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Blood Pressure
Blood Pressure
• Blood pressure is the force or pressure which the blood exerts
on the walls of the blood vessels.
• The systemic arterial blood pressure is usually called simply
arterial blood pressure.
• It is the result of the discharge of blood from the left ventricle
into the already full aorta.
• When the left ventricle contracts and pushes blood into the
aorta the pressure produced within the arterial system is
called the systolic blood pressure.
• In adults it is about 120 mmHg (millimetres of mercury).
• When complete cardiac diastole occurs and the heart is
resting following the ejection of blood, the pressure within
the arteries is called diastolic blood pressure.
• In an adult this is about 80 mmHg.
• The difference between systolic and diastolic blood pressures
is the pulse pressure.
• Factors responsible:
– Vary according to the time of day, the posture, gender and
age of the individual.
– During bedrest at night the blood pressure tends to be
lower.
– It increases with age.
• Arterial blood pressure is measured with a
sphygmomanometer and is usually expressed in the
following manner:
• BP = 120/80 mmHg
• The blood pressure is maintained within normal limits by fine
adjustments.
• Blood pressure is determined by cardiac output and
peripheral resistance:
• Blood Pressure = Cardiac Output X Peripheral Resistance
Cardiac output
• The cardiac output is determined by the stroke volume and
the heart rate.
• An increase in cardiac output raises both the systolic and
diastolic pressure.
• An increase in stroke volume increases systolic pressure more
than it does diastolic pressure.
Peripheral or arteriolar resistance
• Arterioles are the smallest arteries and they have a tunica
media composed almost entirely of smooth muscle which
responds to nerve and chemical stimulation.
• Constriction and dilatation of the arterioles are the main
determinants of peripheral resistance.
• Vasoconstriction causes blood pressure to rise and
vasodilatation causes it to fall.
Control of blood pressure (BP)
Blood pressure is controlled in two ways:
• short-term control, on a moment-to-moment basis, which mainly
involves the baroreceptor reflex, and also chemoreceptors and
circulating hormones
• long-term control, which involves regulation of blood volume by the
kidneys and the renin—angiotensin— aldosterone system.
The cardiovascular centre (CVC) is a collection of interconnected neurones in
the brain and is situated within the medulla and pons. The CVC receives,
integrates and coordinates inputs from:
– baroreceptors (pressure receptors)
– chemoreceptors
– higher centres in the brain.
• Arterial blood pressure varies even under physiological conditions.
However, immediately it is brought back to normal level because of the
presence of well organized regulatory mechanisms in the body. Body has
four such regulatory mechanisms to maintain the blood pressure within
normal limits:
A. Nervous mechanism or short term regulatory mechanism
B. Renal mechanism or long term regulatory mechanism
C. Hormonal mechanism
D. Local mechanism.
Regulation of Blood Pressure
Blood Pressure.pptx
Blood Pressure.pptx
Blood Pressure.pptx
Blood Pressure.pptx
Blood Pressure.pptx

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Blood Pressure.pptx

  • 2. Blood Pressure • Blood pressure is the force or pressure which the blood exerts on the walls of the blood vessels. • The systemic arterial blood pressure is usually called simply arterial blood pressure. • It is the result of the discharge of blood from the left ventricle into the already full aorta. • When the left ventricle contracts and pushes blood into the aorta the pressure produced within the arterial system is called the systolic blood pressure. • In adults it is about 120 mmHg (millimetres of mercury).
  • 3. • When complete cardiac diastole occurs and the heart is resting following the ejection of blood, the pressure within the arteries is called diastolic blood pressure. • In an adult this is about 80 mmHg. • The difference between systolic and diastolic blood pressures is the pulse pressure.
  • 4. • Factors responsible: – Vary according to the time of day, the posture, gender and age of the individual. – During bedrest at night the blood pressure tends to be lower. – It increases with age.
  • 5. • Arterial blood pressure is measured with a sphygmomanometer and is usually expressed in the following manner: • BP = 120/80 mmHg
  • 6. • The blood pressure is maintained within normal limits by fine adjustments. • Blood pressure is determined by cardiac output and peripheral resistance: • Blood Pressure = Cardiac Output X Peripheral Resistance
  • 7. Cardiac output • The cardiac output is determined by the stroke volume and the heart rate. • An increase in cardiac output raises both the systolic and diastolic pressure. • An increase in stroke volume increases systolic pressure more than it does diastolic pressure.
  • 8. Peripheral or arteriolar resistance • Arterioles are the smallest arteries and they have a tunica media composed almost entirely of smooth muscle which responds to nerve and chemical stimulation. • Constriction and dilatation of the arterioles are the main determinants of peripheral resistance. • Vasoconstriction causes blood pressure to rise and vasodilatation causes it to fall.
  • 9. Control of blood pressure (BP) Blood pressure is controlled in two ways: • short-term control, on a moment-to-moment basis, which mainly involves the baroreceptor reflex, and also chemoreceptors and circulating hormones • long-term control, which involves regulation of blood volume by the kidneys and the renin—angiotensin— aldosterone system. The cardiovascular centre (CVC) is a collection of interconnected neurones in the brain and is situated within the medulla and pons. The CVC receives, integrates and coordinates inputs from: – baroreceptors (pressure receptors) – chemoreceptors – higher centres in the brain.
  • 10.
  • 11. • Arterial blood pressure varies even under physiological conditions. However, immediately it is brought back to normal level because of the presence of well organized regulatory mechanisms in the body. Body has four such regulatory mechanisms to maintain the blood pressure within normal limits: A. Nervous mechanism or short term regulatory mechanism B. Renal mechanism or long term regulatory mechanism C. Hormonal mechanism D. Local mechanism. Regulation of Blood Pressure