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Anatomy and Physiology - Wiley Plus - Unit 3
Chapter 21 - THE CARDIOVASCULAR SYSTEM: BLOOD VESSELS & HEMODYNAMICS
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Biology
Undergraduate 2
06/26/2015

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Term
Arterioles
Definition
Medium-sized arteries divide into still smaller arteries called arterioles
Term
Capillaries
Definition
- Arterioles -> Cappillaries
- Thin walls exchange of substances b/t blood and body tissues.
Term
Venules
Definition
- Capillaries w/in a tissue reunite to form small veins called venules
Term
Veins
Definition
- Blood vessels that convey blood from the tissues back to the heart.
Term
Basic Structure of a Blood Vessel
Definition
Consists of three layers:
- Tunica interna (intima)
- Tunica media
- Tunica externa (adventia)
Term
Tunica Interna (Intima)
Definition
- Forms inner lining of blood vessel
- In direct contact with blood as it flows through the lumen
Term
Lumen
Definition
Interior opening, of the vessel
Term
Tunica Media
Definition
- A muscular and connective tissue layer that displays greatest variation among the different vessel types
- Extend circularly around lumen like a ring encircles your finger, is to regulate the diameter of the lumen.
Term
Vasoconstriction
Definition
A decrease in the diameter of the lumen of a blood vessel
Term
Vasodilation
Definition
Increase in lumen diameter
Term
Tunica Externa
Definition
- The outer covering of a blood vessel
- Contains numerous nerves and, tiny blood vessels that supply the tissue of the vessel wall
- Anchor vessels to surrounding tissues
Term
Elastic Arteries
Definition
- Largest arteries in the body
- Help propel blood onward while the ventricles are relaxing
Term
Anastomoses
Definition
- The union of the branches of two or more arteries supplying the same body region
- Provide alternative routes for blood to reach a tissue or organ
Term
Collateral Circulation
Definition
Alternative route of blood flow to a body part through an anastomosis
Term
Arterioles
Definition
- Abundant microscopic vessels that regulate the flow of blood into capillary networks of body’s tissues
Term
Metarteriole
Definition
- Terminal end of the arteriole
- Tapers toward the capillary junction
- Regulating blood flow from arteries into capillaries by regulating resistance
- Vasoconstriction of arterioles increases blood pressure, and vasodilation of arterioles decreases blood pressure.
Term
Resistance
Definition
The opposition to blood flow
Term
Capillaries
Definition
- Smallest of blood vessels
- Interconnecting vessels course among individual cells of the body
- FN: exchange of substances between the blood and interstitial fluid
Term
Capillary Walls
Definition
- Composed of only single layer of endothelial cells and a basement membrane
- Exchange of materials occurs only through the walls of capillaries and the beginning of venules
Term
Capillary Bed
Definition
- Network of 10–100 capillaries that arises from a single metarteriole
Term
Thoroughfare Channel
Definition
- Distal end of the vessel
- Has no smooth muscle; it resembles a capillary
- Provides a direct route for blood from an arteriole to a venule, thus by- passing capillaries.
Term
Continuous Capillaries
Definition
- Plasma membranes of endothelial cells form a continuous tube
- Found in the central nervous system, lungs, skin, muscle tissue, and the skin
Term
Fenestrated Capillaries
Definition
- Found in kidneys, villi of small intestine, choroid plexuses of ventricles in brain, ciliary processes of eyes, and most endocrine glands.
Term
Sinusoids
Definition
- wider and more winding than other capillaries
- Large intercellular clefts, allow proteins and in some cases even blood cells to pass from a tissue into the bloodstream.
