Ch 17-19 The Circulatory (Cardiovascular) System

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What is the role of the circulatory system?

Maintain internal homeostasis

What are some things that would need to be balanced within the body?

Maintain temperature, O

2 conc., blood glucose, etc.

Deliver and remove nutrients and gases to and from the body

Maintain cells in a fluid environment that allows for these exchanges to occur

To do all of this, the circulatory system must come into contact with most tissues in the human body.

Which of the organisms below have transport systems?

Which do not? Explain your reasoning!

How can the paramecium and hydra thrive with no circulatory system?

Open vs. Closed Systems

Which system seems more efficient? What are your reasons?

Open Circulatory System

Body fluid is pumped through open ended vessels and bathes organs.

Occurs in insects, crabs, and other animals that have exoskeletons

Body fluid is circulated by the heart

How efficient is this? Why?

Why Do Bugs Make

Such a Mess?

Closed Circulatory Systems

Blood is confined to major vessels which branch into smaller vessels that carry blood to organs.

Blood is pumped through the body by the heart.

Blood flow is faster than in an open system

If you are a cheetah, what type of circulatory system would you need? Why?

Several types of blood vessels exist in the circulatory systems of vertebrates.

What are the three types of blood vessels?

Arteries, capillaries, & veins

Blood Vessels

Blood Vessels

Blood travels through three types of vessels:

What are some differences you notice between these vessels?

1. Arteries 2. Capillaries 3. Veins

Blood Vessels

Blood is carried in a closed system of vessels that begins and ends at the heart

The three major types of vessels are arteries, capillaries, and veins

Arteries carry blood away from the heart, veins carry blood toward the heart

Capillaries contact tissue cells and directly serve cellular needs

Elastic (Conducting) Arteries

Thick-walled arteries near the heart; the aorta and its major branches

Large lumen allow lowresistance conduction of blood

Contain elastin in all three tunics

Withstand and smooth out large blood pressure fluctuations

Allow blood to flow fairly continuously through the body

Arteries of the Head and Neck

Arteries of the Brain

Arteries of the Upper Limbs and Thorax

Arteries of the Abdomen

Arteries of the Lower Limbs

Muscular (Distributing) Arteries and

Arterioles

Muscular arteries – distal to elastic arteries; deliver blood to body organs

Have thick tunica media with more smooth muscle and less elastic tissue

Active in vasoconstriction

Arterioles – smallest arteries; lead to capillary beds

Control flow into capillary beds via vasodilation and constriction

Capillaries

Capillaries are the smallest blood vessels

Walls consisting of a thin tunica interna, one cell thick

Allow only a single

RBC to pass at a time

Pericytes on the outer surface stabilize their walls

There are three structural types of capillaries: continuous, fenestrated, and sinusoids

Capillary Beds

A microcirculation of interwoven networks of capillaries, consisting of:

Vascular shunts – metarteriole –thoroughfare channel connecting an arteriole directly with a postcapillary venule

True capillaries – 10 to

100 per capillary bed, capillaries branch off the metarteriole and return to the thoroughfare channel at the distal end of the bed

Venous System: Veins

Veins are:

Formed when venules converge

Composed of three tunics, with a thin tunica media and a thick tunica externa consisting of collagen fibers and elastic networks

Capacitance vessels (blood reservoirs) that contain 65% of the blood supply

Venous System: Veins

Veins have much lower blood pressure and thinner walls than arteries

To return blood to the heart, veins have special adaptations

Large-diameter lumens, which offer little resistance to flow

Valves (resembling semilunar heart valves), which prevent backflow of blood

Venous sinuses – specialized, flattened veins with extremely thin walls (e.g., coronary sinus of the heart and dural sinuses of the brain)

Factors Aiding Venous Return

What is the purpose of the valves found in veins?

Keep blood flowing toward the heart.

So what happened here?

Why must the capillary walls be so thin?

So materials can diffuse through the wall for exchange.

