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Chemical and Physical Restraint of Wild Animals 2.3.2 The heart Cardiac cycle The heart is a muscular pump that propels Left blood through the blood vessels by alternately atrium relaxing and contracting. As the heart relaxes, Right atrium blood returning via the veins flows into the atria Left and directly into the ventricles below. During ventricle Right ventricle contraction, the atria initially start contracting which forces more blood into the ventricles. ATRIAL CONTRACTION MID-DIASTOLE The atria ‘supercharge’ the ventricles. Ventricular contraction forces blood out of the left ventricle into the aorta and out of the right ventricle into the pulmonary artery. The heart then relaxes and the cycle starts again. The period during which the ventricles are contracting and ejecting blood into the aorta and pulmonary artery is termed ISOMETRIC ventricular systole. This is followed by ventricular VENTRICULAR diastole during which the ventricles relax and refill RELAXATION Figure 2.14: The cardiac cycle with blood before contracting again (Figure 2.14). The direction of blood flow from the atria to the ventricles and then from the ventricles into the arterial system is controlled by valves, which are Mitral valve illustrated in Figures 2.13 and 2.15. As the ventricles Cusp begin to contract during systole, the pressure in the Chordae tendineae ventricle increases, forcing blood to start flowing Papillary muscles back into the atria, which causes the atrioventricular valves (valves between the atria and ventricles) to snap closed. The sound caused by the valves closing is the first sound heard when listening to the heart with a stethoscope (Lup). As the pressure Cusp continues to increase in the ventricles, the aortic Aortic valve and pulmonic (tricuspid/bicuspid) valves are forced open and blood is ejected into the arterial tree. At the end of systole, the heart relaxes into diastole and a backflow of blood from the arteries into the Figure 2.15: Mitral and aortic valves left and right ventricles causes the tricuspid and bicuspid valves to snap closed producing the second heart sound (Dup). The heart sounds are not caused by the movement of the valves themselves but rather the sudden stopping of the backflow of blood as the valves close. This creates a vibration in the blood and cardiac walls, which are the sounds heard. Ventricular systole is sometimes defined as that part of the cardiac cycle between the first and second heart sounds. The contraction of the heart is initiated by groups of specialized cardiac muscle cells called pacemaker cells. These cells have the ability to depolarize spontaneously, establishing an electrical signal or action potential that causes the cells of the cardiac muscle to start contracting. This means that the heart does not need to be stimulated by nerves in order to contract, the nerve supply to the heart rather assists in controlling the rate and force of cardiac contraction. A group of pacemaker cells termed the sinoatrial (SA) node located in the right BASIC PHYSIOLOGY Electrical activity 25 Chemical and Physical Restraint of Wild Animals atrial wall (Figure 2.16) is responsible for initiating the contraction of the heart. The action potential this node creates propagates from one cell to the next of the atria, causing them to contract one after Vagi the other. This wave of depolarization passes from the atria to the ventricles via the atrioventricular (AV) node. The action potential then travels rapidly to the rest of the ventricles via a network Sympathetic of specialized cardiac cells called the Purkinje nerves fibres, resulting in a coordinated and synchronous Sympathetic nerves contraction of the ventricles. The passage of the action potential through the heart causes the atria to contract almost simultaneously. This is followed by a brief pause as the action potential passes through the AV node and then the two ventricles contract almost simultaneously. Finally, the entire Figure 2.16: Autonomic nerve supply to the heart heart relaxes and refills. The contraction of the atria and ventricles is due to an action potential, which passes from one muscle cell to the next causing them to contract in sequence. Unlike skeletal muscles, the action potential in cardiac muscle is able to jump from cell to cell, causing it to act as if it were a single cell. Internodal pathways Due to this capability, the heart is often referred to as a functional syncytium (Figure 2.17). Sinus node The SA-node discharges at a rate of approximately 72 cycles per minute in humans; A-V node the AV-node has a rate of discharge of its own A-V bundle that is much slower – approximately 45 cycles per Left bundle minute – but is stimulated to discharge by each branch impulse from the SA-node that reaches it. The rate Right bundle at which the SA-node depolarizes determines the branch heart rate. Both the heart rate and the strength of myocardial contraction are