Cardiovascular System BMLT

  1. The cardiovascular system has three types of blood vessels:
  • Arteries (and arterioles) – carry blood away from the heart
  • Capillaries – where nutrient and gas exchange occur
  • Veins (and venules) – carry blood toward the heart.
Blood Vessels

The Arteries

  • Arteries and arterioles take blood away from the heart.
  • The largest artery is the aorta.
  • The middle layer of an artery wall consists of smooth muscle that can constrict to regulate blood flow and blood pressure.
  • Arterioles can constrict or dilate, changing blood pressure.

The Capillaries

  • Capillaries have walls only one cell thick to allow exchange of gases and nutrients with tissue fluid.
  • Capillary beds are present in all regions of the body but not all capillary beds are open at the same time.
  • Contraction of a sphincter muscle closes off a bed and blood can flow through an arteriovenous shunt that bypasses the capillary bed.

Anatomy of a capillary bed

Anatomy of a capillary
Anatomy of a capillary


The Veins

  • Venules drain blood from capillaries, then join to form veins that take blood to the heart.
  • Veins have much less smooth muscle and connective tissue than arteries.
  • Veins often have valves that prevent the backward flow of blood when closed.
  • Veins carry about 70% of the body’s blood and act as a reservoir during hemorrhage.

The Heart

  • The heart is a cone-shaped, muscular organ located between the lungs behind the sternum.
  • The heart muscle forms the myocThe ardium, with tightly interconnect cells of cardiac muscle tissue.
  • The pericardium is the outer membranous sac with lubricating fluid.
  • The heart has four chambers: two upper, thin-walled atria, and two lower, thick- walled ventricles.
  • The septum is a wall dividing the right and left sides.
  • Atrioventricular valves occur between the atria and ventricles – the tricuspid valve on the right and the bicuspid valve on the left; both valves are reenforced by chordae tendinae attached to muscular projections within the ventricles.
External Heart Anatomy
External Heart Anatomy


Coronal Artery Circulation
Coronal Artery Circulation

Passage of Blood Through  the Heart

Blood follows this sequence through the heart: superior and inferior vena cava → right atrium → tricuspid valve → right ventricle → pulmonary semilunar valve → pulmonary trunk and arteries to the lungs
→ pulmonary veins leaving the lungs → left atrium → bicuspid valve → left ventricle → aortic semilunar valve → aorta → to the body.

Internal View of the Heart
Internal View of the Heart

  • The pumping of the heart sends out blood under pressure to the arteries.
  • Blood pressure is greatest in the aorta; the wall of the left ventricle is thicker than that of the right ventricle and pumps blood to the entire body.
  • Blood pressure then decreases as the cross-sectional area of arteries and then arterioles increases.
Path of blood through the heart
Path of blood through the heart

Heart beat

  • Each heartbeat is called a cardiac cycle.
  • When the heart beats, the two atria contract together, then the two ventricles contract; then the whole heart relaxes.
  • Systole is the contraction of heart chambers; diastole is their relaxation.
  • The heart sounds, lub-dup, are due to the closing of the atrioventricular valves, followed by the closing of the semilunar valves.

Intrinsic Control of Heartbeat

  • The SA (sinoatrial) node, or pacemaker, initiates the heartbeat and causes the atria to contract on average every 0.85 seconds.
  • The AV (atrioventricular) node conveys the stimulus and initiates contraction of the ventricles.
  • The signal for the ventricles to contract travels from the AV node through the atrioventricular bundle to the smaller Purkinje fibers.
Conduction system of the heart
Conduction system of the heart

Extrinsic Control of Heartbeat

  • A cardiac control center in the medulla oblongata speeds up or slows down the heart rate by way of the autonomic nervous system branches: parasympathetic system (slows heart rate) and the sympathetic system (increases heart rate).
  • Hormones epinephrine and norepinephrine from the adrenal medulla also stimulate faster heart rate.

The Electrocardiogram

  • An electrocardiogram (ECG) is a recording of the electrical changes that occur in the myocardium during a cardiac cycle.
  • Atrial depolarization creates the P wave, ventricle depolarization creates the QRS wave, and repolarization of the ventricles produces the T wave.
Electrocardiogram
Electrocardiogram

The Vascular Pathways

  1. The cardiovascular system includes two circuits:
  2.  Pulmonary circuit which circulates blood through the lungs
  3. Systemic circuit which circulates blood to the rest of the body.
  4. Both circuits are vital to homeostasis.
Cardiovascular system diagram
Cardiovascular system diagram

The Pulmonary Circuit

  • The pulmonary circuit begins with the pulmonary trunk from the right ventricle which branches into two pulmonary arteries that take oxygen-poor blood to the lungs.
  • In the lungs, oxygen diffuses into the blood, and carbon dioxide diffuses out of the blood to be expelled by the lungs.
  • Four pulmonary veins return oxygen- rich blood to the left atrium.

The Systemic Circuit

  • The systemic circuit starts with the aorta carrying O2-rich blood from the
  • left ventricle.
  • The aorta branches with an artery going to each specific organ.
  • Generally, an artery divides into arterioles and capillaries which then lead to venules.
  • The vein that takes blood to the vena cava often has the same name as the artery that delivered blood to the organ.
  •  In the adult systemic circuit, arteries carry blood that is relatively high in oxygen and relatively low in carbon dioxide, and veins carry blood that is relatively low in oxygen and relatively high in carbon dioxide.
  • This is the reverse of the pulmonary circuit.
Arteries and veins of the Systemic Circuit
Arteries and veins of the Systemic Circuit

  • The coronary arteries serve the heart muscle itself; they are the first branch off the aorta.
  • Since the coronary arteries are so small, they are easily clogged, leading to heart disease.
  • The hepatic portal system carries blood rich in nutrients from digestion in the small intestine to the liver, the organ that monitors the composition of the blood.

Blood Flow

  • The beating of the heart is necessary to homeostasis because it creates pressure that propels blood in arteries and the arterioles.
  • Arterioles lead to the capillaries where nutrient and gas exchange with tissue fluid takes place.

Blood Flow in Arteries

  • Blood pressure due to the pumping of the heart accounts for the flow of blood in the arteries.
  • Systolic pressure is high when the heart expels the blood.
  • Diastolic pressure occurs when the heart ventricles are relaxing.
  • Both pressures decrease with distance from the left ventricle because blood enters more and more arterioles and arteries.

Blood Flow in Capillaries

  • Blood moves slowly in capillaries because there are more capillaries than arterioles.
  • This allows time for substances to be exchanged between the blood and tissues.