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Blood, heart, blood vessels
The cardiovascular system consists of
Blood
Transport medium fluid and cells suspended in fluid
Heart
Pump that drives the circulation of blood
Blood vessels
Tubing that conducts blood through circulation from one part of the body to another
5.5 L
Average blood volume
Erythrocytes, leukocytes, platelets, plasma
Blood consists of
Erythrocytes
Red blood cells
Leukocytes
White blood cells
Platelets
Cell fragments important for blood clotting
Plasma
Fluid component of blood
Water (90%)
"Stuff" dissolved in water - electrolytes, nutrients, gasses, plasma proteins
45%
How much of blood consists of formed elements (erythrocytes, leukocytes, platelets)
55%
How much of blood consists of plasma
Sodium, potassium, calcium
Electrolytes found in plasma
Glucose, amino acids, fatty acids, lipoproteins
Nutrients found in plasma
Oxygen, carbon dioxide
Gasses found in plasma
Clotting
Fibrinogen functions in
Transport lipid soluble substances
Transport proteins functions in
Plasma proteins
What differs between ISF and plasma
Nucleus, organelles
Red blood cells do not have...
Squeeze through capillaries
Purpose of flexible membranes on RBCs
Hemoglobin
Found only in red blood cells
Globin chains, heme
Composition of hemoglobin
Heme
Ion containing group that helps carry oxygen in the blood (can carry 4 total)
Carry oxygen (also binds carbon dioxide, hydrogen, carbon monoxide)
Primary role of hemoglobin
Erythropoesis
Erythrocyte production
Bone marrow
Where does erythropoiesis occur
Multipotent stem cells
RBCs come from
Erythropoietin (hormone)
Stimulates erythropoiesis
120 days
RBCs survive about
2-3 million cells/second
Rate that RBCs are replaced
Spleen
Removes most of old erythrocytes
Anemia
Below-normal oxygen carrying capacity of the blood
Hematocrit
Anemia is diagnosed by measuring
Causes of anemia
Dietary deficiencies, blood loss, bone marrow failure, hemolytic anemia
Megakarocyte cell
Platelets come from
Thrombopoeitin
Hormone produced by the liver that increases the number of megakarocytes and therefore increases platelet production
Hemostasis
Prevents blood loss from a broken blood vessel
Vascular spasm
Formation of a platelet plug
Blood coagulation
Three steps of hemostasis
Vascular spasm
Reduces blood flow through a damaged vessel
Formation of a platelet plug
Platelets aggregate on contact with exposed collagen in damaged wall of the vessel
Platelets release ADP which causes surface of nearby circulating platelets to become sticky
Intrinsic and extrinsic
Two possible pathways of blood clot formation
Intrinsic pathway
Contact of platelets with foreign surface (ie. collagen)
Extrinsic pathway
Activator molecule from damaged endothelial cells
Final outcome of blood clot formation
Fibrinogen (soluble) --> fibrin (insoluble)
Pulmonary and systemic
Two circuits of the heart
Right ventricle
Pulmonary trunk
Pulmonary arteries
Lungs
Release carbon dioxide
Pick up oxygen
Pulmonary veins
Left atrium
what circuit
Pulmonary circuit
Left ventricle
Aorta
Whole body (tissues)
Vena cavas
Right atrium
what circuit
Systemic circuit
Left atrium, right atrium, left ventricle, right ventricle
Four chambers of the heart
Atria
Receive blood from veins
Ventricles
Pump blood into arteries
Systemic circuit
Right atrium
Pulmonary circuit
Left atrium
To lungs
Right ventricle
To body
Left ventricle
AV valves, semilunar valves
Two sets of valves
AV valves
Allow flow from Atria to ventricles and prevents backflow
Semilunar valves
Allow flow from ventricles to great arteries, prevents backflow
Passive valves
Open and close by pressure difference in chambers
Lub dub
Caused by closure of valves
Lub
Caused by closure of AV valves
Dub
Caused by closure of semilunar valves
Right atrium
Right AV valve
Right ventricle
Pulmonary semilunar valve
Pulmonary trunk and arteries
Lungs (pulmonary circuit)
Deoxygenated blood enters right side through the vena cava
Left atrium
Left AV valve
Left ventricle
Aortic semilunar valve
Aorta
Tissues (systemic circuit)
Oxygenated blood enters left side through pulmonary veins
Systole and diastole
The cardiac cycle consists of 2 parts
Systole
Ventricles contracting
Diastole
Relaxing and filling
Isovolumetric contraction
Ejection
Systole sequence of events
Isovolumetric contraction
Ventricles contract, but no blood ejected
Blood pressure rises above pressure in atria
AV valves shut (start of systole)
Ejection
Blood pressure in ventricles exceeds pressure in arteries
Semilunar valves open, blood flows out of ventricles, causing pressure in ventricles to fall
Isovolumetric relaxation
Rapid filling
Atrial contraction
Diastole sequence of events
Isovolumetric relaxation
Pressure in ventricles drops below arterial pressure
Semilunar valves prevent backflow of blood (shut)
No change in ventricular volume
Rapid filling
Pressure in ventricles falls below atrial pressure
AV valves open, allowing blood to flow into ventricles
Autorhythmic, contractile
Two specialized types of cardiac muscle cells
Autorhythmicity
Heart beats via
Autorhythmic cells
Do not contract
Initiate AP's and spread impulse throughout heart
Contractile cells
99% of cardiac muscle cells
Do mechanical work of pumping
Normally do not initiate own action potentials
SA node
AV node
Bundle of His
Right and left bundles branches
Purkinje fibers
Gap junctions
Myocardial cells
Electrical activity of heart sequence
Pacemaker
SA node functions as
EKG
Record of overall spread of electrical activity through heart
P
QRS
T
Stereotypical waveform
P wave
Atrial depolarization
QRS wave
Ventricular depolarization
T wave
Ventricular repolarization
Coronary vessels
Provide blood supply to heart during diastole
Coronary artery disease (CAD)
Leading cause of death in the United States
3 major steps of hemostasis
1. vascular spasm
2. formation of a platelet plug
3. blood coagulation (clotting)
what are the 2 heart valves
atrioventricular valve (AV) and semilunar valve (SV)
a heart beats via
auto rhythicity
2 specialized types of cardiac muscle cells
autorhythmic cells and contractile cells
autorhythmic cells
do not contract - initiate AP's and spread impulse throughout heart
contractile cells
99% of cardiac muscle cells, do mechanical work of pumping, normally don't initiate own action potentials
why is there an AV node conduction delay
to ensure the atria have fully contracted & emptied blood into the ventricles before the ventricles contract -- this delay is crucial for efficient blood flow & prevents premature ventricle contractions
coronary circulation
flow of blood to and from the tissues of the heart - delivered via coronary vessels
coronary vessels
supply the heart muscle with its blood supply (during diastole)
striated muscles
skeletal & cardiac
unstriated muscle
smooth
voluntary muscle
skeletal
involuntary muscle
cardiac & smooth
a muscle is defined as
number of muscle fibers bound by connective tissue
are muscle fiber and muscle cell that same thing
yes