* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Download CHAPTER 18: CARDIOVASCULAR SYSTEM
Management of acute coronary syndrome wikipedia , lookup
Heart failure wikipedia , lookup
Electrocardiography wikipedia , lookup
Rheumatic fever wikipedia , lookup
Coronary artery disease wikipedia , lookup
Antihypertensive drug wikipedia , lookup
Quantium Medical Cardiac Output wikipedia , lookup
Artificial heart valve wikipedia , lookup
Jatene procedure wikipedia , lookup
Congenital heart defect wikipedia , lookup
Lutembacher's syndrome wikipedia , lookup
Heart arrhythmia wikipedia , lookup
Dextro-Transposition of the great arteries wikipedia , lookup
CARDIOVASCULAR SYSTEM INTRODUCTION: AKA: the circulatory system • Consists of the heart and a closed system of vessels called arteries, veins, and capillaries Two Pathways •Pulmonary Circulation •Carries blood to lungs and back •Systemic Circulation •Carries blood to body and back Arteries: carries blood Away from heart • • • • Large Thick-walled, Muscular Elastic Oxygenated blood • Exception Pulmonary Artery • Carried under great pressure • Steady pulsating Capillaries • • • • Smallest vessel Microscopic Walls one cell thick Nutrients and gases diffuse here Veins: Carries blood to heart • Carries blood that contains waste and CO2 • • • Exception pulmonary vein Blood not under much pressure Valves to prevent much gravity pull Varicose Veins Damaged Valves in Veins Artery vs. Vein SIZE,SHAPE & LOCATION OF HEART • • • • 4 chambered muscular organ Shaped/sized roughly like a person’s closed fist Lies in the mediastinum 2/3 of heart located on left side of the midline and 1/3 on the right. Structure of the Heart Covering • PERICARDIUM is a loose-fitting sac and consist of two parts: • Fibrous portion tough, loose, and inelastic sac around the heart • Serous portion consist of two layers Serous portion -layers • PARIETAL LAYER: lining inside of the fibrous pericardium • VISCERAL LAYER: is also known as the EPICARDIUM -It attaches to the large blood vessels at the top of the heart • PERICARDIAL SPACE is a space between the visceral layer (epicardium) and the parietal layer • Lubricating fluid secreted by the serous membrane known as PERICARDIAL FLUID Wall of the Heart • Three layers of tissue make up the heart wall: • Epicardium • Myocardium • Endocardium Epicardium • Outer layer • Meaning “on the heart” • Is actually the visceral layer of the pericardium Myocardium • Makes up the bulk of the heart wall • Is the thick, contractile middle layer of cardiac muscle cells • Cardiac muscles do not fatigue Endocardium • The lining of the interior of the myocardial wall • Composed of a layer of endothelial tissue, which line the heart and blood vessels Chambers of the Heart • Interior is divided into 4 chambers (cavities) • ATRIA (ATRIUM) Two upper chambers • VENTRICLES Two lower chambers • SEPTUM the left chambers is separated form the right chambers by this heart wall Atria • Often called the “receiving chambers” • They receive blood from vessels termed veins • Myocardium is not as thick here Ventricles • The lower chambers • Receive blood from the atria and pump blood out of the heart into arteries • “primary pumping chambers” • Myocardium is thicker so more force is needed Valves of the heart • Are mechanical devices that permit the flow of blood in one direction only • Two Atrioventricular valves (AV) • Guard the opening between the atria and the ventricles • Two Semilunar valves (SL) • Located where the pulmonary artery (right ventricle) and the aorta (left ventricle) arise Atrioventricular Valves • Tricuspid valve: consists of three flaps (cusps). • The free edge of each flap is anchored to the papillary muscles by several cordlike structures termed chordae tendineae • Bicuspid (or mitral valve): the left atrioventricular valve guards the left opening • Only has two flaps. • Both allow blood to flow from atria into ventricles but prevents it from flowing back. Semilunar Valves • Consist of half-moon shaped flaps • Pulmonary semilunar valve • Aortic semilunar valve Blood Flow Through the Heart Heartbeat Regulation • The heart beats due to a small electrical current by the cardiac conduction system. It has 5 major components: 1. The sinoatrial node (SA node): Known as the heart's "pacemaker", causes the heart to beat. Heartbeat Regulation 2. The atrioventricular node (AV node): the electrical "relay station" between the upper and lower heart chambers. 3. The bundle of His: muscle fibers that conduct the electrical impulses that regulate heartbeat. 4. Bundle branches: Connected to the bundle of His, these lead to the lower ventricles. 5. Purkinje fibers: conduct impulses through the heart. Cardiac Conduction System How it works! • Special cells, produce electricity in the body by rapidly changing their electrical charge. • When the heart is relaxed the cells have a negative charge. Outside of the cells are positive. • Cells depolarize as some of their negative atoms move through the cell membrane, and it's this depolarization that causes electricity in the heart. How it works -continued • Once one cell depolarizes it sparks a chain reaction and electricity flows from cell to cell. • When cells return to normal it's called repolarization, and the process is repeated with every heartbeat. Blood Pressure • A normal blood pressure is 120/80 Systolic The top number, which is also the higher of the two numbers, measures the pressure in the arteries when the heart beats (when the heart muscle contracts). Diastolic The bottom number, which is also the lower of the two numbers, measures the pressure in the arteries between heartbeats (when the heart muscle is resting between beats and refilling with blood).