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Blood/hydrostatic pressure
The outward force of blood against artery walls as it is pushed through the body
Total peripheral resistance
Blood viscosity; radius of blood vessels
Cardiac output
Amount of blood pumped by each ventricle per minute
Stroke volume
Amount of blood pumped by each ventricle in 1 heartbeat
Cardiac output formula
CO = HR x SV
Hormonal control
Long term control via
Kidney (renin)
Adrenal cortex (aldosterone)
Right atrium (atrial natriuretic peptide)
Neural control
Short term control via sympathetic and parasympathetic pathways
Sympathetic pathway
Vasomotor center in medulla oblongata stimulated
ACh binds to N2, epinephrine binds to B2 and a1
HR and SV increase
Parasympathetic pathway
Cardiac inhibitory center in medulla oblongata stimulated
ACh binds to N2 then M2
Heart rate decreases
No direct effect on TPR
Activation of VMC
Inhibits activity of the VC
Inhibition of VMC
Causes vasodilation of blood vessels
Activation of VC
Inhibits the activity of the VMC
Chemoreceptors
Found in carotid and arch of aorta
Direct effect on respiratory centers close proximity to VMC
When BP is low
A build up of waste products (CO2 and H ions) occurs
Baroreceptors
Located in the arch of the aorta and carotids
Respond to stretching of blood vessels (stimulated increase BP)
Afferent signals from the aorta via CN X
Signals from carotids via CN IX
Controls minute-to-minute fluctuations not extreme highs/low
When BP rises
Blood vessels stretch sending signals to the medulla
Inhibit the VMC
Activation of the VC
Yields a decrease in blood pressure
When BP falls
Fewer impulses are sent to the medulla
VMC is activated
Causes the inhibition of the VC
Yields an increase in blood pressure
Systole
Contracting of ventricles
Diastole
Relaxing of ventricles
Dicrotic notch
As the semilunar (aortic) valve closes this notch marks the place where the blood comes back up and hits the semilunar valve
Pulse pressure
Systolic pressure - diastolic pressure
Directly related to SV and inversely related to HR and TPR
Mean arterial pressure (MAP)
= (PP/3) + diastolic pressure
The average arterial pressure throughout one cardiac, systole, diastole cycles
Influenced by CO and TPR
Calculating HR from an ECG
HR = 60/R-R interval
ACh
Stimulate all nicotinic and muscarinic receptors in the body
Atropine
Blocks muscarinic receptors on the heart
ACh added after atropine
Stimulating the N2 receptors on parasympathetic and sympathetic
Causing the release of ACh and epinephrine/norepinephrine respectively
Only target tissue receptors available are B1 and A1
Frog heart is
3 chambered
2 atria 1 ventricle
Sinus venosus
Located in right atrium
Pacemaker of the heart- made up of excitable, myogenic tissue, and beats at its own intrinsic rate
Causes contraction of the atria and sends a conductive signal to the AV node
The SV evolved to become the SA node in mammals
Round cells
Pacemaker cells that generate the action potentials
Contains special ion channels called Slow Na channels
Slow Na+ channels are open most of the time and allow the slow leak of Na across the membrane-causing a slow depolarization
Ca2+ channels open, causing a rapid influx of Ca, depolarization
Repolarization opening of K+ outward movement of K+ ions
Elongated cells
Conductive cells that send the signal to the atria to contract and then to the AV node
Like the Bundle of His in mammals, but not as organized
Parasympathetic innervation of SV
Vagus Nerve
Long pre-ganglionic
Short post-ganglionic
Muscarinic receptors of the SV are associated with K+ channels
K+ leaves the cell, hyperpolarizes the membrane and decreases HR
Sympathetic innervation of ventricles
Short pre-ganglionic fiber
Long post-ganglionic fiber
Epinephrine from postganglionic fibers stimulate beta 1 receptors on the ventricle associated with Ca2+ cahnnels
Ca2+ comes into the cell, increasing rate of AP propagation and increasing activity
Starling's Law
The more the heart muscle is stretched, the more forceful the subsequent contraction
Occurs when venous return is increased
Venous return
Amount of blood entering the heart from the inferior and super vena cava
This stretches the ventricle and causes an increased force of contraction
How is an increase in venous return stimulated?
