GRAPHICAL FORMAT FOR TEACHING LONG-TERM CONTROL OF SYSTEMIC ARTERIAL
PRESSURE.
Faber, J. Job.
Department of Physiology and Pharmacology, School of Medicine, Oregon
Health Sciences University, Portland, OR 97201.
APStracts 2:0009S, 1995.
ABSTRACT
Circulatory homeostasis is a difficult notion. The graphical format presented
here facilitates the teaching of long-term control of systemic arterial blood
pressure and cardiac output. It is based on the view that 4 "function curves"
cooperate in long-term regulation: the relation between blood volume and
ventricular filling pressure, the relation between ventricular filling
pressure and cardiac output, the relation between cardiac output and
peripheral resistance and the relation between arterial pressure and
natriuresis. Positioning the function curves in the format presented here
clarifies their cooperativity. The distinction between a non-steady state and
a steady state deserves emphasis. Long-term pathophysiology of the circulation
is most easily taught on the basis of the assumption that, generally, there
will be a steady state. The format clarifies why some known physiological
relations are almost impossible to demonstrate in the intact organism and it
discourages explanations of pathophysiology that are not firmly based on
physiology.
Received 25 September1995; accepted in final form 4 January 1996.
APS Manuscript Number S025-5.
Article publication pending Advances in Physiology Education.
ISSN 1080-4757 Copyright 1996 The American Physiological Society.
Published in APStracts on 20 March 96