilator substances

11

Autoregulation

body regulating itself and returning the blood flow back to normal.

12

name the 2 theories for autoregulation

metabolic, myogenic theories

13

metabolic theory

arterial pressure becomes elevated and the excess flow provides too much O2 and other nutrients to the tissues and “washes out” the vasodilators by the tissues. the absence of vasodilators allows the vessel to constrict and return to normal

14

myogenic theory

high arterial pressure stretches the vessel and causes the reactive vascular constriction that reduces the blood flow back to normal. This is initiated by vascular depolarization which rapidly increases calcium which causes the smooth muscle to contract.

15

Nitric oxide

a vasodilator that relaxes vessels. People take these to get more blood to your muscles. It is synthesized from arginine

16

mechanism of long term regulation-

It changes the vascularity of tissues. If metabolism is increased for a prolonged period, vascularity increases ( angiogenesis). There is actual physical reconstruction of the tissue vasculature to meet the needs of the tissues

17

importance of vascular endothelial growth factors in formation of new blood vessels-

examples are VEGF ( vascular endothelial growth factor, fibroblast, growth factor, angiogenin. These have been isolated from a sample of tissue that have inadequate blood supply. These all cause new blood vessels to form ( angiogenesis)

18

valuable characteristic of long term vascular control-

vascularity is determined mainly by the maximum level of blood flow need rather than by average need

19

development of collateral circulation

first stage is dilation of vascular loops that already connect the vessel above the blockage to the vessel below. The new flow is less than ¼ of original flow but it continues to grow to about ½ after a day. After a couple days the flow is usually sufficient to meet the tissues needs ( good example is thrombosis in coronary arteries)

20

Vasoconstrictor agents

norepinephrine and epinephrine. Norepinephrine excites the heart and contracts the veins and arteriole and also excites the adrenal medullae which causes the glands to secrete them into the blood.

21

Angiotensin II

powerful vasoconstrictor

22

Bradykinin-

powerful vasodilator. Causes powerful arteriolar dilation and increased capillary permeability. An injection of 1 microgram can increase blood flow to someones arm as much as sixfold.

23

histamine-

is released when there is damage or inflammation. Its derived from mast cells and basophils in the blood. Powerful vasodilator.

24

name some ions that cause vasoconstriction

calcium, magnesium, or decrease in hydrogen ions

25

name some ions that cause vasodilation

potassium, hydrogen, CO2

26

Do vasodilators & constrictors have a big effect on long term blood flow?

no. Autoregulation prevents this.