feedback control with cardiovascular system Flashcards

1
Q

what is blood pressure?

A

outward pressure exerted by blood on blood vessel walls

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2
Q

what is systolic blood pressure?

A

-pressure exerted by blood on the walls of the aorta and systemic arteries when the heart CONTRACTS
-normal 120 mmHg (resting)

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3
Q

what is diastolic blood pressure?

A

pressure exerted by blood on the walls of the aorta and systemic arteries when the heart RELAXES
-normal 80 mmHg (resting)

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3
Q

what is normal systolic range?

A

90-120 mmHg

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4
Q

what is normal diastolic range

A

60-80 mmHg

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5
Q

what is hypertension (what are the numerical values)?

A

-high blood pressure
-clinical bp 140/90 mmHg
-day time average 135/85 mmHg or higher

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6
Q

what is pulse pressure?

A

different between systolic and diastolic blood pressures
-normal range 30-50 mmHg

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7
Q

what is mean arterial blood pressure?

A

average arterial blood pressure during a single cardiac cycle (contraction/relaxation)

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8
Q

what occurs during a normal cardiac cycle?

A

diastolic period is twice as long as the systolic period

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9
Q

how is MAP calculated?

A

-MAP = [(2 x Diastolic) + Systolic] / 3 OR
MAP = Diastolic + (pulse pressure/3)

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10
Q

what is the normal range of MAP?

A

70-105 mmHg

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11
Q

what is the least amount of MAP needed and why?

A

-at least 60 mmHg
-needed to perfuse vital organs (brain/heart/kidney)

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12
Q

why can the MAP not be too high?

A

-damages blood vessels (brain/kidney/eyes)
-extra strain on the heart

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13
Q

what is hypotension?

A

-low blood pressure
-bp less than 90/60 mmHg

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14
Q

what kind of mechanism does the CV system use?

A

negative feedback mechanism

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15
Q

what are the sensors of the CV system

A

baroreceptors

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16
Q

what are baroreceptors sensitive to?

A

pressure/stretch

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17
Q

what do baroreceptors do?

A

when they detect stretch/pressure they send an impulse to the control centre (medulla)

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18
Q

what happens when firing rate of baroreceptors increases?

A

-MAP increases

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19
Q

what do baroreceptors regulate?

A

MAP

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20
Q

what is the control centre of the CV system?

A

the medulla

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21
Q

what does the medulla do?

A

receives afferent signals and sends instructions to the effectors (heart and blood vessels)

22
Q

what are the 2 types of baroreceptors?

A

-aortic baroreceptors
-carotid baroreceptors

23
Q

what is the nucleus tracts solitaries (NTS)?

A

1st synapse site for all CV system afferents in the medulla

24
what are the effectors of the CV system?
-heart -blood vessels
25
do baroreceptors respond to acute or chronic changes
-ONLY acute -firing rate will decrease if high blood pressure is sustained
26
what varies in the heart as an effector?
-heart rate -stroke volume
27
what varies in the blood vessels as an effector?
systemic vascular resistance
28
how CAN MAP be calculated in relation to negative feedback?
MAP = Cardiac Output (CO) x Systemic Vascular Resistance (SVR)
29
how is cardiac output (CO) calculated?
CO = Stroke Volume (SV) x Heart Rate (HR)
30
what is cardiac output (CO)?
volume of blood pumped by each ventricle of the heart per minute
31
what is stroke volume?
volume of blood pumped by each ventricle of the heart per heartbeat
32
what is systemic vascular resistance?
the sum of all resistance in the systemic circulation (everything BUT lungs)
33
how ELSE CAN MAP be calculated in relation to negative feedback? (3 factors)
MAP = SV x HR x SVR
34
how can MAP be regulated?
increasing/decreasing: -heart rate -stroke volume -systemic vascular resistance
35
what is autorhythmicity?
hearts capability to beat rhythmically without external stimuli
36
what is the heart modified by?
Autonomic (”involuntary”) Nervous system (ANS)
37
what is the sympathetic division?
-simulation of the vagus nerve accelerates heart rate (tachycardia) -Noradrenaline acts on B1 receptors
38
what is the parasympathetic division?
-simulation of the vagus nerve slows the heart rate (bradycardia) -Acetylcholine acts on muscarinic M2 receptors
39
how is stroke volume regulated?
-sympathetic nerves -stimulation increases force of contraction
40
how is heart rate increases
-sympathetic stimulation - noradrenaline acts on β1 receptors
41
how is the systemic vascular resistance regulated?
vascular smooth muscles - sympathetic nerve fibres
42
what are the main resistance vessels
arterioles
43
what happens when there is a contraction of vascular smooth muscles?
-vasoconstriction -increases SVR and MAP
44
what happens when there is a relaxation of vascular smooth muscles?
-vasodilation -decreases SVR and MAP
45
what happens when there's an increase in BP
-barorecptors discharge increases -send impulse to medulla -decrease in sympathetic activity -increase in vagal (parasympathetic) activity →decreases HR →decreases SV (ventilation) (both cause decrease in CO) -decrease in sympathetic constrictor tone →vasodilation →decreases SVR This brings blood pressure back to normal (decreases BP)
46
what happens when there's a decrease in BP
-barorecptors discharge is low -send impulse to medulla -increase in sympathetic activity -decrease in vagal (parasympathetic) activity →increase HR →increases SV (venoconstriction)(both cause increase in CO) -increase in sympathetic constrictor tone →vasoconstriction →increases SVR This brings blood pressure back to normal (increases BP)
47
what is vasomotor tone?
tonic discharge of sympathetic nerves
48
why are vascular smooth muscles partially constricted at rest?
continuous release of noradrenaline → because of tonic discharge
49
what happens if there an increase in sympathetic discharge?
increase the vasomotor tone→ vasoconstriction
50
what happens if there an decrease in sympathetic discharge?
decrease the vasomotor tone→ vasodilation
51
is there any significant parasympathetic innervation of arterial smooth muscles?
no, except in penis and clitoris
52
arterial and arteriolar smooth muscles are mainly supplied by....
sympathetic nerves