heart and circulatory system Flashcards

1
Q

what is a single circulatory system?

A

blood flows in 1 circuit around the body
eg in fish

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2
Q

what is a double circulatory system?

A

blood flows in 2 circuits around the body
- from the heart to the lungs
- from the heart to the rest of the body
eg humans

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3
Q

what are the advantages of a double circulatory system?

A
  • higher blood pressure, especially to the body
  • higher blood flow to body tissues
  • oxygenated and deoxygenated
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4
Q

arteries - structure and function

A
  • thick elastic wall (allows it to withstand high pressure of the blood)
  • small, narrow lumen
  • able to stretch ad recoil
  • carry oxygenated blood (apart from pulmonary artery) away from the heart
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5
Q

capilleries - structure and function

A
  • thin walls are 1 cell thick (short diffusion path)
  • carry blood from arteries to veins
  • smallest blood vessels (7-10μm)
  • red blood cells must pass through single file
  • large surface area
  • function is gas exchange
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6
Q

veins - structure and function

A
  • thin wall
  • wide lumen (able to hold a large volume of blood)
  • valves (prevet backflow of blood)
  • carry deoxygenated blood to the heart (apart from pulmonary vein)
  • low pressure
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7
Q

what are the main blood vessels in the heart? (4)

A
  1. pulmonary vein
  2. aorta - main artery
  3. vena cava - main vein
  4. pulmonary artery
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8
Q

what type of blood does the pulmonary vein carry, from where and where to?

A

oxygenated blood from lungs to left atrium

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9
Q

what type of blood does the aorta carry, from where and where to?

A

oxygenated blood from left atrium to body

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10
Q

what type of blood does the vena cava carry, from where and where to?

A

deoxygenated blood from body to right artrium

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11
Q

what type of blood does the pulmonary artery carry, from where and where to?

A

deoxygenated blood from right artrium to lungs

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12
Q

why do ventricles have thicker walls than atria?

A

ventricles have to pump blood further

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13
Q

what controls the natural resting heartbeat?

A

pacemaker cells (from the sinoatrial node) in the right atrium

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14
Q

explain blood flow in the heart

A
  • heart relaxes and blood enters both atria
  • atria contract at the same time which forces blood into both ventricles
  • ventricles contract from the bottom upwards which forces blood into the pulmonary artery/ aorta
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15
Q

when are the atrioventricular valves open/shut?

A

open when atria contract and force blood into vetricles, shut when ventricles cotract force blood into aorta/ pulmonary artery

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16
Q

what is the function of the atrioventricular valves?

A

open to let blood through and then shut to prevent the backflow of blood

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17
Q

what is blood made up of?

A
  • 55% plasma
  • 45% red blood cells
  • ~1% white blood cells
  • ~1% platelets
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18
Q

function and structure of plasma

A
  • straw coloured liquid
  • trasports many substaces in the blood like hormones, antibodies, nutrients and waste substances
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19
Q

function and structure of platelets

A
  • cell fragments
  • help the clotting process at wound sites
20
Q

function and structure of white blood cells

A
  • can change shape to exit blood vessels and chase pathogens
  • lymphocytes and phagocytes
  • large nucleus for immunological memory
  • destroy pathogens and create antitoxins
21
Q

function and structure of red blood cells

A
  • very small so they can pass through capilleries
  • biconcave so they have a large surface area:volume ratio which increases rate of diffusion of oxygen
  • no nucleus to increase space for haemoglobin
22
Q

how many red blood cells are there in 1 mm³?

A

around 5 million which means that blood is able to transport oxygen efficiently

23
Q

how do red blood cells carry oxygen?

A
  • haemoglobin binds to oxygen at a a high concentration (eg in the lungs) to form oxyhaemoglobin
  • the bonds between oxygen and haemoglobin are weak and reversible so oxyhaemoglobin dissociates to haemoglobin and oxygen in low oxygen concentrations (eg body tissues that need oxygen)
24
Q

what is cardiac rate?

A

volume of blood flowing out of the heart in 1 min

25
Q

what is stroke volume?

A

volume of blood pumped out of the heart each heartbeat

26
Q

cardiac rate = ?

A

heart rate x stroke volume

27
Q

why does heart rate increase when you excericise?

A

when you excercise… >muscles need more energy > need more glucose and oxygen for respiration > heart has to beat faster to supply body tissues and muscles with blood (which contains glucose and oxygen) > therefore heart rate increases

28
Q

what happens when you have coronary heart disease?

A
  • fatty material builds up in the coronary artery
  • reduces blood flow
  • less oxygen and glucose reaches the blood for respiration
  • less energy is available for heart to contract
  • cells become starved of nutrients which could lead to heart attack
29
Q

what could lead to faulty valves?

A
  • heart attack
  • infection
  • old age
30
Q

what problems would faulty valves cause?

A

may not open fully or could leak causing oxygenated and deoxygenated blood to mix which could lead to a lower overall concentration of oxygen in the blood meaning less repiration can take place so the person has less energy

31
Q

risk factors for coronary heart diseases

A
  • genetics (heriditary)
  • gender (men are more likely)
  • age (older are more likely)
  • diet and excercise
  • smoking
32
Q

what are stents and how do they work?

A
  1. stent pushed through catheter into position
  2. ballon inflated, expanding stent and widening the narrow coronary artery
  3. catheter take out, leaving stent to open up artery
33
Q

pros of stents

A
  • quick
  • cheap
  • blood can flow right away
  • little risk
    -reduces chance of heart attack/death
34
Q

cons of stents

A

fatty deposits could build up again, making it no longer effective

35
Q

what treatement can be used if someone cannot control their natural heart rate?

A

artifical pacemaker - wire passed from a vein to the right atrium to send electrical impulses to the heart to control heartbeat

36
Q

pros and cons of artificial pacemaker

A

pro - major surgery is not required
con - immune system can reject the pacemaker, may need replacing

37
Q

what are statins?

A

drugs that control high cholesterol levels by stopping the liver from producing as much cholesterol

38
Q

pros of statins

A
  • no surgery required
  • slows deposit of fat
  • reduces cholesterol
39
Q

cons of statins

A
  • side effects like insomia and drowsiness
  • cause liver and kidney damage
40
Q

what treatement can be used for faulty valves?

A

replacement valves (2 types)
-bovine
- living human

41
Q

pros of bovine valve replacement

A
  • red blood cells are not damaged
  • more bovine valves available
  • not open heart surgery (safer)
  • quicker and cheaper
42
Q

cons of bovine valve replacement

A
  • attached to stent and inserted inside existing faulty valve
  • valves could harden and need replacing
  • new procedure (2017) unknown risks
  • blood clots
  • stent breaking, valve tearing
43
Q

pros of living human valve replacement

A
  • red blood cells are not damaged
  • first used in 1962 (tried and tested)
  • old valve removed, new one installed
44
Q

cons of living human valve replacement

A
  • takes may years to find suitable match due to tissue typing
  • open heart operation (more dangerous)
  • chance of rejection
45
Q

pros and cons of heart transplants

A

pro - replaces diseased heart with new working one, long term fix
cons - long waiting list, chance of rejection and infection