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Phy Sci 5 - Midterm - Topic 11
Hypertension
10
Physiology
Undergraduate 1
04/29/2009

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Term
Hypertension
Definition
elevated blood pressure, anything greater than 140/90. Percentage higher in people over 65, though it is due to lifestyle, not aging. Due to imbalance between vasodilators and vasoconstrictors.
Term
Artery Diameter
Definition
dependent on smooth muscle layer contraction.
Term
Nitric Oxide (NO)
Definition
primary vasodilator; produced in endothelial cells, it causes arterioles to relax. Production of NO allows for vasodilation of arteries.
Term
Nitric Oxide Synthase (NOS)
Definition
the enzyme that produces NO.
Term
Sympathetic Nervous System
Definition
nerves cause smooth muscles to contract and vasoconstriction occurs.
Term
Oxidative Stress (vasoconstrictor)
Definition
free radical production can damage blood vessels, inactivate NO and increase resistance.
Term
Endothelial Dysfunction
Definition
condition where endothelial cells become damaged and unable to carry out normal functions resulting in reduced NO availability, facilitation of platelet aggregation and lipid oxidation, and ultimately hypertension and CAD progession occurs. Meals high in fat and sugar induce endothelial dysfunction.
Term
Excercise/BP Reduction: Enhanced Insulin Sensitivity
Definition
link between insulin and hypertension: excercise enhances insulin action so that less is required resulting in decreased circulating insulin which in turn cause a decrease in blood pressure.
Term
Excercise/BP Reduction: Increased NO
Definition
excercise training increases activity of NOS which stimulates more NO production which thus increases vasodilation. Antioxidant levels increase as well, which decreases the oxidative inactivation of NO.
Term
Excercise/BP Reduction: Decreased Sym Nervous Sys Activity
Definition
exercise decreases levels of catecholamines, which is responsible for the actions of the sympathetic nervous system, therefore decreased sympathetically-mediated vasoconstriction.
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