The cardiovascular system LEARNING TARGETS: I CAN IDENTIFY THE DIFFERENT COMPONENTS OF THE BLOOD. I CAN LABEL THE PARTS OF THE HEART AND EXPLAIN THE FUNCTION OF EACH PART. I CAN SUMMARIZE THE FLOW OF BLOOD THROUGH THE HEART. I CAN DESCRIBE HOW THE CARDIAC CONDUCTIVE SYSTEM WORKS TO CAUSE THE HEART TO CONTRACT. I CAN INTERPRET AN ECG INCLUDING ABNORMALITIES. I CAN IDENTIFY THE DIFFERENT DISORDERS OF THE HEART. Blood Liquid connective tissue 8% of body weight 3 Main Functions: Transports gases, nutrients, hormones, and wastes Regulates pH by removing acids generated in tissues Protection: WBC’s, antibodies to fight pathogens Stabilizes body temp Composition Plasma Clear, straw colored liquid portion of blood where platelets and proteins are suspended 92% water, albumins, globulins, and fibrinogens Transports nutrients and gases Electrolyte balance Maintain favorable pH Serum Fluid portion of coagulated blood Blood Cells: Erythrocytes Red Blood Cells Approximately 4.5 million per cubic mm of blood Contains hemoglobin Binds to and transports O2 to different tissues in the body Also transports CO2 to lungs to be exhaled Red Blood Cell Disorders Anemia Iron-Deficiency: dietary lack of iron, hemoglobin deficient Sickle Cell: sickle shaped RBC Pernicious: too few RBC, inability to absorb B12 Polycythemia Disorder of the bone marrow Excessive number of RBC Blood Cells: Leukocytes White Blood Cells Approximately 5,000 to 9,000 per cubic mm of blood Defends body from pathogens Granular Leukocytes Nongranular Leukocytes Granular Leukocytes Neutrophils Phagocyte; 1st to arrive at injury site Releases chemicals to degrade pathogen and attract other phagocytes 50-70% of WBC’s Nucleus is segmented into 4-5 lobes Granular Leukocytes Eosinophils Phagocytes of antibody marked pathogens Reduces inflammation Defend against large parasites 2-4% of WBC’s Nucleus is segmented into 2 lobes Red Granules Granular Leukocytes Basophils Functions in allergic response by releasing histamine Secretes heparin Rare, less than 1% Deep blue granules Difficult to see nucleus Nongranular Leukocytes Lymphocytes Contains 3 classes: T-Cells: destroys foreign cells B-Cells: differentiate into plasma cells which secrete specific antibodies NK Cells: prevent cancer 20-30% of WBC’s Large round nucleus Nongranular Leukocytes Monocytes Phagocytes Fixed vs. Free Releases chemicals to attract other WBCs and fibroblasts (scar tissue) 2-8% of WBC Large, kidney bean shaped nucleus White Blood Cell Disorders Leukopenia Low WBC (> 5,000 mm3) May accompany: Typhoid fever, Flu, Chicken Pox, AIDS Leukocytosis High WBC Indicates acute infection Leukemia Extremely high WBC Malignant Platelets Thrombocytes Approximately 300,000 per cubic mm of blood Responsible for blood clotting by releasing chemicals to control the clotting process, forming a “platelet plug”, and by contracting to shrink the clot Heart Anatomy Anatomical Location Mediastinal, posterior to sternum Right Side of the Heart Receives deoxygenated blood that will be pumped to lungs Heart Anatomy Left Side of the Heart Receives oxygenated blood from lungs that will be pumped to the body Pericardial Sac Two layered loose fitting sac that surrounds the heart Protects and lubricates Heart Anatomy Heart wall is composed of three distinct layers Epicardium (visceral pericardium)- outer layer, forms a protective outer covering, secretes serous fluid Myocardium- makes up majority of the heart’s mass, contracts to pump blood from the heart chambers Endocardium- lines vessels, valves, and chambers Chambers of the Heart Right Atrium Collection chamber; receives deoxygenated blood from the body Left Atrium Collection chamber; receives oxygenated blood from the lungs Chambers of the Heart Right Ventricle Discharging chamber; sends deoxygenated blood through pulmonary artery to lungs Left Ventricle Discharging chamber; sends oxygenated blood through the aorta to the body Heart Valves Tricuspid Valve (right atrioventricular) Location: between the right atrium and right ventricle Permits flow of blood from the right atrium to the right ventricle and prevents back flow Bicuspid Valve (left atrioventricular valve, mitral valve) Location- between the left atrium and left ventricle Permits flow of blood from the left atrium to the left ventricle and prevents back flow Heart Valves Pulmonary Valve (semilunar valve) Location: between the left ventricle and the pulmonary trunk Prevents back flow of blood into the right ventricle Aortic Valve (semilunar valve) Location: between the right ventricle and the aorta Prevents back flow of blood into the left ventricle Muscular Divisions Interatrial Septum Location: between left and right atrium Interventricular Septum Location between the left and right ventricle Help to create double loop system Separates