UNIT K THE HEART AND BLOOD PRESSURE (Ch. 13, pp. 228-233) WHAT DO I NEED TO KNOW? K1. Identify & give functions for the following: • Left and right atria • Pulmonary arteries and veins • Left and right ventricles • Pulmonary trunk • Coronary arteries and veins • Atrioventricular valves • Anterior and posterior vena • Chordae tendinaea cava • Semi-lunar valves • Aorta • Septum K2. Describe the location and functions of the SA node, AV node, and Purkinje fibers K3. Describe the autonomic regulation of the heartbeat by the nervous system K4. Relate factors that affect and regulate blood pressure to hypertension and hypotension K5. Demonstrate the measurement of blood pressure K6. Distinguish between systolic and diastolic pressure VOCABULARY _____ Aorta _____ Aortic valve _____ Atrioventricular (AV) valves _____ Atrium _____ Autonomic nervous system _____ AV node _____ Blood pressure _____ Brachial artery _____ Bundle of His _____ Chordae tendineae _____ Constrict _____ Coronary arteries _____ Coronary veins _____ Dilate _____ Hypertension _____ Hypotension _____ Hypothalamus _____ Inferior Vena Cava _____ Medulla oblongata _____ Pacemaker _____ Pulmonary artery _____ Pulmonary circuit _____ Pulmonary trunk _____ Pulmonary valve _____ Pulmonary vein _____ Purkinje fibres _____ SA node _____ Semi-lunar valve _____ Septum _____ Superior Vena Cava _____ Systemic circuit _____ Vagus nerve _____ Ventricle BASIC FUNCTIONS OF THE CIRCULATORY SYSTEM • • • • • • • • • • • Transports _________ from the lungs to body to be used Transports ______________ and _______________ to the lungs to be removed Transports _________ from the small intestine to tissues Fights _____________ Transports _________ from the digestive system to the body and lungs Carries ________ products (ie: urea) to kidneys for removal in urine Distributes ____________ from internal source to skin (to get rid of it) Seals ____________ by forming blood clots Transports _________ around the body Maintains _________ in tissues (acts as a buffer with HHb) Regulates ______________ in tissues (with the Lymphatic system) ANATOMY OF THE HEART: The Human Heart has 4 well developed chambers: 1. ______________________ 2. ______________________ 3. ______________________ 4. ______________________ The ________ of the heart pumps _____ blood to the lungs. ________________ The ________ of the heart pumps _____ blood to the body. ________________ 1. The Atria are the ___________________ chambers. a. The Right Atrium receives _______________ blood from the body via the anterior & posterior _____________. b. The Left Atrium receives ______________blood from the lungs via the ______________. 2. Atrioventricular Valves: a. Separate the _______ from the __________. b. They open when the _______________. c. They prevent the blood from going ____________ when the ventricles contract. 3. Chordae Tendinae: a. Tendon-like pieces of tissue b. They keep the AV valves from __________ when the ventricles contract 4. Papillary Muscle: a. Hold and support the _______________ tendinae. 5. The ventricles are the _______________ chambers. HOW DOES THE HEART PUMP THE BLOOD TO THE LUNGS (pulmonary circulation)? a. When the right atrium contracts, it pushes the blood through the _______ valve and into the _____________. b. When the ___________ __________, BP forces the __________ valve to close. c. The BP forces _____________________ open & the blood moves into the ______________ _________. 6. At the lungs… a. The _________________ _________ take the _____ blood to the lungs. b. The ________ is removed from the blood and is replaced with ____ c. The ___________ ________ take the _______ blood to the heart. What carries the oxygen? The protein ____________ binds the O2 tightly and carries it to the body cells as __________________! 7. The SEPTUM: a. A _______________ that ____________ the right side of the heart from the left side. b. Keeps the deO2 blood from __________ with the O2 blood HOW DOES THE HEART PUMP THE BLOOD TO THE BODY (systemic circulation)? 1. When the left atrium contracts, it pushes the blood through the ___________ and into the ______________. 2. When the __________ ____________ contracts, the __________________ is forced closed. 3. Blood is forced through the ________________ and enters the ________. 4. The left ventricle has a THICKER muscle layer. WHY? 8. The Aorta: there are two parts a. The ____________ ______________, which splits to take blood to three different parts in the upper body: i. The head via the ____________ artery ii. The arms and lungs via the ___________ arteries iii. The heart itself via the _____________ artery. b. The ____________ aorta The aorta takes O2 blood to the ________. 9. Coronary Arteries and Veins: a. The ______________ of the aorta take the blood to the ____________________. b. Takes blood into the ______________ itself. The coronary veins return the deO2 blood to the ________ right atrium. 