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Transcript
SICM Tuition Biology AS The Heart So, we have covered a lot of material so far and there’s not thaaaaat much left. 2 pages worth of syllabus and we are done…..FOREVER! Well…until next year. Anyhoo, one of the things we’ve looked at is the way in which humans need a circulatory system to ensure that all cells receive the oxygen they need for respiration. So let’s talk about the heart! ☺ - The heart lies between the lungs – behind the sternum (the sternum is in the centre of the chest. You can feel it very easily by lightly pressing the middle of your chest) the sternum protects the heart from damage in the thoracic cavity Pericardium consists of two membranes which surround the heart: a) the inner one – attached to the heart b) the outer one – attached to the surrounding tissue (e.g. diaphragm) - the pericardium holds the heart in position it reduces friction between the heard and the surrounding tissue it is non-elastic and so prevents the heart from over stretching pericarditis – inflamation of the membrane: the heart no longer functions properly Structure of the heart What is the heart?? (apart from the thing that we give away to those we love: awwww…) complex pump two pumps side by side the right side pumps to lungs via the pulmonary artery left side pumps to the head/body via the aorta - four chambered structure made of cardiac muscle o cardiac just means related to the heart Atria thin walled receive blood from: a) vena cava (coming back from the head and body: full of CO2) b) pulmonary vein (coming back from the lungs: full of yummy oxygen!) Ventricles thick walled pumping chambers left ventricle has a thicker muscular wall to create higher pressure to pump the blood all the way round the head/body and back. Page 1 SICM Tuition Biology AS As the right side contains blood that has come back from the head and the body, it is deoxygenated. The blood on the left side has just come back from the lungs. So it is oxygenated. Therefore, mixing the two would be silly…and inefficient. There is therefore a septum in between the two sides separating them. One way flow needs to be ensured: a) semi-lunar valves: valves in pulmonary artery and aorta to stop the backflow of blood into the ventricles when they relax b) atrio-ventricular valves – between the atria and the ventricle (tricuspid / bicuspid) to prevent the backflow of blood into the atria when the ventricle contracts valve do not turn inside out as they are attached by non-elastic tendons to muscle “bumps” on the inside wall of the ventricles. c) Ventricles – muscular chambers contract to create a “force” to pump blood to the lungs or head and body Differences - the differences in the thickness between the atria and the ventricle walls relate to their function. The walls of the atria are thinner than the walls of the ventricles The left ventricle is thicker than the right ventricle as the left ventricle pumps blood to the head and the body whereas the right ventricle only pumps blood to the lungs. Coronary artery: Immediately above the semi-lunar valve in the aorta is the entrance of the coronary artery this supplies blood to the heart muscle itself this branches over the surface of the heart muscle deoxygenated blood is “collected” in the coronary vein which empties directly into the right atrium (along with the rest of the blood from the head and body) Take a blank piece of paper and draw a reasonably big picture of the heart. Show the vessels going to and away from it and label each part of the heart and each vessel. Try using colours (blue and red) to show the oxygenated (red) and deoxygenated (blue) blood. Write a summary of the chambers of the heart. Good…that should keep you occupied for a while! Muhahahaha. Page 2 SICM Tuition Biology AS Lungs Head Pulmonary vein Pulmonary artery Right Atrium Head Left Atrium aorta Body vena cava Coronary artery going back to the heart Body Tricuspid atrioventricular valve Right ventricle Left ventricle Bicuspid atrioventricular valve The heart has four chambers of equal volume. 