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Cardiovascular System Evolution Of The Human Heart Muscular Tube Heart Evolution Of The Human Heart 2 Chambered Heart Evolution Of The Human Heart 3 Chambered Heart Evolution Of The Human Heart 3+ or 4- Chambered Heart Evolution Of The Human Heart 4 Chambered Heart Cardiovascular System: The Heart • “Cardio’ refers to heart. • ‘Vascular” refers to blood vessels. Tortora Pages 342 - 344 Cardiovascular System: The Heart • Heart pumps 30X it weight in blood each minute. • 1800 gallons of blood per day • 50,000 miles of blood vessels. Thursday 3/6/03 Pages 342 - 344 Cardiovascular System: The Heart Cardiology is study of heart and disease. Tortora Pages 342 - 344 Location of the Heart The Heart • Lies between the two lungs. • 2/3 of heart lies to left of mid-line. • Apex is bottom of left ventricle. Congestive Heart Failure Tortora Pages 342 - 344 Pericardium • Heart is enclosed by pericardium. • Composed of: – Outer fibrous pericardium – Inner serous pericardium. Thursday 3/6/03 Pages 342 - 344 Pericardium • Inner layer creates pericardial fluid. • Fluid lies in the pericardial cavity. • Fluid prevents friction. Tortora Pages 342 - 344 Heart Wall • Composed of three layers: – Epicardium (outer) – Myocardium (Muscle) – Endocardium (Inner) Video: Coronary Circulation Tortora Pages 342 - 344 Heart Wall • Heart has two different networks of muscle fibers. – Atrial – Ventricular Tortora Pages 342 - 344 Heart Wall • Each muscle fiber connects with other muscle fibers. – Intercalated discs connect fibers. – They aid in conducting impulses. Tortora Pages 342 - 344 Heart Wall • Each muscle fiber connects with other muscle fibers. – Intercalated discs connect fibers. – They aid in conducting impulses. Tortora Pages 342 - 344 Heart Wall • Endocarium lines the inner surface of the heart. • Inflammation of the lining can occur. – Epicarditis – Myocarditis – Endocarditis Tortora Pages 342 - 344 Chambers of the Heart • Right and left atria – Separated by interatrial septum. – Receives blood from body. – Pumps blood to the ventricles. – Separated from ventricles by sulcus. Tortora Pages 343 - 347 Great Vessels of the Heart • Superior and inferior vena cava. – Returns blood from body back to heart • Pulmonary trunk – Branches into rt. and lt. pulmonary arteries. – Takes blood to the lungs. Tortora Pages 343 - 347 Great Vessels of the Heart • Pulmonary veins – 4 in humans. – Carry oxygenated blood from lungs to heart. • Aorta – Carries oxygenated blood to all of the body. – Exits from left ventricle. Tortora Pages 343 - 347 Atrioventriclular Valves • Tricuspid – Three flaps – Prevents blood from moving back into the right atria. • Bicuspid – Two flaps – Prevents blood from moving back into the left atria. Monday 3/10/03 Pages 343 - 347 Semilunar Valves • Pulmonary semilunar valve. – Prevents blood from moving back into the right ventricle. • Aortic semilunar valve. – Prevents blood from moving back into the left ventricle. – Valve replacement surgery Tortora Pages 343 - 347 EKG • Parts of EKG. – P wave – QRS Complex – T wave Tortora Pages 343 - 347 Cardiac Cycle • Three Phases • First Phase – Relaxation period • All chambers in diastole. • Blood fills SL valves • Blood flows into atria & ventricles from pulmonary veins and vena cava. Tortora Pages 348 - 353 Cardiac Cycle • Second Phase – Ventricular filling • SA node stimulated • P wave occurs • Atria contract (systole) • Additional 25% blood enters the ventricles. Tortora Pages 342 - 344 Cardiac Cycle • Third Phase – Ventricular Systole • AV node stimulated • Ventricles in systole. • QRS wave occurs Tortora Pages 342 - 344 EKG • Parts of EKG. – P wave – QRS Complex – T wave Tortora Pages 343 - 347 Cardiac Output • Definition: – Amount of blood pumped by either the Rt or Lt ventricle per minute. – Stroke volume X beats per minute. – 70ml X 75 /min = 5.25 Liters/min. Tortora Pages 342 - 344 Control of Heart Rate • Cardiovascular center. – Cardiac accelerator nerves. (sympathetic ) – Vagus nerve (parasympathetic) – Autonomic control results from opposing sympathetic and parasympathetic systems. Tortora Pages 342 - 344 Factors That Effect Heart Rate • Chemicals – Epinephrine increases heart rate. – Increased levels of K+ & Na+ slow heart rate. – Excess Ca++ increases heart rate. – Low oxygen demands increase heart rate. • Temperature – Increased heat accelerates heart – Decreased temperature decreases heaert rate. Tortora Pages 342 - 344 Risk Factors For Heart Disease. • • • • • • • • High Blood Cholesterol High Blood Pressure Smoking Obesity Lack of exercise Diabetes Genetics Being Male until age 70 Tortora Pages 342 - 344 Conduction System Review • Name structure A,B,C,D. • Where does the delay occur. • Describe the rhythm that must be created. • Why is this rhythm needed? • How does each cell f the heart receive the impulse? • What is the name of the nerve that leads to the SA node? Tortora Pages 342 - 344 A B C D Vascular System • System of blood vessels. • 50,000 miles in length. • Blood vessel types: – Artery (carries blood away from the heart) – Vein (Carries blood to the heart) – Capillary (all gas exchange occurs here) Tortora Pages 362 - 365 Arteries • Hollow center is referred to as a lumen. • Wall is contructed of three layers. • Inner layer (Tunic Interna) – Endothelium – Elastic tissue • Middle layer (Tunic Media) – Smooth muscle – Elastic fibers • Outer layer (Tunic Externa) – Elastic fibers – Callagen Tortora Pages 362 - 365 Arteries • Arteries are capable of elasticity. – Expand under the pressure of the ventricles contracting. – Constrict when the ventricles are relaxing. • Constriction is due to smooth muscle. • Constrict when injured. Tortora Pages 362 - 365 Arteries • Vasodialation – Lumen increased in size due to smooth muscle relaxation. – Decreased stimulation from sympathetic system. • Vasoconstriction – Lumen decreased in size due to smooth muscle constriction. – Increased stimulation from sympathetic system. Tortora Pages 362 - 365 Arterioles • Smaller branches from arteries. • Arterioles take blood to capillaries. • Small arterioles have mostly – Endothelium – Smooth muscle Tortora Pages 362 - 365 Capillaries • Connect arterioles to veins. • Gas, waste, and nutrient exchange takes place here between blood and cells. Tortora Pages 362 - 365 Capillaries • Composed of a single layer of endothelium and a basement membrane. • All cells must be close to a capillary. • Tissues using a lot of energy must have more capillaries. • Capillaries form networks to increase surface area. • Pre-capillary sphincter. Tortora Pages 362 - 365 Veinules • Blood is returned to veinules from capillaries. • Blood is on way back to heart. • Same in structure as arterioles. • Veinules get larger as they move towards heart. Tortora Pages 362 - 365 Veins • Similar in structure to arteries except; • Middle layer is reduced. • Inner layer folds inward to form valves. • Varicose veins. • Veins act as blood reservoirs • Contain approximately 60% of blood. Tortora Pages 362 - 365 How Blood Is Pumped Back To The Heart • Blood Pressure caused by heart approx. 5 mmhg after capillaries. • Blood is moved due to skeletal muscle contraction. • Backwards movement is prevented by valves. Tortora Pages 362 - 365 Coronary Circulation • Circulation that serves the heart muscle. – leads from the aorta. – Carries oxygen to heart muscle. – Returns to the coronary sinus • Effects of atherosclerosis • Treatment Tortora Pages 362 - 365