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: 3

Answer

Systolic pressure, diastolic pressure, pulse pressure, and mean arterial pressure (MAP) are important parameters that help assess the functioning of the cardiovascular system. These values are typically measured using a blood pressure cuff and a sphygmomanometer. Here's how you can determine each of these values: 1. **Systolic Pressure**: Systolic pressure is the higher of the two values you hear when measuring blood pressure. It represents the pressure in the arteries when the heart contracts (during systole) and pumps blood into the circulation. To measure systolic pressure, inflate the blood pressure cuff until the pulse in the brachial artery (typically in the arm) disappears, then slowly deflate the cuff. The first sound you hear as blood starts to flow again corresponds to the systolic pressure. 2. **Diastolic Pressure**: Diastolic pressure is the lower of the two values and indicates the pressure in the arteries when the heart is at rest and refilling with blood (during diastole). To measure diastolic pressure, continue to slowly deflate the cuff after obtaining the systolic reading. The sound will become muffled or disappear again as blood flow becomes smooth and continuous. The pressure at which this occurs is the diastolic pressure. 3. **Pulse Pressure**: Pulse pressure is the difference between the systolic and diastolic pressures. Mathematically, it can be expressed as: **Pulse Pressure = Systolic Pressure - Diastolic Pressure** Pulse pressure gives insight into the elasticity of the arteries and the force with which the heart is pumping blood. 4. **Mean Arterial Pressure (MAP)**: MAP is an estimation of the average pressure in the arteries throughout the cardiac cycle. It is not a simple average of systolic and diastolic pressures because the heart spends more time in diastole than in systole. The formula to estimate MAP is: **MAP ≈ Diastolic Pressure + 1/3 * Pulse Pressure** MAP is important because it represents the driving force for blood flow to the organs and tissues. It's often used as a better indicator of perfusion pressure than simply using systolic or diastolic pressures alone. 5. **MAP Difference from Head to Foot**: MAP can differ from the head to the foot due to the influence of gravity. When a person is in an upright position, gravity causes blood to pool in the lower extremities, leading to a decrease in venous return (the amount of blood returning to the heart). To compensate for this, the body increases peripheral vascular resistance and heart rate, which collectively maintain adequate MAP and perfusion to the brain and other vital organs. In summary, blood pressure parameters such as systolic pressure, diastolic pressure, pulse pressure, and mean arterial pressure provide important information about the cardiovascular system's function. Measuring and understanding these values helps in assessing the health of the cardiovascular system and identifying potential issues.

Work Step by Step

Systolic pressure, diastolic pressure, pulse pressure, and mean arterial pressure (MAP) are important parameters that help assess the functioning of the cardiovascular system. These values are typically measured using a blood pressure cuff and a sphygmomanometer. Here's how you can determine each of these values: 1. **Systolic Pressure**: Systolic pressure is the higher of the two values you hear when measuring blood pressure. It represents the pressure in the arteries when the heart contracts (during systole) and pumps blood into the circulation. To measure systolic pressure, inflate the blood pressure cuff until the pulse in the brachial artery (typically in the arm) disappears, then slowly deflate the cuff. The first sound you hear as blood starts to flow again corresponds to the systolic pressure. 2. **Diastolic Pressure**: Diastolic pressure is the lower of the two values and indicates the pressure in the arteries when the heart is at rest and refilling with blood (during diastole). To measure diastolic pressure, continue to slowly deflate the cuff after obtaining the systolic reading. The sound will become muffled or disappear again as blood flow becomes smooth and continuous. The pressure at which this occurs is the diastolic pressure. 3. **Pulse Pressure**: Pulse pressure is the difference between the systolic and diastolic pressures. Mathematically, it can be expressed as: **Pulse Pressure = Systolic Pressure - Diastolic Pressure** Pulse pressure gives insight into the elasticity of the arteries and the force with which the heart is pumping blood. 4. **Mean Arterial Pressure (MAP)**: MAP is an estimation of the average pressure in the arteries throughout the cardiac cycle. It is not a simple average of systolic and diastolic pressures because the heart spends more time in diastole than in systole. The formula to estimate MAP is: **MAP ≈ Diastolic Pressure + 1/3 * Pulse Pressure** MAP is important because it represents the driving force for blood flow to the organs and tissues. It's often used as a better indicator of perfusion pressure than simply using systolic or diastolic pressures alone. 5. **MAP Difference from Head to Foot**: MAP can differ from the head to the foot due to the influence of gravity. When a person is in an upright position, gravity causes blood to pool in the lower extremities, leading to a decrease in venous return (the amount of blood returning to the heart). To compensate for this, the body increases peripheral vascular resistance and heart rate, which collectively maintain adequate MAP and perfusion to the brain and other vital organs. In summary, blood pressure parameters such as systolic pressure, diastolic pressure, pulse pressure, and mean arterial pressure provide important information about the cardiovascular system's function. Measuring and understanding these values helps in assessing the health of the cardiovascular system and identifying potential issues.
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