Veins of Systemic Circulation

Veins of the Head and Neck

Veins of the Brain

Veins of the Upper Limbs and Thorax

Veins of the Abdomen

Veins of the Pelvis and Lower Limbs

Blood Vessels - Summary

Arteries : carry blood away from the heart, thickest walls

Veins : carry blood toward the heart, thinner walls, one-way valves

Capillaries : extremely thin walls, sites of exchange in lungs and body cells

ARTHERIOSCLER

OSIS=The narrowing of blood vessels due to build- up of fats that turn into plaque on the artery and vein walls.

How do these three different circulatory systems compare?

What are systemic capillaries?

Capillaries that are located throughout the body

Circulation in Fish

How many chambers does the heart have?

-2 chambered heart

How many loops does this circulatory system have?

1

Blood is oxygenated in gills and travels to the body

Heart

 gills

 systemic

 heart

Circulation In Amphibians and Reptiles

How many chambers does the reptilian heart have?

-3 chambered heart

How many loops does this circulatory system have?

2 (double loop circulatory system)

Trace the blood flow through the body…

Heart

 lungs

 heart

 systemic

Where is the inefficiency in the amphibian

3-chambered system?

The Heart and Blood Flow in Mammals

How many chambers are there?

-4 chambered heart

How many loops?

2

Trace the blood flow through the body…

Heart  lung  heart  systems

How is this heart more efficient than the reptilian heart?

Heart Animation

Heart Anatomy

The Circulatory System

Coverings of the Heart: Physiology

The pericardium:

Protects and anchors the heart

Prevents overfilling of the heart with blood

Allows for the heart to work in a relatively frictionfree environment

Heart Wall

Epicardium – visceral layer of the serous pericardium

Myocardium – cardiac muscle layer forming the bulk of the heart

Fibrous skeleton of the heart – crisscrossing, interlacing layer of connective tissue

Endocardium – endothelial layer of the inner myocardial surface

External Heart: Major Vessels of the Heart (Anterior View)

Vessels returning blood to the heart include:

Superior and inferior venae cavae

Right and left pulmonary veins

Vessels conveying blood away from the heart include:

Pulmonary trunk, which splits into right and left pulmonary arteries

Ascending aorta (three branches) – brachiocephalic, left common carotid, and subclavian arteries

External Heart: Major Vessels of the

Heart (Posterior View)

Vessels returning blood to the heart include:

Right and left pulmonary veins

Superior and inferior venae cavae

Vessels conveying blood away from the heart include:

Aorta

Right and left pulmonary arteries

Gross Anatomy of Heart: Frontal Section

Atria of the Heart

Atria are the receiving chambers of the heart

Each atrium has a protruding auricle

Pectinate muscles mark atrial walls

Blood enters right atria from superior and inferior venae cavae and coronary sinus

Blood enters left atria from pulmonary veins

Ventricles of the Heart

Ventricles are the discharging chambers of the heart

Papillary muscles and trabeculae carneae muscles mark ventricular walls

Right ventricle pumps blood into the pulmonary trunk

Left ventricle pumps blood into the aorta

Pathway of Blood Through the Heart and Lungs

Right atrium  tricuspid valve  right ventricle

Right ventricle  pulmonary semilunar valve  pulmonary arteries  lungs

Lungs  pulmonary veins  left atrium

Left atrium  bicuspid valve  left ventricle

Left ventricle  aortic semilunar valve  aorta

Aorta  systemic circulation

Pathway of Blood Through the Heart and Lungs

Coronary Circulation: Arterial Supply

Coronary Circulation: Venous Supply

Heart Valves

Heart valves ensure unidirectional blood flow through the heart

Atrioventricular (AV) valves lie between the atria and the ventricles

AV valves prevent backflow into the atria when ventricles contract

Chordae tendineae anchor AV valves to papillary muscles

Heart Valves

Aortic semilunar valve lies between the left ventricle and the aorta

Pulmonary semilunar valve lies between the right ventricle and pulmonary trunk

Semilunar valves prevent backflow of blood into the ventricles

Heart Valves

Heart Valves

Atrioventricular Valve Function

Semilunar Valve Function

Microscopic Anatomy of Heart Muscle

The Heart

The Mammalian Heart

The Cardiac Cycle

The heart is composed of cardiac muscle and each beat is a muscle contraction and relaxation

Contraction = Systolic Pressure

Relaxation = Diastolic pressure

How is blood pressure written?

