Chapter 14: Blood Vessels and Blood Circulation Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body Overview Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body Key Terms aorta endothelium vasomotor arteriole pulse vein artery sinusoid vena cava baroreceptor sphygmomanometer vasodilation capillary valve venule compliance vasoconstriction elasticity venous sinus Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body The Vascular System • A closed system of vessels that transports blood to and from the lungs and body tissues Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body Figure 14-1 The cardiovascular system. Which vessels carry blood away from the heart? Which carry blood toward the heart? Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body Overview of Blood Vessels Learning Outcomes 1. Differentiate among the five types of blood vessels with regard to structure and function. 2. Compare the pulmonary and systemic circuits relative to location and function. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body Overview of Blood Vessels Blood Vessel Types • Arteries • Arterioles • Capillaries • Venules • Veins Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body Figure 14-2 Sections of small blood vessels. Which vessels have valves that control blood flow? Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body Overview of Blood Vessels Blood Circuits • The pulmonary circuit – Pulmonary artery and its branches – Capillaries in lungs – Pulmonary veins • The systemic circuit – Aorta – Systemic capillaries – Systemic veins Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body Figure 14-1 The cardiovascular system. Which vessels carry blood away from the heart? Which carry blood toward the heart? Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body Overview of Blood Vessels Vessel Structure • Three tunics (coats) of arteries and veins • Inner (endothelium) • Middle (smooth [voluntary] muscle) – Controlled by autonomic nervous system – Thinner in veins • Outer (supporting connective tissue) Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body Figure 14-3 Cross section of an artery and vein. Which type of vessel shown has a thicker wall? Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body Overview of Blood Vessels Checkpoints 14-1 What are the five types of blood vessels? 14-2 What are the two blood circuits and what areas does each serve? 14-3 What type of tissue makes up the middle tunic of arteries and veins, and how is this tissue controlled? 14-4 How many cell layers make up the wall of a capillary? Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body Systemic Arteries Learning Outcomes 3. Name the four sections of the aorta and list the main branches of each section. 4. Trace the pathway of blood through the main arteries of the upper and lower limbs. 5. Define anastomosis, cite its function, and give several examples. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body Systemic Arteries The Aorta • Largest artery • Receives blood from left ventricle • Branches to all organs Parts of the Aorta • Ascending aorta • Aortic arch • Thoracic aorta • Abdominal aorta Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body Systemic Arteries Branches of the Ascending Aorta and Aortic Arch • Ascending aorta – Left and right coronary arteries • Aortic arch – Brachiocephalic artery • Right subclavian artery • Right common carotid artery – Left common carotid artery – Left subclavian artery Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body Systemic Arteries Branches of the Thoracic Aorta • Branches to chest wall, esophagus, and bronchi • Intercostal arteries Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body Systemic Arteries Branches of the Abdominal Aorta • Celiac trunk – Left gastric artery – Splenic artery – Hepatic artery • Superior mesenteric artery • Inferior mesenteric artery Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body Systemic Arteries Branches of the Abdominal Aorta (continued) • Paired lateral branches – Phrenic arteries – Suprarenal arteries – Renal arteries – Ovarian and testicular arteries – Lumbar arteries Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body Figure 14-4 The aorta and its branches. How many brachiocephalic arteries are there? Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body Systemic Arteries Arteries to the Pelvis and Leg • Internal iliac arteries • External iliac arteries – Femoral artery • Popliteal artery Tibial arteries Dorsalis pedis Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body Systemic Arteries Arteries That Branch to the Arm and Head • External carotid artery • Internal carotid artery • Subclavian artery – Vertebral artery – Axillary artery • Brachial artery Radial artery Ulnar artery Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body Figure 14-5 Principal systemic arteries. What large vessels branch from the terminal aorta? Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body Systemic Arteries Anastomoses • A communication between two vessels • Examples – Circle of Willis – Superficial palmar arch – Mesenteric arches – Arterial arches Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body Figure 14-6 Arteries that supply the brain. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body Systemic Arteries Checkpoints 14-5 What are the subdivisions of the aorta, the largest artery? 14-6 What are the three branches of the aortic arch? 14-7 What areas are supplied by the brachiocephalic artery? 14-8 What is an anastomosis? Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body Systemic Veins Learning Outcomes 6. Compare superficial and deep veins and give examples of each type. 7. Name the main vessels that drain into the superior and inferior venae cavae. 8. Define venous sinus and give several examples of venous sinuses. 9. Describe the structure and function of the hepatic portal system. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body Systemic Veins • Superficial veins – Cephalic, basilic, median cubital veins – Saphenous veins • Deep veins – Femoral and iliac vessels – Brachial, axillary, subclavian vessels – Jugular veins – Brachiocephalic vein Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body Systemic Veins The Venae Cavae and Their Tributaries • Superior vena cava – Head, neck, upper extremities • Azygos vein – Chest wall • Inferior vena cava – Right, left veins from paired parts, organs – Unpaired veins from spleen, digestive tract Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body Figure 14-7 Principal systemic veins. How many brachiocephalic veins are there? Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body Systemic veins Venous Sinuses • Coronary sinus • Cranial venous sinuses – Cavernous sinuses • Petrosal sinuses – Superior sagittal sinus • Confluence of sinuses – Transverse sinuses (lateral sinuses) Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body Systemic Veins The Hepatic Portal System • Carries blood from abdominal organs to liver – Superior mesenteric vein – Splenic vein – Gastric, pancreatic, inferior mesenteric veins – Sinusoids Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body Figure 14-8 Hepatic portal system. What vessel do the hepatic veins drain into? Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body Systemic Veins Checkpoints 14-9 What is the difference between superficial and deep veins? 14-10 What two large veins drain the systemic blood vessels and empty into the right atrium? 14-11 What is a venous sinus? 14-12 The hepatic portal system takes blood from the abdominal organs to which organ? Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body Circulation Physiology Learning Outcomes 10. Explain the forces that affect exchange across the capillary wall. 11. Describe the factors that regulate blood flow. 12. Define pulse and list factors that affect pulse rate. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body Circulation Physiology • Blood exchanges oxygen, carbon dioxide, other substances generated by cells • Tissue fluid (interstitial fluid) is exchange medium Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body Circulation Physiology Capillary Exchange • How substances move between cells and capillary blood – Diffusion • Main process – Blood pressure • Moves material into tissue fluid – Osmotic pressure • Moves material into capillaries Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body Figure 14-9 The role of capillaries. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body Circulation Physiology The Dynamics of Blood Flow • Vasomotor center in medulla regulates vasomotor activities – Vasodilation – Vasoconstriction • Precapillary sphincter Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body Circulation Physiology Return of Blood to the Heart •Mechanisms that promote blood’s return to heart – Contraction of skeletal muscles – Valves – Breathing Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body Figure 14-10 Blood return. Which of the two valves shown is closer to the heart? Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body Circulation Physiology Checkpoints 14-13 What force helps to push materials out of a capillary? What force helps to draw materials into a capillary? 14-14 Name the two types of vasomotor changes. 14-15 Where are vasomotor activities regulated? Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body Circulation Physiology The Pulse • Ventricular contraction • Wave of increased pressure • Begins at heart and travels to arteries Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body Circulation Physiology The Pulse (continued) • Influenced by various factors – Body size – Gender – Age – Muscular activity – Emotion – Body temperature – Thyroid secretion Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body Circulation Physiology Learning Outcomes 13. List the factors that affect blood pressure. 14. Explain how blood pressure is commonly measured. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body Circulation Physiology Blood Pressure • Force exerted by blood against vessel walls • Determined by – Cardiac output – Blood vessel resistance to blood flow Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body Figure 14-11 Blood pressure. In which vessels does the pulse pressure drop to zero? Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body Cardiac Output • Volume of blood pumped out of each ventricle in one minute • Heart rate – Beats per minute • Stroke volume – Controlled by force of contractions Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body Circulation Physiology Resistance to Blood Flow • Peripheral resistance is affected by – Vasomotor changes – Baroreceptors in large arteries – Elasticity of blood vessels – Viscosity – Total blood volume Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body Circulation Physiology Blood Pressure Measurement • Pressure is measured in the brachial arm artery using a sphygmomanometer. – Systolic pressure • Occurs during heart contraction • Normal systolic: 120 mmHg – Diastolic pressure • Occurs during heart relaxation • Normal diastolic: 80 mmHg Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body Figure 14-12 Measurement of blood pressure. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body Circulation Physiology Checkpoints 14-16 What is the definition of pulse? 14-17 What is the definition of blood pressure? 14-18 What is the most significant factor in determination of peripheral resistance? 14-19 What two components of blood pressure are measured? Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body Case Study Learning Outcome 15. Referring to the case study, trace the pathway of an embolus from the femoral vein to the pulmonary artery. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body Case Study Pathway of an Embolus From the Femoral Vein to the Pulmonary Artery Femoral vein External iliac vein Common iliac vein Inferior vena cava Right atrium Right ventricle Pulmonary trunk Pulmonary arteries Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body Word Anatomy Learning Outcome 16. Show how word parts are used to build words related to the blood vessels and circulation. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body Word Anatomy Word Part Meaning Example brachi/o arm The brachiocephalic artery supplies blood to the arm and head on the right side. celi/o abdomen The celiac trunk branches to supply blood to the abdominal organs. enter/o intestine The mesenteric arteries supply blood to the intestines. phren/o diaphragm The phrenic artery supplies blood to the diaphragm. bar/o pressure A baroreceptor responds to changes in pressure. sphygm/o pulse A sphygmomanometer is used to measure blood pressure. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taylor: Memmler’s Structure and Function of the Human Body Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins