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Transcript
Chapter 19: The Blood Vessels
Circulatory Song
Copyright © 2010 Pearson Education, Inc.
Blood Vessels
• Delivery system of dynamic structures that
begins and ends at the heart
• Arteries: carry blood away from the heart;
oxygenated except for pulmonary
circulation
• Capillaries: contact tissue cells and directly
serve cellular needs
• Veins: carry blood toward the heart except
for pulmonary circulation
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Venous system
Large veins
(capacitance
vessels)
Small veins
(capacitance
vessels)
Postcapillary
venule
Thoroughfare
channel
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Arterial system
Heart
Large
lymphatic
vessels
Lymph
node
Lymphatic
system
Arteriovenous
anastomosis
Elastic arteries
(conducting
vessels)
Muscular arteries
(distributing
vessels)
Lymphatic
Sinusoid
capillary
Arterioles
(resistance vessels)
Terminal arteriole
Metarteriole
Precapillary sphincter
Capillaries
(exchange vessels)
Figure 19.2
Structure of Blood Vessel Walls
• Arteries and veins
• Composed of layers called “tunics”
• (3) Tunica intima, tunica media, and tunica
externa
• Lumen
• Central blood-containing space
• Capillaries
• Endothelium with sparse basal lamina
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Tunica intima
• Endothelium
• Subendothelial layer
Internal elastic lamina
Tunica media
(smooth muscle and
elastic fibers)
External elastic lamina
Tunica externa
(collagen fibers)
Lumen
Artery
(b)
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Capillary
network
Valve
Lumen
Vein
Basement membrane
Endothelial cells
Capillary
Figure 19.1b
Tunic = covering
Tunics
• Tunica intima
• Endothelium lines the lumen of all vessels
• In vessels larger than 1 mm, a
subendothelial connective tissue basement
membrane is present
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Tunics
• Tunica media
• Smooth muscle and sheets of
elastin
• Sympathetic vasomotor nerve
fibers control vasoconstriction
and vasodilation of vessels
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Tunics
• Tunica externa (tunica
adventitia)
• Collagen fibers protect and
reinforce
• Larger vessels contain vasa
vasorum to nourish the
external layer
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Table 19.1 (1 of 2)
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Table 19.1 (2 of 2)
Arterial System
Divided into 3 groups based on size and function
1. Elastic (Conducting) Arteries
2. Muscular (Distributing) Arteries
3. Arterioles
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Elastic (Conducting)
Arteries
• Large thick-walled arteries with elastin in
all three tunics
• Aorta and its major branches
• Large lumen offers low-resistance
• Act as pressure reservoirs—expand and
recoil as blood is ejected from the heart
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Muscular (Distributing) Arteries and
Arterioles
• Distal to elastic arteries; deliver blood to
body organs
• Have thick tunica media with more smooth
muscle
• Active in vasoconstriction
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Arterioles
• Smallest arteries
• Lead to capillary beds
• Control flow into capillary beds via
vasodilation and vasoconstriction
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Capillaries
• Microscopic blood vessels
• Only blood vessels to permit gas exchange
• Very thin walls only one cell thick
• Small diameter allows only a single RBC to pass
at a time
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Capillaries
• In all tissues except for cartilage,
epithelia, cornea and lens of eye
• Functions: exchange of gases, nutrients,
wastes, hormones, etc.
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Venous system
Large veins
(capacitance
vessels)
Small veins
(capacitance
vessels)
Postcapillary
venule
Thoroughfare
channel
Copyright © 2010 Pearson Education, Inc.
Arterial system
Heart
Large
lymphatic
vessels
Lymph
node
Lymphatic
system
Arteriovenous
anastomosis
Elastic arteries
(conducting
vessels)
Muscular arteries
(distributing
vessels)
Lymphatic
Sinusoid
capillary
Arterioles
(resistance vessels)
Terminal arteriole
Metarteriole
Precapillary sphincter
Capillaries
(exchange vessels)
Figure 19.2
Capillary Beds
• Interwoven networks of capillaries form
the microcirculation between arterioles
and venules
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Capillary Beds
Consist of two types of vessels
1. Vascular shunt (metarteriole—thoroughfare
channel):
•
Directly connects the terminal arteriole
and a postcapillary venule
2. True capillaries
•
10 to 100 per capillary bed depending on
organ or tissue being served
•
Branch off the metarteriole or terminal
arteriole
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Blood Flow Through Capillary Beds
• Precapillary sphincters regulate blood flow
into true capillaries
• Regulated by local chemical conditions and
vasomotor nerves
• Sphincters are open or closed depending on
organ or tissue needs at the time
ex. After a meal, sphincters are open to
increase blood flow to aid in digestion.
Otherwise, they are closed due to decreased
demand
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Precapillary
sphincters
Vascular shunt
Metarteriole
Thoroughfare channel
True capillaries
Terminal arteriole
Postcapillary venule
(a) Sphincters open—blood flows through true capillaries.
Terminal arteriole
Postcapillary venule
(b) Sphincters closed—blood flows through metarteriole
thoroughfare channel and bypasses true capillaries.
