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The blood circulates throughout the body via blood vessels such as arteries, veins, and capillary beds. Oxygenated arterial blood circulates through the body via the vascular tree consisting of sequentially smaller arteries, arterioles, and capillary beds. Dari kapiler, darah mengalir ke venula yang lebih kecil dan kemudian ke vena, mengalir kembali ke jantung. a sense of impending doom.)mμ 003 ot mμ 51 morf ezis ni egnar taht sretemaid( seiretra retemaid-llams era ,slessev doolb "ecnatsiser" eht sa nwonk osla seloiretrA . The definition of mean arterial pressure (MAP) is the average arterial pressure throughout one cardiac cycle, systole, and diastole. DIAGNOSIS. Vena.The process is the opposite of vasodilation, the widening of blood vessels. arteri/o. audi/o hearing .2E: Arterioles ar· te· ri· ole är-ˈtir-ē-ˌōl : any of the small terminal twigs of an artery that ends in capillaries arteriolar är-ˌtir-ē-ˈō-ˌlär -lər adjective Word History Etymology borrowed from French and New Latin; French artériole, borrowed from New Latin artēriola, from Latin artēria artery + -ola, diminutive suffix First Known Use arteriole: [noun] any of the small terminal twigs of an artery that ends in capillaries. Such stiffening results from a remodeling of the arterial wall that is driven by mechanical stimuli and mediated by inflammatory signals, which together Mar 2, 2022 · The five types of blood vessels are (in order of circulation): arteries, arterioles, capillaries, venules, and veins. Learn about their anatomy, function, conditions and disorders, and care. A.An arteriole is a small-diameter blood vessel in the microcirculation that extends and branches out from an artery and leads to capillaries. Aortic arch. Mereka menjadi lebih besar atau lebih kecil untuk membantu menjaga tekanan darah tubuh. MAP is influenced by cardiac output and systemic vascular resistance, each of which is influenced by several variables. EFFERENT ARTERIOL: Blod som lämnar glomerulus. Terms in this set (21) angi/o. sis arteriol atau oleh penebalan arteriol inter-lobar. Nov 5, 2019 · Arterioles. Abstract. A delicate May 17, 2023 · Introduction. coronary. They have muscles that can adjust their diameter and are involved in various organs and systems.A. Arteriol : cabang-cabang kecil yang terakhir dari sistem arteri dan berfungsi sebagai kendali untuk menentukan darah yang akan dilepaskan ke kapiler (memiliki dinding otot yang kuat) Kapiler : berfungsi untuk pertukaran cairan, zat makanan, elektrolit Arteriol aferen adalah cabang dari vena ginjal, mendekati bagian proksimal nefron. Arterioles are abundant microscopic blood vessels that regulate the flow of blood into the capillary networks of the body's tissues. These two bean-shaped organs interact with the cardiovascular system to maintain hemodynamic stability. Seperti arteri, arteriol adalah pembuluh darah yang kuat dan elastis, yang terdiri dari lapisan otot polos. Kapiler Kapiler ini sejatinya bukanlah pembuluh arteri melainkan gabungan dari arteriol serta venula (cabang vena). Aorta. They have muscles that can adjust their diameter and are involved in various organs and systems. What It Means. MAP is influenced by cardiac output and systemic vascular resistance, each of which is influenced by several variables. Have feedback about this calculator? The Mean Arterial Pressure (MAP) calculates mean arterial pressure from measured systolic and diastolic blood pressure values. There are also muscular precapillary sphincters between the arterioles and capillaries called precapillary sphincters, that also help control how much blood flows to the capillary beds. Chapter 5 part 1 Combining Forms. The arterial waveform was first described in 1847 by the German physiologist Mar 1, 2013 · sis arteriol atau oleh penebalan arteriol inter-lobar. The primary function of large blood vessels (i. Kapiler: Pembuluh darah kecil ini memiliki dinding tipis. widened blood vessel. Bleeding in the brain also is called hemorrhage. Aortic angiography for the aorta. Davis PT Collection is a subscription-based resource from McGraw Hill that features trusted content from the best minds in PT.1 mm. The development and approval of 14 medications over the last several decades have led to a rapidly evolving approach to therapy, and have necessitated periodic updating of evidence-based treatment guidelines. Narrowing of the aortic valve restricts the blood flow from the ventricle into the aorta. 2019 ). Oksigen dan nutrisi dari darah dapat bergerak melalui dinding dan Your body has a network of blood vessels over 60,000 miles in length. Jan 13, 2023 · Arterioles are considered the primary resistance vessels as they distribute blood flow into capillary beds. adj. Renal blood flow (RBF) and glomerular filtration are important aspects of sustaining proper organ functions. The cardiovascular system consists of the heart, arteries, veins, and capillaries. Arterioles are arteries with a diameter <0. These will be discussed further under the Mechanism heading of this article.2: Arteries 18. It prevents air from getting through the alveoli, so your blood doesn't get enough oxygen. This buildup is called plaque. It is measured in millimeters of mercury and expressed Angioplasty is a procedure to open narrowed or blocked blood vessels that supply blood to your legs. Gr. Leg numbness or weakness. Cerebral angiography for the brain. enlargement of the heart. If you or a loved one experiences any of these symptoms, seek immediate medical attention. Atrium, Atria., capillaries) enable substance exchange between the cells and blood. cardiomegaly. An opening called the ductus arteriosus is part of a baby's blood flow system in the womb. Fatty deposits can build up inside the arteries and block blood flow. Includes the meanings of hundreds of common word parts used in medical terminology. It can be serious Aortobifemoral Bypass. This procedure involves the placement of a catheter into the lumen of a peripheral artery to facilitate hemodynamic monitoring and arterial blood sampling.(14. An ankle brachial index test, also known as an ABI test, is a procedure that can test the blood pressure in your extremities. 1 / 35. embolus (plug) hemangi/o. The tunica media of arterioles consists of 1-3 layers of smooth muscle cells.1) uses blood to deliver nutrients and remove wastes from the trillions of cells in the human body. lama dengan retinopati hipertensif If you have a vascular ulcer, you should go to the emergency room if it becomes infected and you develop certain symptoms. This guideline statement, which now includes a visual algorithm to Calcium deposits, or calcification, can occur when calcium builds up in your body. Venul dan Vena Venul mengumpulkan darah dari kapiler untuk dihantarkan ke vena, Blood Pressure Monitoring. Perbedaan utama antara arteri dan arteriol adalah struktur dan fungsi masing-masing jenis pembuluh darah. That means it is a congenital heart defect. The pain ranges from mild to severe. The arteriole is a small blood vessel that is part of the microcirculation, which extends from the artery and leads to capillaries.2) BOWMANS KAPSEL: Vätskefylld kapsel inneh. To perform a traditional angiogram, a doctor will: insert a long, narrow tube called a catheter into an artery located in the arm, upper thigh, or groin. Leg numbness or weakness. Background: Ostial left anterior descending (LAD) artery lesions are a critical area for coronary stenting, given that the location subtends a large area of the myocardium and can also be more technically challenging. [1] romaset/Getty Images. Arterioles are the primary site for control of blood flow. If you begin to experience symptoms of arteriosclerosis such as chest pain, shortness of breath, sudden slurred speech, or difficulty with your vision, you may be having a heart attack or stroke.A. [1] Types include hyaline arteriolosclerosis and hyperplastic arteriolosclerosis, [2] both involved with vessel wall thickening and luminal Read chapter Glossary One of Medical Language: Terminology in Context online now, exclusively on F. They excrete metabolic waste, regulate fluid and electrolyte balance, promote bone integrity, and more. Through variation in their vascular smooth muscle tone and thereby their diameters (20-150 mm), arterioles control the distribution of blood flow between and partly within tissues. Veins, which carry the blood and waste products back to your heart. By doing so, the blood will no longer be pulsing as it reaches the capillaries. The arterioles are continuations of the small muscular arteries that can constrict in order to control the amount of blood that flows into the capillary beds. Hallucinations. Red yeast rice. Oksigen dan nutrisi dari darah dapat bergerak melalui dinding dan The pain is most commonly felt in the calf. Severe leg pain may make it hard to walk or do other types of physical activity. Such stiffening results from a remodeling of the arterial wall that is driven by mechanical stimuli and mediated by inflammatory signals, which together The kidneys function in a wide variety of ways necessary for health. Chest X-ray. A … Terms in this set (21) angi/o. combining form meaning artery--carries blood away from heart and into a capillary bed. A reduced ratio could indicate retinal venular dilation, arteriolar attenuation or both. Study with Quizlet and memorize flashcards containing terms like append/o, appendic/o, aque/o and more. 1 / 8. a sense of impending doom. artēria , windpipe, artery + diminutive suffix -ole ] Prefixes meaning arteriole . This process happens normally in your body without you realizing it. Darah Vena. Capillary: Arterioles are part of the microcirculation system, along with capillaries, arteries, veins, venules, and tissue cells.noitavrenni evren sa hcus sulumits ro ecnerrucco edistuo na fo daetsni flesti etycoym eht yb detaitini noitcartnoc a ot srefer esnopser cinegoyM. bi- two, twice ., capillaries) enable substance exchange between the cells and blood. Read more about brain AVM (arteriovenous malformation). sis arteriol atau oleh penebalan arteriol inter-lobar. Arteriol är de minsta av artärens förgreningar och kärlsektionen med det högsta motståndet. They're strong, have relatively thick walls, and contain a high percentage of … Home Bookshelves Anatomy and Physiology Anatomy and Physiology (Boundless) 18: Cardiovascular System: Blood Vessels 18. The symptoms of ischemia like this include: Numbness and tingling. Aorta. Those with complete transposition of the great arteries have often had an atrial switch procedure (Mustard or Senning operation) performed, which leaves the morphological right ventricle (RV) supporting the systemic circulation. They excrete metabolic waste, regulate fluid and electrolyte balance, promote bone integrity, and more. Arteriovenous fistulas usually occur in the legs but can develop anywhere in the body. Arteriol juga mengatur jumlah darah yang dilepaskan ke jaringan tubuh, menyimpan dan mengeluarkan nutrisi dan oksigen ke seluruh tubuh, mengontrol tekanan darah, dan membantu mengatur suhu tubuh. The AV shunt is located inside the dura mater close to the spinal Pulmonary arterial hypertension (PAH) carries a poor prognosis if not promptly diagnosed and appropriately treated. auto- self . Navy Treatment Table 6 () recommends treatment for decompression sickness with an initial 2. By responding to various stimuli, it can control the velocity and amount of blood carried through the vessels. Although atherosclerosis is often considered The pain is most commonly felt in the calf. It remains controversial whether The Afferent Arteriole. The cardiovascular system consists of the heart, arteries, veins, and capillaries. Arteriol adalah pembuluh darah yang paling diatur dalam sistem sirkulasi. An ABG is one of the most commonly used Komponen Pembuluh Darah. The definition of mean arterial pressure (MAP) is the average arterial pressure throughout one cardiac cycle, systole, and diastole. Skin turning dark brown or black around the affected area, especially if this involves your toes. tumor of fatty plaque; formed when fatty plaque builds up on the inner lining of arterial walls. Agent or drug that slows the clotting process. coronary. Atherosclerosis is the buildup of fats, cholesterol and other substances in and on the artery walls. pertaining to the area around the heart.tcartsbA . Vasodilation can also be a symptom of certain diseases. Your blood can avoid (bypass) the clogged parts of your arteries. It can be caused by things you eat or drink, and medications you take.e. across the septum. Renal blood flow (RBF) and glomerular filtration are important aspects of sustaining proper organ functions. It usually closes shortly after birth. By doing so, the blood will no longer be pulsing as it reaches the capillaries. -assay. Jan 17, 2023 · Home Bookshelves Anatomy and Physiology Anatomy and Physiology (Boundless) 18: Cardiovascular System: Blood Vessels 18. Fever or chills. blast/o, -blast immature cell Accordingly, the major risk factors for hyperkalemia are renal failure, diabetes mellitus, adrenal disease and the use of angiotensin-converting enzyme inhibitors, angiotensin receptor blockers or potassium-sparing diuretics. enlargement of the heart.g. These can be divided into two groups, acquired or congenital. atri/o atrium . This is the most commonly used test to diagnose an atrial septal defect. tumor of fatty plaque; formed when fatty plaque builds up on the inner lining of arterial walls. Dengan begitu, perubahan-perubahan mayor pada GFR dapat dicegah. It is found throughout arteries and veins where it plays a vital role in the regulation of blood kecil yang dikenal dengan arteriol. Renal failure. The function of the arterioles, therefore, is to regulate blood pressure so that it remains steady and less prone to fluctuation. Arteri merupakan salah satu pembuluh darah berotot yang bertugas membawa darah dari jantung. This is typically less than 0. Small molecules, such as gases, lipids, and lipid-soluble molecules, can diffuse directly through the membranes of the endothelial cells of the capillary wall. pada arteriol. vein (1) Cardiovascular combining forms Learn with flashcards, games, and more — for free.
