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Regulation of blood pressure

  • Blood pressure is the force exerted by circulating blood on the walls of blood vessels.

  • It is crucial to maintain optimal blood pressure for the delivery of oxygen and nutrients to tissues and organs.

  • The regulation of blood pressure involves several mechanisms:

1) Baroreceptors:

  • Location: Aortic arch and carotid arteries.

  • Function: Detect changes in blood pressure.

    • Increased BP: Baroreceptors signal the medulla oblongata to activate the parasympathetic nervous system, reducing heart rate and dilating blood vessels, lowering BP.

    • Decreased BP: Signals the sympathetic nervous system, increasing heart rate and constricting blood vessels, raising BP.

2) Renin-angiotensin-aldosterone system (RAAS):

  • Activation: Triggered by low BP or blood volume.

  • Mechanism:

    • Renin (from kidneys) converts angiotensinogen into angiotensin I.

    • Angiotensin I is converted to angiotensin II by ACE.

      • Angiotensin II causes vasoconstriction and stimulates aldosterone release, promoting sodium and water retention, increasing BP and blood volume.

3) Kidneys:

  • Function: Regulate BP by managing fluid balance.

    • High BP: Kidneys excrete more sodium and water, lowering blood volume and BP.

    • Low BP: Kidneys retain sodium and water, increasing blood volume and BP.

4) Autonomic nervous system:

  • Sympathetic: Increases heart rate, contractility, and vasoconstriction to raise BP.

  • Parasympathetic: Slows heart rate and dilates blood vessels to lower BP.

5) Local factors:

  • Vasodilation: Local tissue hypoxia, pH changes, or chemicals like nitric oxide can cause blood vessels to dilate, reducing BP.

  • Vasoconstriction: Opposite effects can increase BP.


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