Cardiovascular System PA 544 Clinical Anatomy Tony Serino, Ph.D. General Circulatory System 1. Cardiovascular – – – – Consists of a closed system of vessels which transport blood Two circuits: Systemic and Pulmonary Arteries move blood away from the heart Veins move blood toward the heart General Circulatory System 2. Lymphvascular – moves lymph – – Consist of blind end tubes which collect interstitial fluid (now called lymph) and returns it to circulation The lymph is cleaned before returned to the blood vessels Blood Vessels • Arteries –conduct blood away from heart – Elastic arteries, Muscular arteries, arterioles • Veins –conduct blood toward heart – Venules, small and large veins • Capillaries –thinnest blood vessel; used in exchange, is the functional unit of circulatory system (Microcirculation) – AV shunts, metarterioles, pre-capillary sphincters, and capillary bed Blood Vessels Types Vessel Anatomy Capillary Anatomy Three types: tight, fenestrated and sinusoids Capillary Types Tight Capillary Fenestrated Capillary Sinusoidal Capillary Capillary Bed Arteries and Veins • Arteries are known as resistance vessels, especially the arterioles – Arteries withstand the greatest BP • Veins are capacitance vessels, they are able to change the diameter to hold more or less blood BP through Vascular Tree Small changes in arteriolar diameter produce big changes in resistance; termed total peripheral resistance (TPR) TPR (total peripheral resistance) • TPR is the opposition to blood flow through the vessel (caused by friction) • Arteries with their smaller lumen resist blood flow • Arteriolar diameter contribute the most to TPR – Arteriolar compliance (the ability of the vessel to distend) controls the TPR – Sympathetic innervation controls arteriolar radius • The viscosity of the blood also affects resistance Blood Flow Velocity in Vascular Tree Blood Flow Changes During Exercise Atherosclerotic plaque Pressure Points Skeletal Muscle Pump