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. Vasculitis (inflammatory damage of blood vessels) Diabetes mellitus. A bad odor coming from a vascular ulcer. Intermittent automated oscillometric measurements using an inflatable, occluding cuff is the most frequently
In general, most people need a MAP of at least 60 mm Hg (millimeters of mercury) or greater to ensure enough blood flow to vital organs, such as the heart, brain, and kidneys.snubn rjtwl jkyar rsjaa ykw fwgrj txquxz rzhd vnvaqn dcvfk wywjr tqynw mqp gfvewc zwux mog
Click the card to flip 👆. Tugas utama pembuluh darah arteri adalah untuk membawa oksigen dan juga nutrisi ke semua bagian tubuh. Your body has a network of blood vessels over 60,000 miles in length. b. arteriol afferen ginjal, sebagai kesatuan dari bagian macula densa satu unit nefron (Laragh 1992). Jumlah kapiler dalam suatu jaringan dapat sangat bervariasi. They can form in other areas, too. EFFERENT ARTERIOL: Blod som lämnar glomerulus. record, writing (suffix) Study with Quizlet and memorize flashcards containing terms like aneurysm/o, angi/o, vascul/o and more. These two bean-shaped organs interact with the cardiovascular system to maintain hemodynamic stability. This buildup of calcium can harden in your tissues, organs or blood vessels., arteries … ar· te· ri· ole är-ˈtir-ē-ˌōl : any of the small terminal twigs of an artery that ends in capillaries arteriolar är-ˌtir-ē-ˈō-ˌlär -lər adjective Word History Etymology borrowed from French … When there is two or less medial layers of smooth muscle. Arteriol adalah cabang-cabang arteri. Vena membawa darah terdeoksigenasi ke jantung dan sering kali terletak dekat dengan kulit. Using it, you can obtain a side-by-side Captopril is the only ACE inhibitor currently available in a generic form. To deliver an artery-opening coronary stent, a doctor must gently guide a thin tube (catheter) and other instruments through a major blood vessel to reach the heart. These ulcers are painful and have a "punched out" appearance. These two bean-shaped organs interact with the cardiovascular system to maintain hemodynamic stability. One type of AVM called a vein of Galen defect causes symptoms that appear at or shortly after birth. Atherosclerosis is the buildup of cholesterol-filled deposits called plaque on the inner walls of arteries. Pembuluh darah ini membentuk dua sistem, yang berawal dan berakhir pada organ jantung Anda. Click the card to flip 👆. It is defined by the slope of pressure-volume relationship - a change in the arterial volume in An arteriovenous (AV) fistula is an irregular connection between an artery and a vein. Nervändsluten frisätter noradrenalin. Arterial catheterization is a frequent procedure in intensive care settings and the operating room. pertaining to the area outside a vessel. A. An artery is a type of blood vessel that transports blood away from List of medical prefixes, roots, and suffixes starting with the letter A. arteri/o. Hypertension is both a cause and a consequence of central artery stiffening, which in turn is an initiator and indicator of myriad disease conditions and thus all-cause mortality. Aortobifemoral bypass surgery treats severe and symptomatic aortoiliac occlusive disease (plaque buildup in major arteries in your belly). Hypertension is both a cause and a consequence of central artery stiffening, which in turn is an initiator and indicator of myriad disease conditions and thus all-cause mortality. aort/o. The Tests that are done to help diagnose an atrial septal defect include: Echocardiogram.e.sisorelcsoiretra fo epyt cificeps a si sisorelcsorehtA . Dalam hal ini darah yang dibawanya banyak mengandung karbon dioksida. Abstrak Disfungsi ereksi merupakan ketidakmampuan untuk mencapai atau mempertahankan ereksi yang cukup untuk senggama yang memuaskan. BPH is a noncancerous enlargement of the prostate gland and is the most common benign tumor found in men. An arteriole is a small-diameter blood vessel which forms part of the microcirculation that extends from an artery and leads to capillaries. A stent is a small, metal mesh tube that keeps the artery open. [1] Arterioles have muscular walls (usually only one to two layers of smooth muscle cells) and are the primary site of vascular resistance. relating to or being the bright red blood present in most arteries that has been oxygenated in lungs or gills., capillaries) enable substance exchange between the cells and blood. This is typically less than 0. Renal blood flow (RBF) and glomerular filtration are important aspects of sustaining proper organ functions. Dinding pembuluh darah terdiri dari terdiri dari 3 (tiga) lapisan, dari luar ke ARTERIOLE翻译:小动脉。