Chapter 15 Cardiovascular System + Respiratory System Objectives: 1. Describe the functions of the circulatory system 2. List the components of the circulatory system 3. Describe the structure and function of the heart 4. Describe the control of heart contractions 5. Trace the path of cardiopulmonary circulation 6. Name and describe the specialized circulatory systems 7. List the types of blood vessels 8. Identify the principal artery and veins 9. Trace the path of cardiopulmonary circulation Respiratory System 1. Describe functions of respiratory system 2. Describe the structures of the organs of respiration 3. Explain respiratory process 4. Describe what is happening on the molecular level Circulatory System 1. Circulatory system is the longest system in the body a. If you were to lay all of the blood vessels on end to end, then it would stretch out 60,000 miles 2. Functions of the Circulatory system a. Heart is the pump that circulates blood to all parts of the body b. Arteries, veins, and capillaries are the structures that take blood from the heart to the cells and return blood from the cells back to the heart c. Blood carries oxygen and nutrients to the cells and carries the waste products away d. The lymph system returns excess fluid from the tissues to the general circulation Organs of the Circulatory System 3. The organs of the circulatory system include: a. Heart b. Arteries c. Veins d. Capillaries e. The blood and parts of the lymphatic system are also part of the system Major Blood Circuits 4. Blood leaves the heart through arteries and returns by veins. 5. The blood uses two circulation routes: a. The general (or systemic) circulation carries blood throughout the body b. The cardiopulmonary circulation carries blood from the heart to the lungs and back The Heart 6. The blood’s circulatory system is extremely efficient 7. The main organ responsible for this efficiency is the heart a. Human heart about the size of a closed fist b. 12-13 oz. 8. Vital to life: if heart stops beating, life stops a. Ex.// If the blood flow to the brain ceases for 5 seconds or more, the subject loses consciousness. After 15 to 20 seconds, the muscles twitch convulsively; after 4 to 5 minutes without blood flow, the brain cells are irreversibly damaged. 9. Located in the thoracic cavity between the lungs, behind sternum, but in front of the thoracic vertebrae a. Although closely located to the midline, the heart’s apex (conical tip) lies on the diaphragm and points to the left of the body b. It is at the apex where the heartbeat is the most easily felt and heard through the stethoscope Structure of the Heart 10. The heart is a hollow, muscular, double pump that circulated the blood through the blood vessels to all parts of the body a. Surrounding the heart is a double-layer of fibrous tissue called the pericardium 1. Between these two layers is a lubricating fluid called pericardial fluid 1. This fluid prevents the two layers from rubbing against each other and creating friction b. Cardiac muscle tissue, or the myocardium, makes up the major portion of the heat c. The inner lining lies a smooth tissue called the endocardium 1. The endocardium covers the heart valves and lines the blood vessels, providing smooth transit for the flowing blood d. A frontal view of the human heart reveals a thick, muscular wall separating it into a right half and a left half. 1. This separation known as the septum, completely separates the blood in the right half from that in the left half 2. Structures leading to and from the heart are: 1. Superior vena cava and inferior vena cava a. Large veinous blood vessels which bring deoxygenated to the right atrium from all parts of the body 2. Coronary sinus a. From the heart muscle to the right atrium 3. Pulmonary artery a. Takes blood away from the right ventricle to the lungs for oxygen 4. Pulmonary veins a. Bring oxygenated blood from the lungs to the left atrium 5. Aorta a. Takes blood away from the left ventricle to the rest of the body 11. Chambers and Valves a. The human heart is separated into right and left halves by the septum 1. Then, there are two lower parts and two upper parts 1. The upper parts are the atriums (auricles) 2. The lower parts are the ventricles 2. The heart has four valves which permit the blood to flow in one direction