Survey
* Your assessment is very important for improving the work of artificial intelligence, which forms the content of this project
Download The Heart: Part One
Document related concepts
Electrocardiography wikipedia , lookup
Heart failure wikipedia , lookup
History of invasive and interventional cardiology wikipedia , lookup
Hypertrophic cardiomyopathy wikipedia , lookup
Management of acute coronary syndrome wikipedia , lookup
Quantium Medical Cardiac Output wikipedia , lookup
Aortic stenosis wikipedia , lookup
Myocardial infarction wikipedia , lookup
Cardiac surgery wikipedia , lookup
Coronary artery disease wikipedia , lookup
Artificial heart valve wikipedia , lookup
Arrhythmogenic right ventricular dysplasia wikipedia , lookup
Lutembacher's syndrome wikipedia , lookup
Atrial septal defect wikipedia , lookup
Mitral insufficiency wikipedia , lookup
Dextro-Transposition of the great arteries wikipedia , lookup
Transcript
THE CARDIOVASCULAR SYSTEM Heart 1 CARDIOVASCULAR SYSTEM Blood Heart Blood vessels What is the function of this system? What other systems does it affect? CARDIOVASCULAR SYSTEM Functions Transport gases, wastes, food, hormones, blood cells Systems affected Respiratory Urinary Digestive Musculoskeletal Immune system THE HEART Four separate chambers in humans Dual pump two closed circuits 5 L/minute Two Complete and Separate Circuits Lungs tPulmonary Circuit Blood flows through lungs for gas exchange Pump Blood vessels, organs, and tissues Systemic Circuit Blood flows to organs to deliver oxygenated blood and carries deoxygentaed blood back to heart. Pulmonary Circuit Pulmonary arteries Venae cavae Capillary beds of lungs where gas exchange occurs Pulmonary veins Aorta and branches Left atrium Left ventricle Right atrium Right ventricle Oxygen-rich, CO2-poor blood Oxygen-poor, CO2-rich blood Heart Systemic Circuit Capillary beds of all body tissues where gas exchange occurs Figure 18.5 Located within mediastinum Midsternal line 2nd rib Sternum Diaphragm (a) Point of maximal intensity (PMI) Figure 18.1a Superior vena cava Aorta Parietal pleura (cut) Pulmonary trunk Left lung Pericardium (cut) Diaphragm Apex of heart (c) Figure 18.1c PERICARDIUM Membrane surrounding and protecting the heart Confines while still allowing free movement PERICARDIUM Double walled organ Fibrous pericardium Fibrous connective tissue Prevents overstretching, protection, anchorage Serous pericardium Serous epithelium Double layer Parietal layer fused to fibrous pericardium Visceral layer also called epicardium PERICARDIUM Pericardial cavity Between fibrous and serous pericarium Scant amount of serous fluid Pericarditis Pulmonary trunk Pericardium Myocardium Fibrous pericardium Parietal layer of serous pericardium Pericardial cavity Epicardium (visceral layer Heart of serous wall pericardium) Myocardium Endocardium Heart chamber Figure 18.2 MUSCULAR WALL OF THE HEART Three layers Epicardium Also called the … Myocardium Endocardium Pulmonary trunk Pericardium Myocardium Fibrous pericardium Parietal layer of serous pericardium Pericardial cavity Epicardium (visceral layer Heart of serous wall pericardium) Myocardium Endocardium Heart chamber Figure 18.2 MUSCULAR WALL OF THE HEART Epicardium MUSCULAR WALL OF THE HEART Myocardium Muscle and connective tissue Bulk of heart Myocardium Cardiac muscle bundles Copyright © 2010 Pearson Education, Inc. Figure 18.3 MUSCULAR WALL OF THE HEART Endocardium Endocarditis ANATOMY OF THE HEART Chambers ANATOMY OF THE HEART Chambers Right and left atria Separated by interatrial septum Coronary sulcus (atrioventricular groove) encircles the junction of the atria and ventricles Auricles increase atrial volume ANATOMY OF THE HEART Chambers Right and left ventricles Separated by interventricular septum