SlideShare a Scribd company logo
General Schemaatic of HR
Control
Regulation of Cardiac Cycle
Autonomic nerve impulses alter the
activities of the S-A and A-V nodes
Overview of short-term control
mechanisms
From: Introduction to Cardiovascular physiology. J.R. Levick. Arnold 4th edition (2003)
Heart rate
Autonomic regulation
(medullary CV center):
Receives input from higher brain
centers and variety of sensory
receptors
– Proprioceptors
– Chemoreceptors
– Baroreceptors
• Sympathetic output ↑HR
and contractility
• Parasympathetic impulses
↓ HR
– Little effect on
contractility
(does not innervate
ventricular myocardium)
Heart rate
• Several factors contribute to regulation
of heart rate:
– Chemical regulation
• Cardiac activity depressed by
– Hypoxia
– Acidosis
– Alkalosis
• Hormones
– Catecholamines and thyroid hormones increase
HR and contractility
• Cations
– Alterations in balance of K+, Na+ and Ca2+ alter
HR and contractility
Heart rate
• Several other factors contribute to
regulation of heart rate:
• Age
• Gender
– Female HR higher
• Physical fitness
– Resting bradycardia
• Body temperature
– Increase causes SA node to discharge
more rapidly
PNS
• Vagus nerve (via ACh) ↓ HR by ↓ slow inflow
of Na+ and Ca++ and by ↑ the subsequent
outflow of potassium (K+).
• Acts at SA and AV nodes.
• May treat SNS-driven heart attack by
gagging or massage of carotid arteries 
activate vagal reflexes  PNS counteracts
SNS.
The Cardiovascular Stress
Response
• Get the heart to beat faster: ↑ SNS tone, ↓
PNS tone
• Norepinephrine (NE) and epinephrine (Epi) ↑
slow inflow of Na+ and Ca++  increase rate
of re-excitation in SA node.
• This ↑ Ca++ also increases contractility.
• SNS terminals also excite AV node and whole
myocardium: enhances contractility
everywhere.
Summary of long term BP
control
• Cardiac output and BP depend on renal control
of extra-cellular fluid volume via:
– Pressure natriuresis, (increased renal filtration)
– Changes in:
• Vasopressin
• Aldosterone
• Atrial natiuretic peptide
All under the control of altered cardiovascular
receptor signaling
Vasopressin
• Enhances water retention
• Causes vasoconstriction
• Secretion increased by aortic
baroreceptors and atrial sensors
http://www.cvphysiology.com/Blood%20Pressure/BP016.htm
Baroreceptor reflex
Blood pressure falls
Aortic arch Carotid sinus
Constriction of veins
& arterioles
Increased stroke
volume
Increased heart
rate
Vasoconstriction Cardiac stimulation Cardiac inhibition
Nucleus tractus solitarius
Increased peripheral
resistance
Increased cardiac
output
Increased blood
pressure
Neural integration
Sensors
Effectors

More Related Content

What's hot

Classification of nerve fibres
Classification of nerve fibresClassification of nerve fibres
Classification of nerve fibres
Fatima Mangrio
 
Cardiac Cycle.pptx
Cardiac Cycle.pptxCardiac Cycle.pptx
Cardiac Cycle.pptx
Vipin Chandran
 
Counter current mechanism
Counter current mechanismCounter current mechanism
Counter current mechanism
Smt. N.H.L. Municipal Medical college
 
Vitalography: Physiology practical
Vitalography: Physiology practicalVitalography: Physiology practical
Vitalography: Physiology practical
Dr.Ravi Dutt
 
Regulation of-arterial-blood-pressure
Regulation of-arterial-blood-pressureRegulation of-arterial-blood-pressure
Regulation of-arterial-blood-pressure
Dr Abdul Majid Siddiqui
 
SYNAPSE
SYNAPSESYNAPSE
Cardiac output (The Guyton and Hall Physiology)
Cardiac output (The Guyton and Hall Physiology)Cardiac output (The Guyton and Hall Physiology)
Cardiac output (The Guyton and Hall Physiology)
Maryam Fida
 
Neurons
NeuronsNeurons
Neurons
Michael Wrock
 
Autonomic nervous system
Autonomic nervous systemAutonomic nervous system
Autonomic nervous system
Vipin Chandran
 
TRANSPORT OF CARBON DIOXIDE
TRANSPORT OF CARBON DIOXIDETRANSPORT OF CARBON DIOXIDE
TRANSPORT OF CARBON DIOXIDE
Dr Nilesh Kate
 
JUXTA GLOMERULAR apparatus
JUXTA GLOMERULAR apparatus JUXTA GLOMERULAR apparatus
JUXTA GLOMERULAR apparatus
akash chauhan
 
Arterial blood pressure regulation
Arterial blood pressure regulationArterial blood pressure regulation
Arterial blood pressure regulation
Lubna Abu Alrub,DDS
 
Cardiac output
Cardiac outputCardiac output
Cardiac output
DrChintansinh Parmar
 
Cardiac output, blood flow, and blood pressure
Cardiac output, blood flow, and blood pressureCardiac output, blood flow, and blood pressure
Cardiac output, blood flow, and blood pressure
Chy Yong
 
Bp regulation
Bp regulationBp regulation
Bp regulation
DrChintansinh Parmar
 
Aldosterone by M.Pandian
Aldosterone by M.PandianAldosterone by M.Pandian
Aldosterone by M.Pandian
Pandian M
 
DETERMINANTS AND FACTORS AFFECTING CARDIAC OUTPUT
DETERMINANTS AND FACTORS AFFECTING CARDIAC OUTPUTDETERMINANTS AND FACTORS AFFECTING CARDIAC OUTPUT
DETERMINANTS AND FACTORS AFFECTING CARDIAC OUTPUT
akash chauhan
 
Heart rate by pandian m
Heart rate by pandian mHeart rate by pandian m
Heart rate by pandian m
Physiology Dept
 
Properties of nerve fiber by Pandian M, Dept Physiology DYPMCKOP, this ppt fo...
Properties of nerve fiber by Pandian M, Dept Physiology DYPMCKOP, this ppt fo...Properties of nerve fiber by Pandian M, Dept Physiology DYPMCKOP, this ppt fo...
Properties of nerve fiber by Pandian M, Dept Physiology DYPMCKOP, this ppt fo...
Pandian M
 
Synapses
SynapsesSynapses
Synapses
M Sohail Raza
 

What's hot (20)

Classification of nerve fibres
Classification of nerve fibresClassification of nerve fibres
Classification of nerve fibres
 
Cardiac Cycle.pptx
Cardiac Cycle.pptxCardiac Cycle.pptx
Cardiac Cycle.pptx
 
Counter current mechanism
Counter current mechanismCounter current mechanism
Counter current mechanism
 
Vitalography: Physiology practical
Vitalography: Physiology practicalVitalography: Physiology practical
Vitalography: Physiology practical
 
Regulation of-arterial-blood-pressure
Regulation of-arterial-blood-pressureRegulation of-arterial-blood-pressure
Regulation of-arterial-blood-pressure
 
SYNAPSE
SYNAPSESYNAPSE
SYNAPSE
 
Cardiac output (The Guyton and Hall Physiology)
Cardiac output (The Guyton and Hall Physiology)Cardiac output (The Guyton and Hall Physiology)
Cardiac output (The Guyton and Hall Physiology)
 
Neurons
NeuronsNeurons
Neurons
 
Autonomic nervous system
Autonomic nervous systemAutonomic nervous system
Autonomic nervous system
 
TRANSPORT OF CARBON DIOXIDE
TRANSPORT OF CARBON DIOXIDETRANSPORT OF CARBON DIOXIDE
TRANSPORT OF CARBON DIOXIDE
 
JUXTA GLOMERULAR apparatus
JUXTA GLOMERULAR apparatus JUXTA GLOMERULAR apparatus
JUXTA GLOMERULAR apparatus
 
Arterial blood pressure regulation
Arterial blood pressure regulationArterial blood pressure regulation
Arterial blood pressure regulation
 
Cardiac output
Cardiac outputCardiac output
Cardiac output
 
Cardiac output, blood flow, and blood pressure
Cardiac output, blood flow, and blood pressureCardiac output, blood flow, and blood pressure
Cardiac output, blood flow, and blood pressure
 
Bp regulation
Bp regulationBp regulation
Bp regulation
 
Aldosterone by M.Pandian
Aldosterone by M.PandianAldosterone by M.Pandian
Aldosterone by M.Pandian
 
DETERMINANTS AND FACTORS AFFECTING CARDIAC OUTPUT
DETERMINANTS AND FACTORS AFFECTING CARDIAC OUTPUTDETERMINANTS AND FACTORS AFFECTING CARDIAC OUTPUT
DETERMINANTS AND FACTORS AFFECTING CARDIAC OUTPUT
 
Heart rate by pandian m
Heart rate by pandian mHeart rate by pandian m
Heart rate by pandian m
 
Properties of nerve fiber by Pandian M, Dept Physiology DYPMCKOP, this ppt fo...
Properties of nerve fiber by Pandian M, Dept Physiology DYPMCKOP, this ppt fo...Properties of nerve fiber by Pandian M, Dept Physiology DYPMCKOP, this ppt fo...
Properties of nerve fiber by Pandian M, Dept Physiology DYPMCKOP, this ppt fo...
 
