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          as a low‐pressure reservoir of blood and   combination of these determinants. Any
                                                  chemical regulator (e.g., hormone or par­
          are also considered the capacitance vessels.
  VetBooks.ir  Constriction of venous smooth muscle   acrine agent) or neural reflex that affects
                                                  cardiac  activity  or  the  smooth  muscle  of
          promotes an increase  in  blood  flowing
          back to the heart and an increase in cardiac   arterioles has the potential to alter blood
          filling pressure. This contributes to   pressure. The large number of therapeutic
          increases in cardiac output and the ability   agents used to treat high blood pressure in
          to perfuse capillaries for exchange.    humans and animals, and the different
                                                  mechanisms by which these agents have
                                                  their effects, illustrate the diversity of
          Regulation of Arterial Blood              factors that can alter blood pressure.
          Pressure and Blood Volume                  In  normal animals, blood volume and
                                                  arterial blood pressure are directly related.
          Arterial blood pressure is  a  function  of   Increases or decreases in blood volume
          cardiac output (CO) and total peripheral   tend to produce similar changes in cardiac
          vascular resistance (TPR), usually written   output and therefore in arterial blood pres­
          as MAP = CO × TPR, where MAP is mean    sure. In light of this relation and the goal of
          arterial pressure. To understand the basis   biologic systems to maintain homeostasis,
          for this function, recall that arteries are   it is predictable that decreases in blood
          relatively noncompliant and function as a   pressure elicit physiologic  responses
          reservoir of blood under pressure. The   designed to increase blood volume and
          pressure depends on the amount of blood   increases in blood pressure elicit responses
          being pumped into the reservoir (CO) and   designed  to  reduce  blood  volume.  The
          the rate at which blood is permitted to flow   organs primarily responsible for bringing
          out of the reservoir (Fig. 18‐10). Recall also   about changes in blood volume are the
          that the resistance of the arterioles, which     kidneys. Thus, blood volume regulation by
          contribute the most to the total vascular   the kidneys is one factor in the ultimate
          resistance, regulates the rate of blood flow   determination of arterial blood pressure.
          out of the arteries. Thus, the level of car­  Many of the chemical agents and neural
          diac function and the degree of arteriolar   reflexes that regulate mean arterial pres­
          constriction are the two determinants of   sure by their action on the heart and blood
          MAP. Changes in MAP can be brought      vessels also affect the ability of the kidneys
          about by changes in cardiac function, the   to regulate blood volume by altering the
          degree of arteriolar constriction, or some   rate of urine formation.


                                                                    Arterial pressure
                                             Pump

                     Venous pressure




                              Veins        Capillaries      Arteries
                                                     Resistance



          Figure 18-10.  Simplified model of the circulatory system with pump supplying low‐compliance vessels
          (arteries), off‐on valve vessels regulating outflow from arteries (arterioles), and low‐pressure compliant
          vessels (veins) returning fluid to the pump. Height of fluid columns in arteries and veins indicates relative
          pressures in these vessels. Filling of the pump depends in part on the venous pressure.
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