2 Atria (left and right) receiving chambers thin walled Right Atrium: receiving vena cava (from head and body) blood rich in CO2, low in O2 Left Atrium: receiving pulmonary vein (from lungs) rich in O2 2 Ventricles pumping chambers thick muscular walls to create high pressure Right ventricle: pumps blood to lungs via pulmonary vein blood rich in CO2, low in O2 Left Ventricle: pumps blood to the head and the body via the aorta blood rich in O2 muscular wall much thicker than right ventricle as it has to pump the blood around the whole body. Page 3 SICM Tuition Biology AS Cardiac Cycle – 1 heart beat a) deoxygenated blood enters the right atrium (from the vena cava) - oxygenated blood enters the left atrium (from the pulmonary artery) b) the resulting pressure forces open the tricuspid and bicuspid (mitral) valves and blood flows from the atria into the ventricles. these stages represent the DIASTOLIC phase this is passive filling of the ventricles: no contraction of atria c) when the diastolic phase ends, the two atria contract completely filling the ventricles with blood. this is the ATRIAL SYSTOLE (A.S.) d) the ventricles then contract – ventricular systole (V.S.) the tricuspid valve and mitral valves close to stop backflow into the atria e) the blood is then forced simultaneously into the pulmonary artery and aorta the semi-lunar valves prevent the backflow from the aorta and pulmonary artery into the ventricles – unidirectional flow (valves closed) f) the atria fill with blood again the cycles continues N.B. all the contraction in the cycle STARTS in the right atrium and spreads across the heart muscle from he Sino-Atrial Node (SAN) Thus the heart operates in two ways: a) contraction phase – systole b) relaxation phase – diastole The heart muscle is myogenic: it contracts without nerve stimulation nerve impulses to the SAN merely modify the speed and the strength of the contraction Page 4 SICM Tuition Biology AS Initiation and propagation of contractions - the sino atrial node is a natural pacemaker, which provides the basic rhythm of the heart contractions / initiates / sends out the heart beat - the heart muscle is myogenic / beats spontaneously / does not require nerve impulse - the rate of the beating is influenced / modified by nerve impulses to the SAN - a wave of nerve impulses / electrical activity / excitation passes over the atrium - this triggers the contraction of the atria - the electrical activity cannot pass to the ventricles because of fibrous tissue between the atria and the ventricles - when the electrical activity reaches the AVN (atrio ventricular node) at the base of the atria, the AVN passes the nerve impulse along “the bundle of His” to the base of the ventricles - there is a (time) delay at the AVN (this allows the atria to fully contract and empty) - once the impulses have reached the base of the ventricles, the ventricles contract from the base upwards via “Purkinje fibres” SAN AVN fibrous tissue bundle of His Purkinje fibres Heartbeat base The pattern of the spread of excitory nerves through the heart ensures this. (a) the atria contract to force the blood down into the ventricles (b) the ventricles contract top force the blood up into the pulmonary artery and aorta Detection of excitation through the heart by electrodes attached to the skin of the chest are displayed as an “electrocardiograph” (ECG trace) Page 5 SICM Tuition Biology AS Role of nervous and hormonal systems SAN connects to the central nervous system directly by two nerves: (a) vagus nerve slows down the heart beat (b) accelerator / sympathetic nerve speeds up the heart beat Hormones (e.g. adrenaline) act directly on the SAN and increase the rate. pH and temperature: low pH (caused by a high CO2 concentration) and high temperature - causes accelerator nerve to act other drugs (e.g. cyanide) Beta blockers: Caffeine: - blocks electron transfer in cytochrome immediate effect on the heart rate as a respiratory inhibitor decrease the heart rate has an indirect effect: it stimulates “dopamine” which stimulates the heart beat The heart rate is mainly affected by: - blood pressure oxygen and carbon dioxide concentration in the blood The heart beats without fatigue. This is a property of cardiac muscle. Effects of exercise Cardiac Output is the product of the heart rate and the stroke volume (i.e. heart rate × stroke volume = cardiac output) Stroke volume = the amount of blood that the left ventricle pumps each time it contracts Heart rate = the number of times the heart “beats” in one minute Take exercise - immediate increase in heart rate both the rate and the force with which the heart beats are continuously adjusted the cardiac output is matched to the needs of the body i.e. that enough oxygen can be supplied and CO2 taken away Adjustment of cardiac output (a) nerve impulses via vagus nerve – slows the heart rate to SAN (b) nerve impulses via accelerator nerve – increases the heart rate to the SAN (c) As more blood enters the right atrium, the wall stretches as a result, the heart beats faster and with greater strength Page 6