Cardiovascular System – Pulmonary and Systemic Circuits System Overview • System consists of the heart and the blood vessels • Function: to bring oxygen and nutrients to all body cells and to remove waste Heart Location Coverings of the Heart • Pericardium • Fibrous pericardium • Protects and anchors heart • Parietal pericardium and Visceral pericardium • Make up the pericardial cavity • Pericardial fluid reduces friction Walls of the Heart • Epicardium • Same as visceral pericardium • Lubricates heart • Myocardium • Layer that contracts • Endocardium • Lines heart chambers Heart Chambers • 4 chambers of the heart • Atria • Thin walls • Receive blood returning to the heart • Auricles • Ventricles • Thicker walls • Receive blood from atria • Force blood out of heart • Interventricular Septum • Divides chambers Heart Valves • Atrioventricular valves • Tricuspid – right • Three flaps • Bicuspid (mitral) – left • Two flaps • Semilunar valves • Pulmonary – right • Aortic – left • Chordae tendinae • Anchor AV valve flaps Blood Supply to the Heart • Coronary arteries • Branch from aorta and nourish heart muscle • Cardiac veins • Drain blood from heart muscle into the coronary sinus then into right atrium. Cardiac Cycle • Cardiac cycle – series of events that constitute a complete heartbeat • Systole – contraction • Prior to atrial systole 70% of blood follows into ventricles without contraction • Diastole – relaxation Cardiac Cycle • Heart Sounds – “lub-dup” • Lub – ventricular systole • AV valves close • Dup – ventricular diastole • SL valves close • Murmur – irregular heart sound 1:52 Cardiac Conduction System • Coordinates the events of the cardiac cycle • Consists of clumps and strands of specialized cardiac muscle that initiate and distribute impulses throughout the myocardium Nodes of Cardiac Conduction System • Sinoatrial node – AKA “pacemaker” • Just beneath epicardium • Located in right atrium near opening of superior vena cava • Initiates impulses without nervous stimulation Nodes of Cardiac Conduction System • Atrioventricular node • Located in inferior portion of septum • AV bundle (bundle of His) • Large fibers run through the interventricular septum • Purkinje fibers 1:00 • Spread from septum into papillary muscles • Stimulate ventricular contraction Regulation of Cardiac Cycle • Parasympathetic and sympathetic fibers from medulla oblongata run to the nodes • Secrete acetylcholine to decrease heart rate • Secrete norepinephrine to increase heart rate Electrocardiogram (ECG) 1:41 • Recording of the electrical changes in the myocardium during the cardiac cycle • P – atrial systole • QRS – ventricular systole; covers atrial diastole • T – ventricular diastole Blood Vessels Arteries • Strong, elastic vessels that carry blood away from the heart • Lead to finer branches called arterioles Artery Layers • Tunica intima – simple squamous epithelium for smooth surface • Tunica media – largest layer; smooth muscle and elastic CT • Tunica externa – CT that attaches artery to surrounding tissues Capillaries • Smallest diameter blood vessels • Extensions of inner lining of arterioles (tunica intima) • Connect arterioles and venules • Allow exchange between blood and tissue fluid • More abundant around muscles and nerves • Blood flow controlled by precapillary sphincters • Exchanges occur by diffusion, osmosis, and filtration Veins • Carry blood back to the right atrium of the heart • Form from microscopic venules that are continuous with capillaries • Structure similar to arteries, but less developed tunica media • Many have valves to prevent blood backflow • Act as blood reservoirs when hemorrhage causes decrease in arterial blood pressure Blood Pressure • The force blood exerts against the inner walls of blood vessels • Refers primarily to arterial blood pressure • Increases during ventricular systole – systolic pressure (100-140) • Decreases during ventricular diastole – diastolic pressure (70-90) • Pulse Factors that Affect Blood Pressure • Heart action – how much blood enters arteries • Blood volume • Peripheral resistance – friction between blood and vessels • Blood viscosity • Hypertension and stroke • Emotions, exercise, hormones & pain