Anatomy of Blood Pressure Regulation: What You Need to Know

1. What is Blood Pressure?

  • Blood Pressure (BP) is the force exerted by circulating blood on the walls of blood vessels, especially arteries.
  • It is a key indicator of cardiovascular health.

2. Types of Blood Pressure

Type

Description

Normal Value

Systolic BP

Pressure during ventricular contraction

~120 mmHg

Diastolic BP

Pressure during ventricular relaxation

~80 mmHg

Normal BP: 120/80 mmHg


3. Units & Measurement

  • Unit: millimeters of mercury (mmHg)
  • Measured using: Sphygmomanometer (manual or digital)

4. Sites for BP Measurement

  • Common site: Brachial artery (arm)
  • Others: Radial, femoral, popliteal, dorsalis pedis

5. Factors Affecting BP

Factor

Effect

Age

↑ with age

Gender

Slightly lower in females

Posture

Lying > Sitting > Standing

Exercise

Temporarily ↑ BP

Emotions/Stress

↑ due to sympathetic stimulation

Obesity

↑ BP due to increased vascular resistance

6. Short-Term Regulation

Controlled by nervous system:

  • Baroreceptors (in carotid sinus & aortic arch): Detect stretch/pressure
  • Medulla (vasomotor center): Regulates sympathetic & parasympathetic activity

7. Long-Term Regulation

Maintained by:

  • Renin-Angiotensin-Aldosterone System (RAAS)
  • Antidiuretic hormone (ADH)
  • Atrial Natriuretic Peptide (ANP)
  • Kidneys: Adjust blood volume & sodium

8. Pulse Pressure

Pulse Pressure=Systolic BP−Diastolic BP\text{Pulse Pressure} = \text{Systolic BP} - \text{Diastolic BP}

Normal: 40 mmHg
↑ in: Aortic regurgitation, exercise
↓ in: Shock, heart failure


9. Mean Arterial Pressure (MAP)

MAP=Diastolic BP+13(Systolic BP−Diastolic BP)\text{MAP} = \text{Diastolic BP} + \frac{1}{3}(\text{Systolic BP} - \text{Diastolic BP})

Normal MAP ≈ 93 mmHg


10. Clinical Conditions

Condition

BP Range

Hypertension

>140/90 mmHg

Hypotension

<90/60 mmHg

Shock

Critically low BP → poor perfusion

White coat hypertension

High BP only in clinical settings


Mnemonic to Remember BP Control Hormones: "RAA-A"

  • Renin
  • Angiotensin II
  • Aldosterone
  • ADH (vasopressin)


Post a Comment

Previous Post Next Post