The cardiovascular system consists of the heart and blood vessels, playing a crucial role in transporting blood throughout the body.
Understand the structure and function of the cardiovascular system, focusing on blood vessels.
Introduction to key concepts of cardiovascular anatomy and physiology.
Understanding One Cardiac Cycle
Phases of the cardiac cycle: Atrial Diastole, Atrial Systole, Ventricular Diastole, and Ventricular Systole.
Key Events
Atrial contraction begins.
Atria eject blood into ventricles.
AV valves close after atrial systole.
Isovolumetric ventricular contraction occurs.
Ventricular ejection takes place.
Semilunar valves close.
Isovolumetric relaxation occurs.
AV valves open for passive atrial filling.
Types of Cardiac Cells:
Contractile cells form the bulk of atrial and ventricular walls.
They differ from skeletal muscle fibers; they maintain prolonged depolarization to enable maximal contraction.
Refractory Periods:
Blue = Absolute Refractory Period
Pinkish Orange = Relative Refractory Period
Three steps of action potential in cardiomyocytes:
Rapid depolarization due to sodium influx.
Plateau phase from calcium influx balancing sodium efflux.
Repolarization occurs as potassium exits, following calcium closure.
Long refractory period prevents premature contractions.
Pacemaker cells rest at -60 mV due to HCN channels that allow spontaneous depolarization, critical for initiating action potentials.
Autorhythmicity determines heart rhythm and ensures continuous contraction without skipping beats.
The Sinoatrial (SA) node sets the base heart rate (approx. 90 bpm).
The Atrioventricular (AV) node can maintain heart rate (~50 bpm) in absence of SA node input.
The AV node acts as a gatekeeper to slow electrical impulses to the ventricles, preventing excessive rapid heart rates.
The cardiac plexus innervates the heart via sympathetic and parasympathetic divisions:
Sympathetic Division: Increases heart rate release of norepinephrine (tachycardia).
Parasympathetic Division: Decreases heart rate via acetylcholine (bradycardia).
Baroreceptors monitor blood pressure and respond to changes with appropriate cardiac activity adjustments.
Declines in BP typically elicit an increase in cardiac output to meet tissue demands.
Summary of heart rate regulation mechanisms involving autonomic nervous system pathways and hormonal influences.
Key players include cardiac centers in the medulla, vagus nerve control, sympathoadrenal system, etc.
Cardiac output adjustments maintain blood pressure:
When blood pressure fluctuates above or below normal, corresponding cardiac center reflex responses occur.
The heart releases natriuretic peptides to regulate blood pressure in response to increases in circulatory volume.
Chemoreceptors regulate heart rate by monitoring blood pH and CO2 levels, activating the cardioacceleratory center when necessary.
Cardiac work can be analyzed through pressure-volume graphs, where the area under the plot represents work done by the heart during circulation.
Circuits:
Pulmonary Circuit: Involves pulmonary arteries/veins.
Systemic Circuit: Comprised of systemic arteries and veins.
Vasculature Characteristics:
A closed circulatory system featuring arteries, veins, and capillaries.
Functionality of blood vessels differs; arteries carry blood away, while veins return it, and capillaries enable exchange of materials.
Capillary Types:
Continuous: Least permeable, found in various body regions.
Fenestrated: More permeable, ideal for hormone access.
Sinusoidal: Most permeable, allowing extensive cell traffic; found in liver and lymphatic organs.
Capillary beds function as interconnected loop systems, adapting blood flow as needed through sphincter control.
Veins serve as capacitance vessels and maintain blood flow through valves and muscle contractions.
Describe the structure of venules and larger veins in comparison with arteries, with a focus on tunica layers and overall functionality.
Understand the variations in blood pressure across blood vessels and potential issues caused by excessive pressure.
Review parameters such as blood flow velocity and total cross-sectional area across various vessel types focusing on pressures and capacities.
Overview of blood distribution within the cardiovascular system, outlining various segments and their percentages in overall blood volume.
Discuss autoregulation mechanisms, including vasodilation and vasoconstriction cues, along with nervous and endocrine controls involved in circulation regulation.
Review the dynamics of capillary filtration, emphasizing factors driving the movement of fluids and solutes across capillary walls, focusing on hydrostatic and osmotic pressures.
A comprehensive understanding of the cardiovascular system's anatomy and physiology, including the functioning of the heart, blood vessels, and regulatory mechanisms is critical for medical and health-related fields.