Podcast
Questions and Answers
What defines isolated systolic hypertension (ISH)?
What defines isolated systolic hypertension (ISH)?
- SBP > 140 mm Hg and DBP < 100 mm Hg
- SBP < 140 mm Hg and DBP < 90 mm Hg
- SBP > 140 mm Hg and DBP < 90 mm Hg (correct)
- SBP > 120 mm Hg and DBP < 80 mm Hg
Which statement best describes the role of pulse pressure in cardiovascular health?
Which statement best describes the role of pulse pressure in cardiovascular health?
- Pulse pressure is only influenced by diastolic blood pressure.
- Pulse pressure is irrelevant to cardiovascular morbidity.
- Higher pulse pressures correlate with increased risk of arterial wall stiffness. (correct)
- Higher pulse pressures are linked to improved cardiovascular function.
Which systems are included in the peripheral nervous system (PNS)?
Which systems are included in the peripheral nervous system (PNS)?
- Only the sensory nerves connected to the brain
- Exclusively the autonomic nervous system paralleled with the CNS
- Nerves that extend from the CNS to limbs and organs (correct)
- The brain and spinal cord exclusively
What is the primary function of the afferent nervous system?
What is the primary function of the afferent nervous system?
Which portion of the nervous system is primarily responsible for controlling heart rate?
Which portion of the nervous system is primarily responsible for controlling heart rate?
What does the efferent nervous system encompass?
What does the efferent nervous system encompass?
Which statement is incorrect regarding the somatic nervous system?
Which statement is incorrect regarding the somatic nervous system?
During increased physical activity, what occurs immediately through the autonomic nervous system?
During increased physical activity, what occurs immediately through the autonomic nervous system?
What is the first step in the synthesis of catecholamines?
What is the first step in the synthesis of catecholamines?
In which type of neurons does catecholamine biosynthesis terminate with the production of dopamine?
In which type of neurons does catecholamine biosynthesis terminate with the production of dopamine?
Which enzyme directly facilitates the conversion of norepinephrine to epinephrine?
Which enzyme directly facilitates the conversion of norepinephrine to epinephrine?
What is a significant feature of catecholamine biosynthesis in relation to drug design?
What is a significant feature of catecholamine biosynthesis in relation to drug design?
Which of the following is a precursor molecule in the synthesis of catecholamines?
Which of the following is a precursor molecule in the synthesis of catecholamines?
What is the main neurotransmitter produced in sympathetic postganglionic neurons?
What is the main neurotransmitter produced in sympathetic postganglionic neurons?
What further modification occurs to norepinephrine in the adrenal medulla?
What further modification occurs to norepinephrine in the adrenal medulla?
Which of the following enzymes is involved in the inactivation of norepinephrine?
Which of the following enzymes is involved in the inactivation of norepinephrine?
What primarily contributes to the alteration of blood pressure in short-term neural controls?
What primarily contributes to the alteration of blood pressure in short-term neural controls?
Which mechanism is responsible for detecting an increase in blood pressure via baroreceptors?
Which mechanism is responsible for detecting an increase in blood pressure via baroreceptors?
How do chemoreceptors contribute to blood pressure regulation?
How do chemoreceptors contribute to blood pressure regulation?
What initiates the vasomotor center to trigger vasoconstriction during blood pressure reduction?
What initiates the vasomotor center to trigger vasoconstriction during blood pressure reduction?
Which type of control is responsible for long-term blood pressure regulation?
Which type of control is responsible for long-term blood pressure regulation?
In the case of exercise, how does blood distribution change?
In the case of exercise, how does blood distribution change?
What type of feedback mechanism is primarily involved in the baroreceptor response?
What type of feedback mechanism is primarily involved in the baroreceptor response?
What role do higher brain centers play in blood pressure regulation?
What role do higher brain centers play in blood pressure regulation?
What type of nerve fibers are responsible for transmitting signals in the autonomic nervous system?
What type of nerve fibers are responsible for transmitting signals in the autonomic nervous system?
What structure acts as clusters of cell bodies where preganglionic and postganglionic fibers connect?
What structure acts as clusters of cell bodies where preganglionic and postganglionic fibers connect?
How are neurotransmitters released when a nerve signal terminates at the postganglionic nerve fibers?