Systolic / diastolic

Heart Physiology: Sequence of

Excitation

Heart Excitation Related to ECG

Extrinsic Innervation of the Heart

Heart is stimulated by the sympathetic cardioacceleratory center

Heart is inhibited by the parasympathetic cardioinhibitory center

Electrocardiography

Heart Sounds

Heart sounds (lub-dup) are associated with closing of heart valves

First sound occurs as AV valves close and signifies beginning of systole

Second sound occurs when SL valves close at the beginning of ventricular diastole

Cardiac Cycle

Cardiac cycle refers to all events associated with blood flow through the heart

Systole – contraction of heart muscle

Diastole – relaxation of heart muscle

Preload and Afterload

Regulation of Heart Rate: Autonomic

Nervous System

Sympathetic nervous system (SNS) stimulation is activated by stress, anxiety, excitement, or exercise

Parasympathetic nervous system

(PNS) stimulation is mediated by acetylcholine and opposes the SNS

PNS dominates the autonomic stimulation, slowing heart rate and causing vagal tone

Factors Involved in Regulation of

Cardiac Output

Blood Pressure

What is blood pressure?

The force that blood exerts against vessel walls

Is BP greater in arteries or veins?

In arteries

Find your pulse- what are you feeling here?

Pulse is measure of BP

Which would have a higher blood pressure, constricted blood or dilated vessels?

Constricted vessels

Does the BP have an effect on veins?

No- the pressure is lost in the capillaries

How, then does blood move in veins?

What is average blood pressure?

120/80 (mm Hg) of pressure on artery walls.

Which part of the heart contracts first?

The atria contract first, followed immediately by the ventricles.

Systemic Blood Pressure

The pumping action of the heart generates blood flow through the vessels along a pressure gradient, always moving from higher- to lowerpressure areas

Pressure results when flow is opposed by resistance

Systemic pressure:

Is highest in the aorta

Declines throughout the length of the pathway

Is 0 mm Hg in the right atrium

The steepest change in blood pressure occurs in the arterioles

Arterial Blood Pressure

Systolic pressure – pressure exerted on arterial walls during ventricular contraction

Diastolic pressure – lowest level of arterial pressure during a ventricular cycle

Pulse pressure – the difference between systolic and diastolic pressure

Mean arterial pressure (MAP) – pressure that propels the blood to the tissues

MAP = diastolic pressure + 1/3 pulse pressure

Blood Pressure

Cardiac Output (CO)

Volume of blood pumped/ minute

Stroke Volume (SV)

Amount of blood pumped by the left ventricle each time it contracts (about 75 mL per beat for the average person)

75 X 70 = 5250 mL/min.

CO is affected by heart rate and SV

Alterations in Blood Pressure

Hypotension – low BP in which systolic pressure is below 100 mm Hg

Hypertension – condition of sustained elevated arterial pressure of 140/90 or higher

Transient elevations are normal and can be caused by fever, physical exertion, and emotional upset

Chronic elevation is a major cause of heart failure, vascular disease, renal failure, and stroke

Hypotension

Orthostatic hypotension – temporary low

BP and dizziness when suddenly rising from a sitting or reclining position

Chronic hypotension – hint of poor nutrition and warning sign for Addison’s disease

Acute hypotension – important sign of circulatory shock

Threat to patients undergoing surgery and those in intensive care units

Hypertension

Hypertension maybe transient or persistent

Primary or essential hypertension – risk factors in primary hypertension include diet, obesity, age, race, heredity, stress, and smoking

Secondary hypertension – due to identifiable disorders, including excessive renin secretion, arteriosclerosis, and endocrine disorders

How Does Your Heart Beat?

Can you control the beating of your own heart?

No- the heart muscles contract on their own.

The heart has a pacemaker, or SA node, that maintains the heart’s rhythm.

• The pacemaker sets the tempo of the heartbeat.

Blood Composition continued ...

