Circulation of Blood Flashcards

1
Q

Learning outcomes

A

• To recognise the basic anatomy and the function of the major components of the CVS, including the heart (including valves), arteries, veins and microcirculation.
• To identify which body systems the CVS integrates with, and how secondary nervous and hormonal elements control the function of the CVS.
• To describe the normal distribution and flow of blood through the pulmonary and systemic circulations.
• To compare the features of myocardial muscle with skeletal muscle.

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2
Q

What are 5 functions of the cardiovascular system?

A

• Functions of the CV system:
1) Bulk flow of materials e.g gas, nutrients, hormones, waste
2) Temperature regulation
3) Homeostasis
4) Host defence
5) Reproduction

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3
Q

What function does the CNS have in relation to the CVS system?

What function does the sympathetic and parasympathetic nervous system have on the CVS system?

A
  • The CNS integrates overall activity of the CVS with the activity and functions of the respiratory and renal systems

The CNS control the autonomic ns and hormones, both of which have an effect on blood volume, blood vessels and heart

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4
Q

Why is the wall of the left ventricle thicker than the right ventricle?

Describe the route of blood through the pulmonary and systemic circulation (in picture).

A
  • The wall of the left ventricle is thicker than the right wall because the left side pumps to the whole body, while the right side only pumps to the lungs
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5
Q

How are blood vessels arranged in parallel?

What are 3 reasons why parallel arrangement of blood vessels important?

A
  • Blood vessels are arranged in parallel through having capillary beds that branch at different organs
  • Parallel arrangement of blood vessels is important because:
    1) Can have more or less blood flow to a particular organ
    2) If an organ gets blocked, it doesn’t compromise the entire blood flow
    3) Allows adaptations to the metabolic demands of tissues e.x sweating or exercise may need to increase volume and rate of blood flow
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6
Q

Why do both sides of the heart need to contract at the same time?

A
  • Both sides of the heart contract at the same time to prevent a build-up of blood in the blood vessels, which can lead to heart failure
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7
Q

what vessels are involved in the microcirculation of the heart?

A
  • arterioles
  • precapillary sphincters
  • capillaries
  • venules
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8
Q

what does the parallel arrangement of the cardiovascular system allow?

A
  • it allows independent regulation of blood flow to different organs
  • adapts to metabolic demands of the tissues.
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9
Q

What are 3 major differences between arteries and veins?

A
  • The lumen of veins is significantly larger than arteries because veins carry a greater volume of blood than arteries
  • Arteries (particularly muscular arteries) contain significantly more smooth muscle and veins contain more collagen and elastic fibres.
  • This is due to arteries (especially muscular arteries) handling blood at higher pressure than veins, and veins carrying a greater volume of blood
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10
Q

What are all blood vessels lined by?

What are the 4 functions of these cells?

A
  • All blood vessels are lined by endothelial cells
  • 4 functions of endothelial cells:
    1) Filtration of fluids
    2) Blood vessel size regulation
    3) Haemostasis – process to prevent and stop bleeding
    4) Transport of substances throughout the body
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11
Q

what do blood vessels vary in?

A

1) Number
2) Diameter
3) Wall thickness
4) Smooth muscle
5) Elastic tissue
6) Fibrous tissue

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12
Q

describe arterioles as a feature of the microcirculation?

A

arterioles = the smallest diameter muscular walled arteries

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13
Q

describe precapilarry sphincters as a feature of the microcirculation?

A

2) Precapillary sphincters
* Rings of smooth muscle which control entry of blood from arterioles into each capillary
* No capillary is constantly filled, otherwise all the blood in the body would be in the capillaries
* Precapillary sphincters prevent this

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14
Q

describe capillaries as a feature of the microcirculation?

A

3) Capillaries
* Smallest diameter blood vessel
* Simple tube, one cell thick, of flattened endothelial cells
* Allows for diffusion of nutrients, waste etc in and out of tissues
* About 10 billion capillaries

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15
Q

describe venules as a feature of microcirculation?

A

4) Venules
* Small diameter vessels which drain blood back to the larger true veins

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16
Q

Label these heart structures

A
17
Q

what is the ultimate function of the cardiovascular system?

A

is to ensure adequate blood flow through the capillaries to various organs.
- almost all cell are within a few cell diameters of a capillary
- around 10 billion capillaries with around 5l of blood.

18
Q

describe the 2 types of atrioventricular valves and how do they open?

A

THEY OPEN PASSIVELY!!

