Ramu was 45 years old when he went to a doctor to check his
blood pressure. His pressure was around 158/98mmHg. The doctor advised him to
measure his blood pressure at home for two weeks. He came to the doctor saying
his average blood pressure was around 160/100mmHg. Doctor concludes that Ramu
has high blood pressure or hypertension. If not controlled, hypertension can
lead to heart failure, stroke and kidney failure. He returned to the doctor
after two months after taking the drug, ACH inhibitor. This chemical blocks the
production of angiotensin II, a powerful vasoconstrictor, so his blood pressure
returned back to normal.
•
Why are people with high blood
pressure at greater risk for having a hemorrhagic stroke?
•
Without medication Ramu’s blood
pressure was around 160/100mmHg after two weeks. Why this pressure was referred
to as hypertension by the doctor.
•
Blocking the action of
vasoconstrictor lowers the blood pressure? Give reasons.
•
What is the role of ACH inhibitor in
reducing blood pressure?
• What conditions one might expect if the blood pressure is not controlled?
Vertebrates circulate blood in their body, to transport
essential substances to the cells and to carry waste substances from them.
Blood is carried away from the heart, passes through tissues in capillaries and
is returned to the heart in veins. Blood pressure drops gradually as it passes
along this system. Arteries have thick, elastic walls which allow them to
withstand high blood pressure. Arterioles are small arteries that help to
reduce blood pressure and control the amount of blood flow to different
tissues. Capillaries are only just wide enough to allow the passage of red
blood cells, and have very thin wall to allow efficient and rapid transfer of
materials between blood and cells. Veins have thinner walls than arteries and
possess valves that allow blood to flow back to the heart even at low pressure.
Blood consist of plasma and formed elements. Blood plasma leaks
from capillaries to form tissue fluid. This is collected into lymphatics as
lymph, and returned to the blood in the subclavian veins. Tissue fluid and
lymph are almost identical in composition. They contain fewer plasma protein
molecules than blood plasma as these proteins are too large to pass through the
pores in the capillary walls. The formed elements of blood constitute RBC, WBC
and Platelets.
The mammalian heart has four chambers, right and left artia and
right and left ventricles. The separation of chambers in the heart results in
complete double circulation. The cardiac cycle is a continuous process but can
be considered in five stages. Beating of the heart is initiated by the
sinoatrial node (SAN) or pacemaker which has its own myogenic rhythm. Blood
pressure is the force exerted by blood on the walls of blood vessels, and it is
responsible for moving blood through the vessels.
Cardiovascular disease accounts for more deaths each year in the
India. Cardiovascular conditions include systemic hypertension,
atherosclerosis, coronary artery disease, angina pectoris, myocardial infarction
and stroke. Cardiovascular diagnostic techniques and treatments include cardiac
angiography, balloon angioplasty, and coronary artery bypass. The circulatory
system contributes to homeostasis by transporting O2, CO2,
wastes, electrolytes, and hormones from one part of the body to another.
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