Increasing ventricular stretch via manipulation of the myograph position
Effect of decreased temperature
Myosin ATPase: cleaves ATP slower
Ca2+ ATPase: cleaves ATP slower
Acetylcholinesterase: efficiency slows
Myosin ATPase cleaving ATP slower
lower force of contraction, longer contractile period
Ca2+ ATPase cleaves ATP slower
longer relaxation period
Acetylcholinesterase slowing down
Longer contractile period
Initial incrase in force
Slower heart rate increases fill time
More blood in the heart will cause it to stretch
Epinephrine
Neurotransmitter of sympathetic system
When added to ventricle, it stimulates beta 1 receptors
Ca2+ comes into the cell, increasing the rate of depolarization
Increased HR and SV
Pilocarpine
Parasympathomimetic
When added to the heart, it stimulates muscarinic receptors
K+ leaves the cell, decreasing the rate of depolarization
HR decreases
Effect of ACh
ACh is the neurotransmitter of the parasympathetic system
When added to the heart, it stimulates muscarinic receptors
K+ leaves the cell, decreasing the rate of derpolarization
HR decreases
Effect of atropine followed by ACh
Atropine is a muscarinic receptor antagonist- and a competitive inhibitor of ACh
Blocks parasympathetic response
Heart rate increases, then no change
Sensors
Chemoreceptors
Processors
Respiratory control centers of the medulla and pons
Effectors
Respiratory muscles
Eupnea
Normal breathing
Cyclic on/off
Produces a rate of 12-15 breaths/min
Factors that influence depth/rate of ventilation
In order of importance: H+ in central arterial blood, CO2 in peripheral arterial blood, O2 levels
CNS hierarchy
Hypothalamus (highest autonomic control center)
Nuclei in pons and medulla
Medullary control (VRG and DRG)
Pontine respiratory centers
Ventral respiratory group
In pons/medulla junction
Rhythm generation
Autonomous depolarization via spontaneously firing neurons: potential pacemaker
2 sub-nuclei populations: excitatory (inspiratory) and inhibitory (expiratory)
Dorsal respiratory group
Located in medulla, near CN IX and X
Gets input from chemo and baroreceptors
Communicates this info to the VRG, adjusts the rhythm of the inspiratory/expiratory cycle
Pontine respiratory centers
Modify the activity of the medullary neurons
Smooth out the transition from inspiratory to expiratory set by the basic rhythm of the VRG
Transmit impulses to the VRG DRG- fine tunes the breathing depth and rhythms during sleep, vocalization, and exercise
Central chemoreceptors
Located in the medulla oblongata
Central chemoreceptors are very sensitive to H+ ions- triggers 70% of response
Respond to increases in H+ derived from CO2
CO2 effects
H+ formed in the periphery cannot cross the tight junctions of the BBB capillary system, so CO2 must cross
The CO2-derived H+ will then stimulate the central chemoreceptors, which then stimulate the respiratory centers
Peripheral chemoreceptors
Located in the aortic bodies (at aortic arch) and the carotid sinus (near burification of carotids)
Respond to an increase in arterial CO2
If blood levels of CO2 rise, these receptors send afferent messages to the DRG, signaling an increase in respiration to blow off the excess CO2
Hyperventilation
Breathing rate is higher than necessary, causing a decrease in CO2
This drives the bicarbonate buffer reaction to the left; H+ ions are lost, resulting in respiratory alkalosis
CO2 will not be detected by central and peripheral chemoreceptors in the medulla and aortic arch
The VRG will modify breathing (less rapid/decreased depth)
Oxygen deficit
Volume of O2 that was unable to meet the ATP requirement demands at the beginning of exercise
Buildup of lactate is converted to glucose
HR, RR, and temperature take time to return to normal levels
ATP and creatine stores need to be replenished
During exercise
Before steady state is reached, ATP demands increase immediately and faster than aerobic metabolism processes can respond. So, anaerobic metabolism provides additional ATP until a steady state is reached
Excess post-oxygen consumption (EPOC)
volume of oxygen consumed after exercise that is above resting level. During this time, CO2 is blown off and ATP levels are restored
Respiratory exchange ratio
Ratio of volume of CO2 produced to volume of O2 consumed per unit of time
RER close to 1
carbohydrate
RER close to 0.8
Protein OR mixed substrate profile
RER close to 0.7
Fat
The sensors that receive signals within the ventilation system are known as
chemoreceptors
The processors that oversee control of ventilation are the respiratory centers of the
medulla and pons
The effectors that are controlled by the processors are the
respiratory muscles
Normal breathing is known as ____, a cyclic on/off process that produces a rate of _____ breaths per minute
eupnea; 12-15
In order of importance, factors that influence depth and rate of ventilation are
H+ in central arterial blood; CO2 in peripheral arterial blood; O2 levels
The ______ is the highest autonomic control center over respiration.