only 1. These open and close during contraction of the heart, preventing the blood from flowing backwards 2. Atrioventricular valves are located between the atria and ventricles a. Tricuspid valve i. Is positioned between the right atrium and the right ventricle ii. Its name comes from the fact that there are three points, or cusps, of attachment iii. The chordae tendinae are small fibrous strands connecting the edges of the tricuspid valve to the papillary muscle that are projections of the myocardium iv. When the right ventricle contracts, the papillary muscle contracts, pulling the chordae tendinae preventing inversion of the tricuspid valve b. Bicuspid or mitral valve i. Located between the left atrium and left ventricle ii. Blood flows from the left atrium into the left ventricle, the mitral valve prevents backflow from the left ventricle to the left atrium 3. Semilunar valves are located where blood will leave the heart a. Pulmonary semilunar valve i. Is found at the opening of the pulmonary artery ii. It allows blood to travel from the right ventricle into the pulmonary artery and then into the lungs (deoxygenated blood) b. Aortic semilunar valve i. Is at the opening of the aorta ii. This valve permits the blood to pass from the left ventricle into the aorta, but not backwards (oxygenated blood) Physiology of the Heart 12. The structure of the heart allows it to function as a double pump, with two major sides: a. Right heart 1. Deoxygenated blood flow b. Left Heart 1. Oxygenated blood flood c. Path of deoxygenated/ oxygenated blood flow through the heart 1. Blood reaches heart through superior vena cava and inferior vena cava 2. To right atrium 3. To tricuspid valve 4. To right ventricle 5. To pulmonary valve 6. To main pulmonary artery 7. To left pulmonary artery and right pulmonary artery 8. To lungs- blood receives oxygen 9. From lungs to pulmonary veins 10. To left atrium 11. To mitral (bicuspid valve) to left ventricle 12. To aortic valve 13. To aorta (largest artery in the body) 14. Blood with oxygen then goes to all cells of the body 15. http://www.sumanasinc.com/webcontent/animations/conten t/human_heart.html Conduction System of Heart Contractions 13. A heart removed from the body will continue to beat rhythmically for a while, which shows that heartbeat generates within the heart itself. Heart rate is also affected by the endocrine and nervous systems. They myocardium contracts rhythmically to perform its duty as a forceful pump a. Control of heart muscle contraction is found within a group of conducting cells located at the opening of the superior vena cava into the right atrium. 1. These cells are known as the sinoatrial (SA) node, or pacemaker 1. The SA node sends out an electrical impulse that begins and regulates the heart. The impulse spreads out over the atria, making them contract 2. This electrical impulse eventually reaches the atrioventricular (AV) node, which is another conducting cell group located between the atria and ventricle 3. This impulse then reaches other conducting fibers that complete heart contraction (beat) Blood Vessels 1. The heart pumps the blood to all parts of the body through a remarkable system of three types of blood vessels: arteries, capillaries, and veins. a. Arteries i. Carry oxygenated blood away from the heart to the capillaries 1. Exception- pulmonary arteries carry deoxygenated blood ii. Transport blood under very high pressure iii. They are elastic, muscular, and thick-walled 1. Makes them the strongest of three vessel types iv. Arterial walls consist of three different layers 1. Tunica adventitia (externa) a. Outer layer b. Consists of fibrous connective tissue and smooth muscle c. Allows arteries to withstand sudden large increases in internal pressure 2. Tunica media a. Middle layer b. Muscle cells arranged in circular pattern c. Controls the artery’s diameter by dilation and constriction i. Reduces hearts work 3. Tunica intima a. Inner layer b. Consists of three other layers c. Gives vessels smooth lining, which allows for the free flow of blood b. Capillaries i. Smallest blood vessels ii. Connect the arterioles with venules (very tiny arteries and veins) iii. Capillary walls are extremely thin to allow for the selective permeability of various cells and substances 1. Nutrient molecules and oxygen