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CARDIOVASCULAR SYSTEM Chapter 11 CIRCULATORY SYSTEM2 interconnected circuits connected at the heart; also contains arteries, capillaries, veins, and blood ARTERIES- blood vessels going away from the heart VEINS- blood vessels going toward the heart CAPILLARIES- smallest vessels exchange materials between the blood and interstitial fluid 1. SYSTEMIC CIRCUIT- exits the LEFT side of heart and travels to BODY (hi O2) 2. PULMONARY CIRCUIT – exits the RIGHT side of the heart and travels to LUNGS (low O2) HEART - located in the thoracic cavity - size of a persons fist - 4 chambers - 2/3 of the heart lies to the left of the sternum APEX- points to the left hip and is lies on the diaphragm BASE- where blood vessels emerge- point toward the right shoulder and lies beneath second rib MEDIASTINUM- opening between the lungs HEART WALL- 3 LAYERS 1. ENDOCARDIUM- (white) inner most layer- slick decreasing friction to allow blood flow 2 MYOCARDIUM-- thick cardiac muscle3. EPICARDIUM (visceral pericardium)slick outer covering which decreases friction on the heart PERICARDIUM-double layered sac that gives heart room to move, but resists over-expansion 1. VISCERAL PERICARDIUM lines the outside of the heart 2. PARIETAL PERICARDIUM- protects heart and anchors it to diaphragm 3. PERICARDIAL FLUIDSerous fluid- which reduces friction found in the PERICARDIAL CAVITY (space between the layers) HEART BICUSPID (2) – located on left side (blood returned from lungs) TRICUSPID (3)- located on right side ( blood returned from body) CHORDAE TENDINAE- thin strands of connective tissue Cuspid Valve between atria and ventricles CONTROL- Chordae tendinae- pull valves close during ventricular contraction- prevents backflow of blood to the atria When ventricle is relaxed valve is open SEMILUNAR VALVES3 cusps which close tightly by the backflow of blood -contraction by the ventricles forces them open AORTIC SEMILUNAR VALVEleaves the left ventricleleads to aorta and systemic circuit PULMONARY SEMILUNAR VALVE- leaves the right ventricle- leads to pulmonary artery and pulmonary circuit DIFFERENCES BETWEEN VEINS AND ARTERIES ARTERIES-carry blood away from the heart 1. Walls of ARTERIES are much thicker than veins - much more tunica media-(muscle) and less lumen (opening) -needs to be able to expand and contract - if near the heart will have hi blood pressure DIFFERENCES BETWEEN VEINS AND ARTERIES VEINS- carry blood back to the heart 2. VEINS- have much larger lumen and very little tunica media - away from the heart will have low blood pressure (no need to expand) -skeletal muscle aides in helping blood return by contracting the veins - larger veins have venous valves that close preventing backflow due to gravity VARICOSE VEINS- veins inefficient in blood return- blood pools STRUCTURE OF BLOOD VESSELS ARTERIES ARTERIOLESCAPILLARIESVENULES VEINS WALLS OF BLOOD VESSELS HAVE 3 LAYERS (except capillaries)- that surround the LUMEN (opening) 1. TUNICA INTERNA- innermost (one cell thick) slick surface 2. TUNICA MEDIA-bulky, middle coat of smooth muscle 3. TUNICA EXTERNA- outermost composed of fibrous connective tissue ; supports and protects the blood vessels CAPILLARIES AND CAPILLARY BEDS (pg 342) CAPILLARY- have only 1 layer of cells (TUNICA INTERNA) - thin walls permit the exchange of materials between the blood and interstitial fluid CAPILLARY BEDSnetworks of tiny capillaries intertwined that typically contains 2 types of vessels (1 vascular shunt and 10-100 true capillaries) VASCULAR SHUNT- vessel that directly connects arterioles and venulesprecapillary sphincters will close and direct the blood straight to venules when needed (cold) CAPILLARY BEDSTRUE CAPILLARIES- when precapillary sphincters are open blood will take part in exchange with local cell tissue - CAPILLARIES are the only type of blood vessel that can redirect bloodflow HEART CHAMBERS (4 TOTAL) LEFT AND RIGHT ATRIA (atrium sing.) -Located superior -smaller and less muscular -atrial contraction forces blood into ventricles - receive return blood flow from: 1. SYSTEMIC CIRCUIT- dumps into right atrium 2. PULMONARY CIRCUIT- dumps into left atrium - LEFT AND RIGHT VENTRICLES located inferior - Much larger and more muscle - receive blood from atria - contract to send blood out: LEFT VENTRICLEOUT to systemic circuit RIGHT VENTRICLEOUT to pulmonary circuit - CIRCULATION THROUGH THE HEART Beginning in the right atrium trace a drop of blood through the pulmonary circuit , back to the heart and out the aorta. Identify where it is oxygenated and deoxygenated. 1. _Right atrium (deoxygenated 7._pulmonary vein_ 2. Tricuspid valve ________8.__left atrium______ 3.______right ventricle_______9.____bicuspid valve___ 4._pulmonary semilunar valve__10.___left ventricle__ 5._pulmonary artery_____ 11. __aortic semilunar valve 6.__lungs_________ 12. aorta 13. body 14 vena cava FEATURES OF THE HEART INTERVENTRICULAR SEPTUM- thick muscle (myocardium) that divides ventricles INTERVENTRICULAR SULCUS- line on outside that divides ventricles INTERATRIAL SEPTUMmuscle that divides atria INTERATRIAL SULCUS- line on outside that divides atria FEATURES OF THE HEART ATRIOVENTRICULAR SULCUS- line on surface of heart that separates atria from ventricles ATRIOVENTRICULAR VALVES- (AV valves) valves between the atria and ventricles FUNCTION OF CIRCULATORY SYSTEM Transports 1. 2. 3. 4. OXYGEN NUTRIENTS WASTES HORMONES CARDIAC CYCLE CARDIAC CYCLE- one complete series of heart contractions which constitutes a single heartbeat. CARDIAC CYCLE The heart beats in a rhythmic “Lub-Dub” due to the coordinated contractions of both atria and both ventricles. Heart sounds are produced by the closing of heart valves !!!! ATRIAL CONTRACTION increases the pressure and forces blood into the Ventricles ( which are relaxed at that time) no sound CARDIAC CYCLE VENTRICULAR CONTRACTION- increases pressure forcing the atrioventricular valves closed preventing backflow to atria (Lub sound) while also forcing the semilunar valves open to allow blood to arteries VENTRICULAR RELAXATION allows semilunar valves to close to prevent backflow into the ventricles (Dub sound) Heart Electrical Conduction SystemCardiac cells have an inherent ability to contract in a rhythmic manner. Specific pace-setting cardiac cells can send out electrical signals to adjacent cells causing simultaneous contraction. INTERCALATED DISCS allow all the proper cells to contract together. Heart Electrical Conduction SystemSINOATRIAL NODE- (SA NODE) group of PACEMAKER cells located in the wall of the right atrium which set the pace for the entire cardiac cycle. They send out impulses to both atria to allow cause them to contract. ATRIOVENTRICULAR NODE (AV NODE)- group of cells located in the inferior part of the right atrium near the interatrial septum which receive impulses from the SA NODE pause for a while to allow the atria to empty and then send the impules down to the ventricles via the ATRIOVENTRICULAR BUNDLE (Bundles of His) and the PURKINJE FIBERS Heart Electrical Conduction SystemATRIOVENTRICULAR BUNDLE- special muscle fibers located in the interventricular septum which pass the electrical signal down to the Purkinje fibers and cause the ventricles to contract simultaneously. PURKINJE FIBERS- located at the APEX of the heart and expands up the outer walls of each ventricle cause the simultaneous contraction. Heart Electrical Conduction SystemELECTROCARDIOGRAM- measures the electrical events that occur during a cardiac cycle P WAVE Sino atrial node firing- (then a pause) QRS COMPLEX- AV bundle and Purkinje fibers fire (much larger amount of electricity needed) T WAVE- ventricles repolarizing (atria depolarize during QRS so it is masked) BLOOD PRESSURE BLOOD PRESSURE- the primary force that pushes blood through arteries and arterioles. It is influenced by cardiac output, peripheral resistance and blood volume. Blood pressure is regulated by the nervous system, hormones, and kidneys. FINDING BLOOD PRESSURE SPHYGMOMANOMETER- blood pressure cuff which is wrapped around the arm and finds the pressure on the BRACHIAL ARTERY. How to use a sphygmomanometer along with a stethoscope to find blood pressure 1. Pump up the cuff so that the artery becomes compressed and blood can not pass through. 2. Slowly open the release valve allowing cuff pressure to drop. 3.Using a stethoscope listen below the cuff for the first sounds of blood squeezing through the cuff. When you hear a tapping sound this is the SYSTOLIC PRESSURE. 4.Allow pressure to decrease until no tapping sound is heard. The moment it becomes inaudible is the DIASTOLIC PRESSURE. Factors affecting Blood pressure 1. PERIPHERAL RESISTANCE- the friction of blood rubbing against the vessels. Peripheral resistance is affected by the viscosity of the blood and the size of the lumen (opening) 2. BLOOD VOLUME- (about 5 liters) When blood volume or blood pressure rises the kidneys respond by removing more water from the body as urine. When blood pressure is low kidneys reduce the amount of urine produced. 3. CARDIAC OUTPUT CARDIAC OUTPUT = Heart rate x Stroke Volume The average heart rate at rest is 75 beats/minute and the average stroke volume is 70 mL per beat STROKE VOLUME- volume of blood ejected by the contraction of ventricles. CARDIAC OUTPUT MEDULLA OBLONGATA (of the brain) controls the cardiac cycle by sending signals to the SINOATRIAL NODE ARTERIAL BLOOD PRESSURE SYSTOLIC PRESSURE (typically 120 mmHg).highest value when ventricles contract DIASTOLIC PRESSURE (typically 70-80 mmHg) lowest value when ventricles are relaxed Factors affecting Blood pressure 4. NERVOUS SYSTEMVASOCONSTRICTION- making the arteries smallerif blood pressure levels are too low or oxygen levels are too low VASODILATION- opening up the arteries 5. HORMONAL CONTROLSEPINEPHRINE and NOREPINEPHRINE- produced by adrenal glands in fight or flight- increases cardiac output and constricts blood vessels Drugs which increase blood pressure- antidiuretics and nicotine ANTIDIURETIC- stimulates kidneys to conserve water Major Veins SUPERIOR VENA CAVA- enters the top of the right atrium INFERIOR VENA CAVA- enters the bottom of the right atrium PULMONARY VEIN- enters the left atrium MAJOR ARTERIES AORTA- exits the left ventricle has large curve (AORTIC ARCH) PULMONARY ARTERY- exits right ventricle and branches under aortic arch to each lung