Synapses
SynapsesSynapses
Synapses
 

Similar to Control of heart rate BY PANDIAN M

Maintaining homeostatic mean arterial blood pressure
Maintaining homeostatic mean arterial blood pressureMaintaining homeostatic mean arterial blood pressure
Maintaining homeostatic mean arterial blood pressure
dwp_18
 
BP_Control.ppt physology1.ppt
BP_Control.ppt physology1.pptBP_Control.ppt physology1.ppt
BP_Control.ppt physology1.ppt
AdelSALLAM4
 
BP_Control.ppt physology1.ppt
BP_Control.ppt physology1.pptBP_Control.ppt physology1.ppt
BP_Control.ppt physology1.ppt
AdelSALLAM4
 
Heart rate
Heart rateHeart rate
Regulation of blood pressure
Regulation of blood pressureRegulation of blood pressure
Regulation of blood pressure
Ali Mansoor
 
cardiac output,
cardiac output, cardiac output,
cardiac output,
Javeed Ghoghari
 
cardiac physiology
cardiac physiologycardiac physiology
cardiac physiology
HETA PATEL
 
Cvs7
Cvs7Cvs7
Types of Heart Activity (Autoregulation of heart)
Types of Heart Activity (Autoregulation of heart)Types of Heart Activity (Autoregulation of heart)
Types of Heart Activity (Autoregulation of heart)
Hitesh Kumar Godra
 
Physiology of Blood Pressure - Regulation
Physiology of Blood Pressure - RegulationPhysiology of Blood Pressure - Regulation
Physiology of Blood Pressure - Regulation
DeevenaHadassah
 
Cardio Function 2015
Cardio Function 2015Cardio Function 2015
Cardio Function 2015
Nhelia Santos Perez
 
Cardiac Cycle and Anaesthetic Implications
Cardiac Cycle and Anaesthetic ImplicationsCardiac Cycle and Anaesthetic Implications
Cardiac Cycle and Anaesthetic Implications
Parthasarathi Ghosh
 
bloodpressuremechanism-100423102316-phpapp01.pptx
bloodpressuremechanism-100423102316-phpapp01.pptxbloodpressuremechanism-100423102316-phpapp01.pptx
bloodpressuremechanism-100423102316-phpapp01.pptx
NaziaUzma3
 
B p control mechanism
B p control mechanismB p control mechanism
B p control mechanism
mauryaramgopal
 
Nervous and hormonal regulation of heart beat.pptx
Nervous and hormonal regulation of heart beat.pptxNervous and hormonal regulation of heart beat.pptx
Nervous and hormonal regulation of heart beat.pptx
Vidushirastogi17
 
circulation2
circulation2circulation2
circulation2
Burhan Umer
 
Upload circulation2
Upload circulation2Upload circulation2
Upload circulation2
Physiology Lectures
 
7. BP 3.ppsx
7. BP 3.ppsx7. BP 3.ppsx
7. BP 3.ppsx
AffanAbbas4
 
Cardiac physiology
Cardiac physiologyCardiac physiology
Cardiac physiology
Tirtha Raj Bhandari,MD
 
Cardiovascular regulation
Cardiovascular regulationCardiovascular regulation
Cardiovascular regulation
Virinderpal Singh Chauhan
 

Similar to Control of heart rate BY PANDIAN M (20)

Maintaining homeostatic mean arterial blood pressure
Maintaining homeostatic mean arterial blood pressureMaintaining homeostatic mean arterial blood pressure
Maintaining homeostatic mean arterial blood pressure
 
BP_Control.ppt physology1.ppt
BP_Control.ppt physology1.pptBP_Control.ppt physology1.ppt
BP_Control.ppt physology1.ppt
 
BP_Control.ppt physology1.ppt
BP_Control.ppt physology1.pptBP_Control.ppt physology1.ppt
BP_Control.ppt physology1.ppt
 
Heart rate
Heart rateHeart rate
Heart rate
 
Regulation of blood pressure
Regulation of blood pressureRegulation of blood pressure
Regulation of blood pressure
 
cardiac output,
cardiac output, cardiac output,
cardiac output,
 
cardiac physiology
cardiac physiologycardiac physiology
cardiac physiology
 
Cvs7
Cvs7Cvs7
Cvs7
 
Types of Heart Activity (Autoregulation of heart)
Types of Heart Activity (Autoregulation of heart)Types of Heart Activity (Autoregulation of heart)
Types of Heart Activity (Autoregulation of heart)
 
Physiology of Blood Pressure - Regulation
Physiology of Blood Pressure - RegulationPhysiology of Blood Pressure - Regulation
Physiology of Blood Pressure - Regulation
 
Cardio Function 2015
Cardio Function 2015Cardio Function 2015
Cardio Function 2015
 
