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14 Cards in this Set

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T or F


In normal response to standing 500 to 1000 mL of blood is pooled to lower extremities

T

Mention the sequence initiated by normal response to standing ?

1. Venous return ⬇ rapid


2. ⬇ ventricular filling ➡ ⬇output & ⬇blood pressure


3. ⬇blood pressure ➡( compensatory reflex ) by CNS➡ ⬆sympasatic & ⬇parasymathetic outflow


4. The ⬆sympasatic ➡ ⬆peripheral vascular resistance & ⬆ venous return & ⬆ cardiac output ➡lemites ⬇ blood pressure


5.that mechanism leads to


. small ⬇ in systolic blood pressure ( 5 to 10) mmHg


. ⬆ diastolic blood pressure (5 to 10 ) mmHg


. ⬆ in pulse rate (10 to 25 beats per minutes)

Definition


Baroreceptor reflex

Its the CNS responds to fall of blood pressure which leads to increase sympathetic and reduces parasympathetic out flow .


Important

T or F


Orthostatic hypo tension is more commen in the young due to at least part to impaired baroreflex sensitivity

F,


Young ❌


Elderly ✔

Definition


Autonomic failure

It is a disorder of noradrenergic neurotransmission in which post ganglionic sympathetic neurons do not release norepinephrine appropriately

T or F


Subnormal norepinephrine results in


➡impaired vasoconstriction


➡reduced intrathoracic vascular volume

T


🔴note


Both of these items ➡ orthostatic hypotension

T or F


The presence of a heart rate increase surly exclude autonomic failure

F


Surly ❌


Does not ✔

Complete


Heart rate usually decrease during................. While it increase during autonomic failure

Reflex syncope

Complete


Young patient have been described with COI and devolped variety of symptom are more likely to associate with ......................with little or no fall in blood pressure

Postural tachycardiac syndrome

Definition


Chronic orthostatic intolerance

The association of lightheadedness, dizziness , faintness or syncope

Long upright or standing posture causes syncope

Define


Postprandial hypotension

Pooling of blood in the splanchnic circulation due to have inadequate sympathetic compensation to meal

T Or F


All of the following happen when blood pool in splanchic circulation except


.)impaired maintenance of cardiac out put


.)systemic vascular resistance


.)vasodilatation by (insulin )


.)hypertension

Hypertension

Complete


Within 2 to 5 min of quiet standing after 5 min of spinal rest ...............fall in systolic pressure ...............fall in diastolic pressure

20 mmHg


10 mmHg

T it f


In orthostatic hypotension we diagnosis symptoms of cerebral hypoperfusion


T


🔴note


also heart rate ⬆ >30 BPM ➡postural tachycardia