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Phys. Exam 2 Special Circulation
Phys. Exam 2 special circulation
33
Physiology
Graduate
10/17/2010

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Term
what organs need most blood?
Definition
heart
brain
kidneys
Term
when metabolism increases, flow increases. This is called ___ ___. This happens with exercise and with the brain.
Definition
- reactive hyperemia
Term
coronary arteries penetrate the ___ and originate from the aorta.
Definition
myocardium
Term
Systole stops blood flow to the ___ but ___ is still profused. Only during ___ is the endocardium profused.
Definition
- endocardium
- epidcardium
- diastole
Term
LV compresses its own blood supply so that flow is low during ___ and high during ___.
Definition
- systole
- diastole
Term
RV is opposite LV, and has ___ flow during systole, and ___ flow during ___.
Definition
- high
- low
Term
LV veins have high flow during ___ .
Definition
systole

but lv arteries have high flow during diastole
Term
With tachycardia, time in ___ decreases so inside of heart won't get profused.
Definition
- diastole
Term
right coronary artery has highest flow in systole
Definition
Term
extravascular compression is important to what tissues:
Definition
Important in tissues that develop significant tissue pressure or are subjected to gravitational gradients.
Term
contracting muscles cause extrvascular compression
Definition
Term
With extravascular compression, venous pressure is not relevant, so this condition is sometimes called ___ __.
Definition
vascular waterfall
Term
left coronary blood flow is tightly couple to what?
Definition
myocardial oxygen consumption
Term
normal heart has few or no collateral vessels
Definition
Term
what produces collateral vessels?
Definition
coronary disease
Term
even though exercise increases coronary blood supply demand, it does not create collaterals b/c there is no ____.
Definition
underprofusion
Term
cerebral circulatoin:
Definition
In rigid cranium
Effective pressure: arterial – tissue pressure
Changes in tissue pressure affect flow
Flow tightly coupled to metabolism
Metabolism and flow vary regionally
Flow responds to changes in PO2 and PCO2
Effective autoregulation, protects against hypertension and hypotension
Minor effect of sympathetic stimulation
Term
equation for cerebral profusion pressure:
Definition
CPP= MAP- ICP
Term
results of increased ICP:
Definition
- collapsed veins
- decreases effective CPP
- reduces blood flow
Term
as oxygen partial pressure decreases (hypoxia), cerebral blood flow ___ so vessels ___ in the brain. On the other hand, as carbon dioxide partial pressure increases (hypercapnia), cerebral bloow flow __ and blood vessels dilate.
Definition
- increases
- dilate
- increases
Term
decreased oxygen and increased Co2
Definition
increased cerebral blood flow
Term
normal arterial values of o2 and co2:
Definition
pO2= 95 mmHg
pCO2= 40 mmHg
Term
Cerebral Circulation Has Very Effective
Pressure-Flow Autoregulation of Blood Flow
Due to Myogenic and/or Metabolic Regulation
Definition
Term
b/c of the good regulation of cerebral blood flow, even a large drop in ___ ___ __ will only decrease cerebral blood flow slightly.
Definition
- cerebral profusion pressure
Term
with cerebral profusion pressures b/w 70 and 100, cerbral blood flow stays pretty constant.
Definition
Term
when arterial pressures fall, brain vessels ___ to keep blood flow the same.
Definition
dilate
Term
skeletal muscle circulation:
Definition
Large flow reserve
Capillary recruitment
Flow tightly coupled to metabolism
Contraction compresses vasculature and limits flow
During exercise, metabolic vasodilation overrides sympathetic vasoconstriction
Term
DURING EXERCISE THERE IS SYMPATHETIC DYSCHARGE THAT CONSTRICTS VESSELS IN GI TRACT AND KIDNEY TO DECREASE FLOW
Definition
Term
cutaneous circulation:
Definition
Large tissue
Low metabolic rate
Weak metabolic control
Important for temperature control
Strong sympathetic control
Increased sympathetic tone causes vasoconstriction
Reduction of sympathetic tone allows vasodilation
Vasodilation of arterioles and A-V anastomoses promotes heat lose; vasoconstriction conserves heat
Responsive to local paracrine influences during sweating and tissue injury
Term
increased sympth to skin causes:
Definition
vasocontriction
Term
decreased sympth to skin causes:
Definition
vasodilation
Term
sweating promotes ___ blood flow to skin by causing arterioles to ___.
Definition
- increased
- dilate
Term
VENOUS PLEXUSES ARE CLOSE TO THE SKIN AND THE HOT BLOOD THAT THEY CONTAIN LOSE HEAT, SO NEED TO RETAIN HEAT THEN THE AV ANASTOMOSIS CLOSE.

AS SKIN TEMPERATURE INCREASES BLOOD FLOW INCREASES, AND VICE VERSA.
Definition
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