Left ventricle Right ventricle Interventricular septum Figure 18.6 Schematic of Heart Anatomy • In pipes = veins • Out pipes = arteries • Heart has 4 chambers – 2 atria & 2 ventricles Veins In In Atria Heart chambers Ventricles Out Out Arteries Major Vessels of the Heart Brachiocephalic trunk Superior vena cava Right pulmonary artery Ascending aorta Pulmonary trunk Right pulmonary veins Right atrium Right coronary artery (in coronary sulcus) Anterior cardiac vein Right ventricle Right marginal artery Small cardiac vein Inferior vena cava (b) Anterior view Copyright © 2010 Pearson Education, Inc. Left common carotid artery Left subclavian artery Aortic arch Ligamentum arteriosum Left pulmonary artery Left pulmonary veins Auricle of left atrium Circumflex artery Left coronary artery (in coronary sulcus) Left ventricle Great cardiac vein Anterior interventricular artery (in anterior interventricular sulcus) Apex Figure 18.4b ATRIA THE RECEIVING CHAMBERS Vessels entering right atrium Superior vena cava Inferior vena cava Coronary arteries and veins Vessels entering left atrium Right and left pulmonary veins Aorta Superior vena cava Right pulmonary artery Pulmonary trunk Right atrium Right pulmonary veins Fossa ovalis Pectinate muscles Tricuspid valve Right ventricle Chordae tendineae Trabeculae carneae Inferior vena cava Left pulmonary artery Left atrium Left pulmonary veins Mitral (bicuspid) valve Aortic valve Pulmonary valve Left ventricle Papillary muscle Interventricular septum Epicardium Myocardium Endocardium (e) Frontal section Copyright © 2010 Pearson Education, Inc. Figure 18.4e VENTRICLES THE DISCHARGING CHAMBERS Vessel leaving the right ventricle Pulmonary trunk Vessel leaving the left ventricle Aorta Aorta Superior vena cava Right pulmonary artery Pulmonary trunk Right atrium Right pulmonary veins Fossa ovalis Pectinate muscles Tricuspid valve Right ventricle Chordae tendineae Trabeculae carneae Inferior vena cava Left pulmonary artery Left atrium Left pulmonary veins Mitral (bicuspid) valve Aortic valve Pulmonary valve Left ventricle Papillary muscle Interventricular septum Epicardium Myocardium Endocardium (e) Frontal section Copyright © 2010 Pearson Education, Inc. Figure 18.4e HEART VALVES Atrioventricular (AV) valves Prevent backflow into the atria when ventricles contract Chordae tendineae anchor AV valve cusps to papillary muscles Semilunar valves Prevent backflow into the ventricles when ventricles relax Unidirectional blood flow through the heart Pulmonary valve Aortic valve Area of cutaway Mitral valve Tricuspid valve Chordae tendineae attached to tricuspid valve flap (c) Papillary muscle Figure 18.8c HEART VALVES Atrioventricular Separate atria from ventricles Tricuspid Right side Bicuspid (mitral) Left side Semilunar Separate ventricles from great arteries Pulmonary semilunar Aortic semilunar Aorta Superior vena cava Right pulmonary artery Pulmonary trunk Right atrium Right pulmonary veins Fossa ovalis Pectinate muscles Tricuspid valve Right ventricle Chordae tendineae Trabeculae carneae Inferior vena cava Left pulmonary artery Left atrium Left pulmonary veins Mitral (bicuspid) valve Aortic valve Pulmonary valve Left ventricle Papillary muscle Interventricular septum Epicardium Myocardium Endocardium (e) Frontal section Copyright © 2010 Pearson Education, Inc. Figure 18.4e Myocardium Pulmonary valve Aortic valve Tricuspid Area of cutaway (right atrioventricular) Mitral valve valve Tricuspid valve Mitral (left atrioventricular) valve Aortic valve Myocardium Tricuspid (right atrioventricular) valve Mitral (left atrioventricular) valve Aortic valve Pulmonary valve Fibrous skeleton (a) Pulmonary valve Aortic valve Area of cutaway (b) Pulmonary valve Mitral valve Tricuspid valve Anterior Figure 18.8a STILL