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Vessels & Circulation--Part 2
Vessels & Circulation
48
Anatomy
Undergraduate 2
03/21/2016

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Term
Local Blood Flow
Definition
the blood delivered locally to the capillaries of the specific tissue (p. 781).  Dependent of the number of blood vessels in a tissue, local regulation of flow and total blood flow.  Measured in ml / minute.
Term
Degree of vascularization
Definition
the extent of blood distribution within a tissue.  How many blood vessels are present determines the potential of blood delivery.  Metabolically active tissues have a high blood supply.
Term
Angiogenesis
Definition
formation of new blood vessels in tissues that require them.  e.g.: this may increase in response to aerobic training.  Regression (or return to previous state) can occur when blood vessel demand diminishes (e.g.: aerobic training turns to a sedentary lifestyle).
Term
Local, Short-Term Regulation
Definition
a response to changes in metabolic activity of tissues.  The stimulus for local regulation is changing concentrations of chemicals together called vasoactive chemicals
Term
Vasodilators
Definition

dilate arterioles and precapillary sphincters causing an increase in blood flow into a capillary bed.  

--receive a signal to change

--increase blood flow if needed--provides oxygen & takes away heat, provides nutrients

Term
Vasoconstrictors
Definition

constrict arterioles and precapillary sphincters causing a decrease in blood flow into a capillary bed.

--signals that they don't need anything so send blood elsewhere

Term
Autoregulation
Definition

--tissue does it on its own w/o nervous system

--the ability of individual vascular beds to control local blood flow in response to changing metabolic needs.  Blood flow in most tissues increases in proportion to the metabolic demand of the tissue. 

--causes immediate and localized homeostatic adjustments.

Term
Local vasodilators
Definition

--too little oxygen or nutrients, will increase blood flow

Ex: histamine and nitric oxide

1- decrease in oxygen levels

-2- Decreased nutrient levels

 3- Increased CO2, H+, K+, lactic acid levels

 -4- Vasodilation paracrines (chemical substances that have an effect on tissues close to where the substance is released)

 

Term
Local vasoconstrictors
Definition

 

Response to decrease in metabolism with the following changes in chemical concentration; drives blood to where it's needed

 

 -1- Increased oxygen levels

 -2- Increased nutrient levels

 

-3- decrease in CO2, H+, K+, lactic acid levels

 

-4- Vasoconstrictor paracrines

 

       i. Endothelins: substances released by damaged endothelial cells that line blood vessels; a local constrictor that doesn't involve nervous system

 

       ii. Prostaglandins

 

Term
Total blood flow
Definition
the amount of blood transported throughout the entire cardiovascular system in a given period of time.  Total blood flow = cardiac output measured in L/min.  If cardiac output increases, then total blood flow increases and more blood is available to body tissues.  If cardiac output decreases, then total blood decreases and less blood is available to body tissues.  Factors that regulate total blood flow affect the activity of the heart, tone of blood vessels and volume of blood.
Term
Hydrostatic Pressure
Definition
A force exerted against a fluid is hydrostatic pressure.  In a pressure gradient, hydrostatic pressure will push a liquid from areas of high pressure to areas of low pressure. 
Term
Blood Pressure Gradient
Definition
Within the systemic circulation: the pressure difference between the beginning of the aorta to the entrance into the right atrium.  Blood pressure is the force per unit area exerted on the wall of a blood vessel by its contained blood. (units are millimeters of mercury – mmHg).  The blood pressure gradient is the driving force that propels blood through the vessels.
Term
Systolic Pressure
Definition

the peak blood pressure measured when the artery is maximally stretched during ventricular systole.

--ventricles are at the their max contraction, producing the highest pressure

Term
Diastolic Pressure
Definition

the minimum blood pressure measured when the artery is recoiled during ventricular diastole.

--minimum pressure exerted against the wall

Term
Pulse Pressure
Definition

the difference between systolic pressure and diastolic pressure; indicates the force of contraction by the ventricle.  The size of the pulse pressure is a measure of the elasticity and recoil of arteries.  Healthy arteries expand and recoil easily.  If the arteries were not elastic or lost recoil, then it would be harder for the heart to pump blood. 

--indication of the health of an individual

Term
Pulse
Definition

the rhythmic throbbing sensation associated with pulse pressure.

--speed of heart rate

Term
Mean Arterial Pressure
Definition

 

Although arterial pressure fluctuates, a single value is used to represent conditions within the body.

(MAP) = diastolic pressure + 1/3 (pulse pressure)

--average force exerted against walls of vessels

Term
Capillary Blood Pressure
Definition

sufficient for exchange of materials between blood and surrounding tissues, but low enough to prevent capillary damage.

