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Fig. 12.2 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. CO2 O2 Tissue capillaries Circulation to tissues of head Lung CO2 Pulmonary circulation (to lungs) Lung capillaries O2 Left side of heart Right side of heart Circulation to tissues of lower body Tissue capillaries CO2 O2 Systemic circulation (to body) Fig. 12.10-1 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Aortic arch Superior vena cava Branches of right pulmonary arteries Left pulmonary artery Branches of left pulmonary arteries Pulmonary trunk Pulmonary veins Aortic semilunar valve Pulmonary veins Pulmonary semilunar valve Right atrium Tricuspid valve Papillary muscles Right ventricle Inferior (a) vena cava Left atrium Bicuspid valve Left ventricle Interventricular septum Fig. 12.5-1 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Aortic arch Left pulmonary artery Superior vena cava Branches of left pulmonary artery Branches of right pulmonary artery Pulmonary trunk Left pulmonary veins Right pulmonary veins Left atrium Right atrium Great cardiac vein (in anterior interventricular sulcus) Coronary sulcus Right coronary artery Anterior interventricular artery (in anterior interventricular sulcus) Right ventricle Left ventricle Inferior vena cava (a) Anterior view Fig. 12.13 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Branching muscle fibers Intercalated disks T tubule Sarcoplasmic reticulum Nucleus of cardiac muscle cell Striations Sarcomere LM 400x Mitochondrion Sarcolemma (cell membrane) Myofibrils Connective tissue (a) (b) b: © Ed Reschke Fig. 12.11 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Aortic arch Aortic arch Superior vena cava Pulmonary trunk Aortic semilunar valve Left coronary artery Pulmonary trunk Left atrium Left atrium Right atrium Circumflex artery Right coronary artery Left marginal artery Anterior interventricular artery Posterior interventricular artery Right marginal artery Left ventricle Right atrium Posterior vein of left ventricle Into right atrium Middle cardiac vein Anterior view Small cardiac vein (b) Coronary sinus Great cardiac vein Left ventricle Right ventricle Right ventricle (a) Superior vena cava Anterior view Fig. 12.14 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Skeletal Muscle Cardiac Muscle Repolarization phase 2 0 Plateau phase 0 (mV) (mV) 1 2 1 Depolarization phase Depolarization phase Repolarization phase –85 –85 1 2 1 Time (ms) (a) 3 1 Depolarization phase • Na+ channels open. • K+ channels begin to open. 2 Repolarization phase • Na+ channels close. • K+ channels continue to open, causing repolarization. • K+ channels close at the end of repolarization and return the membrane potential to its resting value. 2 Time (ms) (b) 1 Depolarization phase • Na+ channels open. • Ca2+ channels open. 2 Plateau phase • Na+ channels close. • Some K+ channels open, causing repolarization. • Ca2+ channels are open, producing the plateau by slowing further repolarization. 3 Repolarization phase • Ca2+ channels close. • Many K+ channels open. 500 Fig. 12.9 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Cardiac skeleton Pulmonary semilunar valve Aortic semilunar valve Bicuspid valve Tricuspid valve Cardiac muscle of the right ventricle Cardiac muscle of the left ventricle Posterior view Fig. 12.15 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. 1 Action potentials originate in the sinoatrial (SA) node and travel across the wall of the atrium (arrows) from the SA node to the atrioventricular (AV) node. Sinoatrial (SA) node Left atrium 1 Atrioventricular (AV) node 2 Action potentials pass through the AV node and along the atrioventricular (AV) bundle, which extends from the AV node, through the fibrous skeleton, into the interventricular septum. 2 3 The AV bundle divides into right and left bundle branches, and action potentials descend to the apex of each ventricle along the bundle branches. Left ventricle 3 Atrioventricular (AV) bundle 4 Action potentials are carried by the Purkinje fibers from the bundle branches to the ventricular walls. Right and left bundle branches Purkinje fibers 4 Apex Fig. 12.16 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. QRS complex (mV) R T P Q S PQ interval QT interval Time (seconds) Fig. 12.6 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Aortic arch Superior vena cava Left pulmonary artery Pulmonary trunk Branches of right pulmonary artery Right pulmonary veins Aortic semilunar valve Left pulmonary veins Pulmonary semilunar valve Left atrium Right pulmonary veins Bicuspid (mitral) valve Right atrium Left ventricle Coronary sinus Chordae tendineae Tricuspid valve Papillary muscles Papillary muscles Interventricular septum Right ventricle Inferior vena cava Anterior view Fig. 12.8 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Pulmonary veins Pulmonary veins Left atrium Aorta Aorta Left atrium Bicuspid valve (closed) Bicuspid valve (open) Aortic semilunar valve (closed) Chordae tendineae (tension low) Aortic semilunar valve (open) Chordae tendineae (tension high) Papillary muscle (relaxed) Papillary muscle (contracted) Cardiac muscle (relaxed) Cardiac muscle (contracted) Left ventricle (relaxed) (a) Anterior view Left ventricle (contracted) (b) Anterior view Fig. 12.17 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Semilunar valves opened Semilunar valves closed AV valves closed AV valves closed 1 Contraction of the ventricles causes pressure in the ventricles to increase. Almost immediately, the AV valves close (the first heart sound). The pressure in the ventricles continues to increase. 