How are neurotransmitters released when a nerve signal terminates at the postganglionic nerve fibers?
Which division of the autonomic nervous system is primarily responsible for increasing heart rate in response to stress?
Which division of the autonomic nervous system is primarily responsible for increasing heart rate in response to stress?
What is the main function of the neurotransmitters released at the organ being innervated?
What is the main function of the neurotransmitters released at the organ being innervated?
During the autonomic nervous system signal propagation, what manner do nerve signals travel through the fibers?
During the autonomic nervous system signal propagation, what manner do nerve signals travel through the fibers?
Which of the following is NOT a role of the autonomic nervous system?
Which of the following is NOT a role of the autonomic nervous system?
How do neurotransmitters from a postganglionic nerve fiber reach distant sites?
How do neurotransmitters from a postganglionic nerve fiber reach distant sites?
Which factor is primarily responsible for the vasoconstriction of smooth muscle in the vasculature?
Which factor is primarily responsible for the vasoconstriction of smooth muscle in the vasculature?
What effect does stimulation of the b1-receptors have on the heart?
What effect does stimulation of the b1-receptors have on the heart?
The dysfunction of baroreceptors can lead to which of the following outcomes?
The dysfunction of baroreceptors can lead to which of the following outcomes?
Which neurological area is NOT associated with increasing blood pressure when stimulated?
Which neurological area is NOT associated with increasing blood pressure when stimulated?
How does hyperinsulinemia contribute to increased blood pressure?
How does hyperinsulinemia contribute to increased blood pressure?
What is the likely physiological consequence of excess norepinephrine release from presynaptic neurons?
What is the likely physiological consequence of excess norepinephrine release from presynaptic neurons?
Which of the following statements regarding a2-receptors is accurate?
Which of the following statements regarding a2-receptors is accurate?
Genetic alterations of cell membranes can affect which aspect of blood pressure regulation?
Genetic alterations of cell membranes can affect which aspect of blood pressure regulation?
What are the bulbous swellings along the nerve terminal that contain neurotransmitter vesicles called?
What are the bulbous swellings along the nerve terminal that contain neurotransmitter vesicles called?
Which of the following features contributes to the synchronization of smooth muscle contractions?
Which of the following features contributes to the synchronization of smooth muscle contractions?
What is the main structural component of a thin filament in smooth muscle contraction?
What is the main structural component of a thin filament in smooth muscle contraction?
Which site on the myosin head is crucial for ATP splitting during smooth muscle contraction?
Which site on the myosin head is crucial for ATP splitting during smooth muscle contraction?
What allows smooth muscle to maintain contraction with low energy costs?
What allows smooth muscle to maintain contraction with low energy costs?
What primarily influences smooth muscle activity, apart from autonomic neurotransmitters?
What primarily influences smooth muscle activity, apart from autonomic neurotransmitters?
How does a smooth muscle contraction occur in relation to filament movement?
How does a smooth muscle contraction occur in relation to filament movement?
What is a key characteristic of smooth muscle contraction compared to skeletal muscle contraction?
What is a key characteristic of smooth muscle contraction compared to skeletal muscle contraction?
What causes an increase in cardiac output?
What causes an increase in cardiac output?
Which of the following is a direct influencer of cardiac output?
Which of the following is a direct influencer of cardiac output?
Which two factors primarily influence mean arterial pressure (MAP)?
Which two factors primarily influence mean arterial pressure (MAP)?
Through which valve does blood flow from the right atrium into the right ventricle?
Through which valve does blood flow from the right atrium into the right ventricle?
Which chamber of the heart is responsible for receiving oxygenated blood from the lungs?
Which chamber of the heart is responsible for receiving oxygenated blood from the lungs?
During ventricular systole, what happens to the semilunar valves?
During ventricular systole, what happens to the semilunar valves?
How does afterload influence stroke volume?
How does afterload influence stroke volume?
What primarily determines total peripheral resistance (TPR)?
What primarily determines total peripheral resistance (TPR)?
Vasodilation of arterioles causes which of the following effects?
Vasodilation of arterioles causes which of the following effects?
How does sympathetic stimulation affect blood pressure?
How does sympathetic stimulation affect blood pressure?
Which description best explains primary hypertension?
