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Cardiovascular system Learning objectives I To outline the cardiovascular system; To state the general properties of cardiac muscle; To describe the conducting system of the heart; To describe the cardiac action potentials; Learning objectives II To describe cardiac cycle; To define cardiac output and blood pressure; To describe the structure of blood vessels; To identify the control of cardiac function and blood circulation; To state the composition of blood; To describe the relation between blood and lymph. Transport in Human The necessity: far distance high metabolic rate slow diffusion small surface area for material exchange The circulatory system in Human Transport medium: blood Pumping device: heart One- way flow: valves Way for the exchange of materials: capillary network Plasma ~ pale yellow, alkaline, 90% water, 10% solid materials Plasma protein: fibrinogen, globulin, prothrombin & albumen Carbohydrates & fats Inorganic ions : Fe, Ca, K, Mg & Na Nitrogen: urea, uric acid Others: O2. CO2 & antitoxins Erythrocytes(Red blood cell) 5,000,000 RBC /mm3 Female has less RBC than male No nucleus in matured RBC Tiny biconcave disc Million hemoglobin/ RBC Production: Fetus liver; Adult bone marrow Life span: 4 months Destruction: liver, spleen & bone marrow Leukocytes(White blood cell) Colorless or transparent Amoeboid in shape 1-2, or more distinct nuclei 5000- 10000 WBC/ mm3 5 main classes of leukocytes: Neutrophils, eosinophils, basophils, monocytes & lymphocytes Platelets 250,000 blood platelets / mm3 Small colorless fragments No nucleus Produced in bone marrow Life span: 10 days Function of platelets Stimulate contraction of injured vessels prevent blood loss Adhere to one another plug the wound Formation of thromboplastin main step of blood clotting Hemophilia ~ / plateletexcessive bleeding Hemorrhage ~ vit. K bleeding Function of blood Transportation ~ gas, food, wastes, heat, hormones & metabolites Homeostasis ~ water balance, acid- base balance Defense ~ blood clotting, phagocytosis & immune response Structure of heart Pericardium ~ double-layer sac surrounding the heart; ~ fluid fills the sac to reduce friction. Heart chambers ~ right atrium ~ right ventricle ~ left atrium ~ left ventricle Atrium Upper chambers Thin wall Smaller than the ventricles Receive blood from the veins Push blood into ventricles Ventricles Lower chambers Thicker muscle wall Pump blood out of the heart to he lungs or around the whole body. The muscular wall of the left ventricle is thicker than that of the right ventricle Heart valves Allow one-way flow of the blood. Closure of the heart valves results in heart beat sound “Lup dup” Tricuspid valve: between RA & RV Biscuspid valve: between LA & LV Semi-lunar valve: at the base of pulmonary artery & the aorta Coronary system Coronary artery ~ branches from aorta ~ supplies oxygen and nutrients to the heart muscle Coronary vein ~ drains deoxygenated blood from the cardiac muscle into RA Heart beat Heart beats automatically i.e. it does not depend on impulses from the nervous system. Contraction is generated within the muscle itself. Pacemaker (SA node) is the origin of stimulus(cardiac action potential) for heart muscle contraction. Important ! SA node initiates the heart beat, but the rate at which it beats can be varied by stimulation from the nervous system. Spread of cardiac impulses SA node Atrial muscle AV node Bundle of His All parts of ventricle Characteristics of cardiac muscle Long refractive period ~ avoid fatigue No tetanus or oxygen debt ~ avoid fatigue Highly vascularized ~ adequate nutrients & oxygen Characteristics of cardiac cycle Pressure in Left ventricle > Pressure in Right ventricle thicker muscle wall of left ventricle Length of cardiac cycle is varied at different state, but during exercise, less time is consumed. Cardiac cycle Sequence of events taking place in one heartbeat: ~ Atrial systole (contraction of atrium) ~ Ventricular systole (contraction of ventricles) ~ Diastole ( both atrium and ventricles relax) Heart sound 1st heart sound “Lup”: ~ closure of tricuspid & bicuspid valves ~ low pitched, not very loud, long duration 2nd hear sound “Dup” ~ closure of semi-luna valves ~ high pitches, louder, short duration Control of heart beat I Cardiac pacemaker ( SA node) ~ nerve innervated the heart only regulate the rate of heart beat but not initiation of heart beat Cardiac output ~ CO = Heart Rate x Stroke Volume Control of heart beat II Nervous regulation ~ Parasympathetic nerve Cardio-inhibitor center vagus nerve acetycholine SA node slow down heart beat ~ Sympathetic nerve Cardio-accelerator center accelerator nerve noradrenaline SA node heart beat Control of heart beat III Hormonal control ~ Adrenaline heart beat Others ~ pH Heart beat ~ temperature Heart beat Blood vessels Artery ~ elastic artery ~ muscular artery ~ arterioles Vein ~venules Capillary Artery Thick muscular wall Small lumen Much elastic tissue Blood under high pressure Oxygenated blood except in pulmonary artery Elastic artery, muscular artery, arterioles Capillary No muscle & elastic tissue Links arteries to vein Blood change from oxygenated to deoxygenated Vein Thin muscular wall Little elastic tissue Large lumen Presence of valves Deoxygenated except in pulmonary vein Blood under low pressure Blood flow in arteries Left ventricle contract Push blood through aorta Ventricles relax & semi- lunar valve close Elastic aorta recoils Muscular wall contracts & push blood to adjacent part of aorta Blood flow in veins I. Contraction of skeletal muscle ~ many veins are lying between large skeletal muscle; ~ muscles contract and squeeze the blood to flow forward in the vein. Blood flow in veins II. Inspiration movement Inspiration ICM & diaphragm contract Enlarge thoracic cavity & pressure -ve pressure suck blood towards the heart Blood flow in veins III. Remaining blood pressure ~ blood pressure in the vein is not zero; ~ the remaining blood pressure pushes blood back to the heart. Material exchange Matter out: O2, glucose, amino acid, fatty acid, hormones, water & inorganic ions Matter in: CO2, ammonia, lactic acids Variation in blood pressure Blood pressure in Arteries> Arterioles> Venules & vein > capillaries Variation on permeability of blood vessels Permeability of Capillaries > arteries, arterioles, venules & veins Variation in total sectional area Capillaries have the largest total section area. This makes sure the blood staying in the tissue area longer, so promote material exchange. Variation in velocity Velocity in arteries > veins > capillaries Blood circulation in the body Mammalian double circulation Coronary circulation Portal circulation Renal system Double circulation Pulmonary circulation ~ circulation of deoxygenated blood from RV to lungs and oxygenated blood return to RA; ~ a short cycle Systemic circulation ~ circulation of oxygenated blood from RV to other parts of the body and the deoxygenated blood returns to RA; ~ a long cycle. Coronary circulation Right & left coronary arteries: supply oxygenated blood to heart muscle; Coronary vein drains deoxygenated blood into RA. Portal circulation It is characterized by having a vein with capillaries at both of its ends. The capillary network at both ends of the portal vessel promote rapid and efficient loading and unloading substances. e.g. hepatic portal vein Renal system Kidney receives urea-rich oxygenated blood via renal artery; Kidney drains urea-free deoxygenated blood through renal vein; Lymphatic circulation system Lymph ~ Fluid leaks out from the capillaries due to filtration ~ Similar composition as plasma except: protein WBC No RBC Lymph vessels Blind ending Present everywhere Thin wall, no valves Lymph flow: adjacent skeletal muscle & breathing motion of chest Lymph flows back to blood via: Right lymphatic duct & thoracic duct Lymph nodes Swelling along lymph vessels at interval Conspicuous in armpits, angle of the jaw & groin As filters for lymph prevent foreign particles from entering the bloodstream Function of Lymphatic system Bridge for the exchange of materials Collects excess tissue fluid back to the blood circulation Transport oil soluble substances Filters the lymph Produce lymphocytes