2 Continued ventricular contraction causes the pressure in the ventricles to exceed the pressure in the pulmonary trunk and aorta. As a result, the semilunar valves are forced open, and blood is ejected into the pulmonary trunk and aorta. Semilunar valves closed Semilunar valves closed AV valves closed AV valves opened 5 The atria contract and complete ventricular filling. 3 At the beginning of ventricular diastole, the ventricles relax, and the semilunar valves close (the second heart sound). Semilunar valves closed AV valves opened 4 The AV valves open, and blood flows into the ventricles. The ventricles fill to approximately 70% of their volume. Fig. 12.19 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Pulmonary semilunar valve Aortic semilunar valve Bicuspid valve Tricuspid valve Outline of heart © Terry Cockerham/Cynthia Alexander/ Synapse Media Productions Fig. 12.22 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. 1 Sensory neurons (green) carry action potentials from baroreceptors to the cardioregulatory center. Chemoreceptors in the medulla oblongata influence the cardioregulatory center. Cardioregulatory center and chemoreceptors in medulla oblongata Sensory nerve fibers 2 The cardioregulatory center controls the frequency of action potentials in the parasympathetic neurons (red ) extending to the heart. The parasympathetic neurons decrease the heart rate. 1 Carotid body chemoreceptors Sensory nerve fibers 3 The cardioregulatory center controls the frequency of action potentials in the sympathetic neurons (blue) extending to the heart. The sympathetic neurons increase the heart rate and the stroke volume. 4 The cardioregulatory center influences the frequency of action potentials in the sympathetic neurons (blue) extending to the adrenal medulla. The sympathetic neurons increase the secretion of epinephrine and some norepinephrine into the general circulation. Epinephrine and norepinephrine increase the heart rate and stroke volume. Baroreceptors in wall of internal carotid artery Baroreceptors in aorta 2 SA node 3 Heart Sympathetic nerve fibers to adrenal gland 4 Circulation Adrenal medulla Epinephrine and norepinephrine Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Fig. 12.20 3 Baroreceptors in the carotid arteries and aorta detect an increase in blood pressure. The cardioregulatory center in the brain decreases sympathetic stimulation of the heart and adrenal medulla and increases parasympathetic stimulation of the heart. 5 Blood pressure increases: Homeostasis Disturbed 1 Blood pressure (normal range) The SA node and cardiac muscle (the effectors) decrease activity and heart rate and stroke volume decrease. Blood pressure decreases: Homeostasis Restored 6 Start here Blood pressure decreases: Homeostasis Disturbed Baroreceptors in the carotid arteries and aorta detect a decrease in blood pressure. The cardioregulatory center in the brain increases sympathetic stimulation of the heart and adrenal medulla and decreases parasympathetic stimulation of the heart. Blood pressure (normal range) 2 4 Blood pressure increases: Homeostasis Restored The SA node and cardiac muscle (the effectors) increase activity and heart rate and stroke volume increase. Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Fig. 12.21 3 4 Chemoreceptors in the medulla oblongata detect an increase in blood pH (often caused by a decrease in blood CO2). Control centers in the brain decrease stimulation of the heart and adrenal medulla. 2 The SA node and cardiac muscle (the effectors) decrease activity and heart rate and stroke volume decrease, reducing blood flow to the lungs 5 Blood pH increases: Homeostasis Disturbed 6 Start here Blood pH decreases: Homeostasis Disturbed Chemoreceptors in the medulla oblongata detect a decrease in blood pH (often caused by an increase in blood CO2). Control centers in the brain increase stimulation of the heart and adrenal medulla. Blood pH (normal range) Blood pH (normal range) 1 Blood pH decreases: Homeostasis Restored Blood pH increases: Homeostasis Restored The SA node and cardiac muscle (the effectors) increase activity and heart rate and stroke volume increase, increasing blood flow to the lungs.