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The Cardiovascular System Blood Blood The circulating fluid or the body is the blood: a specialized connective tissue that contains cells suspended in a fluid matrix Blood has 5 major functions: ▪ _________________________________________________________________ ▪ _________________________________________________________________ ▪ _________________________________________________________________ ▪ _________________________________________________________________ ▪ _________________________________________________________________ Blood Composition Made of plasma and several formed elements ▪ _________________________________________________________________ Red blood cells (RBCs) or erythrocytes ________________________________________ White blood cells (WBCs) or leukocytes function in defense ▪ _________________________________________________________________ Formed elements are produced through _______________________ Blood Plasma 90% water Plasma has large amounts of proteins ▪ 60% albumin ▪ 35% globulins (________________________________) ▪ 5% fibrinogen (________________________________) Erythrocytes Biconcave discs ▪ 2 important effects on RBC function: ▪ ___________________________________________________________ ▪ ___________________________________________________________ Lose most of their organelles during formation Contain hemoglobin (Hb) – _________________________________________________ Erythropoiesis _______________________________________ Hemocytoblasts are blood stem cells Phases in development 1. ________________________________________________ 2. ________________________________________________ 3. ________________________________________________ 4. ________________________________________________ 5. ________________________________________________ Reticulocytes then become mature erythrocytes Blood Types Antigens are substances that can bring about an immune response The presence or absence of 3 antigens (A, B, and Rh) on RBCs determines blood type ▪ Type A blood – _________________________________ ▪ Type B blood – _________________________________ ▪ Type AB blood – __________________________________ ▪ Type O blood – _________________________________ ▪ The terms Rh positive and negative indicates its presence or absence ▪ Rh is usually omitted (blood type reported as A negative/positive, B positive/negative, etc.) Leukocytes Make up <1% of total blood volume Larger than RBCs and have a nucleus ________________________________________________________________________ Granulocytes Granulocytes: neutrophils, eosinophils, and basophils ▪ Neutrophils ▪ Most numerous WBCs ▪ ___________________________________________________________ ▪ Eosinophils ▪ 2-lobed nucleus ▪ ___________________________________________________________ ▪ Basophils ▪ Release heparin (_________________________________) and histamine (_________________________________________________) Agranulocytes Agranulocytes: lymphocytes and monocytes ▪ Lymphocytes ▪ Crucial to immunity ▪ Two types ▪ ____________________________________________________ ▪ ____________________________________________________ ▪ Monocytes ▪ Largest leukocyte ▪ ___________________________________________________________ ▪ Crucial against viruses, parasites, and chronic infections Platelets Small fragments of megakaryocytes ________________________________________________________________________ Hemostasis Fast series of reactions for the stoppage of bleeding Phases: 1. _________________________________ ▪ Cutting the wall of a vessel triggers contraction (called a vascular spasm) 2. _________________________________ ▪ Platelets attach to the site of injury. They continue to arrive and stick forming a platelet plug 3. _________________________________ ▪ A blood clot forms sealing off the damaged portion of the vessel The Heart Heart Basics Blood flows through a network of blood vessels ▪ Blood vessels are subdivided into a pulmonary circuit (___________________ _______________________________________________) and a systemic circuit (________________________________________________________________) ▪ Blood travels through these circuits in sequence before re-entering the heart Arteries (_____________________) carry blood away from the heart Veins (_____________________) carry blood to the heart Capillaries are small, thin-walled vessels between arteries and veins that permit gas/nutrient/waste exchange with the surrounding tissues Approximately the size of a fist Enclosed in pericardium, a double-walled sac Contains 4 chambers (2 for each circuit): ▪ _________________________________________________________________ ▪ _________________________________________________________________ ▪ _________________________________________________________________ ▪ _________________________________________________________________ When the heart beats, the atria contract first, then the ventricles Pericardium The heart lies within the pericardial cavity and is surrounded by the pericardium ▪ Protects, anchors, and prevents overfilling Subdivided into 2 layers ▪ _________________________________________________________________ ▪ _________________________________________________________________ ▪ Separated by fluid-filled pericardial cavity (decreases friction) Surface Anatomy _________________________ – deflated atrium _________________________ – deep groove filled with fat. Marks the border between the atria and the ventricles _________________________ – the pointed tip of the heart The Heart Wall Epicardium—_______________________________________ ▪ Covers the outer surface of the heart Myocardium ▪ _________________________________________________________________ ▪ Forms concentric layers that wrap around the atria and spiral into the walls of the ventricles ▪ Results in a squeezing/twisting motion that increases the pumping frequency of blood ________________________________________________________________________ Chambers Four chambers ▪ Two atria ▪ Separated internally by the interatrial septum ▪ Opens into ventricle via atrioventricular (AV) valve ▪ ____________________________________________________ ▪ Receive blood from superior vena cava (_________________________ ________________________________) and inferior vena cava (______ __________________________________________________________) ▪ Two ventricles ▪ Separated by the interventricular septum ▪ Blood travels from the right atrium to the right ventricle through an opening covered by 3 flaps, called cusps (part of right AV valve) ▪ ___________________________________________ ▪ Also a left AV valve called the bicuspid or mitral valve Heart Valves Atrioventricular Valves ▪ _________________________________________________________________ ▪ When the ventricles contract blood moving back towards the atrium swings the cusps together, closing the valves Semilunar Valves ▪ _________________________________________________________________ Coronary Circulation Arteries ▪ _________________________________________________________________ _________________________________________________________________ ▪ _________________________________________________________________ _________________________________________________________________ Veins ▪ Great and middle cardiac veins carry blood away from the coronary capillaries ▪ Drain into the coronary sinus (large, thin-walled vein) Heartbeat When the entire heart contracts in a coordinated manner so that blood flows in the correct direction at the proper time 2 types of cells involved: ▪ Contractile Cells ▪ ___________________________________________________________ ▪ Noncontractile Cells ▪ ___________________________________________________________ The Conducting System Atria contract first followed by the ventricles Cardiac contractions are coordinated by the conducting system ▪ _________________________________________________________________ ▪ Made up of 2 non-contracting cells: ▪ ______________________ – establish rate of cardiac contraction ▪ ______________________ – distribute contractile stimulus to the general myocardium Electrocardiogram (ECG or EKG) ________________________________________________________________________ Three waves seen during an ECG ▪ P wave: ______________________________________________ ▪ QRS complex: ________________________________________________ ▪ T wave: ______________________________________________ The Cardiac Cycle The period between the start of one heartbeat and the start of the next ▪ Systole (contraction) – ______________________________________________ _________________________________________________________________ ▪ Diastole (relaxation) – ______________________________________________ _________________________________________________________________ Phases of the Cardiac Cycle Atrial systole ▪ _________________________________________________________________ Atrial diastole/ventricular systole ▪ Av valves shut ▪ When ventricular pressure exceeds atrial pressure, _______________________ _________________________________________________________________ Ventricular diastole ▪ Ventricular pressure declines, semilunar valves close ▪ _________________________________________________________________ ▪ Both atria and ventricles are now in diastole Cardiac Output (CO) Volume of blood pumped by each ventricle in one minute _______________________________________________________________________ ▪ HR = number of beats per minute ▪ SV = volume of blood pumped out by a ventricle with each beat Blood Vessels and Circulation Blood Vessels ________________________________________________________________________ ________________________________________________________________________ Delivery system of dynamic structures that begins and ends at the heart ▪ Arteries: ______________________________________________; oxygenated except for pulmonary circulation and umbilical vessels of a fetus ▪ Capillaries: ________________________________________________________ ▪ The vital functions of the cardiovascular system occur at the capillary level: ______________________________________________________ ___________________________________________________________ ▪ Veins: ____________________________________________________________ Structure of Blood Vessel Walls Arteries and veins have 3 layers: ▪ _______________________ – innermost layer ▪ _______________________ – middle layer containing smooth muscle for contraction (vasoconstriction) and relaxation (vasodilation) ▪ _______________________ – outermost layer, anchors vessel Arteries When traveling from the heart to capillaries blood goes through elastic arteries, muscular arteries, and arterioles: ▪ ___________________________ ▪ Large thick-walled arteries with elastin in all three tunics ▪ Aorta and pulmonary trunk and their major branches ▪ Act as pressure reservoirs—expand and recoil during the cardiac cycle ▪ ___________________________ ▪ Deliver blood to body organs and skeletal muscle ▪ ___________________________ ▪ Smallest arteries ▪ Lead to capillary beds ▪ Alter blood pressure and rate of flow through dependent tissues Capillaries ________________________________________________________________________ ________________________________________________________________________ Capillaries do not function as individual units but as part of an interconnected network called a capillary bed The entrance to each capillary is guarded by a precapillary sphincter (a band of smooth muscle) ▪ _________________________________________________________________ Veins ________________________________________________________________________ From capillaries blood flows through the venules to the medium-sized veins to the large veins and then enters the heart ▪ Large veins includes the 2 vena cavae Blood Flow Factors affecting blood flow: ▪ _________________________ ▪ ___________________________________________________________ ▪ Largest pressure gradient found in the systemic circuit between the aorta and entrance to the right atrium (called the circulatory pressure) ▪ Circulatory pressure has 3 components: __________________________ ___________________________________________________________ ▪ ________________________ ▪ ___________________________________________________________ ▪ Sources of peripheral resistance: _____________________ – resistance of blood vessels to blood flow. The most important factor in vascular resistance is friction between blood &vessel walls _____________________ – the resistance to flow resulting from interactions among molecules and suspended materials in a liquid _____________________ – high flow rates, irregular surfaces, or sudden changes in diameter can upset smooth blood flow, this is turbulance. It slows flow and increases resistance Blood Pressure The pressure in arteries fluctuates, rising during ventricular systole and falling during ventricular diastole ▪ Systolic pressure – __________________________________________________ ▪ Diastolic pressure – _________________________________________________ ▪ The difference between the 2 pressures is the pulse pressure ____________________________________________________ Capillary Pressure ________________________________________________________________________ ▪ Contributes to capillary exchange ▪ Capillary exchange has 4 important functions: 1. ____________________________________________________ ____________________________________________________ 2. ____________________________________________________ ____________________________________________________ 3. ____________________________________________________ ____________________________________________________ 4. ____________________________________________________ ____________________________________________________ Venous Pressure Venous system requires less pressure than the atrial system When standing, venous blood below the heart must overcome gravity. 2 factors help: ▪ Muscular compression – _____________________________________________ ▪ The respiratory pump – ______________________________________________ _________________________________________________________________ Cardiovascular Regulation 3 mechanisms: ▪ _______________________________ ▪ Automatic adjustment of blood flow to each tissue ▪ _______________________________ ▪ Respond to changes in arterial pressure or blood gas levels at specific sites Baroreceptor reflexes respond to changes in blood pressure, and chemoreceptor reflexes respond to changes in chemical composition ▪ _______________________________ ▪ The endocrine system releases hormones that enhance short-term adjustments and direct long-term changes in cardiovascular performance Exercise and the Cardiovascular System During exercise, cardiac output and blood distribution change markedly As exercise begins 3 main changes take place: ▪ Extensive vasodilation – _____________________________________________ ▪ Venous return increases – ____________________________________________ ▪ Cardiac output rises – _______________________________________________ Other changes: cardiac output increases, blood pressure increases, and blood flow is restricted Cardiovascular Response to Hemorrhage If blood clotting fails (severe injuries, disorders, etc.) the entire system begins making adjustments ▪ The short-term elevation of blood pressure ▪ ___________________________________________________________ ___________________________________________________________ ▪ The long-term restoration of blood volume ▪ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ Pulmonary and Systemic Circuit Patterns They exhibit 3 general patterns: ▪ _________________________________________________________________ _________________________________________________________________ ▪ _________________________________________________________________ _________________________________________________________________ ▪ _________________________________________________________________ _________________________________________________________________ Systemic Arteries ______________________________ – begins at the aortic semilunar valve of the left ventricle and ends at the aortic arch ______________________________ – contains 3 elastic arteries: the brachiocephalic, the left common carotid, and the left subclavian ______________________________ – continuous with the aortic arch and ends at the diaphragm Systemic Veins ______________________________ – receives blood from the head, neck, upper limbs, shoulder, and chest ______________________________ – collects most of the venous blood from organs inferior to the diaphragm ______________________________ – delivers blood containing __________________ ________________________________ to the liver, where the liver cells absorb them for storage, metabolic conversion, or excretion