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Circulatory System Physiology
Presented by: Group One
Benetta N. Kekulah
Abraham Peters
Cordelia Capehart April 8, 2019
Human Physiology [Zoo 404]
Presentation Outline
โ€ข Overview of the circulatory system
โ€ข Function of the Circulatory system
โ€ข Transportation
โ€ข Regulation
โ€ข Protection
โ€ข Major components of the
circulatory system
โ€ข Cardiovascular system
โ€ข Lymphatic system
โ€ข Blood Composition
โ€ข Structure of the Heart
โ€ข Blood Circulation
โ€ข Pulmonary and Systemic circuit
โ€ข Valves of the Heart
โ€ข Pathway of Blood flow through the
heart
โ€ข The cardiac cycle
โ€ข Pressure changes during the
cardiac cycle: Systole & Diastole
โ€ข Cardiac Output
โ€ข Heart sounds
โ€ข Cardiac Conduction System
Presentation Outline
โ€ข Blood vessels
โ€ข Arteries and Arterioles
โ€ข Capillaries and Types
โ€ข Veins and Venules
โ€ข Lymphatic System
โ€ข Conclusion
Circulatory System Overview
โ€ข The circulatory system consists of
โ€ข Blood
โ€ข Blood vessels
โ€ข The Heart
โ€ข Lymphatic vessels
โ€ข It works together with other systems in maintaining Homeostasis
โ€ข Respiratory
โ€ข Urinary
โ€ข Digestive
โ€ข Endocrine, and
โ€ข Integumentary systems
Function of The Circulatory System
โ€ข Transportation โ€“ transport substances essential for cellular metabolism
These substances can be categorized as follows:
โ€ข Respiratory โ€“ Oxygen (RBC), Carbon dioxide (blood)
โ€ข Nutritive - absorbed products of digestion (blood, lymphatics)
โ€ข Excretory - Metabolic wastes (such as urea), excess water and ions, etc. (blood into
kidneys = urine)
โ€ข Regulation - contributes to both hormonal and temperature regulation
โ€ข Hormonal โ€“ hormones (blood)
โ€ข Temperature - diversion of blood from deeper to more superficial cutaneous
vessels or vice versa
Function Contโ€™dโ€ฆ
โ€ข Protection โ€“ protects against blood loss from injury and against
pathogens, including foreign microbes and toxins introduced into the
body.
These substances can be categorized as follows:
โ€ข Clottingโ€“ prevents blood loss when blood vessels are damaged
โ€ข Immune function - protect against many disease-causing agents
(pathogens). Performed by leukocytes (white blood cells).
Major Components of the Circulatory System
๏ฑCardiovascular system consist
of:
โ€ข Heart
โ€ข Blood vessels: form a tubular
network that permits the
flow of blood
โ€ข Arteries, arterioles, veins,
capillaries
๏ฑLymphatic system consists of:
โ€ข Lymphatic vessels
โ€ข Lymphoid tissues
โ€ข Found in the spleen, thymus,
tonsil and lymph nodes
โ€ข The circulatory system is divided into two major subdivisions:
โ€ข The Cardiovascular system and the Lymphatic system
Composition of the Blood
โ€ข It consist of formed elements that are suspended and carried in fluid
know as plasma
โ€ข The formed element of the blood consist of:
โ€ข Erythrocyte (RBC)
โ€ข Leukocyte (WBC)
โ€ข Platelets
โ€ข Hematopoiesis is the formation of blood cells
โ€ข Hematopoietic stem cells
The Constituents of
Blood
โ€ข Figure 1.1 The constituents of blood. Blood cells become packed at the
bottom of the test tube when whole blood is centrifuged, leaving the fluid
plasma at the top of the tube.
