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Circulatory System Notes Part II #10 Heart structure of other organisms • Single circulation • Heart is 2-chambered • Blood pressure is low after blood passes through gill capillaries • Swimming helps propel blood to systemic capillaries and back to the heart #10 Heart structure of other organisms • Double circulation • Heart is 3-chambered • Gas exchange occurs at the lungs and skin • Blood from two atria mix into a single ventricle, a ridge diverts the oxygen-poor from the oxygen rich blood #10 Heart structure of other organisms • Double circulation • Heart is 3-chambered • Ventricle is partially divided, less mixing of the blood occurs #10 Heart structure of other organisms • Double circulation • Heart is 4-chambered • Helps support high metabolic rates of birds and mammals; pumps enough fuel and oxygen to body tissues • Left ventricle has thicker walls than right ventricle #11 Blood Pressure • Blood pressure: the force that blood exerts against the walls of your blood vessels • Measured in the arteries of the arm at the same height of the heart. • 120 / 70 healthy young adult blood pressure • numerator = systolic pressure • donominator = diastolic pressure Blood Pressure https://www.youtube.com/watch?v=S648xZDK7b0 #12 Cardiac Cycle • Systole: – “Lub” – Contraction phase – Atriums contract to completely fill the ventricles – Then, ventricles contract to pump blood into the arteries – Tricuspid and Mitral valve are closed – Pulmonary and Aortic valves are open #12 Cardiac Cycle • Diastole: – “Dub” – Relaxed phase – Blood flows into all 4 chambers – Tricuspid and Mitral valves are open – Pulmonary and Aortic valves are closed #13 Pump it up! • Average amount of blood pumped out of heart per beat (cardiac cycle) = 70mL • Average number of heart beats (cardiac cycles) per minute = 72 How much blood does the heart pump per minute? • 70mL x 72 heart beats = 5040 mL/min (5L/min) • A drop of blood can travel through the entire systemic circuit in one minute! #14 SA Node Each heart muscle contracts and relaxes to an intrinsic rhythm…how? • SA Node: (sinoatrial node) is a group of cells that set the rate at which all the cardiac muscle cells contract, it is your pacemaker. Found in the upper wall of the right atrium. Generates electrical impulses similar to a nerve cell. • These electrical impulses in the heart generate electrical changes in the skin, which can be detected and recorded by an electrocardiogram (EKG). #14 Artificial Pacemakers • Artificial Pacemaker: a device that emits electrical signals to trigger normal heart beats #15 Heart Attack • ½ the deaths in the US are caused by cardiovascular disease • 1/3rd of heart attack victims die immediately Description Warning Signs (Symptoms) Treatments or Preventions -When one or more coronary arteries become blocked, heart muscles die -Chest discomfort -SA Node unable to maintain a normal rhythm -Discomfort in other parts of the body (arms, neck, jaw, stomach) -Shortness of breath - Cold sweat -Electrical shocks from an external defibrillator (AED) - Aspirin -Exercise and healthy diet http://www.youtube.com/watch?v=1qje-XlNowI http://www.youtube.com/watch?v=t7wmPWTnDbE #15 Stroke Description Signs of Disease (Symptoms) Treatments or Preventions - Death of brain tissue due to lack of O2 - Face Drooping - Blood thinning medications - Arm Weakness - Blockage of arteries in the head - Speech Difficulty - Rehabilitation - Time to call 9-1-1 http://www.youtube.com/watch?v=PCNTMIcOMpE&NR=1&feature=fvwp #15 Deep Vein Thrombosis •Description Signs of Disease (Symptoms) Treatments or Preventions •A blood clot that forms in a vein deep in the body •Swelling of the leg •Anticoagulants •Pain or tenderness in the leg when standing or walking •Vena Cava Filter •Most occur in the lower leg or thigh •Compression Stockings •A loose clot can travel to the lung’s arteries and block flow (pulmonary embolism) http://www.nhlbi.nih.gov/health/health-topics/topics/dvt/ #15 Myocarditis Description Signs of Disease (Symptoms) Treatments or Preventions •Inflammation of the heart •Stabbing chest pain •Antibiotics muscle caused by a viral or bacterial infection •Shortness of breath during •Diuretics (promotes exercise production of urine) •Small amounts of urine •Calcium channel blockers (increases supply of blood and O2 to the heart) http://www.youtube.com/watch?v=11FqAJ-_gIs #15 Murmur Description Signs of Disease (Symptoms) Treatments or Preventions •Most murmurs are harmless. •A bluish color on the skin, especially on the fingertips and lips •Sometimes the symptoms go away by themselves •A heart murmur is an extra or unusual sound heard during a heartbeat. •Leaky valves •Lifestyle changes •Enlarged neck veins •Excessive sweating with minimal or no exertion http://www.youtube.com/watch?v=XvtBpnV_lOE #15 Aneryusm Description Signs of Disease (Symptoms) Treatments or Preventions • Balloon-like bulge in an artery • Damage and weakening of the artery’s walls • Avoid smoking • Surgical removal • Can rupture (burst) and cause internal bleeding fatal • Build up of plaque • Insertion of a stent #15 Reynaud’s Disease •Description •Signs of Disease (Symptoms) •Treatments or Preventions •Difficultly of carrying blood to extended parts of the body (hands and feet) •Cold temperatures or stress can trigger “attacks” •Protection from cold temperatures •Skin may turn white and then blue for a short time •Learn ways to handle stress •Brief episodes of vasospasm, which is a narrowing of the blood vessels. •As blood flow returns, the affected areas may turn red and throb, tingle, burn, or feel numb #15 Hypertension Description Signs of Disease (Symptoms) Treatments or Preventions •High blood pressure •Blood Pressure above: 120/80 •Eat less than teaspoon of salt a day (1,500mg) •No other symptoms are usually seen the beginning years of the condition •Weight loss •Exercise •Healthy diet •Avoid stress •“Silent Killer” http://www.webmd.com/hypertension-high-bloodpressure/ss/slideshow-hypertension-overview #15 Polycythemia Vera Description Signs of Disease (Symptoms) Treatments or Preventions •body makes too many red blood cells • Feelings of pressure or fullness on the left side of the abdomen due to an enlarged spleen •A pint of blood is removed once a week until RBC count is normal. •Thickens blood making it difficult for oxygen-rich blood to flow to parts of the body •Heavy bleeding from small cuts #16 Warafin • Anticoagulant – prevents clotting of the blood • Higher risk of bleeding because of the thinner blood #16 Aspirin • Taking an aspirin as soon as symptoms start greatly improves the chance of survival. • Aspirin is an anti-inflammatory drug. • Aspirin “thins” the blood and helps prevent blood clots from forming. #16 Angioplasty • A procedure to open narrow/blocked coronary arteries. • A deflated balloon catheter inserted into a coronary artery. • The balloon is inflated, compressing the plaque against the artery wall. #16 Stents • A small mesh tube that's used to treat narrow or weak arteries. • Helps support the inner wall of the artery #16 Bypass Surgery • A healthy blood vessel taken from the leg, arm, chest or abdomen and connects it to the other arteries in the heart. • Blood is bypassed around the diseased or blocked area #16 Heart Transplant • A heart transplant replaces the patient's heart with a donor heart.