Cecie Starr Christine Evers Lisa Starr www.cengage.com/biology/starr Chapter 33 Circulation (Sections 33.9 - 33.11) Albia Dugger • Miami Dade College 33.9 Vein Function • Veins return blood to the heart • Blood pressure in veins is low, but several mechanisms keep blood moving • Veins are the body’s largest blood reservoir Moving Blood to the Heart • Mechanisms that help blood at low pressure move through veins and back toward the heart: • Veins have flaplike valves that help prevent backflow • Smooth muscle inside a vein’s wall contracts in response to signals from the nervous system • Skeletal muscles used in limb movements help move blood through veins • Exercise-induced deep breathing also raises pressure inside veins Valves in Veins • Valves in veins prevent the backflow of blood. Valves in Veins venous valve Fig. 33.15, p. 549 Skeletal Muscle and Venous Flow Skeletal Muscle and Venous Flow blood flow to heart valve open valve closed valve valve valve open When skeletal muscles contract, they bulge and press on neighboring veins. This puts pressure on the blood in the vein, forcing it forward through the pressure-sensitive valves. valve closed When skeletal muscles relax, the pressure in neighboring veins declines and pressure-sensitive valves shut, preventing blood from moving backward. Fig. 33.16, p. 549 When Venous Flow Slows • Sometimes one or more valves in a vein become damaged, causing blood to accumulate in that vein • Damaged valves can cause varicose veins in legs, hemorrhoids in the rectum, or clots in veins (thrombus) • A clot that breaks loose (embolus) can be life-threatening • High blood pressure raises the risk for valve damage, but there is also a genetic component Key Concepts • Blood and Blood Vessels • Vertebrate blood is a fluid connective tissue with red blood cells, white blood cells, and platelets suspended in plasma • Blood flows through vessels that vary in structure and function • Exchanges between blood and interstitial fluid take place across walls of the smallest vessels ANIMATION: Vein function To play movie you must be in Slide Show Mode PC Users: Please wait for content to load, then click to play Mac Users: CLICK HERE 33.10 Cardiovascular Disorders • Blood flow keeps cells alive, so disorders that disrupt it have severe impacts on health • Cardiovascular disorders are the leading cause of death in the United States • Fortunately the risk of many cardiovascular disorders can be lowered by choosing a healthy life-style Rhythms and Arrhythmias • Abnormal heart rhythms can slow or halt blood flow • Bradycardia is a below-average resting cardiac rate • Tachycardia is a faster than normal heart rate • Atrial fibrillation is an arrhythmia in which the atria do not contract normally, but instead quiver • Ventricular fibrillation can cause death – a defibrillator may reset normal rhythm Electrocardiograms • Electrocardiograms (ECGs) use electrodes placed on the chest to monitor electrical activity of the beating heart • ECGs can reveal abnormal heart rhythms (arrhythmias) Abnormal ECGs one normal heartbeat 0 Abnormal ECGs 0.2 0.4 0.6 0.8 A time (seconds) bradycardia (here, 46 beats per minute) B tachycardia (here, 136 beats per minute) C ventricular fibrillation D Fig. 33.17, p. 550 LDL and HDL • Most cholesterol (lipid) in blood is bound to protein carriers such as LDL and HDL • Low-density lipoproteins (LDLs) cause lipid buildup in endothelial linings of arteries • High-density lipoproteins (HDLs) are metabolized by the liver, which uses them in the formation of bile Atherosclerosis and Heart Disease • In atherosclerosis, buildup of lipids in the arterial wall narrows the space inside the vessel (lumen) and impairs blood flow • A mass of fibrous connective tissue (atherosclerotic plaque) bulges into the vessel’s interior, narrowing its diameter • Hardened plaque can abrade an artery wall, triggering formation of clots which can lead to heart attacks • A healthy lifestyle can help prevent atherosclerosis Atherosclerotic Plaque Atherosclerotic Plaque Fig. 33.18a, p. 550 Atherosclerotic Plaque wall of artery, cross-section unobstructed interior of a normal artery Fig. 33.18a, p. 550 Atherosclerotic Plaque Fig. 33.18b, p. 550 Atherosclerotic Plaque atherosclerotic plaque blood clot sticking to plaque narrowed interior Fig. 33.18b, p. 550 Coronary Arteries • Atherosclerosis affects vessels that supply blood to heart muscle • A heart attack occurs when a coronary artery is completely blocked, usually by a clot Coronary Arteries one coronary artery Fig. 33.19, p. 551 Coronary Bypass Surgery • To divert blood around a clogged coronary artery, doctors open a person’s chest and insert a blood vessel from elsewhere in the body (usually a leg vein) Coronary Bypass Surgery vein from leg used to bypass blockage blocked coronary artery A Coronary bypass surgery. Veins from another part of the body are used to divert blood past the blockages. This illustration shows a “double bypass,” in which veins are placed to divert blood around two blocked coronary arteries. Fig. 33.20a, p. 551 Balloon Angioplasty • Doctors inflate a small balloon in a blocked