Anatomy & Physiology: The Unity of Form and Function, 7th Edition

Published by McGraw-Hill Education
ISBN 10: 0073403717
ISBN 13: 978-0-07340-371-7

Chapter 20 - Section 20.2 - Study Guide - Assess Your Learning Outcomes - Page 798: 15

Answer

**Short-Term Mechanisms of Local Control of Blood Flow:** Short-term mechanisms of local blood flow control, also known as acute mechanisms, involve rapid adjustments to meet the immediate metabolic demands of tissues. These mechanisms ensure that tissues receive sufficient oxygen and nutrients while removing waste products. Some short-term mechanisms include: - **Metabolic Autoregulation:** Metabolically active tissues release vasodilator substances (e.g., adenosine, nitric oxide) in response to increased metabolic activity. These substances relax smooth muscle in arterioles, causing vasodilation and increasing blood flow to match the tissue's needs. - **Myogenic Autoregulation:** When blood pressure increases, arterioles can respond by constricting due to stretch-sensitive mechanisms in their smooth muscle. This helps maintain a consistent blood flow despite changes in systemic pressure. **Long-Term Mechanisms of Local Control of Blood Flow:** Long-term mechanisms, also known as intrinsic mechanisms, involve gradual changes in response to sustained changes in tissue demands. These mechanisms contribute to the long-term adaptation of blood vessels to meet chronic needs. Some long-term mechanisms include: - **Angiogenesis:** In response to chronic tissue demands, new blood vessels may form (angiogenesis) to increase blood supply to specific areas. - **Structural Remodeling:** Chronic changes in blood flow can lead to structural changes in blood vessels, such as arteriolar enlargement, to accommodate increased flow demands. **Examples of Vasoactive Chemicals and Reactive Hyperemia:** Vasoactive chemicals are substances that can influence the diameter of blood vessels, thereby affecting blood flow. Reactive hyperemia is the increased blood flow that occurs after a period of reduced blood supply, often due to temporary occlusion. Here are some examples of vasoactive chemicals and how they contribute to reactive hyperemia: - **Adenosine:** During reduced blood flow, adenosine accumulates in tissues. Adenosine acts as a potent vasodilator, causing local arteriolar relaxation and promoting increased blood flow when the occlusion is removed. - **Nitric Oxide (NO):** Nitric oxide is released by endothelial cells in response to various stimuli, including increased shear stress from blood flow. NO causes vasodilation by relaxing smooth muscle, leading to increased blood flow to tissues. - **Histamine:** Histamine is released during allergic reactions and inflammation. It causes vasodilation by directly relaxing arteriolar smooth muscle, leading to increased blood flow. - **Potassium Ions:** Accumulation of potassium ions in the interstitial fluid during reduced blood flow can cause arteriolar relaxation and vasodilation, leading to increased blood flow upon reperfusion. Reactive hyperemia occurs when blood flow to a tissue is temporarily blocked or reduced, causing metabolites to accumulate and vasodilator substances to build up. Once the occlusion is removed, these substances cause rapid arteriolar relaxation and dilation, resulting in a surge of blood flow to the tissue. This ensures that the tissue receives an increased blood supply to compensate for the period of reduced flow, helping to restore oxygen and nutrient delivery and remove accumulated waste products.

Work Step by Step

**Short-Term Mechanisms of Local Control of Blood Flow:** Short-term mechanisms of local blood flow control, also known as acute mechanisms, involve rapid adjustments to meet the immediate metabolic demands of tissues. These mechanisms ensure that tissues receive sufficient oxygen and nutrients while removing waste products. Some short-term mechanisms include: - **Metabolic Autoregulation:** Metabolically active tissues release vasodilator substances (e.g., adenosine, nitric oxide) in response to increased metabolic activity. These substances relax smooth muscle in arterioles, causing vasodilation and increasing blood flow to match the tissue's needs. - **Myogenic Autoregulation:** When blood pressure increases, arterioles can respond by constricting due to stretch-sensitive mechanisms in their smooth muscle. This helps maintain a consistent blood flow despite changes in systemic pressure. **Long-Term Mechanisms of Local Control of Blood Flow:** Long-term mechanisms, also known as intrinsic mechanisms, involve gradual changes in response to sustained changes in tissue demands. These mechanisms contribute to the long-term adaptation of blood vessels to meet chronic needs. Some long-term mechanisms include: - **Angiogenesis:** In response to chronic tissue demands, new blood vessels may form (angiogenesis) to increase blood supply to specific areas. - **Structural Remodeling:** Chronic changes in blood flow can lead to structural changes in blood vessels, such as arteriolar enlargement, to accommodate increased flow demands. **Examples of Vasoactive Chemicals and Reactive Hyperemia:** Vasoactive chemicals are substances that can influence the diameter of blood vessels, thereby affecting blood flow. Reactive hyperemia is the increased blood flow that occurs after a period of reduced blood supply, often due to temporary occlusion. Here are some examples of vasoactive chemicals and how they contribute to reactive hyperemia: - **Adenosine:** During reduced blood flow, adenosine accumulates in tissues. Adenosine acts as a potent vasodilator, causing local arteriolar relaxation and promoting increased blood flow when the occlusion is removed. - **Nitric Oxide (NO):** Nitric oxide is released by endothelial cells in response to various stimuli, including increased shear stress from blood flow. NO causes vasodilation by relaxing smooth muscle, leading to increased blood flow to tissues. - **Histamine:** Histamine is released during allergic reactions and inflammation. It causes vasodilation by directly relaxing arteriolar smooth muscle, leading to increased blood flow. - **Potassium Ions:** Accumulation of potassium ions in the interstitial fluid during reduced blood flow can cause arteriolar relaxation and vasodilation, leading to increased blood flow upon reperfusion. Reactive hyperemia occurs when blood flow to a tissue is temporarily blocked or reduced, causing metabolites to accumulate and vasodilator substances to build up. Once the occlusion is removed, these substances cause rapid arteriolar relaxation and dilation, resulting in a surge of blood flow to the tissue. This ensures that the tissue receives an increased blood supply to compensate for the period of reduced flow, helping to restore oxygen and nutrient delivery and remove accumulated waste products.
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