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Heart
pumps blood
Artery
any vessel carrying blood AWAY from the heart
Vein
any vessel carrying blood TOWARDS the heart
Four Heart Chambers
Right atrium, right ventricle, left atrium, left ventricle
Path of deoxygenated blood
enters right atrium => right ventricle => pumped out into lungs
Path of oxygenated blood
enters left atrium => left ventricle => pumped out into body
pulmonary circut
route between heart and lungs that allows blood to pick up oxygen: right ventricle => pulmonary trunk/arteries => lungs => pulmonary veins => left ventricle
systemic circut
route between heart and tissues of the body (other than lungs): left ventricle => aorta & branches => cells of body => veins
Gallons of blood pumped every day
1800
miles of blood vessels
60,000 miles
Where the heart sits
left of midline, on top of diapragm
Pericardium
sac containing heart; collagen fibrous structure, well attached to surroundings
Layers of heart outside => in
fibrous pericardium => serous pericardium => myocardium => endocardium
fibrous pericardium composition
dense irregular connective tissue (anchors heart)
serous pericardium/epicardium
parietal and visceral layers with serous fluid for lubrication
myocardium composition
cardiac muscle tissue
endocardium epith type
simple squamous
superior & inferior vena cava
large veins that return deoxygenated blood to right atrium
tricupsid valve
separates right atrium from right ventricle
chordae tendinae (right)
dense regular CT that attaches cusps of tricupsid valve to ventricle wall
papillary muscles
projection of cardiac muscle
pulmonary semilunar valve
separates right ventricle from the pulmonary trunk (artery)
pulmonary veins
return oxygenated blood
bicupsid/mitral valve
separates left atrium from left ventricle
chordae teninae (left)
dense regular CT that attaches cusps of bicupsid valve to ventricle wall via papillary muscle
aordic semilunar valve
separates left ventricle/aorta
Myocardium
the muscular layer of the heart wall that contracts to pump blood; thickest in the left ventricle because it must pump blood to the entire body.
tricupsid/bicuspid
named by # of cusps per valve. chordae tendinae prevent valves from inverting into atria when ventricles contract
pulmonary & aortic seminlunar valve
cusps resemble pockets. as ventricles contract, blood is pushed up against semi-lunar valves
heart murmur
Noise in heart caused by blood leaking past closed valve
Mitral valve prolapse
most common cause of heart murmur; weakness in collagen of valve or chordae tendinae
stenosis
(Heart murmur): narrowed opening between valves, may be caused by calcium deposits or illness
Cardiac muscle cells
Conduct electrical impulse through myocardium of heart wall
Gap junctions
Allow for quick communication between cells; coordinated contraction
Fascia Adherens
desmosome-like connections that provide strength
Sinoatrial (SA) node
in the right atrium, initiates electric impulse
Atrioventricular (AV) node
delays impulse before it is passed to the ventricles. This delay is to allow the ventricles to fill with blood.
internodal pathway
carries impulse from SA node to AV node
pacemaker
inherent rhythmicity (automaticy)
fibrous skeleton
barrier between atria and ventricles that prevents electrical impulse from passing
AV Bundle
space between ventricles => bundle branches into ventricle walls => perkinjie fibers
top to bottom
atria contract
bottom to top
ventricles contract
purkinjie fibers
specialized cardiac muscle cells that rapidly conduct electrical impulses throughout the ventricles
cardiac cycle
1 heart beat, ~ 0.8 seconds
systolye
contracting
diastole
relaxed
Stage 1 of Cardiac Cycle
atria contract/push blood into ventricles (atria are always filling)
Stage 2 of Cardiac Cycle
ventricles contract/atria rest
Stage 3 of Cardiac Cycle
Atria and Ventricles at rest
Right & Left Coronary Artery/Branches
supply oxygen to OUTSIDE of heart
Anterior Interventricular Artery
a major branch of the left coronary artery that supplies blood to the front of the heart
Atherosclerosis
Build up of plaques which cause narrowing of artery
myocardial infarction
heart attack => result og blood not reaching cardiac muscle tissue
Thrombus
Blood Clot
Ischemic
restriction in blood supply resulting in O2 and glucose deprivation in tissues
Balloon Angioplasty w/ Stent
opens vessel wall to hold open artery (1-2 blockages)
Coronary Bypass
cut through the sternum, take leg vein, attack it to aorta and downstream of blockage
Blood Vessels
organs => transport blood. Continuous circut between heart and capillaries
lymph vessels
transport lymph fluid
layers of blood vessels
Tunica intima, tunica media, tunica externa
tunica intima
innermost, endoepithelium, simple squamous. subendotheliar: loose areolar
tunica media
smooth muscle arranged circularly to allow for vasoconstriction. Thicker w more elastic fiber in arteries due to higher bp
tunica externa
loose areolar CT
Vaso vasorum
blood vessels that supply O2 to other blood vessels
Vein Vavles
Tunica intima forms valves to prevent backflow
elastic arteries
largest. branches bear heart. high concentration of elastin. recoils quickly when bp drops.
