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Tunica intima (tunica interna)
Innermost layer of blood vessel walls, composed of endothelium—simple squamous epithelium.
Tunica media
Middle layer of blood vessel walls, consisting of smooth muscle, collagen, and elastic tissue.
Tunica adventitia (tunica externa)
Outermost layer of blood vessel walls, made of loose connective tissue.
Vasa vasorum
Small vessels that supply blood to the outer half of the wall in larger vessels.
Elastic Arteries
Large conducting arteries such as the pulmonary trunk and aorta, with many elastic fibers.
Muscular Arteries
Medium-sized distribution arteries that go to specific organs, like the brachial and femoral arteries.
Resistance arteries
Small arteries with thick tunica media and very little tunica externa.
Arterioles
Smallest of the resistance arteries, controlling blood flow to various organs.
Capillaries
Smallest vessels with thin walls, part of the microvasculature, where exchange functions occur.
Continuous capillaries
Capillaries with complete endothelial lining, found in all tissues except certain areas.
Fenestrated capillaries
Capillaries with filtration pores allowing rapid exchange of water and small solutes.
Sinusoids
Capillaries with wide gaps between endothelial cells, allowing free exchange of large plasma proteins.
Precapillary Sphincter
Guards entrance to each capillary, opens and closes to regulate blood flow.
Veins
Capacitance vessels that are thin-walled, flaccid, and subject to low blood pressure.
Postcapillary venules
Smallest veins that are more porous than capillaries and exchange fluid with surrounding tissues.
Muscular venules
Receive blood from postcapillary venules and have one or two layers of smooth muscle.
Medium veins
Veins up to 10 mm in diameter with thin tunica media and thick tunica externa.
Large veins
Veins larger than 10 mm in diameter with smooth muscle in all three tunics.
Venous sinuses
Modified veins with thin walls, large lumens, and no smooth muscle.
Portal system
Blood flows through two consecutive capillary networks before returning to the heart.
Anastomosis
Convergence between two vessels other than capillaries.
Flow
Amount of blood flowing through an organ, tissue, or blood vessel at a given time (mL/min).
Perfusion
Flow per given volume or mass of tissue in a given time (mL/100g/min).
Blood pressure
Force blood exerts against a vessel wall, measured at the brachial artery.
Systolic pressure
Peak arterial BP taken during ventricular contraction.
Diastolic pressure
Minimum arterial BP taken during ventricular relaxation.
Pulse pressure
Difference between systolic and diastolic pressure.
Mean arterial pressure (MAP)
Diastolic pressure plus one-third of pulse pressure.
Peripheral resistance
Opposition to flow that blood encounters in vessels away from the heart.
Angiotensin II
Potent vasoconstrictor that raises blood pressure.
Aldosterone
Hormone that promotes sodium retention and increases blood volume and pressure.
Natriuretic peptides
Hormones secreted by the heart that increase sodium excretion.
Antidiuretic hormone (ADH)
Promotes water retention and raises blood pressure.
Diffusion
Movement of materials across capillary walls down concentration gradients.
Filtration
Driven by hydrostatic pressure, forcing water and small solutes through capillary walls.
Reabsorption
Process of drawing fluids back into the capillaries from the interstitial fluid.
Total blood flow to the brain
Fluctuates less than that of any other organ, approximately 700 mL/min.
Pulmonary circuit
Includes the pulmonary trunk, pulmonary arteries, and veins, facilitating gas exchange.
Tunica intima
Innermost layer of blood vessel walls, composed of endothelium, which repels blood cells and platelets.
Tunica adventitia
Outermost layer of blood vessel walls, made of loose connective tissue that anchors vessels to surrounding structures.
Blood flow to the brain
Fluctuates less than that of any other organ, with total flow at 700 mL/min.
Aorta
Major artery that branches off to supply blood to the body.
Mean arterial pressure (M A P)
Diastolic pressure plus one-third of pulse pressure.