Cardiac Cycle and Anaesthetic Implications
Cardiac Cycle and Anaesthetic ImplicationsCardiac Cycle and Anaesthetic Implications
Cardiac Cycle and Anaesthetic Implications
 
bloodpressuremechanism-100423102316-phpapp01.pptx
bloodpressuremechanism-100423102316-phpapp01.pptxbloodpressuremechanism-100423102316-phpapp01.pptx
bloodpressuremechanism-100423102316-phpapp01.pptx
 
B p control mechanism
B p control mechanismB p control mechanism
B p control mechanism
 
Nervous and hormonal regulation of heart beat.pptx
Nervous and hormonal regulation of heart beat.pptxNervous and hormonal regulation of heart beat.pptx
Nervous and hormonal regulation of heart beat.pptx
 
circulation2
circulation2circulation2
circulation2
 
Upload circulation2
Upload circulation2Upload circulation2
Upload circulation2
 
7. BP 3.ppsx
7. BP 3.ppsx7. BP 3.ppsx
7. BP 3.ppsx
 
Cardiac physiology
Cardiac physiologyCardiac physiology
Cardiac physiology
 
Cardiovascular regulation
Cardiovascular regulationCardiovascular regulation
Cardiovascular regulation
 

More from Pandian M

Optics of Vision II - photochemistry dyp.pptx
Optics of Vision II - photochemistry dyp.pptxOptics of Vision II - photochemistry dyp.pptx
Optics of Vision II - photochemistry dyp.pptx
Pandian M
 
Thalamus .ppt
Thalamus .pptThalamus .ppt
Thalamus .ppt
Pandian M
 
Pulmonary Surfactant for MBBS .pptx
Pulmonary Surfactant for MBBS .pptxPulmonary Surfactant for MBBS .pptx
Pulmonary Surfactant for MBBS .pptx
Pandian M
 
What does it mean by Patient.pptx
What does it mean by Patient.pptxWhat does it mean by Patient.pptx
What does it mean by Patient.pptx
Pandian M
 
WBC formation and regulation.pptx
WBC formation and regulation.pptxWBC formation and regulation.pptx
WBC formation and regulation.pptx
Pandian M
 
Introduction to CVS ZMCh.pptx
Introduction to CVS ZMCh.pptxIntroduction to CVS ZMCh.pptx
Introduction to CVS ZMCh.pptx
Pandian M
 
Properties of CM, Plateau Potential & Pacemaker.pptx
Properties of  CM, Plateau Potential & Pacemaker.pptxProperties of  CM, Plateau Potential & Pacemaker.pptx
Properties of CM, Plateau Potential & Pacemaker.pptx
Pandian M
 
Urine formation 2 zydus.pptx
Urine formation 2 zydus.pptxUrine formation 2 zydus.pptx
Urine formation 2 zydus.pptx
Pandian M
 
Urine formation -1 zydus.pptx
Urine formation -1 zydus.pptxUrine formation -1 zydus.pptx
Urine formation -1 zydus.pptx
Pandian M
 
Bladder, Micturition and Applied 2023.pptx
Bladder, Micturition and Applied 2023.pptxBladder, Micturition and Applied 2023.pptx
Bladder, Micturition and Applied 2023.pptx
Pandian M
 
THE COUNTERCURRENT.pptx
THE COUNTERCURRENT.pptxTHE COUNTERCURRENT.pptx
THE COUNTERCURRENT.pptx
Pandian M
 
ARTIFICIAL KIDNEY , DIALYSIS AND RENAL TRANSPLANT.ppt
ARTIFICIAL KIDNEY , DIALYSIS AND RENAL TRANSPLANT.pptARTIFICIAL KIDNEY , DIALYSIS AND RENAL TRANSPLANT.ppt
ARTIFICIAL KIDNEY , DIALYSIS AND RENAL TRANSPLANT.ppt
Pandian M
 
Applied aspects of Kidney and RFT by Dr. MP.pptx
Applied aspects of Kidney and RFT by Dr. MP.pptxApplied aspects of Kidney and RFT by Dr. MP.pptx
Applied aspects of Kidney and RFT by Dr. MP.pptx
Pandian M
 
Neuromuscular Junction (NMJ).pptx
Neuromuscular Junction (NMJ).pptxNeuromuscular Junction (NMJ).pptx
Neuromuscular Junction (NMJ).pptx
Pandian M
 
Degeneration & regeneration of nerve fiber.ppt by Dr. PANDIAN M.
Degeneration & regeneration of nerve fiber.ppt by Dr. PANDIAN M.Degeneration & regeneration of nerve fiber.ppt by Dr. PANDIAN M.
Degeneration & regeneration of nerve fiber.ppt by Dr. PANDIAN M.
Pandian M
 