10. Vena Cava: a. These are the ___________ VEINS! b. They bring the ________ blood back to the heart so that it can be pumped to the lungs. EXTERIOR VIEW OF THE HEART: INTERNAL VIEW OF THE HEART: CONTROL OF HEART FUNCTION: Why can a heart keep beating outside of the body? Coordination of Beating: Heart cells naturally beat slowly if ______ is present If there was _____ ________________, the heart cells would all beat ___________ How does the heart work to pump the blood? • There are two spots of _______________ in the heart. • Both are located in the _______________. • Nodal tissue is unique: made of specialized _________ ________ combined with ______________. • It has the ability to ________ independent of other stimuli. The SA (sinoatrial) NODE: This node is found along the wall of the ______ atrium chamber. It fires on average, every _____ seconds (or 72 times per minute). It stimulates the simultaneous __________ ____________. It also sends a nerve impulse along a nerve trunk called the BUNDLE OF HIS to the __________. The SA node ___________________________ and has been given the nickname of the “_________________” THE AV (atrioventricular) NODE: • In the ______________ close to the ____ (tricuspid) _____ • When the AV node receives the impulse from the SA node, it fires to initiate the ___________________________ __________________ • The AV node sends its message through the _________, which cause ventricles to contract. The pacemaker cells… Atria beat from ____________, then pause, and the ventricles beat from ____________. WHY? EKG (electrocardiogram) There are two parts to the contraction of the heart. The heart beat is a double sound ________ ________ . An ________________________ registers the voltage changes across the surface of the heart as it beats. The letters ___________ are the standard labels used to identify the parts of the EKG. _____= the simultaneous contraction of the _______ (caused by __________) _____ = the contraction of the ____________ (caused by ___________ & purkinje fibres) _____ = the ___________ of the ventricles (preparation for next contraction) HOW IS THE BRAIN INVOLVED? The natural average resting heart rate is ____________________________ . The ____________ is connected to the brain by the __________________ (cranial nerve #10). The regulation of the heartbeat is under the influence of the _________________________ (not under conscious control). The part of the brain that governs the speed of the heart rate is called the _____________________ __________________. It will speed up or slow down the heart rate when needed. **Under ________ circumstances, the heart controls _______________. PROBLEMS IN THE HEART: 1. Hardening of the Arteries: ___________________________ 2. Burst Coronary Artery = ______________ _______________ Before this happens… 1. Heart ____________ surgery 2. Heart ____________ 3. Insert an _____________ heart BLOOD PRESSURE The ventricles pump approx. _______ of blood each time they contract. The pulse you feel is blood __________________ as it moves through your ______________. __________________________ blood pressure when the _______________________________. Blood is being forced through the arteries (approx. ___ mmHg) ______________________________: blood pressure as ______________________________. This is between contractions, and the blood pressure is less (appox ______ mmHg). Blood pressure is normally measured along the _________________________ of the arm. A reading of __________ mmHg is normal. HIGH BLOOD PRESSURE: ___________________ (ie: • • • • • • 150/100) High Blood Pressure puts constant strain on the tissues (especially the capillary beds). May cause ________________ to burst If this happens in the brain = a __________. If it happens in the heart = ______________! The longer you have high BP, the greater the potential for tissue damage. Sometimes high BP is normal (ie: when doing physical activity) However, the brain should return the BP to a normal, lower level. LOW BLOOD PRESSURE: _____________________ (ie: • • • 100/60) Low blood pressure is not particularly a good thing either. It can result from: Genetics Anemia (low iron levels) Dehydration Blood loss Shock Proper ___________________ can only be maintained if there is sufficient pressure for filtration. What Factors Affect Blood Pressure? 1. __________________: Bigger (dilate) = lower BP Smaller (constrict) = higher BP 2. __________________: Thick blood (little water) = higher BP Thin (lots of water) = lower BP 3. ____________________: More fat = higher BP Thinner = lower BP 4. ______________: affected by plaques (fatty deposits). Elastic vessels = lower BP Hardened vessels = high BP 5. ______________: sweating versus water retention Sweat a lot Eat lots of salt = less volume/water = more volume/water stays in body = lower BP = higher BP 6. _______________: Heart beats faster = higher BP Heart beats slower = lower BP 7. ___________: as you get older, there is a loss of elasticity in the blood vessels. Young = very elastic = low BP Old = not elastic = high BP 8. ____________: constricts blood vessels which means increased pressure to move the blood. Stressed = constricted vessels Calm = normal vessels = Higher BP = Lower BP