* Your assessment is very important for improving the work of artificial intelligence, which forms the content of this project
Download The Circulatory System
Management of acute coronary syndrome wikipedia , lookup
Coronary artery disease wikipedia , lookup
Quantium Medical Cardiac Output wikipedia , lookup
Myocardial infarction wikipedia , lookup
Lutembacher's syndrome wikipedia , lookup
Antihypertensive drug wikipedia , lookup
Dextro-Transposition of the great arteries wikipedia , lookup
27-1 The Cardiovascular System Biology 11 © 2009 The McGraw-Hill Companies, Inc. All rights reserved 27-2 Learning Outcomes 27.1 Describe the structure of the heart and the function of each part. 27.2 Trace the flow of blood through the heart. 27.3 List the most common heart sounds and what events produce them. 27.4 Explain how heart rate is controlled by the electrical conduction system of the heart. © 2009 The McGraw-Hill Companies, Inc. All rights reserved 27-3 Learning Outcomes (cont.) 27.5 List the different types of blood vessels and describe the functions of each. 27.6 Define blood pressure and tell how it is controlled. 27.7 Trace the flow of blood through the pulmonary and systemic circulation. 27.8 List the major arteries and veins of the body and describe their locations. © 2009 The McGraw-Hill Companies, Inc. All rights reserved 27-4 Learning Outcomes (cont.) 27.9 List and describe the components of blood. 27.10 Give the functions of red blood cells, the different types of white blood cells, and platelets. 27.11 List the substances normally found in plasma. 27.12 Explain how bleeding is controlled. 27.13 Explain the differences among blood types A, B, AB, and O. © 2009 The McGraw-Hill Companies, Inc. All rights reserved 27-5 Learning Outcomes (cont.) 27.14 Explain the difference between Rh-positive blood and Rh-negative blood. 27.15 Explain the importance of blood typing and tell which blood types are compatible. 27.16 Describe the causes, signs and symptoms, and treatments of various diseases and disorders of the cardiovascular system. © 2009 The McGraw-Hill Companies, Inc. All rights reserved 27-6 Part 1 HEART STRUCTURES © 2009 The McGraw-Hill Companies, Inc. All rights reserved 27-7 Introduction The cardiovascular system consists of heart and blood vessels It sends blood to Lungs for oxygen Digestive system for nutrients It also circulates waste products to certain organ systems for removal from the blood © 2009 The McGraw-Hill Companies, Inc. All rights reserved 27-8 The Heart: Structures The heart is an organ about the size of a loose fist Located slightly left of the midline © 2009 The McGraw-Hill Companies, Inc. All rights reserved 27-9 The Heart: Structures (cont.) The Heart has 4 chambers Two atria Upper chambers Left and right Separated by a septum Two ventricles Lower chambers Left and right Separated by a septum Click for View of Heart © 2009 The McGraw-Hill Companies, Inc. All rights reserved 27-10 The Heart Valves: Structures (cont.) Tricuspid valve – prevents blood from flowing back into the right atrium when the right ventricle contracts Bicuspid valve – prevents blood from flowing back into the left atrium when the left ventricle contracts Pulmonary valve – prevents blood from flowing back into the right ventricle Aortic valve – prevents blood from flowing back Click for View of into the left ventricle Heart © 2009 The McGraw-Hill Companies, Inc. All rights reserved 27-12 Part 2 CARDIAC CIRCULATION © 2009 The McGraw-Hill Companies, Inc. All rights reserved 27-13 The Heart: Blood Flow Deoxygenated blood in from body Oxygenated blood out to body Oxygenated blood in lungs Deoxygenated blood out to lungs Atria Contract Ventricles Contract © 2009 The McGraw-Hill Companies, Inc. All rights reserved 27-14 © 2009 The McGraw-Hill Companies, Inc. All rights reserved 27-15 The Heart: Blood Flow (cont.) Right Atrium Tricuspid Valve Right Ventricle Pulmonary Valve Body Lungs Aortic Valve Left Ventricle Bicuspid Valve Left Atrium © 2009 The McGraw-Hill Companies, Inc. All rights reserved 27-16 The Heart: Cardiac Cycle One heartbeat = one cardiac cycle Atria contract and relax Ventricles contract and relax Right atrium contracts Tricuspid valve opens Blood fills right ventricle Right ventricle contracts Tricuspid valve closes Pulmonary semilunar valve opens Blood flows into pulmonary artery Left atrium contracts Bicuspid valve opens Blood fills left ventricle Left ventricle contracts Bicuspid valve closes Aortic semilunar valve opens Blood pushed into aorta © 2009 The McGraw-Hill Companies, Inc. All rights reserved 27-17 Part 3 HEART BEAT CARDIAC RHYTHM © 2009 The McGraw-Hill Companies, Inc. All rights reserved 27-18 The Heart: Heart Sounds One cardiac cycle – two heart sounds (lubb and dubb) when valves in the heart snap shut Lubb – First sound When the ventricles contract, the tricuspid and bicuspid valves snap shut Dubb – Second sound When the atria contract and the pulmonary and aortic valves snap shut © 2009 The McGraw-Hill Companies, Inc. All rights reserved 27-20 Part 4 CIRCULATION AROUND THE BODY © 2009 The McGraw-Hill Companies, Inc. All rights reserved 27-21 Blood Vessels: Arteries and Arterioles Strongest of the blood vessels Carry blood away from the heart Under high pressure Vasoconstriction Vasodilation Arterioles Aorta Small branches of arteries Takes blood from the heart to the body Coronary arteries Supply blood to heart muscle © 2009 The McGraw-Hill Companies, Inc. All rights reserved 27-22 Blood Vessels: Veins and Venules Blood under no pressure in veins Does not move very easily Skeletal muscle contractions help move blood Moves blood BACK to the heart Valves prevent backflow Venules Small vessels formed when capillaries merge Superior and inferior vena cava Largest veins Carry blood into right atrium © 2009 The McGraw-Hill Companies, Inc. All rights reserved 27-23 Blood Vessels: Capillaries Branches of arterioles Smallest type of blood vessel Connect arterioles to venules Only about one cell layer thick Oxygen and nutrients can pass out of a capillary into a body cell Carbon dioxide and other waste products pass out of a body cell into a capillary © 2009 The McGraw-Hill Companies, Inc. All rights reserved 27-24 Circulation Pulmonary circuit right atrium right ventricle pulmonary artery trunk pulmonary arteries lungs pulmonary veins heart (left atrium) Systemic circuit left atrium left ventricle aorta arteries arterioles capillaries venules veins vena cava heart (right atrium) © 2009 The McGraw-Hill Companies, Inc. All rights reserved 27-25 © 2009 The McGraw-Hill Companies, Inc. All rights reserved 27-26 Systemic Circulatory System © 2009 The McGraw-Hill Companies, Inc. All rights reserved 27-27 © 2009 The McGraw-Hill Companies, Inc. All rights reserved 27-28 Circulation (cont.) Arterial system Carry oxygen-rich blood away from the heart Pulmonary arteries carry oxygen-poor blood Paired – left and right artery of the same name © 2009 The McGraw-Hill Companies, Inc. All rights reserved 27-29 Circulation (cont.) Venous system Carries oxygenpoor blood toward the heart Hepatic portal system Collection of veins carrying blood to the liver Except pulmonary veins Most large veins have the same names as the arteries they are next to Click for Larger View © 2009 The McGraw-Hill Companies, Inc. All rights reserved 27-30 Part 5 BLOOD PRESSURE © 2009 The McGraw-Hill Companies, Inc. All rights reserved 27-31 Apply Your Knowledge How do arteries control blood pressure? ANSWER: The muscular walls of arteries can constrict to increase blood pressure or dilate to decrease blood pressure. © 2009 The McGraw-Hill Companies, Inc. All rights reserved 27-32 Blood Pressure Force blood exerts