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Essentials of Human Anatomy & Physiology
Seventh Edition
Chapter 11
The Cardiovascular System
Slides 11.1 – 11.19
The Cardiovascular System
 A closed system of the heart and blood
vessels
 The heart pumps blood
 Blood vessels allow blood to circulate to all
parts of the body
 Function:
 deliver oxygen and nutrients
 remove carbon dioxide and other
waste products
Slide 11.1
The Heart
 Location
 Thorax between the lungs
 Pointed apex directed toward left hip
 Base (great vessels emerge here) pointed
towards right shoulder
 About the size of your fist
Figure 11.1
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Slide 11.2b
The Heart: Coverings
 Pericardium – a double serous
membrane
 Visceral pericardium
 Next to heart
 Parietal pericardium
 Outside layer
 Serous fluid fills the space between the
layers of pericardium
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Slide 11.3
The Heart: Heart Wall
 Three layers
1. Epicardium
 Outside layer
 This layer is the parietal pericardium
 Connective tissue layer
2. Myocardium
 Middle layer
 Mostly cardiac muscle
3. Endocardium
 Inner layer
 Endothelium
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Slide 11.4
External Heart Anatomy
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Figure 11.2a
Slide 11.5
The Heart: Chambers
 Right and left side act as separate pumps
 Four chambers
 2 Atria
 Receiving chambers
 Right atrium (from body)
 Left atrium (from lungs)
 2 Ventricles
 Discharging chambers
 Right ventricle (to lungs)
 Left ventricle (to body)
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Slide 11.6
The Heart: Associated Great Vessels
 Aorta
 Leaves left ventricle
 Pulmonary arteries
 Leave right ventricle
 Vena cava
 Enters right atrium
 Pulmonary veins (four)
 Enter left atrium
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Slide 11.11
Types of BodyCirculations
1. Pulmonary circulation
•
right ventricle, left atrium, pulmonary arteries &
veins
• Blood circulation to and from lungs
2. Systemic circulation
•
Left ventricle, right atrium, aorta, vena cava
• Blood circulation to and from body
3. Coronary circulation
• Coronary arteries & veins that nourish the heart
• Blockages in these arteries cause heart attacks
Blood Circulation
Figure 11.3
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Slide 11.7
Blood circulation
• Blue: oxygen-poor blood
• Red: oxygen-rich blood
• Body  Superior & inferior vena cava  right
atrium  tricuspid valve  right ventricle 
pulmonary semilunar valve  pulmonary artery
 lungs  pulmonary vein  left atrium 
bicuspid valve  left ventricle  aortic
semilunar valve  aorta  body
The Heart: Valves
 Allow blood to flow in only one direction
 Four valves
 Atrioventricular valves – between atria and
ventricles
 Bicuspid/mitral valve (left)
 Tricuspid valve (right)
 Semilunar valves between ventricle and
artery
 Pulmonary semilunar valve
 Aortic semilunar valve
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Slide 11.8
The Heart: Valves
 Valves open as blood
is pumped through
Chordae
tendineae
 Held in place by
chordae tendineae
(“heart strings”)
 Close to prevent
backflow
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Slide 11.9
Cardiac Cycle Animation
• http://www.nhlbi.nih.gov/health/healthtopics/topics/hhw/contraction.html
Operation of Heart Valves
Figure 11.4
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Slide 11.10
Let’s Review
Filling of Heart Chambers –
the Cardiac Cycle
Figure 11.6
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Slide 11.15
The Heart: Cardiac Cycle
 Atria contract simultaneously
 Atria relax, then ventricles contract
 Systole = contraction of ventricles
 Diastole = relaxation of ventricles
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Slide 11.16
The Heart: Cardiac Cycle
 Cardiac cycle – events of one complete
heart beat
 Mid-to-late diastole – blood flows into
ventricles
 Ventricular systole – blood pressure builds
before ventricle contracts, pushing out
blood
 Early diastole – atria finish re-filling,
ventricular pressure is low
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Slide 11.17
The Heart: Conduction System