Which description best explains primary hypertension?
What is the primary way that pulse pressure is defined?
What is the primary way that pulse pressure is defined?
What effect does an increase in cardiac output have on mean arterial pressure (MAP) when TPR is constant?
What effect does an increase in cardiac output have on mean arterial pressure (MAP) when TPR is constant?
Which enzyme is responsible for synthesizing nitric oxide in endothelial cells?
Which enzyme is responsible for synthesizing nitric oxide in endothelial cells?
How does endothelial dysfunction contribute to hypertension?
How does endothelial dysfunction contribute to hypertension?
Which effect characterizes angiotensin II's role in blood pressure regulation?
Which effect characterizes angiotensin II's role in blood pressure regulation?
What is a key characteristic of primary hypertension development?
What is a key characteristic of primary hypertension development?
Activation of alpha-1 adrenergic receptors leads to which response?
Activation of alpha-1 adrenergic receptors leads to which response?
What role does aldosterone play in hypertension?
What role does aldosterone play in hypertension?
Which response describes the relationship between mean arterial pressure (MAP), cardiac output (CO), and total peripheral resistance (TPR)?
Which response describes the relationship between mean arterial pressure (MAP), cardiac output (CO), and total peripheral resistance (TPR)?
Which factor is primarily associated with genetic contributors to hypertension?
Which factor is primarily associated with genetic contributors to hypertension?
What is the primary neurotransmitter of the parasympathetic nervous system and its action on receptors?
What is the primary neurotransmitter of the parasympathetic nervous system and its action on receptors?
Which mechanism describes the effect of increased preload on stroke volume in the heart?
Which mechanism describes the effect of increased preload on stroke volume in the heart?
Which of the following accurately describes afterload and its impact on cardiac function?
Which of the following accurately describes afterload and its impact on cardiac function?
How does the role of calcium in smooth muscle contraction primarily impact the process?
How does the role of calcium in smooth muscle contraction primarily impact the process?
Which neurotransmitters are involved in adrenergic transmission?
Which neurotransmitters are involved in adrenergic transmission?
What is the physiological significance of the Frank-Starling Law?
What is the physiological significance of the Frank-Starling Law?
What factors primarily influence resistance to blood flow in the circulatory system?
What factors primarily influence resistance to blood flow in the circulatory system?
What role does the sympathetic nervous system play in physiological responses?
What role does the sympathetic nervous system play in physiological responses?
How does vessel diameter affect resistance in the circulatory system?
How does vessel diameter affect resistance in the circulatory system?
What is the primary function of baroreceptors?
What is the primary function of baroreceptors?
Which factor primarily contributes to the renin release in the kidneys?
Which factor primarily contributes to the renin release in the kidneys?
What role does nitric oxide (NO) play in the regulation of vascular tone?
What role does nitric oxide (NO) play in the regulation of vascular tone?
What effect does preload have on stroke volume according to the Frank-Starling mechanism?
What effect does preload have on stroke volume according to the Frank-Starling mechanism?
Which condition is characterized by persistent blood pressure of 140/90 mmHg or higher?
Which condition is characterized by persistent blood pressure of 140/90 mmHg or higher?
Which mechanism primarily influences total peripheral resistance (TPR)?
Which mechanism primarily influences total peripheral resistance (TPR)?
Which effect does angiotensin II have on the cardiovascular system?
Which effect does angiotensin II have on the cardiovascular system?
How does endothelial dysfunction affect hypertension?
How does endothelial dysfunction affect hypertension?
What is the consequence of increased sympathetic nervous system overactivity?
What is the consequence of increased sympathetic nervous system overactivity?
Which receptor is primarily responsible for inducing vasodilation in skeletal muscle?
Which receptor is primarily responsible for inducing vasodilation in skeletal muscle?
What does increased pulse pressure indicate regarding cardiovascular health?
What does increased pulse pressure indicate regarding cardiovascular health?
What role does aldosterone play in blood pressure regulation?
What role does aldosterone play in blood pressure regulation?
In the context of cardiac output, what components must be considered?
In the context of cardiac output, what components must be considered?
Which of the following mechanisms is primarily responsible for the regulation of blood pressure over the long term?
Which of the following mechanisms is primarily responsible for the regulation of blood pressure over the long term?