Term
Veins
Definition
- Very thin walls
- Avg b/p is considerably lower than in arteries
- Pumping of heart major factor in moving venous blood back to heart
- Contraction of skeletal muscles in the lower limbs helps boost venous return to heart
Term
Vascular (Venous) Sinus
Definition
- Vein with thin endothelial wall
- Has no smooth muscle to alter its diameter
Term
Blood Distribution
Definition
The largest portion of your blood volume at rest—about 64%—is in systemic veins and venules
Term
Blood Reservoirs
Definition
Blood can be diverted quickly if the need arises
Term
CAPILLARY EXCHANGE
Definition
- Movement of substances between blood and interstitial fluid
- Blood in systemic capillaries continually exchanging materials with interstitial fluid
Term
Mechanisms of Capillary Exchange
Definition
Three basic mechanisms:
1. diffusion
2. transcytosis
3. bulk flow
Term
Diffusion
Definition
- Most NP is simple diffusion
- O2 and nutrients higher concentrations in blood
- Diffuse down concentration gradients into interstitial fluid and then into body cells.
- CO2 and other wastes released by body cells are present in higher concentrations in interstitial fluid, so they diffuse into blood.
Term
Transcytosis
Definition
- Sml amount transfer
- Pincytosis
- NP for transporting large, lipid-insoluble molecules that cannot cross capillary walls in any other way.
Term
Bulk Flow: Filtration and Reabsorption
Definition
- A passive process
- Large # of ions, molecules, or particles in a fluid move together in the same direction.
- Occurs from an area of higher pressure to an area of lower pressure
- NP for regulation of the relative volumes of blood and interstitial fluid.
Term
Filtration
Definition
Pressure-driven movement of fluid and solutes from blood capillaries into interstitial fluid
Term
Reabsorption
Definition
Pressure-driven movement from interstitial fluid into blood capillaries
Term
Net Filtration Pressure (NFP)
Definition
- Determines whether the volumes of blood and interstitial fluid remain steady or change
- Balance between blood hydrostatic pressure and intersitial fluid osmotic pressure
Term
Blood Hydrostatic Pressure (BHP)
Definition
- The pressure that water in blood plasma exerts against blood vessel walls
- “pushes” fluid out of capillaries into interstitial fluid
Term
Blood Colloid Osmotic Pressure (BCOP)
Definition
- A force caused by the colloidal suspension of these large proteins in plasma
- “pulls” fluid from interstitial spaces into capillaries
Term
Interstitial Fluid Osmotic Pressure (IFOP)
Definition
- Opposes BCOP
- “pulls” fluid out of capillaries into interstitial fluid
- IFOP is very small
Term
Filtration
Definition
If the pressures that push fluid out of capillaries exceed the pressures that pull fluid into capillaries, fluid will move from capillaries into interstitial spaces
Term
Reabsorption
Definition
The pressures that push fluid out of interstitial spaces into capillaries exceed the pressures that pull fluid out of capillaries, then fluid will move from interstitial spaces into capillaries
Term
Edema
Definition
If filtration greatly exceeds reabsorption, the result is an abnormal increase in interstitial fluid volume
Term
Blood flow
Definition
The volume of blood that flows through any tissue in a given time period (in mL/min)
Term
Total Blood Flow
Definition
Cardiac output (CO), volume of blood that circulates through systemic (or pulmonary) blood vessels each minute.
- Cardiac output (CO) = heart rate (HR) X stroke volume (SV)
Term
Blood Pressure (BP)
Definition
- Hydrostatic pressure exerted by blood on walls of blood vessel.
- Determined by cardiac output, blood volume, and vascular resistance
Term
Systolic Blood Pressure
Definition
The highest pressure attained in arteries during systole
Term
Diastolic Blood Pressure
Definition
The lowest arterial pressure during diastole
Term
Mean Arterial Pressure (MAP)
Definition
- Average BP in arteries
- Roughly one-third of the way between the diastolic and systolic pressures.
Term
Vascular Resistance (x3)
Definition
- Opposition to blood flow due to friction between blood and walls of blood vessels.
Term
Size of the Lumen (1)
Definition
- Smaller lumen of blood vessel = greater resistance to blood flow
- arterioles dilate, resistance decreases, and blood pressure falls.
- arterioles constrict, resistance increases, and BP rises.