controlled by the autonomic nervous system through nerve endings at the SA-node and myocardium. The sympathetic nervous system stimulates the SAFigure 2.17: Purkinje system node to increase heart rate (Figure 2.16). The parasympathetic nervous system, in the form of nerve endings of the vagal nerve, slows the heart by inhibiting the SA-node. Adrenaline and noradrenaline released from the adrenal glands and circulating in the bloodstream have the same effects on the heart as sympathetic nervous system activity. Due to the interaction between the sympathetic and parasympathetic systems, the heart rate can be adjusted over a wide range. The highest rates occur during exercise or the fight or flight response when sympathetic activity predominates and parasympathetic activity is reduced. In a resting or sleeping animal, the sympathetic system is less active and parasympathetic action prevails to decrease the heart rate. As well as increasing heart rate by acting on the SA-node, sympathetic nerves also innervate all cardiac cells and increased stimulation makes each cardiac contraction stronger, quicker and shorter. The activity of the parasympathetic system by comparison is largely limited to depressing the rate of discharge of the SA- and AV-nodes. Sympathetic chains 26 Chemical and Physical Restraint of Wild Animals Cardiac output The volume of blood pumped per cycle or beat of the heart is called the stroke volume. The number of heartbeats per minute is called the heart rate. Cardiac output is the total volume of blood pumped by the heart per minute and equals stoke volume multiplied by heart rate. The total blood volume of an animal is circulated each minute. The blood volume can be estimated at 8% of body mass. The mass of a male lion = 200 kg, blood volume = 16 ℓ, at a heart rate of 50 beats/ minute and the stroke volume = 320 ml. An elephant bull has a body mass of approximately 6 000 kg, blood volume = 480 ℓ, heart rate is perhaps 40 beats/minute and stroke volume = 12 ℓ. BASIC PHYSIOLOGY An increase in cardiac output can thus only be achieved by increasing either the stroke volume, heart rate or both. The volume of venous blood that returns to the heart is an important factor in determining stroke volume. The greater the volume of venous return, the greater the stretch it produces in the myocardium. The stretching of the myocardium increases the force of its contraction and thus the stroke volume – this is ‘Starling’s law of the heart’. As a general rule, the cardiac output increases to deal with the total volume of blood returning to the heart. Once the stroke volume reaches a maximum capacity, the heart rate increases to meet this extra need. The rate at which the heart contracts per minute is the product of the time taken for the process of muscular contraction to take place and the period of relaxation that follows. Filling of the ventricles takes place during diastole and the duration of diastole is determined by heart rate. As heart rate increases, the length of diastole and the time for ventricular filling decreases. The duration of systole by comparison remains relatively constant. Complete ventricular filling can take place until the heart rate increases to greater than about 160 beats per minute. At the higher rates, the amount of ventricular filling starts to decrease, which would dramatically reduce stroke volume if not for a compensatory mechanism brought about by the sympathetic nervous system. As has been explained earlier, sympathetic stimulation of the heart not only increases the rate of contraction but also results in stronger, quicker and shorter contractions of the ventricles. This means the ventricles empty more completely during each contraction, which helps maintain stroke volume. It also shortens the duration of systole, which helps preserve diastolic filling time. Table 2.1 summarises the proportion of time taken by diastole and systole as the heart rate increases in humans. A number of factors will influence the volume of blood returning to the heart, the degree of ventricular filling and therefore cardiac output. These include increased activity of an animal. Contraction of skeletal muscles causes the body of the muscles to expand, compressing the veins that run alongside them. This squeezes the vessels, forcing blood flow towards the heart. Veins have valves spread throughout their length that prevent blood flowing back towards the tissues (Figure 2.13). As an animal inhales, pressure decreases in the thorax and increases in the abdomen. This allows the veins in the chest to expand, which draws blood forward. At the same time, blood is pushed out of the abdomen due to the increased Time in seconds pressure that compresses the veins in this area Heart rate Cardiac cycle Diastole Systole of the body. Decreases in total blood volume due to blood loss (haemorrhage), decrease in 72/min 0,83 0,5 0,33 the amount of water in the extracellular fluid 216/min 0,28 0,06 0,22 (dehydration), or a decrease in the number Table 2.1: Diastolic and systolic time periods in relation to the time of red blood cells in the blood (anaemia) will taken for the complete cardiac cycle reduce the filling of the heart. 