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Figure 19.4
Venules
• Formed when capillary beds unite
• Very porous; allow fluids and WBCs into
tissues
• Postcapillary venules consist of endothelium
and a few pericytes
• Larger venules have one or two layers of
smooth muscle cells
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Veins
• Formed when venules converge
• Still have 3 tunics but have thinner walls &
larger lumens compared with corresponding
arteries
• Blood pressure is lower than in arteries
• Thin tunica media and a thick tunica externa
consisting of collagen fibers and elastic
networks
• Called capacitance vessels (blood reservoirs);
contain up to 65% of the blood supply
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Vein
Artery
(a)
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Figure 19.1a
Pulmonary blood
vessels 12%
Systemic arteries
and arterioles 15%
Heart 8%
Capillaries 5%
Systemic veins
and venules 60%
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Figure 19.5
Veins
•
Adaptations that ensure return of blood
to the heart
1. Large-diameter lumens offer little
resistance
2. Valves prevent backflow of blood
•
Most abundant in veins of the limbs
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Homeostatic Imbalance
Vericose Veins
• Caused by leaky valves
that dilate the vein
• Pooling blood over time weakens the valves and
stretches the venous walls
• Usually affects the lower limbs
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Homeostatic Imbalance
Vericose Veins
• Contributing factors include:




Heredity
Prolonged standing
Obesity
Pregnancy
• Increased pressure from bearing
down during child birth or bowel
movements can cause vericosities
known as
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hemorrhoids
Physiology of Circulation: Definition of Terms
• Blood flow
• Volume of blood flowing through a vessel, an organ,
or the entire circulation in a given period
• Measured as ml/min
• Equivalent to cardiac output (CO) for entire
vascular system
• Relatively constant when at rest
• Varies widely through individual organs, based on
needs
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Physiology of Circulation: Definition of Terms
• Blood pressure (BP)
• Force per unit area exerted on the wall of a
blood vessel by the blood
• Expressed in mm Hg
• Measured as systemic arterial BP in large
arteries near the heart
• The pressure gradient provides the driving
force that keeps blood moving from higher
to lower pressure areas
Copyright © 2010 Pearson Education, Inc.
Physiology of Circulation: Definition of Terms
• Resistance (peripheral resistance)
• Opposition to flow
• Measure of the amount of friction blood encounters
• Generally encountered in the peripheral systemic
circulation
• Three important sources of resistance
• Blood viscosity
• Total blood vessel length
• Blood vessel diameter
Copyright © 2010 Pearson Education, Inc.
Resistance
• Factors that remain relatively constant:
• Blood viscosity
• The “stickiness” of the blood due to
formed elements and plasma proteins
• Blood vessel length
• The longer the vessel, the greater the
resistance encountered
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Resistance
• Frequent changes in diameter alter
peripheral resistance
• The smaller the tube, the greater the
friction because more fluid contacts the
tube wall
• E.g., if the radius is doubled, the resistance
is reduced
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Resistance
• Small-diameter arterioles are the major
determinants of peripheral resistance
• Abrupt changes in diameter or fatty
plaques from atherosclerosis dramatically
increase resistance
• Disrupt flow and cause turbulence
• If resistance increases, blood flow
decreases
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Systemic Blood Pressure
• The pumping action of the heart generates blood
flow
• Pressure results when flow is opposed by
resistance
• Systemic pressure
• Is highest in the aorta
• Declines throughout the pathway
• Is 0 mm Hg in the right atrium
• The steepest drop occurs in arterioles
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Systolic pressure
Mean pressure
Diastolic
pressure
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Figure 19.6
Arterial Blood Pressure
• Reflects two factors of the arteries close
to the heart
• Elasticity (compliance or distensibility)
• Volume of blood forced into them at any
time
• Blood pressure near the heart is pulsatile
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Arterial Blood Pressure
• Systolic pressure: pressure exerted during
ventricular contraction
• Diastolic pressure: lowest level of arterial
pressure
• Pulse pressure = difference between
systolic and diastolic pressure
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Capillary Blood Pressure
• Ranges from 15 to 35 mm Hg
• Low capillary pressure is desirable
• High BP would rupture fragile, thin-walled
capillaries
• Most are very permeable, so low pressure
forces filtrate into interstitial spaces
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Venous Blood Pressure
• Changes little during the cardiac cycle
• Small pressure gradient, about 15 mm Hg
• Low pressure due to cumulative effects of
peripheral resistance
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Factors Aiding Venous Return
1. Respiratory “pump”: pressure changes
created during breathing move blood
toward the heart by squeezing abdominal
veins as thoracic veins expand
2. Muscular “pump”: contraction of skeletal
muscles “milk” blood toward the heart and
valves prevent backflow
3. Vasoconstriction of veins under
sympathetic control
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Valve (open)
Contracted
skeletal
muscle
Valve (closed)
Vein
Direction of
blood flow
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Figure 19.7
Maintaining Blood Pressure
• Requires
• Cooperation of the heart, blood vessels, and
kidneys
• Supervision by the brain
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Maintaining Blood Pressure
• The main factors influencing blood
pressure:
• Cardiac output (CO)
• Peripheral resistance (PR)
• Blood volume
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Maintaining Blood Pressure
• F = P/PR and CO = P/PR
• Blood pressure = CO x PR (and CO depends
on blood volume)
• Blood pressure varies directly with CO, PR,
and blood volume
• Changes in one variable are quickly
compensated for by changes in the other
variables
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