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What is the short-intermediate and long-term mechanisms of blood pressure regulation?

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When blood pressure is outside of this normal range of values, people can start to have problems in both the long and short term. Our body tries to maintain a stable blood pressure in the process of homeostasis. Blood pressure is measured using an automated blood pressure monitor, or manually using a stethoscope and sphygmomanometer. Fig 1 — A sphygmomanometer and stethoscope being used to measure blood pressure. Changes in blood pressure are detected by baroreceptors.

These are located in the arch of the aorta and the carotid sinus. Baroreceptors cannot regulate blood pressure long-term.

This is because the mechanism of triggering baroreceptors resets its elf once a more adequate blood pressure is restored. There are several physiological mechanisms that regulate blood pressure in the long-term, the first of which is the renin-angiotensin-aldosterone system RAAS. Renin is a peptide hormone released by the granular cells of the juxtaglomerular apparatus in the kidney. It is released in response to:. Renin facilitates the conversion of angiotensinogen to angiotensin I which is then converted to angiotensin II using angiotensin-converting enzyme ACE.

Angiotensin II is a potent vasoconstrictor. It acts directly on the kidney to increase sodium reabsorption in the proximal convoluted tubule. Sodium is reabsorbed via the sodium-hydrogen exchanger. Angiotensin II also promotes release of aldosterone. ACE also breaks down a substance called bradykinin which is a potent vasodilator. Therefore, the breakdown of bradykinin potentiates the overall constricting effect. Aldosterone promotes salt and water retention by acting at the distal convoluted tubule to increase expression of epithelial sodium channels.

Furthermore, aldosterone increases the activity of the basolateral sodium-potassium ATP-ase, thus i ncreasing the electrochemical gradien t for movement of sodium ions. More sodium collects in the kidney tissue and water then follows by osmosis. This results in decreased water excretion and therefore increased blood volume and thus blood pressure.

The second mechanism by which blood pressure is regulated is release of Anti Diuretic Hormone ADH from the OVLT of the hypothalamus in response to thirst or an increased plasma osmolarity.

ADH acts to increase the permeability of the collecting duct to water by inserting aquaporin channels AQP2 into the apical membrane. It also stimulates sodium reabsorption from the thick ascending limb of the loop of Henle.

This increases water reabsorption thus increasing plasma volume and decreasing osmolarity. Other factors that can affect long-term regulation of blood pressure are natriuretic peptides.

Hypertension is defined as a sustained increase in blood pressure. Hypertension causes damage to the walls of blood vessels, making them weaker. This leads to a number of pathologies including atherosclerosis, thromboembolism progressing to MI or stroke and aneurysms. Conversely, a decrease in the mean arterial pressure slows the rate of firing gene rated by the afferent neuron s by the baroreceptors.

The integrating center that receives the afferent impulses about the state of mean arterial pressures is the Cardiovascular control center , which is located in the medulla within the brain stem. The efferent pathway is the autonomic nervous system. The cardiovascular control center alters the ration between sympathetic and parasympathetic activity to the effector organ s heart and blood vessels.

To put all the pieces of the baroreceptor reflex together we will trace the reflex activity that compensates for an elevation or fall in blood pressure. If for any reason at all the mean arterial pressures rises above normal, the carotid sinus and aortic arch baroreceptors increase the rate of firing in their respective afferent neuron s.

On being informed by an increased afferent firing that the blood pressure has become too high, the cardiovascular control center responds by decreasing sympathetic and increasing parasympathetic activity to the cardiovascular system. These efferent signals decrease heart rate, decrease stroke volume and produce arteriolar and venous vasodilation, which in turn leads to a decrease in CO and a decrease in TPR, with an ensuing fall in blood pressure back toward normal.

Contrariwise, when blood pressure falls below normal, baroreceptor activity decreases, inducing the cardiovascular center to increase sympathetic cardiac and vasoconstrictor nerve activity while decreasing its parasympathetic output. This efferent pattern of activity leads to an increase in heart rate and stoke volume, coupled with arteriolar and venous vasoconstriction. Leslie Samuel is the creator of Interactive Biology. His mission is to use this site to Make Biology fun for people all over the world.

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By the feet the MAP is increased because the blood has to move against gravity THEREFORE Blood pressure is always measured at the level of the heart Arteriole Diastolic Pressure Pressure value at which pressure in .

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Long-term control of arterial blood pressure. Cowley AW Jr(1). Author information: (1)Department of Physiology, Medical College of Wisconsin, Milwaukee. Two concepts for the long-term regulation of arterial pressure were considered in this review, the neural control hypothesis and the volume regulation hypothesis.

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Long-term (requiring minutes to days) control involves adjusting total blood volume by restoring normal salt and water balance through mechanisms that regulate urine output and thirst. The size of total blood volume, in turn, has a profound effect on cardiac output and mean arterial pressure. Long-Term Regulation of Blood Pressure There are several physiological mechanisms that regulate blood pressure in the long-term, the first of which is the renin-angiotensin-aldosterone system (RAAS)/5(12).

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Long-term regulation of blood pressure. These mechanisms are responsible for maintaining arterial blood pressure within a narrow range for long periods of time, by regulating the volume and composition of blood. (2) long-term mechanisms, which regulate blood volume Page 2. Goals • To compare and contrast the short-term mechanisms that respond to rising blood pressure with the short-term mechanisms that respond to falling blood pressure. • To understand the process of long-term regulation of low blood pressure.