Cardiovascular system (simplified) Καρδιαγγειακό σύστημα (απλοποιημένο) the circulatory system, also known as the cardiovascular system What is it? The circulatory system is a vast network of organs and vessels that is responsible for the flow of blood, nutrients, hormones, oxygen and other gases to and from cells. Without the circulatory system, the body would not be able to fight disease or maintain a stable internal environment — such as proper temperature and pH — known as homeostasis (ομοιόσταση/ Η ικανότητα του οργανισμού να διατηρεί το εσωτερικό του περιβάλλον σταθερό ανεξάρτητα από τις συνθήκες του εξωτερικού περιβάλλοντος ). Three independent systems that work together Many view the circulatory system (also known as the cardiovascular system) as simply a highway for blood. Yet, it is made up of three independent systems that work together according to the US National Library of Medicine (NLM): 1. the heart (cardiovascular); 2. lungs (pulmonary); 3. arteries, veins, coronary and portal vessels (systemic/ συστημικός = affecting an entire system). The heart The heart is a muscular organ in humans and other animals, which pumps blood containing oxygen and nutrients through a network of blood vessels to all parts of the body. Blood passes through the heart twice. What? In humans, other mammals, and birds, the heart is divided into four chambers: upper and left and right atria; lower left and right ventricles. Commonly the right atrium and ventricle are referred together as the right heart and their left counterparts as the left heart. In a healthy heart blood flows one way through the heart due to heart valves, which prevent backflow.[3] The heart is enclosed in a protective sac, the pericardium, which also contains a small amount of fluid. The wall of the heart is made up of three layers: 1.epicardium, 2.myocardium, 3.endocardium. Muscle tissue The myocardium is the muscle tissue of the heart, and forms a thick middle layer between the outer epicardium layer (tissue) and the inner endocardium layer (tissue). Cardiac muscle cells, unlike most other tissues in the body, rely on an available blood and electrical supply to deliver oxygen and nutrients and remove waste products such as carbon dioxide. The coronary arteries help fulfill this function. Protected The pericardium (from the Greek περί, and κάρδιον,) is a doublewalled sac containing the heart and the roots of the great vessels. The pericardial sac has two layers, a serous layer (ορογόνος υμένας/στρώμα) and a fibrous (ινώδες) layer. It encloses the pericardial cavity (κοιλότητα) which contains pericardial fluid. The pericardium gives protection against infection, and provides the lubrication (λίπανση) for the heart. Valves With the atria and major vessels removed, all four valves are clearly visible Ventricles (κοιλίες) right and left ventricles, from above Where? The heart is located in the middle compartment of the mediastinum (μεσοθωράκιο) in the chest (the central compartment of the thoracic cavity). The muscle mass is greater on the left side and the apex (κορυφή) of the heart is pointed slightly to the left. How? Blood low in oxygen from the systemic circulation enters the right atrium from the superior and inferior vena cavae and passes to the right ventricle. From here it is pumped into the pulmonary circulation, through the lungs where it receives oxygen and gives off carbon dioxide. Oxygenated blood then returns to the left atrium, passes through the left ventricle and is pumped out through the aorta to the systemic circulation−where the oxygen is used and metabolized to carbon dioxide. In addition, the blood carries nutrients from the liver and gastrointestinal tract to various organs of the body, while transporting waste to the liver and kidneys. Iconic symbol The stethoscope is used for auscultation (ακρόαση) of the heart, and is one of the most iconic (εμβληματικός ) symbols for medicine. A number of diseases can be detected primarily by listening for heart murmurs (φύσημα). 3D echocardiogram 3D echocardiogram showing the mitral valve (right), tricuspid and mitral valves (top left) and aortic valve (top right). The closure of the heart valves causes the heart sounds. Angina /ændʒənə/ (Στηθάγχη) Angina pectoris, commonly known as angina, is the sensation of chest pain, pressure, or squeezing (ζούλιγμα), a sudden intense pain in the chest, often accompanied by feelings of suffocation, caused by momentary lack of adequate blood supply to the heart muscle. The term derives from the Latin angere ("to strangle") and pectus ("chest"), and can therefore be translated as "a strangling (πνίγομαι, στραγγαλίζομαι) feeling in the chest". Diagram of discomfort caused by coronary artery disease. Pressure, fullness, squeezing or pain in the center of the chest. Can also feel discomfort in the neck, jaw, shoulder, back or arm. Atherosclerosis Atherosclerosis is a condition affecting the circulatory system. If the coronary arteries are affected angina pectoris (στηθάγχη) may result or at worse a heart attack. Veins In the circulatory system, veins (from the Latin vena) are blood vessels that carry blood toward the heart. Most veins carry deoxygenated blood from the tissues back to the heart; exceptions are the pulmonary (πνευμονικός) and umbilical (ομφάλιος) veins, both of which carry oxygenated blood to the heart. In contrast to veins, arteries carry blood away from the heart. Veins are less muscular than arteries and are often closer to the skin. There are valves in most veins to prevent backflow. Arteries Arteries (from Greek ἀρτηρία (artēria), meaning "windpipe, artery") are blood vessels that carry blood away from the heart. While most arteries carry oxygenated blood, there are two exceptions to this, the pulmonary and the umbilical arteries. Vital The circulatory system is vital for sustaining life. Its normal functioning is responsible for 1. the delivery of oxygen and nutrients to all cells, 2. the removal of carbon dioxide and waste products, 3. the maintenance of optimum pH, and 4. the circulation of proteins and cells of the immune (ανοσοποιητικό) system. Βιβλιογραφία https://commons.wikimedia.org/wiki https://el.wikipedia.org/wiki http://www.wordreference.com http://www.thefreedictionary.com/angina http://www.hygeia.gr https://www.google.gr