Diagramatic View Real Blood Cells

Overview of Blood Circulation

Blood leaves the heart via arteries that branch repeatedly until they become capillaries

Oxygen (O

2

) and nutrients diffuse across capillary walls and enter tissues

Carbon dioxide (CO

2

) and wastes move from tissues into the blood

Overview of Blood Circulation

Oxygen-deficient blood leaves the capillaries and flows in veins to the heart

This blood flows to the lungs where it releases CO

2 and picks up O

2

The oxygen-rich blood returns to the heart

Composition of Blood

Blood is the body’s only fluid tissue

It is composed of liquid plasma and formed elements

Formed elements include:

Erythrocytes, or red blood cells (RBCs)

Leukocytes, or white blood cells (WBCs)

Platelets

Hematocrit – the percentage of RBCs out of the total blood volume

Blood

Blood is the Liquid Tissue

55% of blood is plasma (mostly water) carries nutrients, wastes and important proteins like antibodies and clotting factors.

45% is made of cells

Red, white blood cells and platelets

Erythrocytes (RBC) contain hemoglobin and carry oxygen

Leukocytes (WBC) are usually stored in the bone marrow, and are the body’s defense system

Platelets are pieces of white blood cells that are in charge of clotting

Red blood cell

Platelet

White blood cell

Components of Whole Blood

Physical Characteristics and Volume

Blood is a sticky, opaque fluid with a metallic taste

Color varies from scarlet (oxygen-rich) to dark red

(oxygen-poor)

The pH of blood is 7.35

–7.45

Temperature is 38

 C, slightly higher than “normal” body temperature

Blood accounts for approximately 8% of body weight

Average volume of blood is 5 –6 L for males, and

4 –5 L for females

Distribution

Blood transports:

Oxygen from the lungs and nutrients from the digestive tract

Metabolic wastes from cells to the lungs and kidneys for elimination

Hormones from endocrine glands to target organs

Regulation

Blood maintains:

Appropriate body temperature by absorbing and distributing heat

Normal pH in body tissues using buffer systems

Adequate fluid volume in the circulatory system

Blood plasma contains over 100 solutes, including:

Proteins – albumin, globulins, clotting proteins, and others

Nonprotein nitrogenous substances – lactic acid, urea, creatinine

Organic nutrients – glucose, carbohydrates, amino acids

Electrolytes – sodium, potassium, calcium, chloride, bicarbonate

Respiratory gases – oxygen and carbon dioxide

Erythrocytes (RBCs)

Biconcave discs, anucleate, essentially no organelles

Filled with hemoglobin

(Hb), a protein that functions in gas transport

Contain the plasma membrane protein spectrin and other proteins that:

Give erythrocytes their flexibility

Allow them to change shape as necessary

Structure of Hemoglobin

Hemoglobin

Oxyhemoglobin – hemoglobin bound to oxygen

Oxygen loading takes place in the lungs

Deoxyhemoglobin – hemoglobin after oxygen diffuses into tissues (reduced Hb)

Carbaminohemoglobin – hemoglobin bound to carbon dioxide

Carbon dioxide loading takes place in the tissues

Production of Erythrocytes

Hematopoiesis – blood cell formation

Hematopoiesis occurs in the red bone marrow of the:

Axial skeleton and girdles

Epiphyses of the humerus and femur

Hemocytoblasts give rise to all formed elements

Dietary Requirements of

Erythropoiesis

Erythropoiesis requires:

Proteins, lipids, and carbohydrates

Iron, vitamin B

12

, and folic acid

The body stores iron in Hb (65%), the liver, spleen, and bone marrow

Intracellular iron is stored in protein-iron complexes such as ferritin and hemosiderin

Circulating iron is loosely bound to the transport protein transferrin

Fate and Destruction of Erythrocytes

The life span of an erythrocyte is

100 –120 days

Old erythrocytes become rigid and fragile, and their hemoglobin begins to degenerate

