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Dickinson W. Richards Lecture: Circulatory adjustments to hypoxia
Journal article   Open access   Peer reviewed

Dickinson W. Richards Lecture: Circulatory adjustments to hypoxia

D D Heistad and F M Abboud
Circulation (New York, N.Y.), Vol.61(3), pp.463-470
03/1980
DOI: 10.1161/01.cir.61.3.463
PMID: 7353235
url
https://doi.org/10.1161/01.cir.61.3.463View
Published (Version of record) Open Access

Abstract

Circulatory adjustments during hypoxia act to redistribute blood flow and maintain arterial pressure. Redistribution of blood flow is accomplished by a local effect of hypoxia, which produces dilatation in coronary and cerebral vessels, and the chemoreceptor reflex, which produces vasoconstriction in skeletal muscle and the splanchnic bed and dilatation in coronary vessels. Arterial pressure is maintained primarily by the chemoreceptor reflex. If the chemoreceptor reflex fails to maintain arterial pressure, hypoxia and hypotension together activate the central pressor response. Compensatory mechanisms usually are sufficient to maintain homeostasis during hypoxia. However, when a hypotensive stress is superimposed during hypoxia, compensatory mechanisms may fail to maintain arterial pressure. Thus, systemic hypoxia interferes with autonomic cardiovascular adjustments.
Hemodynamics Blood Pressure Carotid Body - physiology Kidney - blood supply Neural Inhibition Humans Vasoconstriction Chemoreceptor Cells - physiology Regional Blood Flow Vasodilation Animals Dopamine - physiology Forelimb - blood supply Hyperventilation - physiopathology Hypoxia - physiopathology Muscles - blood supply

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