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Autonomic connections to heart and blood vessels

This figure shows the spinal cord and the different nerves that connect to the heart, which is the target organ shown on the right.
The nicotinic receptor is found on all autonomic ganglia, but the cardiovascular connections are particular, and do not conform to the usual competitive projections that would just cancel each other out when stimulated by nicotine. The opposing signals to the heart would both depolarize and hyperpolarize the heart cells that establish the rhythm of the heartbeat, likely causing arrhythmia. Only the sympathetic system governs systemic blood pressure so nicotine would cause an increase.

Sympathetic effect

The neurochemistry of the sympathetic system is based on the adrenergic system. Norepinephrine and epinephrine influence target effectors by binding to the α-adrenergic or β-adrenergic receptors. Drugs that affect the sympathetic system affect these chemical systems. The drugs can be classified by whether they enhance the functions of the sympathetic system or interrupt those functions. A drug that enhances adrenergic function is known as a sympathomimetic drug    , whereas a drug that interrupts adrenergic function is a sympatholytic drug    .

Sympathomimetic drugs

When the sympathetic system is not functioning correctly or the body is in a state of homeostatic imbalance, these drugs act at postganglionic terminals and synapses in the sympathetic efferent pathway. These drugs either bind to particular adrenergic receptors and mimic norepinephrine at the synapses between sympathetic postganglionic fibers and their targets, or they increase the production and release of norepinephrine from postganglionic fibers. Also, to increase the effectiveness of adrenergic chemicals released from the fibers, some of these drugs may block the removal or reuptake of the neurotransmitter from the synapse.

A common sympathomimetic drug is phenylephrine, which is a common component of decongestants. It can also be used to dilate the pupil and to raise blood pressure. Phenylephrine is known as an α 1 -adrenergic agonist    , meaning that it binds to a specific adrenergic receptor, stimulating a response. In this role, phenylephrine will bind to the adrenergic receptors in bronchioles of the lungs and cause them to dilate. By opening these structures, accumulated mucus can be cleared out of the lower respiratory tract. Phenylephrine is often paired with other pharmaceuticals, such as analgesics, as in the “sinus” version of many over-the-counter drugs, such as Tylenol Sinus ® or Excedrin Sinus ® , or in expectorants for chest congestion such as in Robitussin CF ® .

A related molecule, called pseudoephedrine, was much more commonly used in these applications than was phenylephrine, until the molecule became useful in the illicit production of amphetamines. Phenylephrine is not as effective as a drug because it can be partially broken down in the digestive tract before it is ever absorbed. Like the adrenergic agents, phenylephrine is effective in dilating the pupil, known as mydriasis    ( [link] ). Phenylephrine is used during an eye exam in an ophthalmologist’s or optometrist’s office for this purpose. It can also be used to increase blood pressure in situations in which cardiac function is compromised, such as under anesthesia or during septic shock.