27 Chemical and Physical Restraint of Wild Animals • The amount of haemoglobin in the blood, which determines how much oxygen and carbon dioxide can be carried. The majority of O2 and, to a lesser degree, CO2 are transported by haemoglobin in the red blood cells. Any decreases in the concentration of haemoglobin, for example in the case of anaemia, will reduce the amounts of both gases transported by the blood. • The thickness of the membranes through which the gases diffuse. Oxygen moves through the airblood barrier, which is made up of the membranes of the alveolus and perfusing capillary (Figure 2.24). Any increase in thickness of this barrier in cases of disease will increase the time taken for diffusion and reduce the volume of O2 moving from alveolus to capillary. Carbon dioxide is rarely affected by lung disease as it has a much higher solubility than O2. 2.4.4 The transport of oxygen and carbon dioxide in the blood • The partial pressure of oxygen in the air that is breathed. The proportion of O2 to N2 in the air does not change significantly as altitude increases, but the atmospheric pressure decreases. The decrease in atmospheric pressure results in a lowering of the partial pressures of both gases. The partial pressure of O2 is the driving force that determines the saturation of haemoglobin. Therefore, animals at higher altitudes are breathing ‘less’ O2. BASIC PHYSIOLOGY The two gases are transported in different ways in the blood. As O2 is poorly soluble in water, only a small amount dissolves in the plasma of the blood. Most O2 is transported attached to haemoglobin, a pigment found in red blood cells. Each haemoglobin molecule is able to bind up to four molecules of O2. The structure of the haemoglobin determines how this occurs. Iron atoms held within the haemoglobin form the site where oxygen attaches. The attachment is termed oxygenation. When the oxygenated haemoglobin reaches the tissues, oxygen is released from the molecule and moves out of the circulation into the tissues. The driving force for the movement of oxygen is the partial pressure of the gas – relatively high in the alveolar air and low in the tissues where it is utilised (Figure 2.25). A small, and insignificant, proportion of the total oxygen content of blood is dissolved in plasma. Once again, this amount is the product of the partial pressure of the gas. Haemoglobin’s affinity for oxygen is influenced by several factors: the most important being the partial pressure of O2 in the alveolar air and also in blood. This means that the degree of saturation of haemoglobin by O2 increases or decreases together with the partial pressure of the gas. Haemoglobin is 100% saturated at a partial pressure of 100 mmHg, which is the approximate partial pressure of the gas in alveolar air. As oxygenated blood passes through the tissues, where the partial pressure of O2 may vary between 5 and 40 mmHg, O2 is released. At Figure 2.25: The carriage of oxygen by haemoglobin and the a partial pressure of 40 mmHg, haemoglobin is oxygen – haemoglobin dissociation curve 70% saturated, as it has released 30% of the O2 it carries. The amount of oxygen made available to the tissues is influenced by: 33 Chemical and Physical Restraint of Wild Animals • The concentration of haemoglobin in the blood. A gram of haemoglobin can carry 1,34 ml of O2. The standard or expected concentration of haemoglobin in the blood will be in the region of 150 g/ℓ and thus 1 litre of blood will carry 150 x 1,34 ml = 200 ml of O2. An average of 50 ml/ℓ of O2 will be utilised by the tissues at rest. Certain species, such as the horse, are able to increase the number of red blood cells and therefore the haemoglobin circulating in the blood, by contracting their spleen during exercise. This forces stored red blood cells into circulation. • The affinity of haemoglobin for oxygen. The amount of O2 that binds to haemoglobin is influenced by a number of factors, including temperature, pH and partial pressure of CO2. An increase in the temperature of a tissue due to increased metabolism, causes haemoglobin to release the O2 that it is carrying in those areas where it is required most. An increase in metabolism also results in higher concentrations of CO2 and hydrogen ions with a decrease in pH. Haemoglobin releases larger amounts of O2 as a consequence of these changes. The presence of 2.3-diphosphoglycerate in red blood cells facilitates the binding of O2 with haemoglobin. • The volume of blood flowing through the tissues. The delivery of more O2 to tissue with increased metabolic rates starts with increasing the supply of oxygenated blood to these areas. Haemoglobin saturated with oxygen causes blood to be a cherry red colour; as the blood becomes desaturated, it darkens, becoming