Descending aorta
Passes downward
Thoracic aorta
Called the thoracic aorta above diaphragm
Abdominal aorta
Called the abdominal aorta below diaphragm
Common carotid arteries
Right and left common carotid arteries branch off the brachiocephalic trunk and aorta, respectively
External carotid artery
Gives rise to vessels that supply the neck and face
Internal carotid artery
Supplies the orbits and 80% of cerebrum
Dural venous sinuses
Blood-filled spaces between layers of dura mater that serve as large, thin-walled, modified veins
Internal jugular
Vein of the head and neck
External jugular
Vein of the head and neck
Internal thoracic artery
Branches from subclavian and is often used in bypass
Subclavian vein
Prominent vein carrying blood from shoulder region to heart
Brachial artery
Passes along humerus, branching just distal to elbow
Radial artery
Where pulse is taken
Ulnar artery
Vessel of the upper limb
Femoral vein
Sometimes used in bypass
Ascites
Abnormal abdominal distention due to accumulation of serous fluid in peritoneal cavity
Splenomegaly
Spleen enlarges and 'weeps' serous fluid
Transient ischemic attacks (TIA)
Brief episodes of cerebral ischemia caused by spasms of diseased cerebral arteries
Edema
Accumulation of excess fluid in a tissue
Hypovolemic shock
Loss of blood volume due to hemorrhage, diarrhea, vomiting, burns
Vascular shock
Normal blood volume with extreme vessel dilation
Coarctation
Narrowing of the aorta
Marfan's syndrome
A genetic defect of connective tissue that can lead to aortic aneurysm
Phlebitis
Inflammation of veins
Hematoma
Mass of blood; bruise
Hemangioma
Noncancerous tumors of tangled blood vessels and fibrous tissue
Petechiae
Pinpoint hemorrhages in the skin
Varicose veins
Bulging veins due to incompetent valves
Hemorrhoids
Varicose veins in the anal area
Orthostatic hypotension
Temporary low blood pressure and dizziness when rising
Atherosclerosis
Hardening of vessels due to plaque buildup
Aneurysm
Balloon-like bulge in an artery
Cardiac catheterization
Procedure to diagnose and treat cardiovascular conditions
CABG
Coronary Artery Bypass Graft, a type of bypass surgery
Metabolism of cardiac muscle
Cardiac muscle depends almost exclusively on aerobic respiration to make ATP.
Myoglobin and glycogen in cardiac muscle
Rich in myoglobin and glycogen.
Mitochondria in cardiac muscle
Huge mitochondria fill 25% of cell.
Fatigue resistance of cardiac muscle
Fatigue resistant because it makes little use of anaerobic fermentation or oxygen debt mechanisms.
Adaptability of cardiac muscle
Cardiac muscle is adaptable to different organic fuels.
Organic fuels used by cardiac muscle
Fatty acids (60%); glucose (35%); ketones, lactate, and amino acids (5%).
Vulnerability of cardiac muscle
More vulnerable to oxygen deficiency than lack of a specific fuel.
Location of the heart
Mediastinum, middle of the thoracic cavity where the heart is located.
Pericardium
Membrane surrounding heart.
Fibrous pericardium
Outer layer of the pericardium.
Serous pericardium
Inner layer of the pericardium.
Parietal layer of serous pericardium
Lines fibrous pericardium.
Visceral layer of serous pericardium
Adheres to heart surface and is outermost layer of heart itself.
Pericardial cavity
Space between parietal and visceral layers of serous pericardium, filled with 5 to 30 mL of pericardial fluid.
Heart wall layers
Three layers: epicardium, myocardium, and endocardium.
Epicardium
Visceral layer of serous pericardium; serous membrane covering heart.
Endocardium
Smooth inner lining of heart and blood vessels.
Myocardium
Layer of cardiac muscle; thickness is proportional to workload.
Fibrous skeleton
Collagenous and elastic fibers providing structural support and electrical insulation.
Atria
Most superior part of the heart, separated by interatrial septum.
Auricles
Flaps that allow for extra volume of blood.
Ventricles
Inferior to the atria, separated by interventricular septum.
Trabeculae carneae
Internal muscular ridges found in both ventricles.