What neurotransmitter primarily mediates the actions of the sympathetic nervous system?
What neurotransmitter primarily mediates the actions of the sympathetic nervous system?
How does increased preload affect stroke volume?
How does increased preload affect stroke volume?
Which of the following best describes afterload?
Which of the following best describes afterload?
What is the role of calcium in smooth muscle contraction?
What is the role of calcium in smooth muscle contraction?
Which receptors are primarily involved in the vasoconstriction of non-essential tissues during sympathetic activation?
Which receptors are primarily involved in the vasoconstriction of non-essential tissues during sympathetic activation?
How is the force of contraction related to cardiac muscle fiber length according to the Frank-Starling Law?
How is the force of contraction related to cardiac muscle fiber length according to the Frank-Starling Law?
Which factor is NOT a part of adrenergic transmission?
Which factor is NOT a part of adrenergic transmission?
What effect does an increase in vessel length have on blood flow resistance?
What effect does an increase in vessel length have on blood flow resistance?
What is the primary action of alpha-2 adrenergic receptors in the presynaptic terminals?
What is the primary action of alpha-2 adrenergic receptors in the presynaptic terminals?
Which of the following best describes the effect of beta-1 adrenergic receptors on the kidneys?
Which of the following best describes the effect of beta-1 adrenergic receptors on the kidneys?
What is a consequence of unmanaged hypertension affecting the brain?
What is a consequence of unmanaged hypertension affecting the brain?
Beta-2 adrenergic receptors primarily induce which type of physiological change?
Beta-2 adrenergic receptors primarily induce which type of physiological change?
Which condition is likely to result from prolonged stimulation of beta-1 adrenergic receptors?
Which condition is likely to result from prolonged stimulation of beta-1 adrenergic receptors?
Which statement accurately describes the mechanism of alpha-2 receptors compared to alpha-1 receptors?
Which statement accurately describes the mechanism of alpha-2 receptors compared to alpha-1 receptors?
How do alpha-2 adrenergic receptors influence overall sympathetic activity?
How do alpha-2 adrenergic receptors influence overall sympathetic activity?
What is the interaction between beta-1 adrenergic receptors and the cardiac output?
What is the interaction between beta-1 adrenergic receptors and the cardiac output?
What effect does increased sympathetic output have on blood pressure?
What effect does increased sympathetic output have on blood pressure?
How does an increase in blood viscosity affect vascular resistance?
How does an increase in blood viscosity affect vascular resistance?
In the context of RAAS, what triggers the release of renin?
In the context of RAAS, what triggers the release of renin?
What is the role of endothelial cells in regulating vascular tone?
What is the role of endothelial cells in regulating vascular tone?
What defines the concept of Total Peripheral Resistance (TPR)?
What defines the concept of Total Peripheral Resistance (TPR)?
Which mechanism does nitric oxide utilize to induce vasodilation?
Which mechanism does nitric oxide utilize to induce vasodilation?
What primary component influences stroke volume according to the cardiac output equation?
What primary component influences stroke volume according to the cardiac output equation?
What does persistent hypertension indicate about underlying mechanisms?
What does persistent hypertension indicate about underlying mechanisms?
What happens during the isovolumetric contraction phase of the cardiac cycle?
What happens during the isovolumetric contraction phase of the cardiac cycle?
What effect does vasoconstriction have on total peripheral resistance?
What effect does vasoconstriction have on total peripheral resistance?
How does increased vascular tone relate to adrenergic receptor activity?
How does increased vascular tone relate to adrenergic receptor activity?
What is the primary influence on mean arterial pressure (MAP)?
What is the primary influence on mean arterial pressure (MAP)?
What defines the role of baroreceptors in blood pressure regulation?
What defines the role of baroreceptors in blood pressure regulation?
Flashcards
Isolated Systolic Hypertension (ISH)
Isolated Systolic Hypertension (ISH)
High systolic blood pressure (SBP) but normal diastolic blood pressure (DBP).
Pulse Pressure
Pulse Pressure
Difference between systolic and diastolic blood pressure.
Central Nervous System (CNS)
Central Nervous System (CNS)
Brain and spinal cord.