Questions & Answers

How does the male organ develop
MADUBULA Reply
Hw does the male organ develop
MADUBULA
Review your questions madam
Aliyu
what is anaphylaxis?
Rugut Reply
different between drug and medicine
ado Reply
drugs have no medical application (cocaine, heroin, crystal meth). medicine have medical purpose (fentanyl, albuterol, aspirin, ect ect)
Jordan
medicine is a substance or preparation used in treating disease,drug is chemical compound medicine are drugs but all drugs are not medicines
Wafa
assalam o alaikum
Sidra
what happen to ECF and ICF regarding to OEDEMA
Zwanga Reply
what are the smooth muscles of the heart
Sintung Reply
stomach
Sidra
identify external features of kidney
saba Reply
kidney weight on males?
saba
3 to4 onz and 140 gram kidney wight.adult
StudyTime
and female ?
saba
Sle full name & treatment
Samim
Syplymic lupw erythematous
Samim
blood supply to spleen ?
saba
I known this disease of treatment
Samim
saba
StudyTime
g..
saba
do u know female kidney wight?
StudyTime
ya 135 g females
saba
Please help me
Samim
130 on male
saba
130g on male
saba
g samim
StudyTime
approximate 140grms in adultkidny wight
StudyTime
g samim
saba
no 130grms on male
saba
ok saba
StudyTime
yaha number ya email id send nh krty kia ?
StudyTime
wese saba kia krti Hyn ap?
StudyTime
mbbs
saba
good kaha sy
StudyTime
good saba khan
Shahab
Tom kya krti ho st?
saba
st means
StudyTime
your name?
saba
nursing
StudyTime
muskan
StudyTime
ok
saba
g
StudyTime
tum kya krti ho? muskan
saba
sis nursing
StudyTime
ok
saba
gv
StudyTime
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Shahab
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saba
sis contact number mil skts hy help kyliye,?
StudyTime
thanks
StudyTime
g saba
StudyTime
Define cranial nerves with oder
Javid
O-olfactory O-optic O-occumulator T-trochlear T-trigemenal A-abducent F-facial A-auditory G-glossopharyngeal V-vagus A-acessory
Aniee
opd mean?
Shahab
out patient department
mahesh
thnxx
Shahab
Ty Aniee singh
Javid
Ap sb us book s parhte h
Areeej
Read KD Tripathi book of Pharmacology.
mayank
Hello
mayank
CT Scan means
Sintung
what's health?
Sintung
hello
Philip
hi
Sintung
CT means - computerized tomography
Vivek
connective tissue
Dee
they link some body organs
Sintung
Difference between drug and medicine
Javid
hiii muskan
saba
what is tomography?
Gideon
tomography ☝
shahid
yes
Gideon
how hemolytic anemia cause due to gas gangrene?
Huma Reply
what's gangrene?
Sidra
why retro abdominal region called or named "flank "?
Huma Reply
list types epithelial tissue
Sangu Reply
Squeamus epithelial tissu Cubidal Columna Cilliated columna
Aliyu
squamous cuboidal columnar ciliated stratified
Ken
psuedostratified ciliated columnar stratified squamous transitional epithelium
Espinoza
peace maker of heart is?
shahid
electrical conduction ... sa node
Dee
squamous epithelial tissue.
Tariq
squamous, stratified epithelial tissue
Sintung
explain how hormonal control aids in homeostasis regarding fluids and electrolytes, internal organs, clinical application, edema electrolyte imbalance?
Hensheal Reply
someone to help me explain those
Hensheal
parathyroid hormone : Calcium uptake, H+ and PO-4 wasting thyroid hormone, cortisol for temperature regulation by acting on B.V
Kartik
also renin
Kartik
thanks
Hensheal
why retro abdominal region called flank?
Huma
it is just Anatomical terminology
Kartik
meaning side of body b/w rib cage and hip bone
Kartik
list down all the hormones secreted by adrenal gland
Odong Reply
adrenaline hormones
Sangu
adrenaline and noradrenaline
Sintung
The amount of blood pumped by the left ventricle of the heart in one contraction.
Javid Reply
how we can calculate the cardiac output
khater
and how do we calculate the strock valume
khater
stroke volume is not all the blood contained in the left ventricle; normally, only about two-thirds of the blood in the ventricle is expelled with each beat.
Javid
Cardiac output 5.5 l S. V 68.75 ml H. R 80bpm
Javid
If we consider SV 70, end systolic vol is about 15% of total(approx always) out of a total of 80-85 ml only 70ml is pumped per systole
Kartik
what is macrophages?and its function
Sajjad Reply
macrophages they are white blood cells that engulf dead cells in the body
patience
what is power stroke?
muravha
no idea
patience
what is the stroke volume of heart?
up
the amount of blood that enters the heart
Sintung
wrong^^ stroke volume is the amount of blood ejected from the left ventricle on a single contraction.
Jordan
If an autoimmune disorder targets the alpha cells, production of which hormone would be directly affected?
Samantha Reply
what is a muscle?
Gideon Reply
A band or bundle of fibrous tissue in a human or animal body that has the ability to contract, producing movement in or maintaining the position of parts of the body
Mody
ok
Gideon
what's endolphthamities and panophthalmities?
Gideon

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Source:  OpenStax, Anatomy & Physiology. OpenStax CNX. Feb 04, 2016 Download for free at http://legacy.cnx.org/content/col11496/1.8
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