Week-9-Part-1-Cardiovascular-System PDF

Chapter 9 (Part 2) Cardiovascular System See separate PowerPoint slides for all figures and tables pre- inserted into PowerPoint without notes. Copyright © McGraw-Hill Education. Permission required for reproduction or display. 1 ...

Chapter 9 (Part 2) Cardiovascular System See separate PowerPoint slides for all figures and tables pre- inserted into PowerPoint without notes. Copyright © McGraw-Hill Education. Permission required for reproduction or display. 1  2 Copyright © McGraw-Hill Education. Permission required for reproduction or display. Components of Cardiovascular System The Heart Blood Vessels Blood 3 Copyright © McGraw-Hill Education. Permission required for reproduction or display.  Copyright © McGraw-Hill Education. Permission required for reproduction or display. Carotid artery Jugular vein Aorta Pulmonary trunk Heart Brachial artery Inferior vena cava Femoral artery and vein 4 Copyright © McGraw-Hill Education. Permission required for reproduction or display.  Functions 1. Regulates blood supply 2. Generates blood pressure 3. Routes blood 4. Ensures 1 way blood flow Copyright © McGraw-Hill Education. Permission required for reproduction or display.  Heart Characteristics Copyright © McGraw-Hill Education. Permission required for reproduction or display. Larynx Trachea Superior vena cava Aortic arch Size: size of a fist and weighs less Right lung Pulmonary trunk Left atrium Right atrium Left lung Right ventricle Rib Left ventricle than 1 lb. Apex of heart Location: Visceral pleura Pleural cavity Parietal pleura between lungs in thoracic Diaphragm (a) Anterior view cavity Orientation: Midclavicular line apex (bottom) towards left side 2nd intercostal space Sternum Apex of heart 5th intercostal space (b) 6 Copyright © McGraw-Hill Education. Permission required for reproduction or display. Heart Coverings Pericardium: double-layered sac that anchors and protects heart Parietal pericardium: membrane around heart’s cavity Visceral pericardium: membrane on heart’s surface Pericardial cavity: space around heart 7 Copyright © McGraw-Hill Education. Permission required for reproduction or display.  Heart Layers Epicardium: surface of heart (outside) Myocardium: thick, middle layer composed of cardiac muscle Endocardium: smooth, inner surface 8 Copyright © McGraw-Hill Education. Permission required for reproduction or display.  Cardiac Muscle 1 centrally located nucleus Branching cells Rich in mitochondria Striated (actin and myosin) Ca2+ and ATP used for contractions Intercalated disks connect cells 9 Copyright © McGraw-Hill Education. Permission required for reproduction or display. Chambers and Blood Vessels 4 Chambers: - left atrium (LA) - right atrium (RA) - left ventricle (LV) - right ventricle (RV) Coronary sulcus: separates atria from ventricles 10 Copyright © McGraw-Hill Education. Permission required for reproduction or display.  Atria Upper portion Holding chambers Small, thin walled Contract minimally to push blood into ventricles Interatrial septum: separates right and left atria 11 Copyright © McGraw-Hill Education. Permission required for reproduction or display.  Ventricles Lower portion Pumping chambers Thick, strong walled Contract forcefully to propel blood out of heart Interventricular septum: separates right and left ventricles 12 Copyright © McGraw-Hill Education. Permission required for reproduction or display. Copyright © McGraw-Hill Education. Permission required for reproduction or display.  Valves What are they? structures that ensure 1 way blood flow Atrioventricular valves (AV): between atria and ventricles - Tricuspid valve: - AV valve between RA and RV - 3 cusps 14 Copyright © McGraw-Hill Education. Permission required for reproduction or display.  - Bicuspid valve (mitral): - AV valve between LA and LV - 2 cusps Chordae tendineae: - attached to AV valve flaps - support valves 15 Copyright © McGraw-Hill Education. Permission required for reproduction or display.  Semilunar valves: - Pulmonary: base of pulmonary trunk - Aortic: base of aorta 16 Copyright © McGraw-Hill Education. Permission required for reproduction or display. Copyright © McGraw-Hill Education. Permission required for reproduction or display.  What happens when Bicuspid Valve is Open? Blood flows from LA into LV. Aortic semilunar valve is closed. Tension on chordae tendineae is low. 18 Copyright © McGraw-Hill Education. Permission required for reproduction or display. What happens when Bicuspid Valve is Closed? Blood flows from LV into aorta. Aortic semilunar valve is open. Tension on chordae tendineae is high. 19 Copyright © McGraw-Hill Education. Permission required for reproduction or display. Copyright © McGraw-Hill Education. Permission required for reproduction or display.  