2 atrioventricular valves
- tricuspid = between right atrium and right ventricle
- bicuspid (mitral) = between left atrium and left ventricle

  • fairly flimsy
  • attached to chorine tendinae,
    which don’t close the valves, but keep the valves closed (prevent prolapse during systole)
19
Q

how do the valves open/close?

A
  • Blood comes into the ventricle from the atria
  • When the ventricle contracts, it pushes blood back against the valves and closes them due to the change in pressure
20
Q

What are the 2 semi-lunar valves?

How strong are these valves compared to atrioventricular valves?

How do these valves close?

A
  • 2 semi-lunar valves:

1) Aortic valve (3 semi-lunar cusps)= Between left ventricle and aorta

2) Pulmonary valve (3 semi-lunar cusps)= Between the right ventricle and pulmonary trunk

  • These valves are heavy duty then the atrioventricular valves
  • The tri-cuspid valves have smaller openings, higher pressure, therefore have more stress and physical abrasion
21
Q

what helps to keep the semi lunar valves open?

A
  • The rigidity of these semi-lunar valves is what helps keep them closed
22
Q

What is an echocardiogram?

A

• An echocardiogram (or echo) is a scan used to look at the heart and nearby vessels
• It is an ultrasound of the heart

23
Q

What is the structure of cardiac cells?

How are they connected together?

What do these intercalated disks contain?

A
  • Cardiac muscle cells branch into a network
  • Cardiac cells are connected together by desmosomes at the junction between cells, which gives strong cell to cell adhesion and forms intercalated disks
  • These intercalated disks also contain gap junctions that directly connect the cytoplasm and permit and easy transfer of ions between cells.
24
Q

what does gap junction connections between cytoplasms allow?

A
  • The gap junctions directly connect the cytoplasm of muscle cells and permit the easy transfer of ions between cells, meaning the cells are electrically connected, which produces a functional syncytium
25
Q
  • what is functional syncytium?
  • what does it allow?
A
  • A functional syncytium is a unit of contraction comprised of a network of electrically connected cardiac muscle cells.
  • Functional syncytium allows the heart to work as a unit and provides synchronous (occurring at the same time) contraction of the heart cells
  • This means if an electrical event (via the SA node) depolarises the cells in one region of the heart, it will spread over the whole heart
26
Q

What are features of the cardiac muscle?

A

• Features of the cardiac muscle:
• Striated muscle similar to skeletal muscle
• Composed of thick and thin filaments of myosin and actin
• Cardiac muscle contains smaller fibres with individual nuclei

27
Q

what are the 4 conduction parts of the cardiac muscle?

A
  • functional syncytium
  • conduction network
  • pacemaker activity
  • autonomic innervation.
28
Q

functional syncytium in conduction in cardiac muscle?

A
  • cells of arterial myocardium are all electrically connected
  • depolarise and contract synchronously
  • ventricles are similar but are a separate functional unit.
29
Q

describe the conduction network as a part of the conduction in cardiac muscle?

A

around less than 1% of cardiac fibres don’t contract, but form the excitatory and conducive muscles fibres.

30
Q

descrie pace maker activity as part of the conduction in cardiac muscle?

A
  • sinoarterial node in the intrinsic pacemaker
  • other areas have pacemaker ability
31
Q

describe the autonomic innervation in conduction in cardiac muscle?

A
  • sympathetic nerves increase the rate of SAN depolarisation
    • The excitability of all portions of the heart is increased by sympathetic stimulation, reducing conduction time.
  • Parasympathetic nerves decrease the rate of SAN depolarisation.
  • The excitability of AV junctional tissue is lowered by parasympathetic stimulation, slowing transmission of the pacemaker impulse to the ventricles.
32
Q

what is the circulatory system made up of?

A

cardiovascular system
lymphatic system

33
Q

what is the cardiovascular system made up of?

A

material system
the heart
the venue system

34
Q

conduction system of the heart?

A
  1. Electrical impulse starts at SA node - atria contract
  2. Impulse travels to AV node at AV septum
  3. Impulse travels down left and right bundles in the IV septum
  4. Impulse spreads out to myocardium through conducting fibers - ventricles contract
35
Q

what is sympathetic tone?

A
  • background, low level contraction of smooth muscle in arterioles
  • Due to tonic production of action potentials to arterioles by sympathetic nerves
36
Q

infarction?

A

irreversible cell death due to hypoxia caused by loss of arterial bloody supply