Peripheral Nervous System (PNS)
Peripheral Nervous System (PNS)
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Afferent Nervous System
Afferent Nervous System
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Efferent Nervous System
Efferent Nervous System
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Autonomic Nervous System
Autonomic Nervous System
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Somatic Nervous System
Somatic Nervous System
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Preganglionic fibers
Preganglionic fibers
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Postganglionic fibers
Postganglionic fibers
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Ganglia
Ganglia
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Neurotransmitters
Neurotransmitters
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Autonomic nervous system
Autonomic nervous system
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Parasympathetic division
Parasympathetic division
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Sympathetic division
Sympathetic division
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Efferent autonomic nervous system
Efferent autonomic nervous system
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Catecholamine Synthesis
Catecholamine Synthesis
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Tyrosine
Tyrosine
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Dopamine (DA)
Dopamine (DA)
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Norepinephrine (NE)
Norepinephrine (NE)
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Epinephrine
Epinephrine
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Biosynthesis Pathways
Biosynthesis Pathways
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Vesicle Fused With Presynaptic Membrane
Vesicle Fused With Presynaptic Membrane
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Catecholamine Inactivation
Catecholamine Inactivation
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Blood Pressure Regulation
Blood Pressure Regulation
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Short-Term Blood Pressure Control
Short-Term Blood Pressure Control
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Neural Blood Vessel Control (vasomotor center)
Neural Blood Vessel Control (vasomotor center)
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Baroreceptors
Baroreceptors
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Long-Term Blood Pressure Control
Long-Term Blood Pressure Control
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Peripheral Resistance
Peripheral Resistance
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Vasoconstriction
Vasoconstriction
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Cardiac Output
Cardiac Output
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Varicosities
Varicosities
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Smooth Muscle Contraction
Smooth Muscle Contraction
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Sliding Filament Mechanism
Sliding Filament Mechanism
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Thin Filament
Thin Filament
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Thick Filament
Thick Filament
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Cross-Bridges
Cross-Bridges
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Smooth Muscle Contraction Cycle
Smooth Muscle Contraction Cycle
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Calcium Channels
Calcium Channels
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Autonomic Dysfunction
Autonomic Dysfunction
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Adrenergic Receptor
Adrenergic Receptor
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Baroreceptor Dysfunction
Baroreceptor Dysfunction
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CNS Stimulation
CNS Stimulation
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RAAS
RAAS
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Vasoconstriction
Vasoconstriction
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Increased Cardiac Output
Increased Cardiac Output
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Peripheral Resistance
Peripheral Resistance
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Objective
Objective
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SMART Objectives
SMART Objectives
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Metrics
Metrics
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Potential challenges
Potential challenges
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Regular Review
Regular Review
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Specific Objectives
Specific Objectives
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Measurable Objectives
Measurable Objectives
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Achievable Objectives
Achievable Objectives
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Relevant Objectives
Relevant Objectives
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Time-bound Objectives
Time-bound Objectives
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Focus and Direction
Focus and Direction
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Performance Evaluation
Performance Evaluation
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Cardiac Output Equation
Cardiac Output Equation
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Factors Increasing Cardiac Output
Factors Increasing Cardiac Output
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Mean Arterial Pressure (MAP)
Mean Arterial Pressure (MAP)
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MAP Influencing Factors
MAP Influencing Factors
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Tricuspid Valve
Tricuspid Valve
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Left Atrium
Left Atrium
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Semilunar Valves during Systole
Semilunar Valves during Systole
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Isovolumetric Contraction
Isovolumetric Contraction
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TPR
TPR
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Vasodilation of arterioles
Vasodilation of arterioles
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Sympathetic stimulation on Blood Pressure
Sympathetic stimulation on Blood Pressure
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Parasympathetic stimulation on Blood Pressure
Parasympathetic stimulation on Blood Pressure
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Primary Hypertension
Primary Hypertension
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Secondary Hypertension
Secondary Hypertension
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Elevated Pulse Pressure
Elevated Pulse Pressure
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MAP and Cardiac Output Increase
MAP and Cardiac Output Increase
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MAP equation
MAP equation
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Endothelial Dysfunction in Hypertension
Endothelial Dysfunction in Hypertension
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Impaired Endothelial Cells in Hypertension
Impaired Endothelial Cells in Hypertension
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Nitric Oxide and Vasodilation
Nitric Oxide and Vasodilation
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Nitric Oxide Synthase (NOS)
Nitric Oxide Synthase (NOS)
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Alpha-1 Adrenergic Receptor Activation
Alpha-1 Adrenergic Receptor Activation
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Sympathetic Nervous System
Sympathetic Nervous System
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Parasympathetic Nervous System
Parasympathetic Nervous System
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What is the role of calcium in smooth muscle contraction?
