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Blood Vessels
BIO 431- Moore
72
Anatomy
Graduate
03/15/2013

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Cards

Term
List 5 differences between arteries and veins
Definition
1. Veins have one way valves
2. Veins lack internal and external elastic membranes
3. Veins have smooth muscle in the tunica externa (arteries do not)
4. On histological slides, veins appear thin and "squished"
5. veins are convergent and arteries are divergent
6. veins increase in diameter as they return to the heart and arteries decrease in size as they leave the heart
Term
List similarities between arteries and veins
Definition
1. Innervated by the SNS
2. Have 3 tunics (internal, media, externa)
3. Have their own blood supply- vaso vasorum
Term
Name the 3 layers of a vessel wall
Definition
1. Tunica interna (endothelium + CT)- includes internal elastic membrane for arteries
2. Tunica Media (smooth muscle)- includes external elastic membrane for arteries
3. Tunica Externa (CT- collagen and elastic)- and smooth muscle in veins only
Term
Name the 3 different capacity arteries
Definition
1. Large- elastic/conducting vessels
2. Medium- musclar/distributing
3. Arterioles- resistance vessels
Term
Aneurysum
Definition
bulgin in weakened vessel wall- can rupture
Term
Arteriosclerosis
Definition
thickening/toughening of arterial walls (increased resistance due to narrow lumen)
Term
Atherosclerosis
Definition
type of arteriosclerosis associated with plaques in the tunica intima of the artery wall. Can lead to thrombus formation
Term
3 types of capillaries
Definition
1. Continuous- most common/least permiable (endothelium)
2. Fenestrated- absorption and filtration/protein movement(SI, kidney, endocrine glands)
3. Sinusoidal- most permiable/ RBC movement (liver, bone marrow, spleen)
Term
What structure regulates the entry of blood into capillaries?
Definition
precapillary sphincters
Term
What is the "vascular shunt" the travels down the center of a capillary?
Definition
Thoroughfare channel
Term
What is the name of the small artery that connects the arteriole to the thoroughfare channel
Definition
metarteriole
Term
What are the two epithelial layers that compose capillaries?
Definition
endothelium (endothelial cells) and basal lamina
Term
Do capillaries have a vaso vasorum?
Definition
NO
Term
What are the 3 methods of movement across capillaries?
Definition
1. Diffusion (gases- O2 and CO2, ions, glucose, AAs)
-Lipophobic (ions/glucose) pass through pores
-Lipophilic (gases) pass through membrane
2. Bulk flow-dissolved substances moving through clefts or large pores (includes filtration and reabsorption)
3. transcytosis (endocytosis and then exocytosis from one side of the membrane to the other)
Term
What is the pressure gradient responsible for bulk flow fluid movement across a capillary? (and equation)
Definition
Net filtration pressure
NFP= (HPc+OPif) - (HPif-OPc)
outward-inward pressure
Term
What does a negative or positive NFP mean?
Definition
positive- filtration
negative- reabsorption
Term
Blood that isn't reabsorbed by capillaries is picked up by the lymphatic system. What are 4 benefits of this?
Definition
1. enhanced delivery of substances to tissues
2. continuous mixing of ECF divisions
3. transport of larger insoluble substances to blood
4. flush microbes/toxins into lyphatic tissue
Term
Perfusion
Definition
local blood flow through individual tissues based on metabolic demands
Term
Pulse Pressure (PP)
Definition
Systolic BP- diastolic BP
Term
Mean arterial pressure
Definition
average blood pressure in large systemic arteries during the cardiac cycle
MAP= 2/3 DBP + 1/3 SBP
MAP= CO x TPR
Term
What is the equation for Flow?
Definition
F = change in P / R
Term
What are the 4 factors that aid in venous blood return?
Definition
1. low resistance in veins
2. one way valves
3. skeletal muscle pumps/respiratory pump
4. venoconstriction
Term
What receptors do cardiomyocytes have (contractile and authorythmic)?
Definition
B1
Term
What receptors do cardiac arteries have?
Definition
alpha 1 and B2
Term
What receptors do Skeletal muscle vessels have?
Definition
alpha 1 and B2
Term
What are short term changes the body makes to change BP?
Definition
use ANS to adjust VR, preload, contractility, HR, and TPR (baroreceptor reflex)
Term
What are long term changes the body makes to change BP?
Definition
Endocrine- maintain overall blood volume (and some TPR)
Term
Where are the 2 baroreceptors located and what are the afferent nerves that carry their AP's
Definition
1. Carotid sinus BR- Glossopharyngeal Nerve
2. Aortic Arch BR- Vagus Nerve
Term
Which baroreceptor controls BP and flow to the brain?
Definition
carotid
Term
What happens to the rate and intensity of AP's when a baroreceptor is stretched?
