Physiology · MU Sofia

30. Microcirculation. Transport across the capillary wall. Blood flow in the veins.

Covers the microcirculation vessels (arterioles, metarterioles, true capillaries and venules) and their diameters, then the ways substances cross the capillary wall: diffusion, bulk flow, pinocytosis and active transport. It explains Starling pressures governing filtration and absorption, and ends with venous return, including valves, muscle and thoracic pumps and sympathetic control of veins. It closes with five recap questions.

Inside: 6 sections · 7 labelled pictures · 16 flashcards · 6 min

Topic 30 of 104 in the MU Sofia syllabus for Physiology (Medicine, Year 2). The free AceMed note covers it in 6 sections, about 886 words (6 min of reading), with 16 flashcards.

In this note

  1. Microcirculation. Transport across the capillary wall. Blood flow in the veins.
  2. Microcirculation: Exchange Hub of the Vascular System
  3. Transport Across the Capillary Wall: A Multifaceted Process
  4. Starling Pressures: Fluid Movement
  5. Venous Blood Flow: The Return Journey
  6. Recap Questions

Microcirculation: Exchange Hub of the Vascular System

It encompasses the smallest blood vessels(<150μm -200μm in diameter)- capillaries and nearby lymphatic vessels. This network focuses on optimizing the delivery of nutrients and oxygen to tissues while efficiently removing waste products. The key players in this intricate dance are:

  • Arterioles (10–150 μm diameter): These vessels, rich in smooth muscle, serve as control points, adjusting blood flow into the capillaries based on tissue demands.
  • Metarterioles (10–20 μm diameter): Acting as connectors between arterioles and capillaries, metarterioles feature precapillary sphincters - smooth muscle rings that act as gatekeepers, regulating blood flow into individual capillaries.
  • True Capillaries (5–10 μm diameter): These thin-walled vessels, composed solely of a single layer of endothelial cells, are the sites of exchange. Their small diameter and lack of muscle facilitate efficient diffusion and osmosis. There are three types: continuous, fenestrated, and sinusoidal capillaries, each with unique structural features that influence their permeability.
  • Venules (7–20 μm diameter): Emerging from the capillaries, venules begin the journey of returning blood to the heart. Their high capacitance allows them to accommodate significant changes in blood volume. Venules can expand up to three times the diameter of arterioles.

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