 2 systems regulate heart activity
1. Nerves of ANS that increase or
decrease heart rate
2. Intrinsic conduction system
(nodal system) that is built into the
heart tissue
 Heart muscle cells contract, without nerve
impulses, in a regular, continuous way
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Slide 11.13a
The Heart: Conduction System
 Special tissue sets the pace
 Sinoatrial (SA) node (right atrium)
 Aka: Pacemaker
 Atrioventricular (AV) node
 Atrioventricular (AV) bundle
 Bundle branches
 Purkinje fibers
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Slide 11.13b
Heart Contractions
 Contraction is initiated by the sinoatrial
node (pacemaker)
 Starts depolarization & sets pace of
heart beat
 Sequence of events: SA node  AV
node  AV bundle  bundle branches
 Purkinje fibers
 AV stimulates atria; bundle branches &
Purkinje stimulate ventricles
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Slide 11.14a
Heart Contractions
Figure 11.5
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Slide 11.14b
Heart Contractions Electricity Video
• http://www.muschealth.com/video/Default.aspx?v
ideoId=10006&cId=7&type=rel
Measuring the Cardiac Cycle:
The Electrocardiogram (ECG or EKG)
EKG: Important Curves
• P: atrial depolarization (atria squeeze)
• QRS: ventricular depolarization (ventricles
squeeze)
• T: ventricular repolarization (ventricles relax)
EKG: Actions in the Heart
Atrial
depolarization
P curve
Ventricular
depolarization
QRS curve
Ventricular
repolarization
T curve
How to Read an EKG
• http://www.interactive-biology.com/2265/048how-to-read-an-electrocardiogram-ecgekg/
Blood Vessels: The Vascular
System
 Taking blood to the tissues and back
 Arteries
 Arterioles
 Capillaries
 Venules
 Veins
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Slide 11.23
The Vascular System
Figure 11.8b
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Slide 11.24
Blood Vessels: Anatomy
 Three layers (tunics)
 Tunic intima
 Endothelium
 Tunic media
 Smooth muscle
 Controlled by sympathetic nervous
system
 Tunic externa
 Mostly fibrous connective tissue
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Slide 11.25
Differences Between Blood Vessel
Types
 Walls of arteries are the thickest
 Lumens of veins are larger
 Skeletal muscle “milks” blood in veins
toward the heart
 Walls of capillaries are only one cell
layer thick to allow for exchanges
between blood and tissue
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Slide 11.26
Movement of Blood Through
Vessels
 Most arterial blood is
pumped by the heart
 Veins use the milking
action of muscles to
help move blood
 Veins has valves that
prevent backflow of
blood due to gravity
Figure 11.9
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Slide 11.27
Capillary Beds
 Capillary beds
consist of two
types of vessels
 Vascular shunt –
directly connects an
arteriole to a venule
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Figure 11.10
Slide 11.28a
Capillary Beds
 True capillaries –
exchange vessels
 Oxygen and
nutrients cross to
cells
 Carbon dioxide
and metabolic
waste products
cross into blood
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Figure 11.10
Slide 11.28b
Diffusion at Capillary Beds
Figure 11.20
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Slide 11.29
Capillary Exchange
 Substances exchanged due to
concentration gradients
 Oxygen and nutrients leave the blood
 Carbon dioxide and other wastes leave the
cells
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Slide 11.42
Capillary Exchange: Mechanisms
 Direct diffusion across plasma
membranes
 Endocytosis or exocytosis
 Some capillaries have gaps (intercellular
clefts)
 Plasma membrane not joined by tight
junctions
 Fenestrations of some capillaries
 Fenestrations = pores
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Slide 11.43
Major Arteries of Systemic Circulation
Figure 11.11
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Slide 11.30
Summary of Major Arteries
• Ascending aorta
• Carotid arteries: to head
• Descending aorta
• Subclavian artery: to arms
• Femoral arteries: to legs
Major Veins of Systemic Circulation
Figure 11.12