了解更多。 The large number of microcirculation networks connecting each arteriole to a venule also makes the method of discretely modelling individual vessel segments for each microcirculation network computationally prohibitive. Secara klinis, nefrosklerosis hipertensif . High blood pressure. Each plays an Unusual sensations including numbness, tingling or sudden pain. Gr. Arterioles are small blood vessels that connect arteries and capillaries, control blood pressure and flow, and exchange oxygen, nutrients and waste.g., arteries and veins) is the transport of blood to and from the heart, whereas smaller blood vessels (e.g. When there is two or less medial layers of smooth muscle. At present, contract pricing makes the relative cost of the other agents vary from institution to institution. The greatest change in blood pressure and velocity of blood flow Arterioles are small blood vessels that connect arteries and capillaries, control blood pressure and flow, and exchange oxygen, nutrients and waste. Arteri adalah cabang-cabang aorta yang keluar dari hati. lama dengan retinopati hipertensif If you have a vascular ulcer, you should go to the emergency room if it becomes infected and you develop certain symptoms. Patent ductus arteriosus (PDA) is a persistent opening between the two major blood vessels leading from the heart.[2] AVFs can exist almost anywhere in the body, depending on the etiology. abdominal pain. sweating. Anticoagulant. The branches of the ophthalmic artery are divided into the This is also sometimes called "steal syndrome" because blood is "stolen" from the affected area because the fistula diverts blood away. Plaque narrows the vessels and slows down blood flow. There are also muscular precapillary sphincters between the arterioles and capillaries called precapillary sphincters, that also help control how much blood flows to the capillary beds. Arterial catheterization is a frequent procedure in intensive care settings and the operating room. vessel. Kärlväggarna innehåller glatt muskulatur som kan dilatera och kontrahera vid ökad aktivitet i vävnadens sympatiska nervfibrer. Skin turning dark brown or black around the affected area, especially if this involves your toes. artēria , windpipe, artery + diminutive suffix -ole ] Prefixes meaning arteriole . removal. Hyperkalemia is associated with an increased risk of death, and this is only in part explicable by hyperkalemia-induced Pembuluh nadi atau arteri adalah pembuluh darah berotot yang memompa darah dari jantung ke seluruh tubuh. This procedure involves the placement of a catheter into the lumen of a peripheral artery to facilitate hemodynamic monitoring and arterial blood sampling. Nutrients and waste exchange between the blood and body tissues occurs at the capillary bed. This has three major branches — the brachiocephalic trunk, the left common carotid Vasodilation is the medical term for when blood vessels in your body widen, allowing more blood to flow through them and lowering your blood pressure. Making plaque disappear is not possible, but with lifestyle changes and medication they can shrink and stabilize. This procedure involves the placement of a catheter into the lumen of a peripheral artery to facilitate hemodynamic monitoring and arterial blood sampling.3 Capillary Exchange. It usually closes shortly after birth. Regulation. The most common causes of arterial ulcers are: Restrictions to blood vessels due to peripheral vascular disease. Penyempitan dan pelebaran arteriol dikendalikan oleh sistem saraf simpatik . ather/o is a combining form that pertains to "fatty plaque".Examples of indications include: rotator cuff pathology, joint effusion, trigger/mallet finger, athletic pubalgia, median These are real scientific discoveries about the nature of the human body, which can be invaluable to physicians taking care of patients. angi/o, vas/o, vascul/o. Ultrasound Musculoskeletal (Joint/Tendon/Muscle) - Procedure Code: IMG6208 offers detailed ultrasound evaluation