Definition
increased frequency but no change in intensity
Term
Name the 3 cardiovascular control centers in the medulla
Definition
1. Vasomotor
2. Cardioinhibitory center
3. cardioacceleratory center
Term
Vasomotor Center
(SNS or PNS, target tissue, nerve, transmitter released and receptor)
Definition
SNS
arteries and veins (smooth muscle)
Vasomotor Nerve
E/NE
alpha receptors
Term
Cardioinhibitory Center
(SNS or PNS, target tissue, nerve, transmitter released and receptor)
Definition
PNS
autorhythmic cells
Vagus Nerve
Ach
muscarinic receptors
Term
Cardioacceleratory Center
(SNS or PNS, target tissue, nerve, transmitter released and receptor)
Definition
SNS
autorhythmic and contractile cells
Sympathetic Cardiac Nerve
NE
Beta 1
Term
Chemoreceptor reflex
Short term regulation of MAP
Definition
regulates rate and depth of breathing
receptors located in aortic and carotid sinus
stimulates cardioacceleratory and vasomotor center
Term
Long term regulation of MAP
Endocrine- name H's
Definition
regulate ECF comp and volume
ADH, Aldosterone, Ang-II, ANP/BNP
Term
Which hormones are involved in INCREASING MAP
Definition
ADH, Aldosterone, AngII (increase BV-long term)
ADH and AngII increase TPR (immediate)
renin-angiotensin aldosterone pathway)
Term
Renin-angiotensin-aldosterone pathyway
Definition
drop in BP stimulates kidneys to release renin. Renin forms AngII which increases secretion of ADH and aldosterone
-Vasoconstrictors (ADH and AngII)
-ADH and aldosterone increase water and Na reabsorption
Term
What hormones DECREASE MAP
Definition
ANP/BNP
decrease BV (long term) and TPR (immediate)
Stimulates kidneys to decrease water and Na reabsorption and increase urine output
Term
Hormones that contribute to increase BV or BP? (5)
Definition
Catecholamines (E/NE)
ADH
Ang-II
Aldosterone
EPO (from kidney when decreased O2)
Term
Hypovolemic shock
Definition
massive sudden drop in BP (can be caused by hemorrhage)
Term
Anaphylactic shock
Definition
large drop in BP due to vasodilation by histamine
Term
neurogenic shock
Definition
large drop in BP due to problems with ANS regulation of TPR/CO. Cardiovascular centers in the brain usually failing as the result of head trauma.
Term
septic shock
Definition
large drop in BP caused by vasodilation medicated by bacterial toxins
Term
Cardiogenic shock
Definition
large drop in BP cause by MI or heart failure
Term
What is the minimum BP to be considered hypertension
Definition
greater than 140/90
Term
What are the long term consequences of hypertension
Definition
hypertrophy of the heart (enlarged), kidney failure due to tissue damage, increased plaque formation, aneurism
Term
What are risk factors for primary (essential) hypertension (90%)
Definition
heredity, age, diet, obesity, diabetes, stress, smoking
Term
What are the risk factors for secondary hypertension?
Definition
kidney disease, obstructed renal artery
Term
how is hypertension treated?
Definition
diet, exercise, ACE inhibitors, beta blockers
Term
How does an ACE inhibitor work?
Definition
ACE is an enzyme produced by pulmonary and renal endothelial cells that converts AngI to AngII (which is responsible for increasing BP)
Term
Orthostatic hypotension
Definition
inadequate BP/BF to the brain upon sitting or standing
Term
Active hyperemia (exercise hyperemia)
Definition
increased BF to a tissue due to an increase in metabolic activity that causes accumulation of metabolites and decrease in nutrient levels
Term
reactive hyperemia
Definition
increase metabolites and decrease nutrients due to decreased BF (due to compressed vessel)results in increase in BF when released.
Term
What is the role of myogenic controls?
Definition
maintain BF established by active and reactive hyperemia and protect Blood vessels from sudden increases in pressure
Term
How do myogenic controls work?
Definition
-increase BP causes stretch to BV which causes myogenic constriction to reduce blood flow
-decrease BF decreases stretch which causes myogenic dilation for increased BF
Term
What are the two types of Autoregulation (intrinsic control)
Definition
Metabolic controls and Myogenic controls
Term
What is the goal of intrinsic controls?
Definition
matching supply and demand at the tissue level
Term
What is the goal of extrinsic controls?
Definition
regulation of MAP and redistribution of blood flow during exercise and thermoregulation
Term
What does a functional MRI monitor?
Definition
changes in blood flow to neurons which reflects the activity of the neurons
Term
What are the 4 changes associated with activation of the cAMP pathway due to E/NE binding to B1 receptors of CONTRACTILE cells
Definition
1. Phosphorylate L-type Ca channels (increase PCa-> increase Ca in ICF)
2. Phosphorylate SR Ca channels (same effect as above)
3. Phosphorylate SR pumps (increased rate of Ca return to SR means faster rate of contraction)
4. Phosphorylate myosin ATPase (faster stronger contractions)
Term
What are the 3 changes associates with inhibition of autorhythmic cells by the vagas nerve due to Ach binding to muscarinic receptors
Definition
1. Inhibition of funny Ca channels
2. inhibition of T-type Ca channels
3. Activation of K channels
Term
What are the 2 changes associated with activation of the cAMP pathway due to E/NE binding to B1 receptors on AUTORHYTHMIC CELLS
Definition
1. Phosphorylation of funny Ca channels
2. Phosphorylation of T-Type Ca channels
*results in overall increase in Ca and Na concentration which increases slope drift and reduces repol time--> increase HR
Term
What does Ach binding to M-R's do to auto-R cells
Definition
decrease HR
Term
what does Ach binding to M-R's do to bronchiolus/airway smooth muscle?
Definition
bronchoconstriction
Term
What does NE binding to Alpha 1 R's do to vascular arteries?
Definition
increased TPR (vasoconstriction)
Term
What does NE binding to Alpha 1 R's do to vascular veins?
Definition
increased Venous return (venoconstriction)
Term
What does NE binding to B-1 R's do to auto-R cells?
Definition
increased HR
Term
What does NE binding to B-1 R's do to contractile cells?
Definition
increase SV
Term
What does NE binding to B-2 R's do to arteries in Sk muscle and cardiac muscle?
Definition
Vasodilation
Term
What does NE binding to B-2 R's do to bronchioles/ airway smooth muscle?
Definition
bronchodilation
Term
What variables are involved in Poiseuille's Law (resistance)?
Definition
viscosity, vessel length, vessel radius
R=(8nL)/(pie r to the 4th power)
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