Term
Blood Viscosity (2)
Definition
- Higher blood viscosity = higher the resistance
Term
Total Blood Vessel Length
Definition
- Resistance to blood flow through a vessel is directly proportional to the length of blood vessel.
Term
Systemic Vascular Resistance (SVR)
Definition
- Refers to all the vascular resistances offered by systemic blood vessels.
- A major function of arterioles is to control SVR—and therefore blood pressure and blood flow to particular tissues—by changing their diameters.
Term
Venous Return
Definition
- Volume of blood flowing back to the heart through the systemic veins
- Occurs due to pressure generated by contractions of the heart’s left ventricle
Term
Skeletal Muscle Pump (1)
Definition
At rest -> venous valve closer to the heart (proximal valve) and the one farther from the heart (distal valve) in this part of the leg are open, and blood flows upward toward the heart.
Term
Skeletal Muscle Pump (2)
Definition
- Contraction of leg muscles, compresses vein.
- Pushes blood through proximal valve, an action called milking.
- At same time, distal valve in uncompressed segment of vein closes as some blood is pushed against it
Term
Skeletal Muscle Pump (3)
Definition
- Just after muscle relaxation
- Pressure falls in the previously compressed section of vein
- Causes the proximal valve to close.
- Distal valve now opens b/c blood pressure in foot is higher than in the leg, and the vein fills with blood from the foot.
- The proximal valve then reopens.
Term
Respiratory Pump
Definition
- Inhalation, the diaphragm moves downward, causes a decrease in pressure in the thoracic cavity and an increase in pressure in the abdominal cavity.
Term
Velocity of Blood Flow
Definition
The speed or velocity of blood flow (in cm/sec) is inversely related to the crosssectional area.
Term
Circulation Time
Definition
- Time required for a drop of blood to pass from the right atrium, through the pulmonary circulation, back to the left atrium, through the systemic circulation down to the foot, and back again to the right atrium.
Term
Role of the Cardiovascular Center
Definition
- Medulla oblongata regulates heart rate and stroke volume
- Also controls neural, hormonal, and local negative feedback systems that regulate blood pressure and blood flow to specific tissues.
Term
Cardiac Accelerator Nerves
Definition
Path for sympathetic impulses to reach the heart
Term
Vagus (X) Nerves
Definition
- Parasympathetic stimulation
- Decreases heart rate
Term
Vasomotor Nerves
Definition
- Sympathetic neurons
- Sends impulses over these routes to arterioles throughout the body, but especially to those in the skin and abdominal viscera.
- Moderate state of tonic contraction or vasoconstriction, called vasomotor tone
Term
Vasomotor Tone
Definition
- Sets the resting level of systemic vascular resistance
Term
Neural Regulation of Blood Pressure
Definition
Two types of reflexes:
1. Baroreceptor Reflexes
2. Hemoreceptor Reflexes
Term
Baroreceptor
Definition
- Pressure-sensitive sensory receptors, are located in the aorta, internal carotid arteries
- Send impulses to the cardiovascular center to help regulate blood pressure.
Term
Baroreceptor Reflexes
Definition
- Baroreceptors in the wall of the carotid sinuses initiate the carotid sinus reflex
- Helps regulate blood pressure in the brain.
Term
Aortic Reflex
Definition
- Initiated by baroreceptors in the wall of the ascending aorta and arch of the aorta
- Regulates systemic blood pressure
Term
Chemoreceptor Reflexes
Definition
- Located close to baroreceptors of carotid sinus and arch of the aorta in small structures called carotid bodies and aortic bodies
Term
Hormonal Regulation of Blood Pressure (X4)
Definition
1. Renin–angiotensin–aldosterone (RAA) system.
2. Epinephrine and norepinephrine
3. Antidiuretichormone(ADH)
4. Atrialnatriureticpeptide(ANP)
Term
Renin–angiotensin–aldosterone (RAA) system
Definition
- Stims water reabsorption
- Increases total blood volume, which increases blood pressure
Term
Epinephrine and norepinephrine
Definition
- Increase cardiac output by increasing the rate and force of heart contractions.