pass out of the capillaries and into the surrounding cells and tissues 2. Metabolic wastes such as carbon dioxide pass from the cells and tissues into the blood stream c. Veins i. Carry deoxygenated blood away from the capillaries to the heart ii. Veins also composed of three layers 1. Tunica externa, tunica media, tunica intima a. Although these are the same as they are in an artery, the layers are considerably less elastic and muscular iii. Walls of veins are much thinner than artery walls 1. Do not have to withstand high internal pressures iv. Veins have valves 1. These valves allow blood to flow only in one direction, toward the heart 2. This prevents reflux or backflow of blood towards the capillaries 3. There are many valves in the lower extremities where blood had to oppose the force of gravity Circulation 1. Cardiopulmonary Circulation a. Cardiopulmonary circulation takes deoxygenated blood from the heart to the lungs where carbon dioxide is exchanged for oxygen b. The oxygenated blood returns to the heart i. Blood enters the right atrium, which contracts forcing the blood through the tricuspid valve into the right ventricle ii. The right ventricle contracts to push the blood through the pulmonary valve into the pulmonary trunk 1. The pulmonary trunk then divides into two, bringing blood into the right and left lung c. Inside the lungs, the pulmonary arteries branch into countless small arteries called arterioles i. These arterioles connect to dense beds of capillaries lying in the alveoli lung tissue 1. Here, gas exchange occurs a. Carbon dioxide leaves the red blood cells and is discharged into the air in the alveoli to be excreted by the lungs b. Oxygen from air in the alveoli combines with hemoglobin in the red blood cells i. From these capillaries the blood travels into small veins or venules ii. Venules from the right and left lungs form large pulmonary veins. These veins carry oxygenated blood from the lungs back to the heart and into the left atrium d. The left atrium contracts, sending the blood through the bicuspid valve, into the left ventricle e. This chamber then acts as a pump for newly oxygenated blood i. When the left ventricle contracts, it sends oxygenated blood through the aortic semilunar valve, then into the aorta 1. http://highered.mcgrawhill.com/sites/0072495855/student_view0/chapter25/animation__gas_ex change_during_respiration.html 2. Systemic Circulation a. There are four functions of systemic circulation i. Circulate nutrients, oxygen, water, and secretions to the tissues and back to the heart ii. It carries products such as carbon dioxide and other dissolved wastes away from tissues iii. It helps equalize body temperature iv. It aids in protecting the body from harmful bacteria b. The aorta is the largest artery in the body i. The first branch of the aorta is the coronary artery, which takes blood to the myocardium (cardiac muscle) ii. As the aorta emerges (ascending aorta) from the upper portion of the heart, it forms an arch (aortic arch) 1. Three branches come from this arch a. Brachiocephalic b. Left common carotid c. Left subclavian arteries i. These carry blood to the arms, neck, and head c. From the aortic arch, the aorta descends along the mid-dorsal wall of the thorax and abdomen i. Many arteries branch off from the descending aorta, carrying oxygenated blood throughout the body d. As the descending aorta proceeds posteriorly, it sends off additional branches to the body wall, stomach, intestines, liver, pancreas, spleen, kidneys, reproductive organs, urinary bladder, legs and so forth e. Each of these arteries subdivides into smaller arteries, then arterioles, and finally into numerous capillaries embedded in the tissues i. This is where hormones, oxygen, and other materials are transported from the RBC’s and plasma to the tissues ii. In turn, metabolic wastes and nitrogenous wastes are picked up by blood capillaries f. Deoxygenated venous blood, returning from the lower parts of the body, empties into the inferior vena cava i. Venous blood returning from the upper parts of the body empty into the superior vena cava 1. Both superior/ inferior empty into the right atrium Respiratory System 1. Functions a. Provides the structures for the exchange of carbon dioxide and oxygen in the body through respiration, which is subdivided into internal respiration, external respiration, and cellular respiration b. Responsible for the production of sound (larynx contains vocal cords). When air is expelled from lungs it passes over the vocal cords and produces sound. 