oxygenated blood from deoxygenated blood Muscular Divisions Atrioventricular Septum Location: between the right atrium and left ventricle Function: Separates the right atrium from the left ventricle Muscle Divisions Chordae tendinae Location: base of the tricuspid and bicuspid valve Function: when cusps are closed, they prevent the cusps from swinging back into the atrium; prevents backflow of blood Papillary Muscle Location: mounds of cardiac muscle at base of ventricle Function: contracts, closes valves by pulling on chordae tendinae preventing backflow Blood Vessels of the Heart Superior Vena Cava Function: empties deoxygenated blood into the right atrium Inferior Vena Cava Function: empties deoxygenated blood into the right atrium Blood Vessels of the Heart Pulmonary Trunk and pulmonary arteries Function: Carry deoxygenated blood from the heart to the lungs Pulmonary Veins Carry oxygenated blood from the lungs to the heart Blood Vessels of the Heart Aorta Function: pumps oxygenated blood from the heart to the body External Anatomy Brachiocephalic Trunk Left Common Carotid Artery Provides oxygenated blood to the head, neck, and arms Provides oxygenated blood to the head, neck, and brain Left Subclavian Artery Provides oxygenated blood to the left arm External Anatomy Right Coronary Artery Provide the heart muscle with oxygenated blood Left Cardiac Vein Returns deoxygenated blood from the anterior surfaces of the left ventricle Blood Flow Cardiac Conductive System SA Node Sinoatrial Node Impulses travel through atrial fibers to the AV Node Located near the opening of the superior vena cava in the right atrium Pacemaker of the heart Vagas Nerveparasympathetic Gap Junctions Cardiac Conductive System AV Node Atrioventricular Node Impulse travels to AV Bundle Inferior region of interatrial septum Delay in signal- allows atrium to pump blood into ventricle Cardiac Conduction System AV Bundle Atrioventricular bundle Bundle of HIS Impulse travels to purkinje fibers Interventricular Septum Electrical connection between atria and ventricles Cardiac Conduction System Purkinje Fibers Conduction fibers Papillary muscle of ventricles Conduct impulses into ventricular muscles into papillary muscles Force blood out CCS Quick Review Trace the flow of electricity through the heart to conduct one cardiac cycle. Which part of the CCS is known as the hearts natural pacemaker? Stimulation from which nerve decreases the activity of the SA Node and the AV node? The AV bundle leads the depolarization into the ______ of the heart along the purkinje fibers. The individual cells in the heart do not act in unison. True or False Electrocardiogram ECG- a recording of the electrical changes that occur in the myocardium during a cardiac cycle. Electrocardiogram P Wave SA Node triggers a cardiac impulse Atrial fibers depolarize Produces an electrical charge Atria contract Electrocardiogram QRS Wave The cardiac impulse reaches the ventricular fibers and they rapidly depolarize Depolarization of the ventricles Ventricular walls are thicker Contraction of the ventricles Atrial fibers repolarize at the same time; obscured during QRS Wave Electrocardiogram T Wave Repolarization of ventricles Ventricles relax ECG Abnormalities Normal Heart Rate Tachycardia 72 beats per minutes >100 beats per minute Bradycardia <60 beats per minute ECG Abnormalities Atrial Flutter Uncoordinated atrial contractions Ventricular Fibrillation Uncoordinated muscle activity Life threatening ECG Quick Review Describe what occurs during the T Wave. Describe what occurs during the P Wave. Describe what occurs during the QRS Wave. List and briefly describe two ECG abnormalities. Cardiovascular Disorders Hypertension “silent killer” Heart muscle can die due to lack of Oxygen Increases chances of CVA: cerebral vascular accident Cardiovascular Disorders Coronary Artery Disease Accumulation of plaque buildup on walls of arteries. arteriosclerosis Cardiovascular Disoders Heart Attack Mycardial infarction Caused by an obstructed vessel in heart thrombus, embolus deprivation of oxygen (normally…body releases hypoxia induced factor which stimulates angiogenesis) If angiogenesis isn’t successful…part of heart dies Heart Attack Animations http://www.youtube.com/watch?v=mAqI-P6ig9Q http://www.medindia.net/animation/heart_attac k.asp Cardiovascular Disorders Pericarditis Inflammation of pericardial sac due to viral or bacterial infection Chest pain, interferes with heart movements Cardiovascular Disorders Mitral Valve Prolapse One or both cusps of mitral valve stretches and bulges into left atrium during ventricular contraction Blood can regurgitate into the left atrium Palpitations, fatigue, anxiety, chest pains associated with arrhythmias (atrial fibrillation) that may progress Cardiovascular Disorders