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Dr. Jagdish Kaur P.G.G.C., Sector 11, Chandigarh Humans have a closed circulatory system, typical of all vertebrates, in which blood is confined to vessels and is distinct from the interstitial fluid. The heart pumps blood into large vessels that branch into smaller ones leading into the organs. Materials are exchanged by diffusion between the blood and the interstitial fluid bathing the cells. Three Major Elements – Heart, Blood Vessels, & Blood 1. The Heart- cardiac muscle tissue highly interconnected cells four chambers Right atrium Right ventricle Left atrium Left ventricle Superior Vena Cava Right Atrium Right Ventricle Lungs Pulmonary Vein Left auricle Bicuspid Valve Left Ventricle Aorta To the bodies organs & cells Pulmonary circuit The blood pathway between the right side of the heart, to the lungs, and back to the left side of the heart. Systemic The circuit pathway between the left and right sides of the heart. 2. Blood Vessels -A network of tubes Arteriesarterioles move away from the heart Elastic Fibers Circular Smooth Muscle Capillaries – where gas exchange takes place. One cell thick Serves the Respiratory System VeinsVenules moves towards the heart Skeletal Muscles contract to force blood back from legs One way values When they break - varicose veins form 3. The Blood A. Plasma Liquid portion of the blood. Contains clotting factors, hormones, antibodies, dissolved gases, nutrients and waste The Blood B. Erythrocytes - Red Blood Cells Carry hemoglobin and oxygen. Do not have a nucleus and live only about 120 days. Can not repair themselves. The Blood C. Leukocytes – White Blood cells Fight infection and are formed in the bone marrow Five types – neutrophils, lymphocytes, eosinophils, basophils, and monocytes. Generating blood pressure Routing blood Heart separates pulmonary and systemic circulations Ensuring one-way blood flow Heart valves ensure one-way flow Regulating blood supply Changes in contraction rate and force match blood delivery to changing metabolic needs Three layers of tissue Epicardium: This serous membrane of smooth outer surface of heart Myocardium: Middle layer composed of cardiac muscle cell and responsibility for heart contracting Endocardium: Smooth inner surface of heart chambers Atrioventricular Tricuspid Bicuspid or mitral Semilunar Aortic Pulmonary Prevent blood from flowing back Resting membrane potential present Action potentials Rapid depolarization followed by rapid, partial early repolarization. Prolonged period of slow repolarization which is plateau phase and a rapid final repolarization phase Voltage-gated channels Absolute: Cardiac muscle cell completely insensitive to further stimulation Relative: Cell exhibits reduced sensitivity to additional stimulation Long refractory period prevents tetanic contractions Action potentials through myocardium during cardiac cycle produces electric currents than can be measured Pattern P wave Atria depolarization QRS complex Ventricle depolarization Atria repolarization T wave: Ventricle repolarization Tachycardia: Heart rate in excess of 100bpm Bradycardia: Heart rate less than 60 bpm Sinus arrhythmia: Heart rate varies 5% during respiratory cycle and up to 30% during deep respiration Premature atrial contractions: Occasional shortened intervals between one contraction and succeeding, frequently occurs in healthy people Heart is two pumps that work together, right and left half Repetitive contraction (systole) and relaxation (diastole) of heart chambers Blood moves through circulatory system from areas of higher to lower pressure. Contraction of heart produces the pressure First heart sound or “lubb” Atrioventricular valves and surrounding fluid vibrations as valves close at beginning of ventricular systole Second Results from closure of aortic and pulmonary semilunar valves at beginning of ventricular diastole, lasts longer Third heart sound or “dupp” heart sound (occasional) Caused by turbulent blood flow into ventricles and detected near end of first one-third of diastole Average blood pressure in aorta MAP=CO x PR CO is amount of blood pumped by heart per minute CO=SV x HR SV: Stroke volume of blood pumped during each heart beat HR: Heart rate or number of times heart beats per minute Cardiac reserve: Difference between CO at rest and maximum CO PR is total resistance against which blood must be pumped Intrinsic regulation: Results from normal functional characteristics, not on neural or hormonal regulation Starling’s law of the heart Extrinsic regulation: Involves neural and hormonal control Parasympathetic stimulation Supplied by vagus nerve, decreases heart rate, acetylcholine secreted Sympathetic stimulation Supplied by cardiac nerves, increases heart rate and force of contraction, epinephrine and norepinephrine released Effect Baroreceptors monitor blood pressure Effect of extracellular ion concentration Increase or decrease in extracellular K+ decreases heart rate Effect of pH, carbon dioxide, oxygen Chemoreceptors monitor Effect of blood pressure of body temperature Heart rate increases when body temperature increases, heart rate decreases when body temperature decreases Gradual changes in heart function, minor under resting condition, more significant during exercise Hypertrophy of left ventricle Maximum heart rate decreases Increased tendency for valves to function abnormally and arrhythmias to occur Increased oxygen consumption required to pump same amount of blood THANK YOU