Circulatory receptors and reflexes

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  • Опубліковано 10 лип 2024
  • Circulatory receptors and reflexes
    This is a video on circulatory receptors and reflexes, mainly covering baroreceptors but also others.
    ADDITIONAL TAGS:
    Baroreceptor: ↑ blood pressure → activate stretch receptors → CNS → autonomic efferents → ↓ BP. Origins:
    Aortic arch wall → efferent via vagus → tractus solitarius in medulla
    Carotid sinuses (above carotid bifurcation in internal carotid) → small Hering’s nerves → glossopharyngeal nerve → tractus solitarius
    Reflexes:
    Response to low blood pressure:
    Alpha-1 receptors → vasoconstriction
    Both arteries (↑ SVR) and veins (↑ blood return to heart)
    Beta-1 receptors → increase cardiac activity
    Response high blood pressure:
    Inhibit vasoconstriction center in medulla → ↓ peripheral resistance
    Parasympathetic muscarinic receptors → ↓ HR and mildly ↓ cardiac contractility → ↓ CO
    Abdominal compression reflex: baroreceptors → ↑ sympathetic output → constricting abdominal muscle vascular pools → ↑ venous return to the heart
    Atrial volume reflex: ↑ atrial stretch → (1) dilation of afferent arterioles to the kidney, (2) ↓ antidiuretic hormone secretion from hypothalamus, and (3) ↑ atrial natriuretic hormone → ↑ loss of fluid via the kidneys.
    Bainbridge reflex (atrial heart control reflex): Atrial stretch → sympathetic stimulation → ↑ increased heart rate and contractility
    Bezold-Jarisch reflex: Stimulation of chemoreceptors and mechanoreceptors in the left ventricle → parasympathetic response → hypotension, bradycardia, and coronary artery dilation.
    Chemoreceptor reflex: ↓ blood pressure and other factors (↓ partial oxygen pressure, ↑ hydrogen ion concentration, and ↑ carbon dioxide) → carotid body and aortic body receptors → glossopharyngeal and vagus nerves → vasomotor centers → ↑ respiratory drive, ↑ parasympathetic activity, and ↑ sympathetic activity if hypoxia is prolonged
    Central nervous system ischemic response: Brain ischemia? → ↑ CO2 levels → ↑ sympathetic output → ↑ vasoconstrictor and cardiac function
    If ischemia is caused by ↑ intracranial pressure → sympathetic → arterial baroreceptors → reflexive decrease in heart rate
    Cushing’s reflex: ↑ ICP, ↑ BP, ↓ HR
    Oculocardiac reflex: ↑ ocular pressure → stretch receptors → ciliary nerve, ophthalmic division of the trigeminal nerve, and then trigeminal nerve to the trigeminal ganglion → vagus nerve → ↑ parasympathetic → ↓ heart rate.

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