Structure of the blood vessels vein artery tunica intima lumen tunica media tunica adventitia TS Artery endothelium lining tunica intima muscle layer tunica media with elastic fibres tunica adventitia connective tissue lumen Artery with thick muscle layer Comparison of artery and vein vein artery Artery Relatively small lumen Thick muscle layer Vein Relatively large lumen Thin muscle layer Capillaries Capillary networks in tissues Artery. Outer layer of connective tissue with fibres of collagen (a strong fibrous protein) makes the outer wall tough to prevent overstretching and to protect against the pressure exerted by other organs rubbing against it. Thick walls containing lots of elastic fibres (made from a protein called elastin) and smooth muscle cells. •Elastic fibres allow walls to stretch when blood pumped at high speed and high pressure into arteries by contraction of ventricles; elastic recoil when the pressure drops as the ventricles relax maintains the flow and the pressure. •The smooth muscles contract to control how far the artery stretches and so controls the diameter of the artery, which also maintains the pressure. (NB. the muscles do not contract to pump the blood in the arteries!) The narrow lumen helps maintain the blood at higher pressure. No valves because forward blood flow is maintained by the heart and elastic recoil of the arteries. Vein An outer layer of connective tissue with fibres of collagen, (a strong fibrous protein), makes the outer wall tough to prevent overstretching and to protect against the pressure exerted by other organs rubbing against it. Wide lumen. Thin walls with few elastic fibres and smooth muscle. Blood flows slowly under low pressure; there is no pulse so the walls do not need to stretch and recoil. Distribution of blood in the circulatory system • Heart 3% • Pulmonary circulation to lungs 10% • Systemic circulation 87% • Arteries • Capillaries • Veins 17% 5% 65% Has pocket valves that prevent the backflow of blood. Blood in the vein is pushed forward by the increase in pressure produced by the contraction of the nearby skeletal muscles which the vein runs through. When the muscles relax and stop pressing the pressure drops and the valves prevent the blood flowing backwards. Very narrow Lie close to all cells in the body Capillary endothelial cell Capillary wall is one cell thick Capillaries Red blood cell Very small lumen Narrow diameter slows down blood flow to allow time for exchange between blood and surrounding cells to take place more efficiently Thin walls only one cell thick to ensure maximum rate of transfer between blood and surrounding tissue fluid Atherosclerosis. Light micrograph of a cross section through an artery with mild atheroma. The artery wall is pink. The formation of a fatty plaque or atheroma (grey, centre) has greatly narrowed the size of the artery lumen (white, centre). This causes a considerable reduction in blood flow. When this occurs in the arteries leading to the heart symptoms of angina pectoris (gripping pains in the chest) are frequently experienced. In severe cases heart attacks or strokes may occur. Atherosclerosis is principally caused by high fat diets, cigarette smoking, obesity and inactivity Atheroma & thrombus. Coloured light micrograph of a section through an artery almost completely blocked by atherosclerosis and a thrombus. The large red mass in the centre is a thrombus, an abnormal blood clot. This is attached to a part of the arterial wall that has thickened with atheroma (yellowred), a fatty deposit containing fibrous tissue, dead cells & cholesterol. Atherosclerosis is the biggest cause of death in the UK. It causes progressive narrowing of the arteries by deposits of atheroma, and encourages the formation of abnormal clots that can block arteries. Fatal complications of atherosclerosis include heart attack and Atherosclerosis. Light micrograph of a cross section through an artery obstructed with an atheroma plaque. The artery (at upper left) has a central lumen (black), where blood flows. Bordering the lumen is a fibrous and fatty deposit of a plaque on the arterial wall. This can be seen as a dark grainy irregular deposit on the inner wall. Surrounding the plaque is the dark artery wall muscle with an inner layer of lighter endothelium. Atherosclerosis, the thickening of the artery walls, is mainly due to a fatty diet high in cholesterol. This can result in clot formation or severe artery blockage which may lead to heart attack. Coloured angiogram taken during a percutaneous transluminal coronary angioplasty (PTCA) to the right coronary artery. It is done to treat a severe stenosis (narrowing, upper centre left) caused by plaques of atheroma lining the inside of the artery; the blood flow is also impaired by a clot seen in the same area just below the stenosis Heart disease. Coloured angiogram (X-ray) of the coronary (heart) arteries of a patient with heart disease. Coronary arteries (orange) supply the heart muscle with oxygenated blood. Stenosis (narrowing) of the blood vessels is seen at left. Stenosis is usually due to atherosclerosis, where fatty deposits of atheroma form on the inner walls of arteries. It may also be due to abnormal blood clots (thrombi) blocking part of an artery. Lack of blood to the heart muscle causes angina (severe chest pain) and can lead to a heart attack (death of part of the heart muscle). Atherosclerosis is usually caused by a high-cholesterol diet, but smoking and inactivity are also risk factors. Heart bypass grafts. Artwork of a heart that has had a blockage of the coronary arteries treated by coronary artery bypass graft (CABG) surgery. The coronary arteries are the small blood vessels seen running over the outer surface of the heart. They supply oxygenated blood to keep the heart muscle pumping, and a blockage can cause a fatal heart attack. The solution is to harvest arteries from elsewhere in the body and use them to bypass the blockage. Three grafts are seen running from the aorta, the main body artery, back to the coronary arteries, secured by sutures (black). Three grafts makes this a triple bypass operation, indicating an advanced state of heart disease.