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Circulatory System
Organ system that transports molecules and other substances rapidly over long distances, between cells, tissues, and organs; O2, CO2, fatty acids, waste products
Circulatory system Divisions
Cardiovascular and Lymphatic
Cardiovascular system- components
Heart, vessels/vascular system, and blood
Cardiovascular system- components relations
cardiac muscle cells that pump, creates contraction (pressure) that pushes blood out of the heart, through vessels (vascular) traveling throughout the body
Heart
major pump of variable rate and strength
Vessels/Vascular System
pipes of variable diameters, interconnected system
Blood
Fluid (CT) of variable volume and viscosity- ability to flow, sticky and thickness; contains water, solutes, and cells; average 5.5L
Composition of blood- Hematocrit
hematocrit is a rapid assessment of blood compositions, it is the percent of blood volume that is composed of RBC
Composition of blood- Hemoglobin
Hemoglobin in RBCs carries O2 to tissues and CO2 away from tissues, like lung expiration
Composition of blood- Plasma
the fluid portion of blood, includes water, ions, proteins, nutrients, gasses, hormones, wastes, etc.
Composition of blood- White Blood Cells
WBC, leukocytes, for immunity
Composition of blood- Platelets
cell fragments for clotting
Centrifuge blood sample
causes plasma to seperate and move to the top
Centrifuge blood sample- layers top to bottom
blood plasma, Buffy coat (platelets and WBC) and formed elements (RBC, hematocrit height)
Circulation
the heart is a muscular pump that propels the blood through the pulmonary (lung) circulation and systemic (other organs and tissues) circulation; fully oxygenated when passing through lungs, partially oxygenated when delivering O2 to cells
Heart- Muscular organ
Cardiac muscle and endothelial cells; myocardium, muscular tissue of the heart; each cardiac muscle cell contracts with a heart beat
Heat- pumping action
Pumping action of the heart due to muscle contraction creates pressure to move blood quickly throughout the body
Heart- Septum
separates the right and left sides of the heart
Heart- Ventricle
lower chamber of the heart, pumps blood into arteries
Heart- Right Ventricle
Right ventricle pumps blood to the lungs via pulmonary arteries, pulmonary circulation
Heart- Left Ventricle
Left ventricle pumps oxygenated blood into the other tissues via aorta, systemic circulation
Heart- Interventricular septum
separates the two ventricles
Heart- Atrium
upper chambers of the heart, receives venous blood returning to heart
Heart- Right Atrium
Right atrium receives blood from systemic circulation, via venae cavae
Heart- Left Atrium
Left atrium receives blood from pulmonary circulation, via pulmonary veins
Heart- Fibrous Skeleton
Connective tissue that separate the atrium and ventricle
Blood circulation
blood is ejected through contraction of both ventricles at the same time during a specific phase; RA → tricuspid valve → RV → Pulmonary SL valve → Pulmonary a. → Lungs → Pulmonary v. → LA → Bicuspid valve → LV → Aortic SL valve → aorta → arteries → capillaries → veins → inferior and superior vena cava, repeats
Pulmonary circulation
circuit where partially oxygenated blood travels from the RV of the heart via the pulmonary arteries to the lungs, where blood picks up O2 from inspiration and releases CO2 from expiration, oxygenated blood then travels to LA and enters via pulmonary veins
Systemic Circulation
Circuit where oxygenated blood travels from LV via the aorta through the organ systems, then blood delivers O2 from inspiration and picks up CO2 for expiration, partially oxygenated blood travels back to the RA and enters via superior and inferior vena cava
Pulmonary circulation- summary
begins at RV, pulmonary a., low O2 artery content, pulmonary v., high O2 vein content, terminates at LA
Systemic Circulation- Summary
begins at LV, aorta and it’s branches, high O2 artery content, Superior and Inferior vena cava and branches, low O2 vein content, terminates at RA
Atrioventricular (AV) Valves
between the atria and ventricles; valves open and closes due to pressure difference across it, pressure can push a valve open or force it close
Atrioventricular (AV) Valves- Tricuspid valve
3 flaps; between RA and RV
Atrioventricular (AV) Valves- Bicuspid Valve
2 flaps; between LA and LV
Semilunar Valve- Pulmonary valve
between RV and pulmonary trunk (right and left pulmonary arteries)
Semilunar Valve- Aortic Valve
between LV and aorta
Cardiac Cycle- Diastole and Systole
Alternating contractions and relaxations of atria and ventricles (0.8s) until death occurs; ventricles must be filled with blood in order to occur
Systole
period of ventricular contraction and blood ejection, 0.3s; through systemic and pulmonary circulation, muscle cells contract
Diastole
period of ventricular relaxation and blood filling, 0.5s; filled with blood from aorta, muscle cells relax
Cardiac Cycle- Pressure
force exerted by blood due to heart contracting, mmHg
Cardiac Cycle- Blood Flow
from a region of higher pressure to region of lower pressure; volume/unit time, such as L/min
Heart sounds
two sounds heard through stethoscope; lub and dub; korotkoff sounds heard in brachial artery when taking manual blood pressure
Heart sounds- First sounds
soft, low-pitched “lub”; AV valve closed, at onset of systole, peak
Heart sounds- Second sound
