AUTOREGULATION-BLOOD FLOW (BF) TO MUSCLES

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SUMMARY

1. The most important factors maintaining BF in skeletal muscle during exercise are the local mechanisms: hypoxia & accumulation of vasodilator metabolites.

2. Some decrease in tonic vasoconstrictor discharge (reduced constrictor tone in the arterioles) may be involved.

3. The ‘muscle pump’ in exercising muscle, improves venous return, lowers venous pressure, & helps increase BF but is not the primary factor in autoregulation.

4. BF in the resting muscle doubles after sympathectomy but once exercise has commenced, there is no difference in flow in normal & sympathectomised muscles.

5. Thus the most important factor increasing BF through an active muscle is local action of metabolites on vessels.


Reference(s)

Barrett, K.E., Barman, S.M., Boitano, S., Brooks, H.L., Weitz, M., Brian Patrick Kearns, Ganong, W.F. and Mcgraw-Hill Education (Firm (2016). Ganong’s review of medical physiology. 25th ed. New York: Mcgraw Hill Education.
Hall, J.E. and Hall, M.E. (2020). Guyton And Hall Textbook Of Medical Physiology. 14th ed. S.L.: Elsevier - Health Science.
West, J.B. and Luks, A.M. (2021). West’s Pulmonary Pathophysiology. Lippincott Williams & Wilkins.