2. Respiratory Organs and Structures a. Nasal cavity i. Bones and cartilage support nose ii. Two openings called anterior nares or nostrils iii. Hair (cilia-like projections) filters large particles b. Pharynx i. Behind oral cavity ii. Between nasal cavity and larynx iii. Broken down into three sections 1. Nasopharynx 2. Oropharynx 3. Laryngopharynx c. Larynx i. Enlargement at the top of the trachea and below the pharynx ii. Conducts air in and out of trachea iii. Houses vocal cords 1. Changing shape of the pharynx, and oral cavity changes sounds into words 2. Contracting and relaxing muscles changes pitch (increased tension = higher pitch) d. Trachea i. Windpipe ii. Flexible cylinder, about 12.5 cm long iii. Extends downward in front of the esophagus iv. Contains about 20 C-shaped rings of hyaline cartilage that prevent trachea from collapsing e. Bronchi and Bronchioles i. Branched airways leading from the trachea to the air sacs (alveoli) in the lungs ii. Primary bronchi (left/ right) –to- bronchioles –to- alveolar ducts –toalveoli –then- gases are exchanged between alveoli and capillaries f. Alveoli i. Tiny air sacs 1. About 500 million/ adult lung 2. High surface area to volume ratio 3. Inner portion covered by fatty substance called surfactant a. Helps to stabilize the alveoli, preventing them from collapsing g. Lungs i. Soft, spongy, cone-shaped organs in the thoracic cavity ii. Left lung- smaller, 2 lobes iii. Right lung- larger than left, 3 lobes h. Pleura i. Thin, moist, slippery membrane covering lungs ii. Two pleura membranes 1. Visceral pleura a. Attaches to each lung surface 2. Parietal pleura a. Lines thoracic cavity iii. Space between visceral and parietal pleura is called the pleural cavity 1. This space is filled with pleural fluid that prevents friction between the two pleural membranes 3. Pathway of Oxygen to Lungs a. External i. Air enters through the nasal cavity ii. Then to the pharynx iii. Then to the larynx iv. Then to trachea v. Then to the bronchial tree vi. Then to the bronchus vii. Then to the bronchiole viii. Then to the alveoli 4. Respiration a. Is the physical and chemical processes by which the body supplies its cells and tissues with the oxygen needed for metabolism and relieves them of carbon dioxide formed in energy producing reactions b. Subdivided into external respiration, which takes place in the lungs, internal respiration which takes place between the cells and blood, and cellular respiration, which occurs in cells i. External 1. Also known as breathing or ventilation 2. Exchange of oxygen and carbon dioxide between the lungs, body and outside environment 3. The breathing process consists of inspiration (inhalation) and expiration (exhalation) a. Inspiration i. Air enters body and is warmed, moistened, and filtered as is passes to the alveoli. The concentration of oxygen is greater here than in the blood stream. Oxygen diffuses from the area of greater concentration (alveoli) to an area of lesser concentration (the blood stream), then onto the RBC’s. ii. At the same time, the concentration of Carbon dioxide is greater in the blood stream than in the alveoli, so it diffuses from the blood to the alveoli c. Internal i. Includes the exchange of carbon dioxide and oxygen between the cells and the lymph surrounding them, plus the oxidative process of energy in the cells ii. After inspiration, the alveoli are rich with oxygen and transfer oxygen into the blood 1. Results in greater concentration of oxygen in the blood diffuses the oxygen into the tissue cells 2. Wastes diffuse from cells to capillary blood stream d. Cellular i. Oxidation ii. Involves the use of oxygen to release energy stored in nutrient molecules such as glucose 1. This chemical reaction occurs within the cells 2. Ex.// Wood gives off energy in the form of heat as it burns, food does too when it is oxidized or burned in the cells iii. Much of this energy is released in the form of heat to maintain body temperature 1. Some is used directly by cells for such work as contraction of muscle cells or other vital processes