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Cardiovascular Physiology and Pathophysiology
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Physiology
Structure and Function4 Topics -
Lymphatics and Edema Formation
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The Microcirculation
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Vascular Control3 Topics
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The Cardiac Cycle
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Determinants of Myocardial Performance7 Topics
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Neuro-Control of Heart and Vasculature4 Topics
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Electro-Mechanical Association4 Topics
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Electrical Side of the Heart4 Topics
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PathophysiologyDefining Heart Failure
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Causes of Heart Failure
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MVO2 and Heart Failure
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Cardiac Output and Heart Failure7 Topics
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Compensation for Circulatory Failure
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Vascular Tone in Heart Failure
Lesson 7,
Topic 2
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Alpha Receptors
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How do Alpha receptors work?
- Alpha receptors mainly function on the vascular smooth muscle wall and are mainly stimulated by norepinephrine.
- Principally we are concerned with Alpha 1 receptors.
- Alpha 2 receptors are presynaptic inhibiting norepinephrine release from the nerve terminal promoting vasodilation and postsynaptic promoting vasoconstriction.
- Alpha 1 receptor activation on vascular smooth muscle activates a G protein which itself activates phospholipase C (PLC)PLC splits phosphatidylinositol into inositol triphosphate (IP3) and diacylglycerol (DAG)IP3 promotes the release of Ca from the SR secondary to Ca induced Ca release
- The increase in cytosolic Ca binds to the protein calmodulin.
- The Ca-calmodulin complex activates myosin light chain kinase, which enables the interaction of actin and myosin.
- DAG activates a protein kinase C that promotes/augments contraction
- In addition to activating the phosphatidylinositol system, Alpha 1 receptor activation directly opens the Ca channel to promote vasoconstriction.