The Cardiovascular System Flashcards
Describe the composition of blood
- formed elements
- majority RBC
- % RBC in centrifuged blood sample = hematocrit
- plasma
- H2O, dissolved solutes
- ions, metabolites, hormones, antibodies
Name the proteins in plasma
-
Albumin
- Creates colloid osmotic pressure
- Maintains blood volume and pressure
-
Globulins
- Carry lipids
- Gamma globulins = antibodies
-
Fibrinogen
- Clotting factors
- Converts to fibrin
- Serum is left after blood clots
Describe the properties of RBC
- Flattened biconcave discs
- Increases SA for diffusion
- Lacks nuclei and mitochondria
- Each holds 280M hemoglobin molecules
- 300M RBCs produced every day
Describe the general structure of blood vessels (three layers)
-
Tunica externa
- collagen fibres for protection and structural reinforment
- loose connective tissue
-
Media
- smooth muscle, collagen, elastic fibres
- initiate vasoconstriction/vasodilation
-
Tunica interna
- endothelium (simple squamous endothelium): selectively permeable barrier
- basement membrane
- thin layer of connective tissue
Describe the features of arteries
- Carries blood away from the heart
-
Elastic arteries
- Largest and thickest
- More elastin to withstand high blood pressure
- Expands during systole, recoils during diastole → maintains smooth blood flow
-
Muscular arteries
- Most abundant
- Deliver blood to specific organs
-
Arterioles
- Smallest
- Lead into capillary beds
Describe the features of capillaries
- Networks between arteries and veins
- Extensive SA → Exchanges dissolved gases, nutrients, wastes
- Determinded by precapillary sphincters → controls location of blood flow to where it is needed
Describe the three types of capillaries
-
Continuous capillaries
- Found in skin and muscle
- Endothelial cells tightly joined
- Narrow intercellular channels → exchange of molecules smaller than proteins
- In muscle, lungs, adipose tissue
-
Fenestrated capillaries
- Filtration pores that penetrate endothelial lining
- Rapid passage of small molecules
- In brain, endocrine organs, intestinal tract, kidneys
-
Sinusoids
- irregular blood-filled spaces
- wide gaps
- allows entry of albumin, clotting factors, proteins from the liver
Describe features of veins
- Carries blood towards heart
- Large lumen, low blood pressure → Contains majority of blood
- Compliant (expands readily)
- Blood moved towards heart by skeletal muscle pump
- 1-way venous valves → blood moves in one direction
Describe the three layers of the heart
- Heart wall
- Epicardium (outer layer)
- Covers the heart
-
Myocardium
- Thick muscular wall in the middle
- Concentric layers of cardiomyocytes
- Coil around heart in a spiral (vortex)
- Wringing contraction to enhance blood ejection
-
Endocardium
- Lines interior of heart chambers
- Cover the valves
Describe features of the cardiac muscle tissue
- Intercalated discs (dark bands)
- Single, central nucleus
- Branching interconnections between cells
- Linked by gap junctions → enable communication, form channels for movement of ions
Describe the structure of the heart
- 2 atria: receive blood from venous system
- 2 ventricles: pump blood to arteries
- Right ventricle wall: thinner, less pressure, pouch-shaped
-
Cardiac (fibrous) skeleton
- Layer of dense connective tissue
- Structural support
- Electrical insulation between atria and ventricles → prevents electrical signal from going to ventricles
- 2 pumps separated by muscular septum
Right ventricle VS Left ventricle
- Right: Thinner, develops less pressure, pouch-shaped
- Left: round
Describe the valves of the heart
- Each valve consists of 2-3 cusps: fibrous flaps of tissue
-
Atrioventricular valves: between atria and ventricles
- Tricuspid: between RA and RV
- Bicuspid: between LA and LV
- Closing causes “lub” sound
-
Semilunar valves
- Pulmonary valves: between pulmonary arteries and RV
- Aortic valves: between aorta and LV
- Closing causes “dub” sound
Describe the two types of cardiac muscle cells
- Conducting/pacemaker cells: initiates and conducts electrical impulses, controls and coordinates heartbeat
- Contractile/myocardial cells: stimulated by electrical impulses, produce contractions to propel blood
Describe the cardiac cycle
- SA node: impulse to atria, atria contracts
- AV node: delays impulse to ventricle, ensure atria has ejected all blood into ventricles
- AV Bundle (Bundle of His)
- Left and right bundle branches
- Purkinje fibres
- Papillary muscles contract
- Ventricular muscles contract
Describe the features of the SA node
- In the posterior wall of RA
- Contains pacemaker cells
- Connected to AV node by internodal pathways
- Does not contract, only generates signals
Distinguish the features of an electrocardiogram
- P wave: atria depolarize → systole (atria contracts)
- P-Q segment: time for signals to travel from SA node to AV node
- QRS complex: ventricular depolarize + atria repolarize (obscured)
- S-T segment: plateau in myocardial action potential → ventricles contract
- T wave: ventricles repolarize → diastole (ventricles relax)
Describe the action potential in pacemaker cells
- Resting membrane potential: -60mV
- Pacemaker potential: “funny” channels allow slow influx of sodium ions → spontaneous depolarization reaches threshold -40mV
- Rising (depolarization): calcium channels allow influx of calcium ions
- Falling (repolarization): potassium channels allow outflow of potassium ions → returns to -60mV
Describe the action potential in contractile/myocardial cells
- Resting membrane potential: -90mV
- Sodium, calcium ions leak thru gap junctions to the adjacent cell → threshold -70mV
- Rapid depolarization: Fast sodium channels allow rapid influx of sodium ion
- Early repolarization: Fast sodium channels close, potassium channels allow outflow of potassium ions
- Plateau: Slow calcium channels allow influx of calcium ions to balance potassium efflux
- Repolarization: Potassium efflux predominates → returns to -90mV
Compare contraction and refractory periods of cardiac and skeletal muscles
-
Contraction
- Cardiac muscle: contracts longer due to plateau phase → allows expulsion of blood from heart chambers
-
Refractory period
- Cardiac muscle: longer → ensures muscles have relaxed before responding to new stimulus, prevents summation and tetany