louder “dub”; SL valve closure, at onset of diastole
Cardiac Cycle- Systole
isovolumetric contraction: pressure in ventricles increase as ventricle begins contraction, causing AV valves to close, lub
Ejection of blood into aorta and pulmonary trunk occurs when ventricular pressure exceeds aortic pressure (120 mmHg) so that SL valves open
Cardiac Cycle- Diastole
Isovolumetric relaxation: pressure in ventricles decreased, causing SL valves to close, dub, aortic pressure is 80 mmHg
When pressure in ventricle falls below atrial pressure, AV valves open and there is rapid filling of the ventricles (blood in atria → ventricles)
Atrial contraction delivers the final amount of blood into the ventricles just prior to #1 occurring again
Stroke Volume
when ventricles contract, amount of blood ejected; around 2/3 of the blood in the ventricles
End-diastolic volume (EDV)
volume of blood in ventricle at the end of diastole; amount actually being ejected
Contraction and relaxation of cardiac muscle cells
contraction= depolarize, relaxation= repolarize
Electrical Activity of the Heart- Sinoatrial node
depolarization in SA node initiates APs that spread to the rest of the cardiac cells leading to contraction
Electrical Activity of the Heart- AV node
carries APs from RA
Electrical Activity of the Heart- Bundle of His
where APs travel to ventricles
Sinoatrial Node
small group of cardiac muscle cells in RA; heart’s pacemaker; cells depolarize spontaneously and quickly; excitation causes contraction; APs spread through cells of atria via gap junctions, electrical synapses
Bundle of His
slow conduction in AV node, so ventricular contraction occurs after atrial contraction has ended
Electrocardiogram
ECG, EKG; detects electrical activity in the heart via electrodes on the surface of the skin; electrodes record current conducted through fluid around heart, caused by simultaneous APs in myocardial cells; sum of total cells
ECG waves
P, QRS, and T
P wave
results from the spread of atrial depolarization
QRS wave
results from spread of depolarization into the ventricles and repolarization of atrium
T wave
results from repolarization of the ventricles
ECG and APs
the relationship between ECG, recorded as the difference between currents at the left and right wrists, and an AP of a typical ventricular myocardial cell
Structure of Blood Vessels
CT, smooth muscle, and epithelial tissue (capillaries only have epithelial tissue); distribute blood to tissues, regulate BP; Closed loop; arteries branch into arterioles, vessels between arteries and capillaries; in capillaries (small blood vessels) there’s exchange of substances between cells and vessles like nutrients and waste; capillaries merge to form venules, vessels between capillaries and veins; venules merge into veins, going back to the heart
blood vessels- direction which blood loops
artery → arteriole → capillaries → venule → vein
Arteries
have strong, thick, elastic walls that assist flow; high pressure, low volume
Veins
have weaker walls and a wider lumen (hollow interior) and fill more easily; low pressure, high volume; act as volume reservoirs, 54% total volume, more than half the blood volume of the body here
Arterioles
the greatest pressure drop is in the arterioles; these vessels serve as controller of flow into capillary beds
Vasoconstriction of arterioles
contraction of their smooth muscle layer to decrease diameter, decreases blood flow
Vasodilation of arterioles
relaxation of smooth muscle layer to increase diameter, increases blood flow
Capillaries
Smallest blood vessels, mediate exchange of substances with ISF; in every tissue except cornea; single (thin) layer of epithelium allows rapid exchange of substances
Capillaries- Exchange of substances
gas exchange (O2, CO2), nutrient and waste exchange, cell secretions (how hormones get delivered to tissues)
Veins- blood flow
greatest total blood volume and can expand with greater blood volume; low pressure but blood flows back to the heart due to skeletal muscle pump, and the direction of flow is one-way due to venous valves in peripheral veins
Veins- pressure
pressure decreases as it gets farther away from source
Venous flow
Venous flow is assisted by the skeletal muslce pump (pushes blood to heart, up) mechanism working in combination with one-way venous valves, prevents back flow
Veins during muscle contraction
when muscle contracts, vein are partially compressed → diameter reduction, venous pressure increase, and increase volume of blood returning to the heart
Coronary Artery Disease
insufficient blood flow (ischemia) to heart due to change in coronary arteries (arteries that nourish heart); can cause heart attack, myocardial infarction
Atherosclerosis
primary cause in coronary arteries; thickening of arterial wall with plaques that include cholesterol and fat deposits
Coronary Artery Disease- Risk Factors
hypertension, stress, smoking, obesity, sedentary lifestyle, diabetes, high cholesterol
Thrombus
blood clot; can stick to plaque
Plaque
build up of fat and cholesterol
Lymphatic System- transport
transport excess ISF that filters out of blood vessels back to the blood; transports fat absorbed from the SI into the blood
Lymphatic System- Lymphocytes
defend against disease-causing agents
Lymphatic System- Lymph Nodes
filter lymph to remove pathogens before the fluid is returned to the blood
Lymphatic System- Lymphatic fluid
lymph, mainly immune system function