Muscular arteries
branch off elastic arteries. serve organ or region of organ. control how much blood goes into an organ.
arterioles
branch off muscular arteries. constrict/dilate quickly to help regulate blood flow to cap. larger: all three tunicas + elastic lamina. Smaller: tunica media and endothelium only.
capillaries
diameter of one RBC. no tunica media/externa. thin for diffusion of gas. form capillary beds.
portal system
blood passes through two capillary beds before returning to heart
venules
larger venules have all three tunics (though thin), while smaller ones consist mainly of endothelium and a thin tunica externa
medium veins
collect blood from venules and return it to large veins; they have all three tunics, a thicker tunica externa than media, and contain valves to prevent backflow under low pressure.
large vein
all three tunics with a very thick tunica externa rich in collagen and elastic fibers, a thin tunica media, and valves in some regions to aid blood return to the heart.
precapillary sphincter
controls amount of blood moving through capillary bed. smooth muscle
postcapillary venule
located right after the capillaries — they collect blood leaving the capillary beds
metarteriole
short vessel that links an arteriole to a capillary bed, acting as a thoroughfare channel that can bypass capillaries when precapillary sphincters are closed
capillary walls
thin to allow for exchange; endothelium + basement membrane.
3 types of capillaries
continuous, fenestrated, sinusoidal
continuous capillary
least leaky, most common, tight junctions, intercellular clefts (at areas w no cell junction) and complete basement membrane
fenestrated capillary
high rate of molecular exchange. pores => fenestrations. complete basement membrane
sinusoidal capillary
special fenestrated cap. large passings (proteins, blood cells). large intercellular cleft and incomplete basement. most leaky. fewer tight junctions. located in places like spleen, bone marrow, lymph nodes.
varicose veins
failures of valves cause blood to pool causing veins to stretch and become misshapen.
blood
distributes O2, removes CO2, transports nutrients, waste, hormones, etc. Regulates body temperature and pH. prevents infections.
formed elements
cellular components of blood
erythrocytes
red blood cells. 45%. concave disc. no organelles. anaerobic. 97% hemoglobin. 3-4 month lifespan
buffy coat
leukocytes and platelets. <1%
Plasma
mostly water but also wastes, nutrients, hormones, and proteins: fibrinogen & albumin. 55%
fibrinogen
blood clotting protein in plasma
albumin
binds above solutes, protein in plasma
blood clots components
fibrin, platelet aggregates, rbcs
hemoglobin
binds gasses (O2 and CO2)
anaerobic
doesn’t need to use O2, uses glucose
megakeryocytes
very large cells, their fragments => platelets
hemotopeisis
new RBCs form from stem cells in red bone marrow. Fe NEEDED for this and hemoglobin.
Anemia
lower # of RBC’s, commonly due to Fe defficiency
diapedesis
can squeeze through capillary walls. immune response
A, B, Rh
glycoproteins
Antigens/agglutinogens
determines blood type
type A blood
A antigens only,produces antibody B