hypothalamus
The hypothalamus delegates to nuclei in the ___ and ____
pons; medulla
Within the medulla, control over ventilation is exerted via the ____ and ____ respiratory groups
ventral; dural
Within the pons, control over ventilation is overseen by the ____ respiratory centers
pontine
The ventral respiratory group (VRG) is located in the
pons/medulla junction
The ventral respiratory group is responsible for rhythm _____ of the inspiratory/expiratory cycle
generation
The VRG autonomously depolarizes via spontaneously firing neurons, acting as a
potential pacemaker
There are two sub-nuclei within the VRG: excitatory, which oversees _____, and inhibitory, which oversees _____
inspiration; expiration
The dorsal respiratory group (DRG) is located in the
medulla, near CN IX and X
The DRG receives input from _____ and relays that input to the ____
chemoreceptors and baroreceptors; VRG
The DRG is responsible for rhythm _____ of the inspiratory/expiratory cycle
adjustment
The pontine centers ____ the activity of the medullary neurons, and _____ the inspiratory/expiratory transition set by the VRG
modify; smooth out
The pontine centers also transmit impulses to the DRG/VRG, fine-tuning breathing ___ and ___ during sleep, vocalization, and exercise
depths; rhythms
Central chemoreceptors are located in the ______, and are very sensitive to ____, which triggers approx. ____% of response
medulla oblongata; H+; 70
H+ can't cross tight junctions of the blood-brain barrier, so ____ must cross instead
CO2
CO2-derived H+ stimulates the ______, which then stimulate the ____
central chemoreceptors; respiratory centers
Within the BBB, CO2-derived effects result in an _____ in respiration rate and depth
increase
Peripheral chemoreceptors are located in the _____ and the ____
aortic bodies; carotid sinus
Peripheral chemoreceptors respond to an increase in
CO2 in peripheral arterial blood
If blood CO2 rises, peripheral chemoreceptors send afferent messages to the ____, signaling an _____ in respiration to blow off excess CO2
DRG; increase
During hyperventilation, breathing rate is higher than necessary, causing a ____ in CO2
decrease
Hyperventilation drives the bicarbonate buffer reaction to the ____; H+ ions are ____, resulting in respiratory ____
left; lost; alkalosis
CO2 ___ detected by central and peripheral chemoreceptors in the medulla and aortic arch
is not
Hyperventilation causes the VRG to modify breathing to become ___ rapid, with ___ depth
less; decreased
The oxygen deficit is the ____ of O2 that was ____ to meet the ATP requirement demands at the ____ of exercise
volume; unable; beginning
During exercise: before steady state is reached, ATP demands increase ____ than aerobic processes can respond. So, _____ metabolism provides additional ATP in the meantime
immediately/faster; anaerobic
Excess post-oxygen consumption (EPOC) is the ____ of oxygen consumed after exercie that is ______ the resting level
volume; above
During EPOC, _____ is blown off, and ATP levels are ____.
CO2; restored
The respiratory exchange ratio (RER) is the ratio of volume of ____ to ____ consumed per unit of time
CO2; O2
The value of RER indicated what _____ is being burned as energy
macromolecule
An RER close to 1 indicates _____ is used for fuel
carbohydrates