Haemoglobin.pptx
Haemoglobin.pptxHaemoglobin.pptx
Haemoglobin.pptx
Pandian M
 
composition of blood - BPTH 2022.pptx
composition of blood - BPTH 2022.pptxcomposition of blood - BPTH 2022.pptx
composition of blood - BPTH 2022.pptx
Pandian M
 
composition of blood.pptx
composition of blood.pptxcomposition of blood.pptx
composition of blood.pptx
Pandian M
 
Determination of WBC count by Dr. Pandian M..pptx
Determination of WBC count by Dr. Pandian M..pptxDetermination of WBC count by Dr. Pandian M..pptx
Determination of WBC count by Dr. Pandian M..pptx
Pandian M
 
PLATELET COUNT by Dr. Pandian M .pptx
PLATELET COUNT by Dr. Pandian M .pptxPLATELET COUNT by Dr. Pandian M .pptx
PLATELET COUNT by Dr. Pandian M .pptx
Pandian M
 

More from Pandian M (20)

Optics of Vision II - photochemistry dyp.pptx
Optics of Vision II - photochemistry dyp.pptxOptics of Vision II - photochemistry dyp.pptx
Optics of Vision II - photochemistry dyp.pptx
 
Thalamus .ppt
Thalamus .pptThalamus .ppt
Thalamus .ppt
 
Pulmonary Surfactant for MBBS .pptx
Pulmonary Surfactant for MBBS .pptxPulmonary Surfactant for MBBS .pptx
Pulmonary Surfactant for MBBS .pptx
 
What does it mean by Patient.pptx
What does it mean by Patient.pptxWhat does it mean by Patient.pptx
What does it mean by Patient.pptx
 
WBC formation and regulation.pptx
WBC formation and regulation.pptxWBC formation and regulation.pptx
WBC formation and regulation.pptx
 
Introduction to CVS ZMCh.pptx
Introduction to CVS ZMCh.pptxIntroduction to CVS ZMCh.pptx
Introduction to CVS ZMCh.pptx
 
Properties of CM, Plateau Potential & Pacemaker.pptx
Properties of  CM, Plateau Potential & Pacemaker.pptxProperties of  CM, Plateau Potential & Pacemaker.pptx
Properties of CM, Plateau Potential & Pacemaker.pptx
 
Urine formation 2 zydus.pptx
Urine formation 2 zydus.pptxUrine formation 2 zydus.pptx
Urine formation 2 zydus.pptx
 
Urine formation -1 zydus.pptx
Urine formation -1 zydus.pptxUrine formation -1 zydus.pptx
Urine formation -1 zydus.pptx
 
Bladder, Micturition and Applied 2023.pptx
Bladder, Micturition and Applied 2023.pptxBladder, Micturition and Applied 2023.pptx
Bladder, Micturition and Applied 2023.pptx
 
THE COUNTERCURRENT.pptx
THE COUNTERCURRENT.pptxTHE COUNTERCURRENT.pptx
THE COUNTERCURRENT.pptx
 
ARTIFICIAL KIDNEY , DIALYSIS AND RENAL TRANSPLANT.ppt
ARTIFICIAL KIDNEY , DIALYSIS AND RENAL TRANSPLANT.pptARTIFICIAL KIDNEY , DIALYSIS AND RENAL TRANSPLANT.ppt
ARTIFICIAL KIDNEY , DIALYSIS AND RENAL TRANSPLANT.ppt
 
Applied aspects of Kidney and RFT by Dr. MP.pptx
Applied aspects of Kidney and RFT by Dr. MP.pptxApplied aspects of Kidney and RFT by Dr. MP.pptx
Applied aspects of Kidney and RFT by Dr. MP.pptx
 
Neuromuscular Junction (NMJ).pptx
Neuromuscular Junction (NMJ).pptxNeuromuscular Junction (NMJ).pptx
Neuromuscular Junction (NMJ).pptx
 
Degeneration & regeneration of nerve fiber.ppt by Dr. PANDIAN M.
Degeneration & regeneration of nerve fiber.ppt by Dr. PANDIAN M.Degeneration & regeneration of nerve fiber.ppt by Dr. PANDIAN M.
Degeneration & regeneration of nerve fiber.ppt by Dr. PANDIAN M.
 