Dying erythrocytes are engulfed by macrophages

Heme and globin are separated and the iron is salvaged for reuse

Fate and Destruction of Erythrocytes

Heme is degraded to a yellow pigment called bilirubin

The liver secretes bilirubin into the intestines as bile

The intestines metabolize it into urobilinogen

This degraded pigment leaves the body in feces, in a pigment called stercobilin

Globin is metabolized into amino acids and is released into the circulation

Hb released into the blood is captured by haptoglobin and phgocytized

Life Cycle of Red Blood Cells

Erythrocyte Disorders

Anemia – blood has abnormally low oxygen-carrying capacity

It is a symptom rather than a disease itself

Blood oxygen levels cannot support normal metabolism

Signs/symptoms include fatigue, paleness, shortness of breath, and chills

Anemia: Insufficient Erythrocytes

Hemorrhagic anemia – result of acute or chronic loss of blood

Hemolytic anemia – prematurely ruptured erythrocytes

Aplastic anemia – destruction or inhibition of red bone marrow

Anemia: Decreased Hemoglobin

Content

Iron-deficiency anemia results from:

A secondary result of hemorrhagic anemia

Inadequate intake of iron-containing foods

Impaired iron absorption

Pernicious anemia results from:

Deficiency of vitamin B

12

Lack of intrinsic factor needed for absorption of

B

12

Treatment is intramuscular injection of B

12

; application of Nascobal

Anemia: Abnormal Hemoglobin

Thalassemias – absent or faulty globin chain in hemoglobin

Erythrocytes are thin, delicate, and deficient in hemoglobin

Sickle-cell anemia – results from a defective gene coding for an abnormal hemoglobin called hemoglobin S (HbS)

HbS has a single amino acid substitution in the beta chain

This defect causes RBCs to become sickleshaped in low oxygen situations

Leukocytes (WBCs)

Leukocytes, the only blood components that are complete cells:

Are less numerous than RBCs

Make up 1% of the total blood volume

Can leave capillaries via diapedesis

Move through tissue spaces

Leukocytosis – WBC count over 11,000 per cubic millimeter

Normal response to bacterial or viral invasion

Granulocytes

Granulocytes – neutrophils, eosinophils, and basophils

Contain cytoplasmic granules that stain specifically (acidic, basic, or both) with Wright’s stain

Are larger and usually shorter-lived than RBCs

Have lobed nuclei

Are all phagocytic cells

Neutrophils

Neutrophils have two types of granules that:

Take up both acidic and basic dyes

Give the cytoplasm a lilac color

Contain peroxidases, hydrolytic enzymes, and defensins (antibiotic-like proteins)

Neutrophils are our body’s bacteria slayers

Eosinophils

Eosinophils account for 1 –4% of WBCs

Have red-staining, bilobed nuclei connected via a broad band of nuclear material

Have red to crimson (acidophilic) large, coarse, lysosome-like granules

Lead the body’s counterattack against parasitic worms

Lessen the severity of allergies by phagocytizing immune complexes

Basophils

Account for 0.5% of WBCs and:

Have U- or S-shaped nuclei with two or three conspicuous constrictions

Are functionally similar to mast cells

Have large, purplish-black (basophilic) granules that contain histamine

Histamine – inflammatory chemical that acts as a vasodilator and attracts other WBCs

(antihistamines counter this effect)

Agranulocytes

Agranulocytes – lymphocytes and monocytes:

Lack visible cytoplasmic granules

Are similar structurally, but are functionally distinct and unrelated cell types

Have spherical (lymphocytes) or kidneyshaped (monocytes) nuclei

Lymphocytes

Account for 25% or more of WBCs and:

Have large, dark-purple, circular nuclei with a thin rim of blue cytoplasm

Are found mostly enmeshed in lymphoid tissue

(some circulate in the blood)

There are two types of lymphocytes: T cells and B cells

T cells function in the immune response

B cells give rise to plasma cells, which produce antibodies

Monocytes

Monocytes account for 4 –8% of leukocytes

They are the largest leukocytes

They have abundant pale-blue cytoplasms

They have purple-staining, U- or kidneyshaped nuclei

They leave the circulation, enter tissue, and differentiate into macrophages

Monocytes

Macrophages:

Are highly mobile and actively phagocytic

Activate lymphocytes to mount an immune response

Formation of Leukocytes

Leukocytes Disorders: Leukemias

Leukemia refers to cancerous conditions involving white blood cells

Leukemias are named according to the abnormal white blood cells involved

Myelocytic leukemia – involves myeloblasts

Lymphocytic leukemia – involves lymphocytes

Acute leukemia involves blast-type cells and primarily affects children

Chronic leukemia is more prevalent in older people

Leukemia

Immature white blood cells are found in the bloodstream in all leukemias

Bone marrow becomes totally occupied with cancerous leukocytes

The white blood cells produced, though numerous, are not functional

Death is caused by internal hemorrhage and overwhelming infections

Treatments include irradiation, antileukemic drugs, and bone marrow transplants

Platelets

Platelets are fragments of megakaryocytes with a blue-staining outer region and a purple granular center

Their granules contain serotonin, Ca 2+ , enzymes, ADP, and platelet-derived growth factor (PDGF)

Platelets function in the clotting mechanism by forming a temporary plug that helps seal breaks in blood vessels

Platelets not involved in clotting are kept inactive by NO and prostaglandin I

2

Detailed Events of Coagulation

Hemoglobin=Is the protein attahced to the red blood cell that carries oxygen around the blood stream. It gets its help from an iron molecule.

Antigens- Substances that stimulate an immune response. They recognize foreign objects.

ABO Blood Groups

Type A (antigen A- antibody B)

Type B(antigen B- antibody A)

Type AB(antigens A and B, anibodies

A and B)

Type O (No antigens or antibodies A and B) rH factor (antigen rH-Either you have it (positive) or you don’t (negative).

ABO Blood Groups

The ABO blood groups consists of:

Two antigens (A and B) on the surface of the

RBCs

Two antibodies in the plasma (anti-A and anti-

B)

An individual with ABO blood may have various types of antigens and spontaneously preformed antibodies

Agglutinogens and their corresponding antibodies cannot be mixed without serious hemolytic reactions

ABO Blood Groups

Rh Blood Groups

There are eight different Rh agglutinogens, three of which (C, D, and E) are common

Presence of the Rh agglutinogens on RBCs is indicated as Rh +

Anti-Rh antibodies are not spontaneously formed in Rh – individuals

However, if an Rh

– individual receives Rh + blood, anti-Rh antibodies form

A second exposure to Rh + blood will result in a typical transfusion reaction

Blood Typing

When serum containing anti-A or anti-

B agglutinins is added to blood, agglutination will occur between the agglutinin and the corresponding agglutinogens

Positive reactions indicate agglutination

Prevention of Undesirable Clots

Substances used to prevent undesirable clots include:

Aspirin – an antiprostaglandin that inhibits thromboxane A

2

Heparin – an anticoagulant used clinically for pre- and postoperative cardiac care

Warfarin – used for those prone to atrial fibrillation

Hemostasis Disorders: Bleeding

Disorders

Thrombocytopenia – condition where the number of circulating platelets is deficient

Patients show petechiae (small purple blotches on the skin) due to spontaneous, widespread hemorrhage

Caused by suppression or destruction of bone marrow (e.g., malignancy, radiation)

Platelet counts less than 50,000/mm 3 is diagnostic for this condition

Treated with whole blood transfusions

Hemostasis Disorders: Bleeding

Disorders

Hemophilias – hereditary bleeding disorders caused by lack of clotting factors

Hemophilia A – most common type (83% of all cases) due to a deficiency of factor VIII

Hemophilia B – results from a deficiency of factor IX

Hemophilia C – mild type, caused by a deficiency of factor XI

Hemostasis Disorders

Disseminated Intravascular Coagulation

(DIC): widespread clotting in intact blood vessels

Residual blood cannot clot

Blockage of blood flow and severe bleeding follows

Most common as:

A complication of pregnancy

A result of septicemia or incompatible blood transfusions

RBC formation animation

Blood clotting animation

Fun Facts

•There are almost 60,000 miles of blood vessels in the human body.

•Red blood cells are formed at the rate of 2 million per second.

•Within a tiny droplet of blood, there are 5 million red blood cells, 300,000 platelets and 10,000 white cells.

•It takes about 1 minute for a red blood cell to circle the whole body.

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