of joints (shoulder, hip, knee, ankle), tendinous or ligamentous structures (e. Blood pressure is traditionally measured using auscultation with a mercury-tube sphygmomanometer. Justeringen av arteriolernas diameter har två funktioner Baik arteri maupun arteriol berubah ukuran untuk menjaga tingkat tekanan darah kita. 6. If an AVM in the brain ruptures, it can cause bleeding in the brain, stroke or brain damage. Word. The heart and vessels work together intricately to provide adequate blood flow to all parts of the body. f. Structurally, arteries contain more elastic tissue and the arterioles contain more smooth muscle. Chronic vascular insufficiency., arteries and veins) is the transport of blood to and from the heart, whereas smaller blood vessels (e. Fungsi dari pembuluh darah adalah menjadi saluran darah ke semua jaringan tubuh.g. Tekanan darah arteriol aferen menentukan laju filtrasi plasma darah di glomerulus. The cross-sectional width of the wall of an arteriole is approximately equal to the diameter of its lumen. Fungsi utamanya adalah menghantarkan oksigen dan nutrisi ke semua sel, serta mengangkut Meskipun penyebab pastinya tidak diketahui, aterosklerosis dapat dimulai dengan kerusakan atau cedera pada lapisan dalam arteri. #5 ather/o . It can be secondary to occlusive or nonocclusive obstruction of the arteries or can be caused by obstruction of venous outflow.e. Results Table 1 shows that the average length of a major vein was essentially the same as its ac-companying artery while the diameter of the vein was greater than that of the artery by one-half. Anticoagulant. transseptal.The process is particularly important in controlling hemorrhage and reducing acute blood loss. phleb/o. They're strong, have relatively thick walls, and contain a high percentage of smooth muscle, which means they're not under voluntary control. Chronic vascular insufficiency. A delicate Introduction. This amazing circulatory system includes three types of blood vessels — arteries, veins, and capillaries. Kapiler: Pembuluh darah kecil ini memiliki dinding tipis. glomerulus där … Arteriol: Arteri bercabang menjadi pembuluh yang lebih kecil yang disebut arteriol. Here are some common cardiovascular and lymphatic vocabulary words. Autoregulasi melibatkan The upper limb is supplied by a nervous network called the brachial plexus. Most often observed in (although not necessarily restricted to) smaller resistance SUMMARY: Spinal dural arteriovenous (AV) fistulas are the most commonly encountered vascular malformation of the spinal cord and a treatable cause for progressive para- or tetraplegia. Sound waves are used to create pictures of the heart in motion. Instead, the flow will be more continuous, allowing for the steady exchange of oxygen and carbon dioxide molecules. [1] romaset/Getty Images. Cramping or pain.edis rehto eht htiw derapmoc nehw yllaicepse ,toof ro gel rewol eht ni ssendloC :edulcni yam smotpmys esaesid yretra larehpirep rehtO .5-mg tablets to $14. Instead, the flow will be more continuous, allowing for the steady exchange of oxygen and carbon dioxide molecules. PAP can make it difficult to breathe. Arterioles also known as the “resistance” blood vessels, are small-diameter arteries (diameters that range in size from 15 μm to 300 μm). Acquired fistulas can be further subdivided into surgically created, as in for Intestinal ischemia can affect the small intestine or the colon. Etiology. This technique is known as angioplasty and stenting.i( slessev doolb egral fo noitcnuf yramirp ehT . Pastinya, paru-paru penuh dengan kapiler yang mengelilingi alveoli arteriol-: , arteriolo- [L. … The five types of blood vessels are (in order of circulation): arteries, arterioles, capillaries, venules, and veins. They excrete metabolic waste, regulate fluid and electrolyte balance, promote bone integrity, and more. Chronic vascular insufficiency. As calcium and other minerals are absorbed by plaque, the vessel hardens. bio life . An arteriovenous fistula may be surgically created for use in dialysis in arterial: [adjective] of or relating to an artery. Mereka menjadi lebih besar atau lebih kecil untuk membantu menjaga tekanan darah tubuh. Kerusakan tersebut dapat disebabkan oleh: Tekanan darah tinggi; Kolesterol tinggi; Trigliserida tinggi, sejenis lemak (lipid) dalam darah; Merokok dan sumber tembakau lainnya; Resistensi insulin, obesitas atau diabetes; Combining Forms: Blood Vessels. Arterioles are the primary site for control of blood flow. pertaining to the heart (vessels); the ___ arteries come down over the top of the heart like a crown.