What is the role of calcium in smooth muscle contraction?
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Preload
Preload
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Afterload
Afterload
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Frank-Starling Law of the Heart
Frank-Starling Law of the Heart
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Blood Viscosity
Blood Viscosity
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How does vessel diameter influence resistance to blood flow?
How does vessel diameter influence resistance to blood flow?
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Vessel Length
Vessel Length
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Vessel Diameter
Vessel Diameter
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Renin-Angiotensin-Aldosterone System (RAAS)
Renin-Angiotensin-Aldosterone System (RAAS)
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Angiotensin II
Angiotensin II
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Endothelial Cells
Endothelial Cells
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Nitric Oxide (NO)
Nitric Oxide (NO)
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Cardiac Output (CO)
Cardiac Output (CO)
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Total Peripheral Resistance (TPR)
Total Peripheral Resistance (TPR)
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Hypertension
Hypertension
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Endothelial Dysfunction
Endothelial Dysfunction
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Frank-Starling Law
Frank-Starling Law
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Calcium's Role in Smooth Muscle
Calcium's Role in Smooth Muscle
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Left Ventricular Hypertrophy
Left Ventricular Hypertrophy
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Heart Failure
Heart Failure
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Stroke
Stroke
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Chronic Kidney Disease
Chronic Kidney Disease
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Aneurysm
Aneurysm
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Arterial Damage
Arterial Damage
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Alpha-2 Adrenergic Receptors
Alpha-2 Adrenergic Receptors
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Beta-1 Adrenergic Receptors
Beta-1 Adrenergic Receptors
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Study Notes
Learning Objectives
- Summarize the general function of the parasympathetic and sympathetic nervous systems
- Differentiate between neurotransmitters and receptors of the parasympathetic and sympathetic systems
- Compare and contrast cholinergic and adrenergic transmission
- Describe the biosynthesis and degradation of catecholamines and acetylcholine
- List the different cholinergic and adrenergic receptors
- Interpret equations for mean arterial pressure and cardiac output (e.g., define the relationship between stroke volume and cardiac output)
- Calculate mean arterial pressure
- Diagram the pathway of blood through the chambers of the heart and peripheral circulatory system
- Compare and contrast the function of myocardial contractile cells and autorhythmic cells
- During each phase of the cardiac cycle, compare and contrast ventricular pressure and blood volume in atria and ventricles
- Define end diastolic volume, end systolic volume, isovolumetric contraction, and isovolumetric relaxation
- Explain the influence of the parasympathetic and sympathetic nervous system on heart rate and stroke volume
- Describe factors that regulate stroke volume (preload, contractility, and afterload)
- Describe the length-tension relationship (Frank-Starling relationship)
- Compare the structure and function of arteries, arterioles, capillaries, venules, and veins
- Compare the influence of blood viscosity, vessel length, and vessel diameter on resistance
- Describe the relationship between cardiac output, blood flow, blood pressure, and resistance
- Outline the baroreceptor reflex
- Compare and contrast hormones and their effect on blood pressure (epinephrine, norepinephrine, angiotensin II, ADH, ANP, aldosterone)
- Illustrate the structure and organization of vascular smooth muscle
- Outline the steps of smooth muscle contraction (emphasis on Ca2+)
- Describe the role of smooth muscle cells in influencing vascular tone
- Illustrate the role of the autonomic nervous system and other mediators on vascular resistance
- Describe the physiological responses of the autonomic nervous system, the renin-angiotensin-aldosterone system (RAAS), and the kidneys for the regulation of blood pressure
- Identify pathogenic mechanisms that increase cardiac output and total peripheral resistance
- Describe the role of peripheral autoregulatory mechanisms, endothelial cells, and electrolytes in the pathophysiology of hypertension
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