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WEEK 21:

Control of Blood Vessels: Peripheral Resistance:

QuestionAnswer
all resistance vessels are innervated by SNS
what happens when arterial pressure falls SNS nerve terminals release noradrenaline onto vascular smooth muscle cells causing them to contract
contraction is mediated by a1-adrenergic receptors acting via IP3 signaling pathway causing Ca2+ release from sarcoplasmic reticulum
resistance is directly related to (2) length of vessel and viscosity of fluid
resistance is inversely related to (1) vessel radius
blood vessel radius depends on (3) active tension exerted by smooth muscle, passive elastic properties of wall (elastin and collagen), and blood pressure inside vessel and pressure outside the vessel
LaPlace's Law wall tension is equal to the radius x pressure
what size blood vessels tend to rupture larger blood vessels (as bigger radius and more pressure which makes more wall tension)
hormones causing vasodilation (2) atrial natriuretic peptide (ANP) and BNP
hormone causing vasoconstriction (3) AngII (by binding to angiotensin AT1 receptors on VSMCs following IP3 pathway), ADH (binds to vasopressin receptors on VSMCs), and adrenaline/noradrenaline (bind to a1-adrenergic receptors on VSMCs)
zona glomerulosa mineralocorticoids (aldosterone)
zona fasciculata glucocorticoids (eg cortisol)
zona reticularis gonadocorticoids (eg oestrogens)
medulla adrenaline, noradrenaline (chromaffin cells)
layers of the adrenal cortex from outside to inside (3) zona glomerulosa, zona fasciculata, and zona reticularis
prostaglandins are formed via cyclooxygenase from arachidonic acid pathway
2 main pathways of arachidonic acid metabolism (2) involving cyclooxygenase (COX) and lipoxygenase pathways
endothelium is an important source of a number of vasoactive PGs, made from arachidonic acid
dilators of endothelium (2) PGE and PGI2
constrictors/ vasoconstrictors (2) PGF and thromboxane A2
chemical mediators causing vasodilation (3) histamine, NO, and PGI2
chemical mediators causing vasoconstriction (1) A2 (TXA2)
NO potent gas vasodilator that acts on both arteries and veins
when is NO made following a rise in intracellular Ca2+ concentrations
half life of NO less than 10 seconds in vivo (meaning that its action remain highly localised)
nitroglycerin use relieve pain of angina
how do nitrates like nitroglycerin work break down and release NO in vivo causing arterial and venous vasodilation to lower ventricular afterload and preload
preload how much the heart muscle stretches before it contracts
afterload resistance the heart must overcome to eject blood
metabolic products cells release causing vasodilation adenosine, lactate, K+, H+ and CO2 causing vasodilation
when are metabolic products like adenosine released when blood flow increases to promote vasodilation to lower blood flow back to normal
contraction of myogenic mechanisms is mediated by stretch-activated Ca2+ channels in VSMC membranes to protect capillaries from surges in arterial pressure
resistance vessels in many circulation constrict reflexively when? when intraluminal pressure rises to protect capillaries from surges in arterial pressure
Created by: kablooey
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