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CARDIOVASCULAR SYSTEM CP Anatomy & Physiology CARDIOVASCULAR SYSTEM blood, heart, blood vessels functions transportation O2 (to cells) CO2 (away) nutrients (glucose) cellular wastes hormones (endocrine gland secretions) any other homeostatic substances (cells, antibodies) maintain body temperature CARDIOVASCULAR SYSTEM~THE HEART location and size fist hollow, cone shaped < a pound lies medial to lungs apex tip; points toward left base great vessels emerge; points to right CARDIOVASCULAR SYSTEM~THE HEART coverings and wall (muscle pericardium = membraneous sac enveloping the heart endocardium myocardium =endothelial membrane lining the interior of the heart =middle layer of heart wall composed of cardiac muscle epicardium (visceral pericardium) =thin outermost layer CARDIOVASCULAR SYSTEM~THE HEART chambers and associated great vessels 4 hollow chambers 2 atria 2 vetnricles atria ventricles superior receiving chambers receive blood from veins inferior pumping chambers; contract—pump blood out of heart & into circulation septum divides the heart longitudinally interventricular or interatrial CARDIOVASCULAR SYSTEM~THE HEART CARDIOVASCULAR SYSTEM~THE HEART chambers (con’t) right side pulmonary circuit pump rec’s O-poor blood from veins through superior & inferior vena cava left side systemic pump blood returned out of aorta (away) O-poor blood circulates from tissues back to R atrium (via systemic veins) empty into S or I vena cava CARDIOVASCULAR SYSTEM~THE HEART valves atrioventricular valves (AV) one-way valve (flaps of tissue) separating each atrium from the ventricle tricuspid valve right side mitral (bicuspid) valve left side as ventricles pump, BP (blood pressure) closes the AV valves, preventing blood from flowing backward from ventricles to atria from the ventricles, blood flows out of heart into large vessels CARDIOVASCULAR SYSTEM~THE HEART valves semilunar valves (SV) separates the ventricles from the large vessels prevents blood from flowing backward guard the bases of the 2 large arteries leaving the ventricular chambers 1. pulmonary right side 2. aortic semilunar left side CARDIAC CIRCULATION blood that nourishes & oxygenates the heart is provided by R and L coronary arteries = branch from base of aorta and encircle the heart in the atrioventricular groove @ junction of atria and ventricles major branches L anterior interventricular circumflex arteries R posterior interventricular and marginal arteries myocardium drained by cardiac veins (empty into an enlarged vessel on backside of heart coronary sinus (empty into R atrium) CARDIAC CIRCULATION blood pathway in the heart 1st 2nd deoxygenated blood flows from R atrium to R ventricle (pumped OUT of heart through the pulmonary arteries) 3rd deoxygenated blood from the body returns through the S & I vena cava (veins that bring blood back from body and head) to R atrium oxygenated blood returns from lungs through the pulmonary veins (carries oxygenated blood from lungs to heart) to L atrium 4th blood flows from L atrium to L ventricle to aorta (main artery that blood flows out of) pulmonary circulation •blood travels between heart and lungs systemic circulation • blood travels between the heart and other body tissues coronary circulation subsystem of systemic circulation that supplies blood to the heart itself PHYSIOLOGY OF THE HEART conduction system of the heart heart contracts as a unit contract spontaneously and independently atrial cells 60 x/minute ventricular cells 20-40/min controlling systems 1. nerves of autonomic nervous system (ANS) 2. intrinsic conduction system (nodal system) sinoatrial node (S-A) in R atrium (“pacemaker”) cells can initiate impulses on their own activity is rhythmic atrioventricular (AV) node junction of atria & ventricles PHYSIOLOGY OF THE HEART conduction system of the heart SA node AV node AV bundle R & L bundle branches interventricular Purkinje fibers spread w/in muscle of ventricle walls ELECTROCARDIOGRAM (ECG) CONDUCTION OF ELECTRICAL SIGNALS THROUGH THE HEART sinus tachycardia rapid heartrate ventricular fibrillation the heart's electrical activity becomes disordered the heart's lower (pumping) chambers contract in a rapid, unsynchronized way mitral stenosis blood flow through the narrowed valve opening is reduced the volume and pressure of blood in the L atrium increases, it enlarges beats rapidly in an irregular pattern (atrial fibrillation) the heart's pumping efficiency is ↓ pressure ↑ in the blood vessels of the lungs, resulting in heart failure with fluid accumulation in the lungs and a low level of oxygen in the blood CARDIOVASCULAR SYSTEM~BLOOD VESSELS characteristics arteries (leave the heart) arterioles capillary beds venules veins arteries & arterioles carry blood AWAY from heart capillaries= site of exchange venules, veins return blood TO heart CARDIOVASCULAR SYSTEM~BLOOD VESSELS microscopic anatomy tunics (coats or layers) 1. tunica interna a thin layer of endothelium that lines the lumen (interior) of vessels 2. tunica media thick middle coat consisting of mostly smooth muscle and elastic tissue 3. tunica externa outermost layer made of fibrous CT that supports & protects vessel vascularized CARDIOVASCULAR SYSTEM~BLOOD VESSELS arteries carry blood AWAY elasticity contractility various types classified acc’d to tissue types muscular elastic veins carry blood TO thinner walls (same 3 layers but diff properties) larager lumens small amts of muscle in media contains valves arterioles smaller arteries that deliver blood TO capillary network capillaries 1-6 layers of smooth muscle vasoconstriction to affect lumen size greatly affects distribution of blood during times of hypoperfusion (=↓ blood flow through an organ) simple squamous epithelium responsible for ex∆ of nutrients and waste between blood & tissues flow is accomplished in beds 1. continuous 2. fenestrated (porous) muscle, brain CT intestines & kidneys 3. sinusoidal liver, bone marrow & some endocrine glands venules vessels that drain blood from capillaries RECAP heart ↑ veins arteries venules arterioles ↓ capillaries MAJOR ARTERIES MAJOR VEINS CARDIOVASCULAR SYSTEM~BLOOD = complex CT (solid & liquid) in which living blood cells (formed elements) are suspended in a nonliving fluid matrix (plasma) formed elements~45% erythrocytes (RBCs) 4-6 million/mm3 leukocytes (WBCs) 4-11 thousand/mm3 platelets 250-500 thousand/mm3 plasma~55% water electrolytes proteins functions 1. transport nutrients and oxygen (to cells) and CO2 (away) 2. transfer heat to body surfaces 3. defending body against disease RED BLOOD CELLS RBCs~erythrocytes a biconcave disc that is round and flat without a nucleus contain hemoglobin, an iron carrying protein that carries the bulk of the oxygen that is carried in the blood changes shape without breaking, as it squeezes single file through the capillaries. WHITE BLOOD CELLS WBCs~leukocytes Several types and each contains a big nucleus lymphocytes~form in bone marrow, mature in lymphoid tissue macrophages~phacocyte;antigen presenter to T & B cells basophil~contain anticoagulant heparin which prevents blood from clotting too quickly & contain the vasodilator histamine, which promotes blood flow to tissues eosinophil~one of the immune system components responsible for combating multicellular parasites and certain infections neutrophil~most abundant monocyte~single nucleus BLOOD GROUPS