Haemoglobin.pptx
Haemoglobin.pptxHaemoglobin.pptx
Haemoglobin.pptx
 
composition of blood - BPTH 2022.pptx
composition of blood - BPTH 2022.pptxcomposition of blood - BPTH 2022.pptx
composition of blood - BPTH 2022.pptx
 
composition of blood.pptx
composition of blood.pptxcomposition of blood.pptx
composition of blood.pptx
 
Determination of WBC count by Dr. Pandian M..pptx
Determination of WBC count by Dr. Pandian M..pptxDetermination of WBC count by Dr. Pandian M..pptx
Determination of WBC count by Dr. Pandian M..pptx
 
PLATELET COUNT by Dr. Pandian M .pptx
PLATELET COUNT by Dr. Pandian M .pptxPLATELET COUNT by Dr. Pandian M .pptx
PLATELET COUNT by Dr. Pandian M .pptx
 

Recently uploaded

Call Girl Pune 7339748667 Vip Call Girls Pune
Call Girl Pune 7339748667 Vip Call Girls PuneCall Girl Pune 7339748667 Vip Call Girls Pune
Call Girl Pune 7339748667 Vip Call Girls Pune
Mobile Problem
 
2nd-generation Antihistaminic Part I.pptx
2nd-generation Antihistaminic Part I.pptx2nd-generation Antihistaminic Part I.pptx
2nd-generation Antihistaminic Part I.pptx
Madhumita Dixit
 
Public Health Lecture 4 Social Sciences and Public Health
Public Health Lecture 4 Social Sciences and Public HealthPublic Health Lecture 4 Social Sciences and Public Health
Public Health Lecture 4 Social Sciences and Public Health
phuakl
 
Nutritional deficiency disorder in Child
Nutritional deficiency disorder in ChildNutritional deficiency disorder in Child
Nutritional deficiency disorder in Child
Bhavyakelawadiya
 
Call Girls Electronic City 🥰 Bangalore Call Girl No Advance Book Now
Call Girls Electronic City 🥰 Bangalore Call Girl No Advance Book NowCall Girls Electronic City 🥰 Bangalore Call Girl No Advance Book Now
Call Girls Electronic City 🥰 Bangalore Call Girl No Advance Book Now
saftyhealth48
 
Call Girls Lucknow 9024918724 Vip Call Girls Lucknow
Call Girls Lucknow 9024918724 Vip Call Girls LucknowCall Girls Lucknow 9024918724 Vip Call Girls Lucknow
Call Girls Lucknow 9024918724 Vip Call Girls Lucknow
nandinirastogi03
 
Can Traditional Chinese Medicine Treat Blocked Fallopian Tubes.pptx
Can Traditional Chinese Medicine Treat Blocked Fallopian Tubes.pptxCan Traditional Chinese Medicine Treat Blocked Fallopian Tubes.pptx
Can Traditional Chinese Medicine Treat Blocked Fallopian Tubes.pptx
FFragrant
 
GYPSUM PRODUCTS AND ITS CLINICAL IMPLICATIONS
GYPSUM PRODUCTS AND ITS CLINICAL IMPLICATIONSGYPSUM PRODUCTS AND ITS CLINICAL IMPLICATIONS
GYPSUM PRODUCTS AND ITS CLINICAL IMPLICATIONS
PrashansaVaikunthe1
 
One piece compressive Dental implant : data from Google Scholar
One piece  compressive  Dental implant : data from Google Scholar One piece  compressive  Dental implant : data from Google Scholar
One piece compressive Dental implant : data from Google Scholar
rafadjoko11
 
Storyboard on Skin- Innovative Learning (M-pharm) 2nd sem. (Cosmetics)
Storyboard on Skin- Innovative Learning (M-pharm) 2nd sem. (Cosmetics)Storyboard on Skin- Innovative Learning (M-pharm) 2nd sem. (Cosmetics)
Storyboard on Skin- Innovative Learning (M-pharm) 2nd sem. (Cosmetics)
MuskanShingari
 
Nano-gold for Cancer Therapy chemistry investigatory project
Nano-gold for Cancer Therapy chemistry investigatory projectNano-gold for Cancer Therapy chemistry investigatory project
Nano-gold for Cancer Therapy chemistry investigatory project
SIVAVINAYAKPK
 
RESPIRATORY DISEASES by bhavya kelavadiya
RESPIRATORY DISEASES by bhavya kelavadiyaRESPIRATORY DISEASES by bhavya kelavadiya
RESPIRATORY DISEASES by bhavya kelavadiya
Bhavyakelawadiya
 
mortality & morbidity indicators of health .pptx
mortality & morbidity indicators of health .pptxmortality & morbidity indicators of health .pptx
mortality & morbidity indicators of health .pptx
swarnkarmadhu
 
Tele Optometry (kunj'sppt) / Basics of tele optometry.
Tele Optometry (kunj'sppt) / Basics of tele optometry.Tele Optometry (kunj'sppt) / Basics of tele optometry.
Tele Optometry (kunj'sppt) / Basics of tele optometry.
Kunj Vihari
 
biomechanics of running. Dr.dhwani.pptx
biomechanics of running.   Dr.dhwani.pptxbiomechanics of running.   Dr.dhwani.pptx
biomechanics of running. Dr.dhwani.pptx
Dr. Dhwani kawedia
 