Right Side of Heart Pulmonary circuit: - carries blood from heart to lungs - blood is O2 poor, CO2 rich 21 Copyright © McGraw-Hill Education. Permission required for reproduction or display.  Right Atrium: - receives blood from 3 places: superior and inferior vena cava and coronary sinus - Superior vena cava: drains blood above diaphragm (head, neck, thorax, upper limbs) - Inferior vena cava: drains blood below diaphragm (abdominopelvic cavity and lower limbs) - coronary sinus: drains blood from myocardium 22 Copyright © McGraw-Hill Education. Permission required for reproduction or display.  Right Ventricle: - opens into pulmonary trunk - Pulmonary trunk: splits into right and left pulmonary arteries - Pulmonary arteries: carry blood away from heart to lungs 23 Copyright © McGraw-Hill Education. Permission required for reproduction or display.  Left Side of Heart Systemic circuit: - carries blood from heart to body - blood is O2 rich, CO2 poor 24 Copyright © McGraw-Hill Education. Permission required for reproduction or display.  Left Atrium: 4 openings (pulmonary veins) that receive blood from lungs Left Ventricle: - opens into aorta - thicker, contracts more forcefully, higher blood pressure than right ventricle has to get to body Aorta: carries blood from LV to body 25 Copyright © McGraw-Hill Education. Permission required for reproduction or display.  Figure 12.5a Copyright © McGraw-Hill Education. Permission required for reproduction or display. Copyright © McGraw-Hill Education. Permission required for reproduction or display.  28 Copyright © McGraw-Hill Education. Permission required for reproduction or display. Blood Flow through Heart 1. RA 2. Tricuspid valve 3. RV 4. Pulmonary semilunar valve 5. Pulmonary trunk 6. Pulmonary arteries 7. Lungs 8. Pulmonary veins 9. LA 10. Bicuspid valve 11. LV 12. Aortic semilunar valve 13. Aorta 14. Body 29 Copyright © McGraw-Hill Education. Permission required for reproduction or display. Copyright © McGraw-Hill Education. Permission required for reproduction or display.  Blood Supply to Heart Coronary arteries: - supply blood to heart wall - originate from base of aorta (above aortic semilunar valve) Left coronary artery: - has 3 branches - supply blood to anterior heart wall and left ventricle 31 Copyright © McGraw-Hill Education. Permission required for reproduction or display.  Right coronary artery: - originates on right side of aorta - supply blood to right ventricle 32 Copyright © McGraw-Hill Education. Permission required for reproduction or display.  Figure 12.11 Copyright © McGraw-Hill Education. Permission required for reproduction or display.  Action Potentials in Cardiac Muscle Changes in membrane channels’ permeability are responsible for producing action potentials and is called pacemaker potential. 1. Depolarization phase: - Na+ channels open - Ca2+ channels open 2. Plateau phase: - Na+ channels close - Some K+ channels open - Ca2+ channels remain open 34 Copyright © McGraw-Hill Education. Permission required for reproduction or display. 3. Repolarization phase: - K+ channels are open - Ca2+ channels close Plateau phase prolongs action potential by keeping Ca2+ channels open. In skeletal muscle action potentials take 2 msec, in cardiac muscle they take 200-500 msec. 35 Copyright © McGraw-Hill Education. Permission required for reproduction or display. Copyright © McGraw-Hill Education. Permission required for reproduction or display.  Conduction System of Heart What is it? contraction of atria and ventricles by cardiac muscle cells Sinoatrial node (SA node): - in RA - where action potential originates - functions as pacemaker - large number of Ca2+ channels 37 Copyright © McGraw-Hill Education. Permission required for reproduction or display. Path of Action Potential through Heart 1. SA node 2. AV node (atrioventricular) 3. AV bundle 4. Right and Left Bundle branches 5. Purkinje fibers 38 Copyright © McGraw-Hill Education. Permission required for reproduction or display. Copyright © McGraw-Hill Education. Permission required for reproduction or display.  Electrocardiogram What is it? - record of electrical events in heart - diagnoses cardiac abnormalities - uses electrodes - contains P wave, QRS complex, T wave 40 Copyright © McGraw-Hill Education. Permission required for reproduction or display.  