almost black in extreme cases. Carbon dioxide is transported in several forms (Figure 2.26): •approximately 7% is dissolved in plasma and transported in solution •70% enters the red blood cells where it binds with water to form hydrogen and bicarbonate ions (the later moving out of the red blood cells into the plasma) Figure 2.26: The carriage of CO2 in the blood • 23% combines with haemoglobin. During strenuous exercise, the demand for O2 due to increased cell metabolism in tissues, especially muscles, can rise by 30-fold. This extra demand for O2 is met by various strategies. Cardiac output increases, causing more blood to flow through the lungs per minute, allowing for a greater rate of gaseous exchange. It also increases the volume of blood supplied to the exercising muscles. Certain species including horses are able to increase the number of circulating red blood cells and therefore the amount of haemoglobin available to bind with and transport O2. Exercising muscles are able to extract more O2 from blood than those at rest. This is due to the greater diffusion gradient for O2 created by the increased consumption of O2 by the muscles. An increase in temperature and lowering of pH at the muscles reduces the affinity of haemoglobin for O2. 2.4.5 Regulation of respiration Respiration is controlled in the medulla of the brain (CNS), and is modified by higher brain centres and inputs from peripheral receptors to regulate tidal volume and respiratory frequency. Three groups of neurons located within the pons and medulla of the brain stem are involved in the control of respiration. They adjust the rate and depth of respiration as the need arises. The central chemoreceptor, a chemosensitive region located within these neurons responds to changes in the level of CO2 in the blood, which is the primary moderating stimulus 34 Chemical and Physical Restraint of Wild Animals Medulla Glossopharyngeal nerve Chemosensitive area Inspiratory area Vagus nerve Carotid body H+ + HCO3H2CO3 Aortic bodies CO2 + H2O Figure 2.27: The regulation of respiration by the respiratory centre in the medulla oblongata Figure 2.28: The chemoreceptors that measure PO2 levels in arterial blood of respiratory rate and depth (Figure 2.27). The CO2 from the blood crosses the blood-brain barrier and enters the cerebrospinal fluid (CSF), which bathes the central chemoreceptor. It binds with water to form carbonic acid, which dissociates into bicarbonate (HCO2-) and hydrogen (H+) ions. An increase in CO2 in the blood causes an increase in the H+ in the CSF, which stimulates ventilation. The opposite happens with decreasing levels of blood CO2. Hydrogen ions produced by metabolism will have a similar stimulating effect upon respiration. Peripheral chemoreceptors located in the carotid and aortic bodies (Figure 2.28) monitor levels of O2 in the blood. However, under normal circumstances they do not affect respiration due to the dominant influence of CO2 on the central chemoreceptor. It is only at low levels of O2, e.g. below 60 mmHg in humans, that the peripheral chemoreceptors start influencing respiration and stimulate ventilation. Pulmonary stretch receptors located in the smooth muscle of the trachea and bronchi are believed to assist in regulating respiration. As the lungs expand during inspiration, these receptors become more active until they inhibit breathing, allowing the lungs to relax and resulting in expiration. Stretch receptors located in the intercostal muscles, and to a lesser extent the diaphragm, control the strength of contraction of these muscles. ! 2.4.6 The importance of respiratory physiology in the immobilization of wildlife 1. Opioids, including morphine derivatives such as etorphine, suppress the response of the respiratory centres to CO2. The reduction of alveolar ventilation results in hypoxia and hypercapnea. 2. When a herbivore goes down into lateral or sternal recumbency, these changes in posture result in the gut contents, rumen or massive large colon pushing forward onto the diaphragm and preventing it from moving backward when it contracts. Alveolar ventilation is reduced due to a reduction in lung volumes. 3. Changes in posture change the dynamics of blood flow and ventilation in the lungs. Areas in the lungs may be well ventilated but less well perfused by blood, or blood flow is increased in areas of lung where ventilation is reduced. This is called a ventilation/perfusion mismatch and results once again in hypoxia and hypercapnea. It is important that we are aware of these effects and monitor the animal’s responses to ensure that it is able to cope with the changes. Failure to do so may result in death. BASIC PHYSIOLOGY 4. The elephant is the only animal in which the lungs are attached to the thoracic wall. In addition, the relative lung size of the elephant is small. Although these animals respond well to immobilization with opioids, they should generally not be left in sternal recumbency for more than 15 minutes. 35