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Slide 11.31
Summary of Major Veins
• Superior Vena Cava: drains structures above heart
• Jugular Veins: drains head
• Inferior Vena Cava: drains structures below heart
• Subclavian Vein: drains arm
• Femoral Vein: drains leg
• Hepatic Portal System: drains the abdominal
organs
Hepatic Portal Circulation
Figure 11.14
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Slide 11.33
Circulation to the Fetus
Fetal circulation skips the
lungs since fetus is
receiving oxygen from
placenta that is supplied by
mother’s blood
Does this via the:
1. Ductus arteriosus:
between aorta &
pulmonary truck
2. Foramen ovale:
between right & left
atria
Figure 11.15
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Slide 11.34
The Heart: Regulation of Heart Rate
 Stroke volume usually remains relatively
constant
 Starling’s law of the heart – the more that
the cardiac muscle is stretched, the
stronger the contraction
 Changing heart rate is the most
common way to change cardiac output
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Slide 11.20
Cardiac Output Regulation
Figure 11.7
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Slide 11.19
The Heart: Regulation of Heart Rate
 Increased heart rate
 Sympathetic nervous system
 Crisis
 Low blood pressure
 Hormones
 Epinephrine
 Thyroxine
 Exercise
 Decreased blood volume
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Slide 11.21
The Heart: Regulation of Heart Rate
 Decreased heart rate
 Parasympathetic nervous system
 High blood pressure or blood volume
 Decreased venous return of blood
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Slide 11.22
The Heart: Cardiac Output
 Cardiac output (CO)
 Amount of blood pumped by each side of
the heart in one minute
 CO = (heart rate [HR]) x (stroke volume
[SV])
 Stroke volume
 Volume of blood pumped by each ventricle
in one contraction
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Slide 11.18
Pulse
 Pulse –
pressure wave
of blood
 Monitored at
“pressure
points” where
pulse is easily
palpated
Figure 11.16
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Slide 11.35
Blood Pressure
 Measurements by health professionals
are made on the pressure in large
arteries
 Systolic – pressure at the peak of
ventricular contraction
 Diastolic – pressure when ventricles relax
 Pressure in blood vessels decreases as
the distance away from the heart
increases
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Slide 11.36
Measuring Arterial Blood Pressure
Figure 11.18
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Slide 11.37
Comparison of Blood Pressures in Different
Vessels
Figure 11.17
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Slide 11.38
Blood Pressure: Effects of Factors
 Neural factors
 Autonomic nervous system adjustments
(sympathetic division)
 Causes vasoconstriction, which narrows
the blood vessels & increases BP
 Renal factors (in kidneys)
 Regulation by altering blood volume
 BP too high, kidneys excrete more urine
 Renin – hormonal control (vasoconstriction)
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Slide 11.39a
Blood Pressure: Effects of Factors
 Temperature
 Heat has a vasodilation effect (increases
diameter of blood vessels)
 Cold has a vasoconstricting effect
 Chemicals
 Various substances can cause increases or
decreases
 Diet can prevent hypertension
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Slide 11.39b
Factors Determining Blood Pressure
Figure 11.19
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Slide 11.40
Variations in Blood Pressure
 Human normal range is variable
 Normal
 140–110 mm Hg systolic
 80–75 mm Hg diastolic
 Hypotension
 Low systolic (below 110 mm HG)
 Often associated with illness
 Hypertension
 High systolic (above 140 mm HG)
 Can be dangerous if it is chronic
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Slide 11.41
Developmental Aspects of the
Cardiovascular System
 A simple “tube heart” develops in the
embryo and pumps by the fourth week
 The heart becomes a four-chambered
organ by the end of seven weeks
 Few structural changes occur after the
seventh week
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Slide 11.44