Digital Smile Design-An innovative tool in aesthetic dentistry.pptx
Digital Smile Design-An innovative tool in aesthetic dentistry.pptxDigital Smile Design-An innovative tool in aesthetic dentistry.pptx
Digital Smile Design-An innovative tool in aesthetic dentistry.pptx
Swathi Gayatri
 
All about shoulder Joint ..
All about shoulder Joint .. All about shoulder Joint ..
All about shoulder Joint ..
Aya Reyad
 
Applications of NMR in Protein Structure Prediction.pptx
Applications of NMR in Protein Structure Prediction.pptxApplications of NMR in Protein Structure Prediction.pptx
Applications of NMR in Protein Structure Prediction.pptx
Anagha R Anil
 
Microbiology & Parasitology Exercises Parts of the Microscope
Microbiology & Parasitology Exercises Parts of the MicroscopeMicrobiology & Parasitology Exercises Parts of the Microscope
Microbiology & Parasitology Exercises Parts of the Microscope
ThaShee2
 
2nd generation Antihistaminic-Part II.pptx
2nd generation Antihistaminic-Part II.pptx2nd generation Antihistaminic-Part II.pptx
2nd generation Antihistaminic-Part II.pptx
Madhumita Dixit
 

Recently uploaded (20)

Call Girl Pune 7339748667 Vip Call Girls Pune
Call Girl Pune 7339748667 Vip Call Girls PuneCall Girl Pune 7339748667 Vip Call Girls Pune
Call Girl Pune 7339748667 Vip Call Girls Pune
 
2nd-generation Antihistaminic Part I.pptx
2nd-generation Antihistaminic Part I.pptx2nd-generation Antihistaminic Part I.pptx
2nd-generation Antihistaminic Part I.pptx
 
Public Health Lecture 4 Social Sciences and Public Health
Public Health Lecture 4 Social Sciences and Public HealthPublic Health Lecture 4 Social Sciences and Public Health
Public Health Lecture 4 Social Sciences and Public Health
 
Nutritional deficiency disorder in Child
Nutritional deficiency disorder in ChildNutritional deficiency disorder in Child
Nutritional deficiency disorder in Child
 
Call Girls Electronic City 🥰 Bangalore Call Girl No Advance Book Now
Call Girls Electronic City 🥰 Bangalore Call Girl No Advance Book NowCall Girls Electronic City 🥰 Bangalore Call Girl No Advance Book Now
Call Girls Electronic City 🥰 Bangalore Call Girl No Advance Book Now
 
Call Girls Lucknow 9024918724 Vip Call Girls Lucknow
Call Girls Lucknow 9024918724 Vip Call Girls LucknowCall Girls Lucknow 9024918724 Vip Call Girls Lucknow
Call Girls Lucknow 9024918724 Vip Call Girls Lucknow
 
Can Traditional Chinese Medicine Treat Blocked Fallopian Tubes.pptx
Can Traditional Chinese Medicine Treat Blocked Fallopian Tubes.pptxCan Traditional Chinese Medicine Treat Blocked Fallopian Tubes.pptx
Can Traditional Chinese Medicine Treat Blocked Fallopian Tubes.pptx
 
GYPSUM PRODUCTS AND ITS CLINICAL IMPLICATIONS
GYPSUM PRODUCTS AND ITS CLINICAL IMPLICATIONSGYPSUM PRODUCTS AND ITS CLINICAL IMPLICATIONS
GYPSUM PRODUCTS AND ITS CLINICAL IMPLICATIONS
 
One piece compressive Dental implant : data from Google Scholar
One piece  compressive  Dental implant : data from Google Scholar One piece  compressive  Dental implant : data from Google Scholar
One piece compressive Dental implant : data from Google Scholar
 
Storyboard on Skin- Innovative Learning (M-pharm) 2nd sem. (Cosmetics)
Storyboard on Skin- Innovative Learning (M-pharm) 2nd sem. (Cosmetics)Storyboard on Skin- Innovative Learning (M-pharm) 2nd sem. (Cosmetics)
Storyboard on Skin- Innovative Learning (M-pharm) 2nd sem. (Cosmetics)
 
Nano-gold for Cancer Therapy chemistry investigatory project
Nano-gold for Cancer Therapy chemistry investigatory projectNano-gold for Cancer Therapy chemistry investigatory project
Nano-gold for Cancer Therapy chemistry investigatory project
 