WITH ME? CARDIAC CIRCULATION The heart is two side-by-side pumps Right side = pulmonary circuit Vessels that carry blood to and from the lungs Left side = systemic circuit Vessels that carry the blood to and from all body tissues PATHWAY OF BLOOD THROUGH THE HEART right atrium (via vena cava) tricuspid valve right ventricle pulmonary semilunar valve pulmonary trunk pulmonary arteries lungs pulmonary veins left atrium bicuspid valve left ventricle aortic semilunar valve aorta systemic circulation 1 Blood returning to the Direction of blood flow heart fills atria, putting pressure against atrioventricular valves; atrioventricular valves are forced open. Atrium Cusp of atrioventricular valve (open) 2 As ventricles fill, atrioventricular valve flaps hang limply into ventricles. Chordae tendineae 3 Atria contract, forcing additional blood into ventricles. Ventricle Papillary muscle (a) AV valves open; atrial pressure greater than ventricular pressure Atrium 1 Ventricles contract, forcing blood against atrioventricular valve cusps. 2 Atrioventricular valves close. 3 Papillary muscles contract and chordae tendineae tighten, preventing valve flaps from everting into atria. Cusps of atrioventricular valve (closed) Blood in ventricle (b) AV valves closed; atrial pressure less than ventricular pressure Figure 18.9 Aorta Pulmonary trunk As ventricles contract and intraventricular pressure rises, blood is pushed up against semilunar valves, forcing them open. (a) Semilunar valves open As ventricles relax and intraventricular pressure falls, blood flows back from arteries, filling the cusps of semilunar valves and forcing them to close. (b) Semilunar valves closed Figure 18.10 HEART SOUNDS “lub-dup” Pulmonary Circuit Pulmonary arteries Venae cavae Capillary beds of lungs where gas exchange occurs Pulmonary veins Aorta and branches Left atrium Left ventricle Right atrium Right ventricle Oxygen-rich, CO2-poor blood Oxygen-poor, CO2-rich blood Heart Systemic Circuit Capillary beds of all body tissues where gas exchange occurs Figure 18.5 Pulmonary Circuit Pulmonary arteries Venae cavae Capillary beds of lungs where gas exchange occurs Pulmonary veins Aorta and branches Left atrium Left ventricle Right atrium Right ventricle Oxygen-rich, CO2-poor blood Oxygen-poor, CO2-rich blood Copyright © 2010 Pearson Education, Inc. Heart Systemic Circuit Capillary beds of all body tissues where gas exchange occurs Figure 18.5 CORONARY (CARDIAC) CIRCULATION The functional blood supply to the heart muscle Arteries Right and left coronary arteries Branch off base of the aorta Extensive branching throughout epicardium Collateral circulation Cardiac veins feed into coronary sinus anastomoses Superior vena cava Anastomosis (junction of vessels) Right atrium Aorta Pulmonary trunk Left atrium Left coronary artery Circumflex artery Right coronary Left artery ventricle Right ventricle Anterior Right interventricular marginal Posterior artery artery interventricular artery (a) The major coronary arteries Figure 18.7a Aorta Left pulmonary artery Superior vena cava Left pulmonary veins Auricle of left atrium Left atrium Great cardiac vein Right pulmonary veins Posterior vein of left ventricle Left ventricle Apex Right pulmonary artery Right atrium Inferior vena cava Coronary sinus Right coronary artery (in coronary sulcus) Posterior interventricular artery (in posterior interventricular sulcus) Middle cardiac vein Right ventricle (d) Posterior surface view Figure 18.4d Coronary sinus drains into right atrium Superior vena cava Anterior cardiac veins Great cardiac vein Coronary sinus Small cardiac vein Middle cardiac vein (b) The major cardiac veins Figure 18.7b COLLATERAL CIRCULATION Benefits of anastomoses Heart attacks in young versus older patients QUESTIONS?