on the inner walls of blood vessels Systolic pressure Ventricles contract Blood pressure is at its greatest in the arteries Diastolic pressure Highest in arteries Lowest in veins Ventricles relax Blood pressure in arteries is at its lowest Reported as the systolic number over the diastolic number © 2009 The McGraw-Hill Companies, Inc. All rights reserved 27-33 Apply Your Knowledge What is the difference between the systolic pressure and diastolic pressure? ANSWER: Systolic pressure is the result of the contraction of the ventricles increasing the pressure in the arteries. Diastolic pressure is the result of the relaxation of the ventricles lowering the pressure in the arteries. Good Answer! © 2009 The McGraw-Hill Companies, Inc. All rights reserved 27-34 Apply Your Knowledge Do pulmonary arteries carry blood with high levels of oxygen or low levels of oxygen? ARTERIES: Pulmonary arteries carry oxygen-poor blood. © 2009 The McGraw-Hill Companies, Inc. All rights reserved 27-35 Part 6 BLOOD © 2009 The McGraw-Hill Companies, Inc. All rights reserved 27-36 Blood A tissue made up of: Red blood cells (erythrocytes) White blood cells (leukocytes) Platelets – cell fragments Plasma – fluid part of blood Average-sized adult has 4 to 6 liters of blood Amount depends on: Size of person Amount of adipose tissue Concentrations of ions Females have less than males © 2009 The McGraw-Hill Companies, Inc. All rights reserved 27-37 Blood Components Hematocrit The % of red blood cells Normally about 45% White cells and platelets about 1% of blood volume Plasma = 54% of blood volume © 2009 The McGraw-Hill Companies, Inc. All rights reserved 27-38 Blood Components: Red Blood Cells Erythrocytes Transport oxygen throughout the body Small biconcave-shaped cells Hemoglobin is a pigment in RBCs Oxyhemoglobin carries oxygen; bright red Deoxyhemoglobin does not carry oxygen; darker red Carries carbon dioxide, so also called carboxyhemoglobin Anemia – low RBC count Erythropoietin – regulates production of RBCs © 2009 The McGraw-Hill Companies, Inc. All rights reserved 27-39 Blood Components: Red Blood Cells (cont.) © 2009 The McGraw-Hill Companies, Inc. All rights reserved 27-40 Blood Components: Platelets Also called thrombocytes Important in the clotting process of blood © 2009 The McGraw-Hill Companies, Inc. All rights reserved 27-41 Platelet plug formation: © 2009 The McGraw-Hill Companies, Inc. All rights reserved 27-42 Clot Formation © 2009 The McGraw-Hill Companies, Inc. All rights reserved 27-43 Blood Components: Plasma Liquid portion of blood composed mostly of water Proteins Smallest plasma proteins Pull water in to help maintain blood pressure Globulins – transport lipids and fat-soluble vitamins Fibrinogen – needed for blood clotting Nutrients Albumins Amino acids Glucose Nucleotides Lipids from the digestive tract Gases – oxygen, carbon dioxide, and nitrogen Electrolytes Waste products © 2009 The McGraw-Hill Companies, Inc. All rights reserved 27-44 Part 7 BLOOD TYPES © 2009 The McGraw-Hill Companies, Inc. All rights reserved 27-45 Blood Types Types are distinguished by antigen and antibodies Antigen A Antigen B Combination A + B (AB) Lack of Antigens (called O Type) © 2009 The McGraw-Hill Companies, Inc. All rights reserved 27-46 Blood Types (cont.) Blood Type Antigen Present Antibody Present Blood That Can Be Received A A B A and O B B A B and O AB AB None A, B, AB, and O O None A and B O © 2009 The McGraw-Hill Companies, Inc. All rights reserved 27-47 Blood Types Rh antigen – protein on RBCs RBCs contain the Rh antigen Rh-negative RBCs do not contain the Rh antigen Rh-positive blood is given to Rh-negative person Antibodies form Rh-positive - Rhesus Factor If Rh-negative person receives more Rhpositive blood Antibodies bind to the donor cells Agglutination occurs © 2009 The McGraw-Hill Companies, Inc. All rights