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I am having some serious difficulties understanding the physics behind vasoconstriction/dilation. The affects don't seem to line up with what I understand about hydrodynamics.
First, let me see if I got the basics right.
- Blood pressure is the hydrostatic pressure of blood against the walls of vessels.
- Resistance is the opposition to fluid flow by the cells of the blood vessels.
- Vasoconstriction is the decrease in diameter of primarily arterioles (mainly arterioles, right?) due to the contraction of nearby smooth muscle cells.
- Vasodilation is the increase in diameter of primarily arterioles due to the inhibition of nearby smooth muscle cell contraction.
- Vasoconstriction increases resistance since the space available for blood flow is decreased.
- Vasodilation decreases resistance since the space available for blood flow is increased.
But from here on is where I get confused.
Vasoconstriction is supposed to increase blood pressure right?
But the law of continuity says that a fluid increases in velocity when the cross sectional area is smaller. Vasoconstriction leads to a smaller cross sectional area and so should increase velocity. But an increase in velocity indicates an acceleration. Since accelerations are only due to forces, there must be a net force acting on the blood. This force must be from a difference in pressure - higher before the constricted arteriole, lower after it. This this implies that blood pressure DECREASES during constriction.
But this is not the case, why not?
When I asked this to someone before, they mentioned the formula blood pressure = cardiac output x resistance (or BP = CO x R).
Vasoconstriction increases resistance, fine. But it shouldn't necessarily follow that blood pressure should increase as a result of this. Thats assuming that cardiac output is constant. But if cardiac output decreased more than R increased, then BP would decrease.
This brings up another point. How is cardiac output affected in vasoconstriction. I would think that since there is more resistance, there is slower blood velocity and thus a lower CO. But isn't the CO generated in the heart (stroke volume x heart rate)? The heart shouldn't care whether vessels outside of it are constricted or not, it should be the one to generate the CO regardless of vasoconstriction or vasodilation.
I also don't understand the analogy that the formula tries to make to batteries in circuits. The pressure is supposed to equal the voltage drop, the cardiac output translates to the current, and the resistance is..well..the resistance.
But in the case of a battery with one resistor, there is NO way to change the voltage drop without changing the battery. Changing the resistance will only affect the current.
If you consider one particular artery running to an organ and back to the heart (as a vein), then this should resemble the one resistor circuit I mentioned. However, here increasing the resistor somehow DOES increase the voltage-equivalent aka pressure. This makes no sense!
And how does vasoconstriction limit blood flow to certain organs? Again, by the law of continuity, the volume of blood passing through any cross sectional area should be constant. Blood should simply move faster if the area is smaller. This would suggest that vasoconstriction does NOT limit blood flow to any area, it just makes the same amount of blood move by faster.
AHHH SO MANY CONTRADICTIONS!!!!
Please help! My test in in a week and this is the ONE concept that I don't get. I can help explain anything else to any of you if you need it as a thanks lol.
Thanks!
First, let me see if I got the basics right.
- Blood pressure is the hydrostatic pressure of blood against the walls of vessels.
- Resistance is the opposition to fluid flow by the cells of the blood vessels.
- Vasoconstriction is the decrease in diameter of primarily arterioles (mainly arterioles, right?) due to the contraction of nearby smooth muscle cells.
- Vasodilation is the increase in diameter of primarily arterioles due to the inhibition of nearby smooth muscle cell contraction.
- Vasoconstriction increases resistance since the space available for blood flow is decreased.
- Vasodilation decreases resistance since the space available for blood flow is increased.
But from here on is where I get confused.
Vasoconstriction is supposed to increase blood pressure right?
But the law of continuity says that a fluid increases in velocity when the cross sectional area is smaller. Vasoconstriction leads to a smaller cross sectional area and so should increase velocity. But an increase in velocity indicates an acceleration. Since accelerations are only due to forces, there must be a net force acting on the blood. This force must be from a difference in pressure - higher before the constricted arteriole, lower after it. This this implies that blood pressure DECREASES during constriction.
But this is not the case, why not?
When I asked this to someone before, they mentioned the formula blood pressure = cardiac output x resistance (or BP = CO x R).
Vasoconstriction increases resistance, fine. But it shouldn't necessarily follow that blood pressure should increase as a result of this. Thats assuming that cardiac output is constant. But if cardiac output decreased more than R increased, then BP would decrease.
This brings up another point. How is cardiac output affected in vasoconstriction. I would think that since there is more resistance, there is slower blood velocity and thus a lower CO. But isn't the CO generated in the heart (stroke volume x heart rate)? The heart shouldn't care whether vessels outside of it are constricted or not, it should be the one to generate the CO regardless of vasoconstriction or vasodilation.
I also don't understand the analogy that the formula tries to make to batteries in circuits. The pressure is supposed to equal the voltage drop, the cardiac output translates to the current, and the resistance is..well..the resistance.
But in the case of a battery with one resistor, there is NO way to change the voltage drop without changing the battery. Changing the resistance will only affect the current.
If you consider one particular artery running to an organ and back to the heart (as a vein), then this should resemble the one resistor circuit I mentioned. However, here increasing the resistor somehow DOES increase the voltage-equivalent aka pressure. This makes no sense!
And how does vasoconstriction limit blood flow to certain organs? Again, by the law of continuity, the volume of blood passing through any cross sectional area should be constant. Blood should simply move faster if the area is smaller. This would suggest that vasoconstriction does NOT limit blood flow to any area, it just makes the same amount of blood move by faster.
AHHH SO MANY CONTRADICTIONS!!!!
Please help! My test in in a week and this is the ONE concept that I don't get. I can help explain anything else to any of you if you need it as a thanks lol.
Thanks!