- Cause vasoconstriction of arterioles and veins in the skin and abdominal organs and vasodilation of arterioles in cardiac and skeletal muscle
- Helps increase blood flow to muscle during exercise.
Term
Antidiuretichormone(ADH)
Definition
- ADH promotes movement of water from the lumen of kidney tubules into the bloodstream.
- Results in increase in blood volume and decrease in urine output
Term
Autoregulation of Blood Pressure
Definition
The ability of a tissue to automatically adjust its blood flow to match its metabolic demands
Term
Types of Stimuli that Cause Autoregulatory Changes in Blood Flow
Definition
Warming promotes vasodilation, and cooling causes vasoconstriction.
Term
Myogenic Response
Definition
Smooth muscle in arteriole walls contract more forcefully when stretched and relax when stretching lessens
Term
Vasodilating and Vasoconstricting Chemicals
Definition
- White blood cells, platelets, smooth muscle fibers, macrophages, and endothelial cells
- Release wide variety of chemicals that alter blood-vessel diameter
Term
Pulse
Definition
Aalternate expansion & recoil of elastic arteries after each systole of the left ventricle creates a traveling pressure wave
Term
Systolic Blood Pressure (SBP)
Definition
Force of blood pressure on arterial walls just after ventricular contraction
Term
Diastolic Blood Pressure (DBP
Definition
Force exerted by the blood remaining in arteries during ventricular relaxation
Term
Korotkoff Sounds
Definition
The various sounds that are heard while taking blood pressure
Term
Pulse Pressure
Definition
- Difference between systolic and diastolic pressure is called
- Normally about 40 mmHg
- Provides info about condition of the cardiovascular system
Term
Shock
Definition
- Failure of cardiovascular system to deliver enough O2 and nutrients to meet cellular metabolic needs
- Inadequate oxygen delivery, cells switch from aerobic to anaerobic production of ATP, and lactic acid accumulates in body fluids.
Term
Hypovolemic Shock
Definition
- Decreased blood volume
- Common cause is acute (sudden) hemorrhage
Term
Cardiogenic Shock
Definition
- Poor heart function
- Heart fails to pump adequately b/c heart attack
Term
Vascular Shock
Definition
- Inappropriate vasodilation
- Anaphalaxis
Term
Obstructive Shock
Definition
Obstruction of blood flow (embolism)
Term
Homeostatic Responses to Shock - 1
Definition
Negative feedback systems that work to return cardiac output and arterial blood pressure to normal.
Term
Homeostatic Responses to Shock - 2
Definition
1. Activation of the renin–angiotensin–aldosterone system.
2. Secretion of antidiuretic hormone
3. Activation of the sympathetic division of the ANS
4. Release of local vasodilators
Term
Signs and Symptoms of Shock
Definition
Systolic blood pressure is lower than 90 mmHg
Term
Circulatory Routes
Definition
Arteries, arterioles, capillaries, venules, and veins are organized into circulatory routes that deliver blood throughout the body
Term
Systemic Circulation
Definition
Includes all arteries and arterioles that carry oxygenated blood from the left ventricle to systemic capillaries, plus the veins and venules that carry deoxygenated blood returning to the right atrium after flowing through body organs
Term
Hepatic Portal Circulation
Definition
Extends from gastrointestinal tract to the liver
Term
Pulmonary Circulation
Definition
When blood returns to heart from systemic route -> pumped out of the right ventricle through the pulmonary circulation to the lungs
Term
Systemic Circulation
Definition
Carries oxygen and nutrients to body tissues and removes carbon dioxide and other wastes and heat from the tissues
Term
Phlebitis
Definition
Inflammation of a vein, often in a leg
Term
Thrombophlebitis
Definition
- Inflammation of a vein involving clot formation
- Superficial thrombophlebitis occurs in veins under the skin, especially in the calf.
Term
White coat (office) hypertension
Definition
A stress-induced syndrome found in patients who have elevated blood pressure when being examined by
health-care personnel, but otherwise have normal blood pressure.
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