--pressure gradient within capillaries

Term
Capillary blood pressure in the systemic circulation
Definition
pressure within capillary beds (range of 35 Hg mm on arterial end – 16mm Hg on venous end)
Term
Venous Blood Pressure
Definition

--Pressure b/t capillary bed & back to heart

--this determines venous return

--not pulsatile

Term
Venous return
Definition

--the movement of blood from the capillaries back to the heart via the veins

--determined by venous pressure

Term
Venous pressure gradient in systemic circulation
Definition
16mmHg in smallest veins – almost 0 mmHg at entrance of right atrium
Term
Skeletal Muscle Pump
Definition
assist movement of venous blood in the limbs.  As skeletal muscles contract, veins are squeezed to propel blood toward the heart, and valves prevent blood backflow.  Inactivity can result in dilated veins in the limbs.
Term
Venous valves pump
Definition
assists the movement of blood within the thoracic cavity.
Term
Venous pressure in systemic circulation
Definition
16 mm Hg to almost 0 mmHg at the distal end of the vena cava.
Term
Resistance
Definition
the amount of friction the blood experiences as it travels through the blood vessels.  The resistance of the cardiovascular system opposes movement of blood flow.
Term
Peripheral Resistance
Definition
the resistance in blood vessels. 
Term
Viscosity
Definition

--causes of vascular resistance

--thick fluid has a lot of stuff dissolved in it, making it thicker and more resistant to flow

The resistance of a fluid to its flow. The greater the viscosity (or thickness of the fluid), the greater the resistance.  An increase in formed elements or large proteins will increase viscosity and therefore increase resistance.

Term
Vessel Length
Definition
Increasing the length of a blood vessel increases friction; decreasing the length decreases friction.  What is easier to move fluid through-- a drinking straw or a water hose if both have the same diameter?  On a day-to-day basis, vessel length remains constant and this component of vascular resistance remains constant.
Term
Vessel Radius
Definition
the smaller the vessel diameter, the greater the resistance; the larger the vessel diameter, the less friction. 
Term
Laminar Flow
Definition
the difference in flow rate within a conduit or tube.  Fluid moves faster in the center of a tube and slows down its movement at the edge or near the wall.  If the diameter of a blood vessel decreases, more blood is near the edge and movement of blood slows down.  If the diameter of a blood vessel increases, less blood is near the edge of the vessel and movement of blood increases.
Term
Blood Flow
Definition

--The volume of blood moving through a given area in a given time expressed in L/min

--factors that affect this: blood pressure gradients and resistance

--has a direct relationship to the pressure gradient and an indirect relationship to resistance

Term
Neural Regulation of Blood Pressure
Definition
Blood pressure must be adequate to overcome resistance and provide perfusion of all tissues.  But not be too high as to cause damage to the blood vessels.   It is important that cardiovascular regulation occurs in an appropriate time, in an appropriate location and so as to maintain perfusion to essential organs.
Term
Cardiovascular center
Definition
located in the medulla oblongata.  This complex integrates information and nerve responses for the regulation of blood pressure.
Term
Cardiac center
Definition
autonomic regulation of heart activity (and cardiac output)
Term
Cardioacceleratory center
Definition

 

Sympathetic.  Nerves to SA node increase heart rate and nerves to myocardium increase contractility.  The result is an overall increase in cardiac output.

--excitatory--output & pressure go up

Term
Cardioinhibitory center
Definition

Parasympathetic.  Nerves to SA and AV nodes decrease heart rate with the result of a decrease in cardiac output.

--inhibitory--output & pressure go down, HR decreases

Term
Vasomotor center
Definition
autonomic regulation of blood vessels tone (and resistance)
Term
alpha receptors
Definition
smooth muscle with α receptors contracts in response to sympathetic stimulation resulting vasoconstriction.  Most blood vessels in the body have α receptors.
Term
beta receptors
Definition
smooth muscle with β receptors relaxes in response to epinephrine resulting in vasodilation.  Smooth muscle in blood vessels with β receptors is located in skeletal muscle and the heart.
Term
Baroreceptor reflexes
Definition
reflexes respond to changes in blood pressure; they are specialized nerve receptors that monitor the degree of stretch in the walls of blood vessels.  They consist of nerve endings within blood vessels located in the aortic sinus (expanded region within the ascending aorta – important in regulating systemic blood pressure) and the carotid sinus (expanded region near the base of the internal carotid arteries-important in monitoring blood pressure changes in the head and neck).
Term
Baroreceptors
Definition

 

respond to stretch of the artery wall, not directly to pressure.  Information from the baroreceptors is relayed to the cardiovascular center in the medulla oblongata. 

 

Term
Hormonal Regulation of Blood Pressure
Definition

hormones provide for short and long-term regulation of cardiovascular performance.  They typically regulate blood pressure by changing resistance or blood volume.

--provides profusion to essential organs beyond local control; vital organs always trump local--based on survival needs


Term
Velocity of blood flow
Definition

 

the rate of blood flow transported per unit time.

 

Velocity of blood flow is dependent on the total cross-sectional area of that part of the circulation.  You do not consider just one vessel in an area, but all of them.  Velocity = 1 / total cross section area.

 

Term
Arteries
Definition
--have a small cross-sectional area--resulting in a fast velocity
Term
Capillaries
Definition
--have a large cross-sectional aread--resulting in a slow velocity
Term
Veins
Definition
have a small cross sectional area--resulting in a fast velocity
Term
Sympathetic Response during heavy exercise
Definition

--Blood flow to heart increases (up to 3 fold)

--skeletal muscle increases (up to 11 fold)

--to the skin (up to 5 fold)

--faster and stronger heart beat

--blood reservoirs w/i veings are moving toward arteries

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