reserved 27-48 Apply Your Knowledge True or False: ANSWER: __ F Hematocrit is the percentage of WBCs in the blood. RBCs __ T Neutrophils destroy bacteria, viruses, and toxins in the bloodstream. __ T Platelets are important to the clotting process. pulls water into __ F Albumin is a small plasma protein that pushes water out of the bloodstream. __ T Hemostasis is the control of bleeding. can receive any type of blood __ F A person with type AB blood can only receive type AB blood. __ T Blood should be matched for Rh factor. © 2009 The McGraw-Hill Companies, Inc. All rights reserved 27-49 Part 8 HEART DISEASE SIGNS & SYMPTOMS © 2009 The McGraw-Hill Companies, Inc. All rights reserved 27-50 Chest Pain – Possible Causes: Cardiac Myocardial infarction Angina Pericarditis Coronary spasm Non-cardiac All complaints of chest pain should be taken seriously! Heartburn Panic attacks Pleurisy Costochondritis Pulmonary embolism Sore muscles Broken ribs © 2009 The McGraw-Hill Companies, Inc. All rights reserved 27-51 Chest Pain (cont.) Determine cause Electrocardiogram Stress tests Blood tests Chest x-ray Nuclear scan Coronary catheterization Echocardiogram Endoscopy © 2009 The McGraw-Hill Companies, Inc. All rights reserved 27-52 Diseases and Disorders of the Cardiovascular System Disease Anemia Description Aneurysm The blood does not have enough red blood cells or hemoglobin to carry an adequate amount of oxygen to the body’s cells A ballooned, weakened arterial wall Arrhythmias Abnormal heart rhythms Carditis Inflammation of the heart Endocarditis Inflammation of the innermost lining of the heart, including valves © 2009 The McGraw-Hill Companies, Inc. All rights reserved 27-53 Diseases and Disorders of the Cardiovascular System (cont.) Disease Description Myocarditis Inflammation of the muscular layer of the heart Pericarditis Inflammation of the membranes that surround the heart (pericardium) Congestive Heart Failure Weakening of the heart over time; heart is unable to pump enough blood to meet body’s needs Coronary Artery Atherosclerosis; narrowing of coronary arteries Disease (CAD) caused by hardening of the fatty plaque deposits within the arteries © 2009 The McGraw-Hill Companies, Inc. All rights reserved 27-54 Diseases and Disorders of the Cardiovascular System (cont.) Disease Description Hypertension High blood pressure; consistent resting blood pressure equal to or greater than 140/90 mm Hg Leukemia Bone marrow produces a large number of abnormal WBCs Murmurs Abnormal heart sounds Myocardial Infarction Heart attack; damage to cardiac muscle due to a lack of blood supply © 2009 The McGraw-Hill Companies, Inc. All rights reserved 27-55 Diseases and Disorders of the Cardiovascular System (cont.) Disease Description Sickle Cell Anemia Abnormal hemoglobin causes RBCs to change to a sickle shape; abnormal cells stick in capillaries Thalassemia Inherited form of anemia; defective hemoglobin chain causes, small, pale, and short-lived RBCs Thrombophlebitis Blood clots and inflammation develops in a vein Varicose Veins Twisted, dilated veins © 2009 The McGraw-Hill Companies, Inc. All rights reserved 27-56 Apply Your Knowledge The doctor has told your patient she has anemia. How would you explain this to the her? ANSWER: Anemia is a condition in which a person does not have enough red blood cells or hemoglobin in the blood to carry an adequate amount of oxygen to body cells. Bravo! © 2009 The McGraw-Hill Companies, Inc. All rights reserved 27-57 In Summary Cardiovascular system Transport system for body Heart, arteries, veins, and capillaries Blood Transport medium RBCs, WBCs, platelets, plasma © 2009 The McGraw-Hill Companies, Inc. All rights reserved 27-58 Your work is to discover your world and then with all your heart give yourself to it. ~ Buddha © 2009 The McGraw-Hill Companies, Inc. All rights reserved