Vascular Function, Capillary Exchange and Oedema
Key concepts on resistance, compliance, Starling forces and oedema formation in the peripheral circulation.
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Questions Covered in This Set
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Poiseuille's law for resistance
R = 8ηL / (πr⁴) — resistance is inversely proportional to the fourth power of radius, so halving radius increases resistance 16-fold.
Why are arterioles the main resistance vessels?
They have thick smooth muscle relative to a tiny lumen, so small radius changes cause huge resistance changes (r⁴ effect), controlling tissue perfusion and TPR.
Definition of compliance and typical arterial vs venous values
C = ΔV/ΔP. Arteries ≈ 2 mL/mmHg (low compliance); veins ≈ 100 mL/mmHg (~20–24× more compliant), holding 65–70% of blood volume.
What is the Windkessel effect?
Elastic aorta stores blood in systole and recoils in diastole, converting pulsatile ejection into near-continuous capillary flow. Pulse pressure ≈ stroke volume ÷ arterial compliance.
Why does ageing cause isolated systolic hypertension?
Reduced arterial compliance means the same stroke volume produces a larger pulse pressure: systolic BP rises, diastolic falls.
State the Starling equation
Jv = Kf [(Pc − Pi) − σ(πc − πi)], where Kf is the filtration coefficient and σ the reflection coefficient.
List the four Starling pressures and their directions
Pc (~32→15 mmHg) pushes fluid out; Pi (−2 to 0 mmHg) pulls slightly out; πc (25–28 mmHg, mainly albumin) pulls in; πi (3–8 mmHg) pulls out.
Net filtration at arteriolar vs venular end (muscle capillary)
Arteriolar: (32 + 1 + 5) − 28 = +10 mmHg outward (filtration). Venular: (15 + 1 + 5) − 28 = −7 mmHg (reabsorption).
What does the reflection coefficient σ represent?
How effectively the capillary wall excludes protein: σ ≈ 1 in tight brain capillaries, ~0.5 in leaky hepatic sinusoids.
How do series and parallel resistances combine?
Series: R_total = R₁ + R₂ + … ; Parallel: 1/R_total = Σ1/Rᵢ. Many parallel organ beds lower TPR — muscle vasodilation in exercise drops TPR sharply.