RESPIRATORY DISEASES by bhavya kelavadiya
RESPIRATORY DISEASES by bhavya kelavadiyaRESPIRATORY DISEASES by bhavya kelavadiya
RESPIRATORY DISEASES by bhavya kelavadiya
 
mortality & morbidity indicators of health .pptx
mortality & morbidity indicators of health .pptxmortality & morbidity indicators of health .pptx
mortality & morbidity indicators of health .pptx
 
Tele Optometry (kunj'sppt) / Basics of tele optometry.
Tele Optometry (kunj'sppt) / Basics of tele optometry.Tele Optometry (kunj'sppt) / Basics of tele optometry.
Tele Optometry (kunj'sppt) / Basics of tele optometry.
 
biomechanics of running. Dr.dhwani.pptx
biomechanics of running.   Dr.dhwani.pptxbiomechanics of running.   Dr.dhwani.pptx
biomechanics of running. Dr.dhwani.pptx
 
Digital Smile Design-An innovative tool in aesthetic dentistry.pptx
Digital Smile Design-An innovative tool in aesthetic dentistry.pptxDigital Smile Design-An innovative tool in aesthetic dentistry.pptx
Digital Smile Design-An innovative tool in aesthetic dentistry.pptx
 
All about shoulder Joint ..
All about shoulder Joint .. All about shoulder Joint ..
All about shoulder Joint ..
 
Applications of NMR in Protein Structure Prediction.pptx
Applications of NMR in Protein Structure Prediction.pptxApplications of NMR in Protein Structure Prediction.pptx
Applications of NMR in Protein Structure Prediction.pptx
 
Microbiology & Parasitology Exercises Parts of the Microscope
Microbiology & Parasitology Exercises Parts of the MicroscopeMicrobiology & Parasitology Exercises Parts of the Microscope
Microbiology & Parasitology Exercises Parts of the Microscope
 
2nd generation Antihistaminic-Part II.pptx
2nd generation Antihistaminic-Part II.pptx2nd generation Antihistaminic-Part II.pptx
2nd generation Antihistaminic-Part II.pptx
 

Control of heart rate BY PANDIAN M

  • 2. Regulation of Cardiac Cycle Autonomic nerve impulses alter the activities of the S-A and A-V nodes
  • 3. Overview of short-term control mechanisms From: Introduction to Cardiovascular physiology. J.R. Levick. Arnold 4th edition (2003)
  • 4. Heart rate Autonomic regulation (medullary CV center): Receives input from higher brain centers and variety of sensory receptors – Proprioceptors – Chemoreceptors – Baroreceptors • Sympathetic output ↑HR and contractility • Parasympathetic impulses ↓ HR – Little effect on contractility (does not innervate ventricular myocardium)
  • 5. Heart rate • Several factors contribute to regulation of heart rate: – Chemical regulation • Cardiac activity depressed by – Hypoxia – Acidosis – Alkalosis • Hormones – Catecholamines and thyroid hormones increase HR and contractility • Cations – Alterations in balance of K+, Na+ and Ca2+ alter HR and contractility
  • 6. Heart rate • Several other factors contribute to regulation of heart rate: • Age • Gender – Female HR higher • Physical fitness – Resting bradycardia • Body temperature – Increase causes SA node to discharge more rapidly
  • 7. PNS • Vagus nerve (via ACh) ↓ HR by ↓ slow inflow of Na+ and Ca++ and by ↑ the subsequent outflow of potassium (K+). • Acts at SA and AV nodes. • May treat SNS-driven heart attack by gagging or massage of carotid arteries  activate vagal reflexes  PNS counteracts SNS.
  • 8. The Cardiovascular Stress Response • Get the heart to beat faster: ↑ SNS tone, ↓ PNS tone • Norepinephrine (NE) and epinephrine (Epi) ↑ slow inflow of Na+ and Ca++  increase rate of re-excitation in SA node. • This ↑ Ca++ also increases contractility. • SNS terminals also excite AV node and whole myocardium: enhances contractility everywhere.
  • 9. Summary of long term BP control • Cardiac output and BP depend on renal control of extra-cellular fluid volume via: – Pressure natriuresis, (increased renal filtration) – Changes in: • Vasopressin • Aldosterone • Atrial natiuretic peptide All under the control of altered cardiovascular receptor signaling
  • 10. Vasopressin • Enhances water retention • Causes vasoconstriction • Secretion increased by aortic baroreceptors and atrial sensors http://www.cvphysiology.com/Blood%20Pressure/BP016.htm
  • 11. Baroreceptor reflex Blood pressure falls Aortic arch Carotid sinus Constriction of veins & arterioles Increased stroke volume Increased heart rate Vasoconstriction Cardiac stimulation Cardiac inhibition Nucleus tractus solitarius Increased peripheral resistance Increased cardiac output Increased blood pressure Neural integration Sensors Effectors