Components of ECG/EKG P wave: depolarization of atria QRS complex: - depolarization of ventricles - contains Q, R, S waves T wave: repolarization of ventricles 41 Copyright © McGraw-Hill Education. Permission required for reproduction or display.  Figure 12.16 Copyright © McGraw-Hill Education. Permission required for reproduction or display.  Cardiac Cycle Heart is 2 side by side pumps: right and left Atria: primers for pumps Ventricles: power pumps Cardiac Cycle: repetitive pumping action which includes contraction and relaxation 43 Copyright © McGraw-Hill Education. Permission required for reproduction or display.  Cardiac muscle contractions produce pressure changes within heart chambers. Pressure changes are responsible for blood movement. Blood moves from areas of high to low pressure. 44 Copyright © McGraw-Hill Education. Permission required for reproduction or display.  Atrial systole: contraction of atria Ventricular systole: contraction of ventricles Atrial diastole: relaxation of atria Ventricular diastole: relaxation of ventricles 45 Copyright © McGraw-Hill Education. Permission required for reproduction or display. Copyright © McGraw-Hill Education. Permission required for reproduction or display. Copyright © McGraw-Hill Education. Permission required for reproduction or display.  Heart Sounds Stethoscope is used to hear lung and heart sounds First sound is lubb, second is dupp Sounds result from opening and closing valves Murmurs are due to faulty valves 48 Copyright © McGraw-Hill Education. Permission required for reproduction or display. Copyright © McGraw-Hill Education. Permission required for reproduction or display.  Regulation of Heart Function Stroke Volume: - volume of blood pumped per ventricle per contraction - 70 ml/beat Heart Rate: - number of heart beats in 1 min. - 72 beats/min. Cardiac Output: - volume of blood pumped by a ventricle in 1 min. - 5 L/min. CO = SV x HR 50 Copyright © McGraw-Hill Education. Permission required for reproduction or display.  Intrinsic Regulation of Heart What is it? mechanisms contained within heart Venous return: amt. of blood that returns to heart Preload: degree ventricular walls are stretched at end of diastole Copyright © McGraw-Hill Education. Permission required for reproduction or display.  Venous return, preload, stroke volume are related to each other Starlings Law of the Heart: - relationship between preload and stroke volume - influences cardiac output - Ex. Exercise increases venous return, preload, stroke volume, and cardiac output After load: pressure against which ventricles must pump blood Copyright © McGraw-Hill Education. Permission required for reproduction or display.  Extrinsic Regulation of Heart What is it? - mechanisms external to heart - nervous or chemical regulation Copyright © McGraw-Hill Education. Permission required for reproduction or display.  Figure 12.20 Copyright © McGraw-Hill Education. Permission required for reproduction or display. Nervous Regulation: Baroreceptor Reflex What is it? - mechanism of nervous system which regulates heart function - keeps heart rate and stroke volume in normal range - baroreceptors monitor blood pressure in aorta and carotid arteries (carry blood to brain) - changes in blood pressure cause changes in frequency of action potentials - involves medulla oblongata 55 Copyright © McGraw-Hill Education. Permission required for reproduction or display. Copyright © McGraw-Hill Education. Permission required for reproduction or display. Chemical Regulation: Chemoreceptor Reflex What is it? - chemicals can affect heart rate and stroke volume - epinephrine and norepinephrine from adrenal medulla can increase heart rate and stroke volume - excitement, anxiety, anger an increase cardiac output - depression can decrease cardiac output Copyright © McGraw-Hill Education. Permission required for reproduction or display. - medulla oblongata has chemoreceptors for changes in pH and CO2 - K+, Ca2+, and Na+ affect cardiac function Copyright © McGraw-Hill Education. Permission required for reproduction or display. Copyright © McGraw-Hill Education. Permission required for reproduction or display.  Heart Attack Thrombus: - blood clot blocks coronary blood vessel causes heart attack - daily aspirin can prevent by thinning blood Infarct: area that dies from lack of O2 Copyright © McGraw-Hill Education. Permission required for reproduction or display.  Heart Procedures Angioplasty: procedure opens blocked blood vessels Stent: structures inserted to keep vessels open Bypass: procedure reroutes blood away from blocked arteries Copyright © McGraw-Hill Education. Permission required for reproduction or display.