artery to flatten plaques, then insert a wire mesh tube (stent) to keep the vessel open Balloon Angioplasty plaque flattened by balloon angioplasty stent (metal mesh) placed to keep artery open B Ballon angioplasty and placement of a stent. A balloonlike device is inflated in an artery to open it and flatten the plaque, then a tube of metal (the stent) is left in place to keep the artery open. Fig. 33.20b, p. 551 Risk Factors • • • • • • • • • Tobacco smoking (#1 risk) Family history Hypertension High cholesterol level Diabetes mellitus Obesity Age Physical inactivity Gender (males) Key Concepts • Cardiovascular Disorders • Circulatory function declines when the heart’s rhythm is disrupted or blood vessels become clogged by atherosclerosis • Heart disease arises when vessels that supply blood to heart muscle are narrowed • A healthy life-style can lessen the risk of cardiovascular disorders ANIMATION: Examples of ECGs To play movie you must be in Slide Show Mode PC Users: Please wait for content to load, then click to play Mac Users: CLICK HERE 33.11 Interactions With the Lymphatic System • Excess fluid that leaves capillaries of the circulatory system returns to blood by way of the lymphatic system • The lymphatic system also plays a major role in immunity Lymph Vascular System • The lymph vascular system consists of lymph capillaries and vessels that collect water and solutes from interstitial fluid, then deliver them to the circulatory system • lymph vascular system • System of vessels that takes up interstitial fluid and carries it (as lymph) to the blood • lymph • Fluid in the lymph vascular system Movement of Lymph • Fluid that leaks out of blood capillaries moves into lymph capillaries through the lymph capillary wall • Two mechanisms move lymph through vessels • Wavelike contractions of smooth muscle in lymph vessel walls propel lymph forward • Skeletal muscle contraction keeps fluid moving; lymph vessels have one way valves that prevent backflow • Collecting ducts empty lymph into veins in the lower neck Movement of Lymph Movement of Lymph lymph capillary interstitial fluid flaplike “valve” made of overlapping cells at tip of lymph capillary B capillary bed Fig. 33.21b, p. 552 Three Functions of the Lymph Vascular System 1. It collects water and plasma proteins that leaked out of capillaries and returns them to the circulatory system 2. It delivers fats absorbed from food in the small intestine to the blood 3. It transports cellular debris, pathogens, and foreign cells to lymph nodes, which serve as the system’s disposal sites Lymphoid Organs and Tissues • Lymph nodes filter the lymph, and white blood cells in the nodes attack any pathogens • The spleen filters the blood and removes old red blood cells. • The thymus gland is a hormone-secreting organ inside which T lymphocytes (a kind of white blood cell) mature • Lymphoid tissues include tonsils and some patches of tissue in the wall of the small intestine and appendix Key Terms • lymph node • Small mass of lymphatic tissue through which lymph filters; contains many lymphocytes (B and T cells) • spleen • Large lymphoid organ that filters blood • thymus • Endocrine gland beneath breastbone; makes hormones that help T cells mature The Lymphatic System The Lymphatic System Tonsils Defense against bacteria and other foreign agents Right lymphatic duct Drains right upper portion of the body Thymus gland Site where certain white blood cells acquire means to chemically recognize specific foreign invaders Thoracic duct Drains most of the body Spleen Major site of antibody production; disposal site for old red blood cells and foreign debris; site of red blood cell formation in the embryo Some of the lymph vessels Return excess interstitial fluid and reclaimable solutes to the blood Some of the lymph nodes Filter bacteria and many other agents of disease from lymph Bone marrow Marrow in some bones is production site for infectionfighting blood cells (as well as red blood cells and platelets) Fig. 33.21a, p. 552 Function of Lymph Nodes • Before entering blood, lymph is filtered through lymph nodes • When something is identified as nonself, lymphocytes multiply to destroy that threat Function of Lymph Nodes C lymph trickles past organized arrays of lymphocytes valve (prevents backflow) Fig. 33.21c, p. 552 ANIMATION: Lymph vascular system To play movie you must be in Slide Show Mode PC Users: Please wait for content to load, then click to play Mac Users: CLICK HERE Key Concepts • Links With the Lymphatic System • Fluid that diffuses out of capillaries enters the lymph vascular system, which returns it to the blood • As fluid flows through lymphatic vessels, lymphoid organs monitor it for infectious agents and other threats to health My Heart Stood Still (revisited) • Increasing availability of automated external defibrillators (AEDs) helps save lives • Signs in public places indicate where AEDs are available Automatic External Defibrillators • Voice commands and pictures instruct the user in how and where to place electric paddles • AED assesses the need for defibrillation and, if necessary, delivers an electric shock