Blood Composition Contโ€™dโ€ฆ
โ€ข Erythropoiesis refers to the formation of erythrocytes
โ€ข Leukopoesis refers to the formation of leukocytes
โ€ข These processes occur in two classes of tissues after birth
โ€ข Myeloid and lymphoid
The Heart Structure
โ€ข Located in the thoracic cavity in
the mediastinum, between the
lungs and deep to the sternum
โ€ข Contains four chamber
โ€ข Its about the size of a fist, the
hollow, cone-shaped
โ€ข There is a layer of dense
connective tissues b/t the atria
and ventricle
Figure 1.5. The Structure of the Heart
Blood Circulation
โ€ข Movement of blood through the vessels of the body that is induced
by the pumping action of the heart and serves to distribute oxygen to
and remove wasted products from all parts of the body
โ€ข Two (2) types:
โ€ข Pulmonary circulation
โ€ข Systemic circulation
Blood Circulation Contโ€™dโ€ฆ
โ€ข Pulmonary circuit carries deoxygenated
blood away from the heart to the lungs
and returns oxygenated blood to the heart
โ€ข Systemic circuit carries oxygenated blood
away from the heart to body system and
returns deoxygenated blood to the heart
โ€ข Pulmonary circuit begins in the right
ventricle and ends in the left atrium
โ€ข Systemic circuit beings in the left ventricle
and ends in the right atrium
Figure 1.6 A Diagram of the circulatory system.
Valves of the Heart
โ€ข Two (2) main types:
โ€ข Atrioventricular Valves
โ€ข Semilunar Valves
Figure 1.7 The heart valves
Valves of the Heart: Atrioventricular Valves
โ€ข Found between the atria and ventricles
โ€ข Constitutes;
โ€ข Tricuspid valve
โ€ข Bicuspid valve
โ€ข Tricuspid valve: right AV valve that
prevents blood from flowing back into the
right atrium when the right ventricle
contract. It has three flaps of tissues
โ€ข Bicuspid valves: left AV valve that prevents
blood from flowing back into the left
atrium when the left ventricle contract.
Tricuspid
valve
Bicuspid
valve
AV Valves
Valves of the Heart: Semilunar Valves
โ€ข Shaped like half moons
โ€ข Constitutes;
โ€ข Pulmonary valve
โ€ข Aortic valve
โ€ข Pulmonary valve: beginning of the
pulmonary truck. Prevents blood from
flowing back into the right ventricle
โ€ข Aortic valve: beginning of the aorta.
Prevents blood from flowing back into
the left ventricle
Aortic
valve
Pulmonary
valve
Pathway of Blood
Flow Through the
Heart
The Cardiac Cycle
โ€ข Cardiac cycle refers to the repeating patterns of contraction and relaxation of the heart.
The phase of contraction is called systole, and the phase of relaxation is called diastole
โ€ข One heartbeat = one cardiac cycle
๏‚ง Atria contract and relax
๏‚ง Ventricles contract and relax
โ€ข Right atrium contracts (1st Diastole)
โ€ข Tricuspid valve opens
โ€ข Blood fills right ventricle
โ€ข Right ventricle contracts (1st Systole)
โ€ข Tricuspid valve closes
โ€ข Pulmonary semilunar valve opens
โ€ข Blood flows into pulmonary artery
โ€ข Left atrium contracts (2nd Diastole)
โ€ข Bicuspid valve opens
โ€ข Blood fills left ventricle
โ€ข Left ventricle contracts (2nd Systole)
โ€ข Bicuspid valve closes
โ€ข Aortic semilunar valve opens
โ€ข Blood pushed into aorta
Cardiac cycle
Figure 1.9 The cardiac cycle of ventricular systole and diastole. Contraction of the atria occurs in the last 0.1
second of ventricular diastole. Relaxation of the atria occurs during ventricular systole. The durations given for
systole and diastole relate to a cardiac rate of 75 beats per minute.
Pressure Changes During The
Cardiac Cycle: Systole
โ€ข Has 2 phases:
1. Isovolumetric contraction โ€“ the both ventricles contract to
increase the pressure in the ventricles. As the ventricles begin
their contraction, the intraventricular pressure rises, causing the
AV valves to snap shut and produce the first heart sound (LUB). At
this time, the ventricles are neither being filled with blood
(because the AV valves are closed) nor ejecting blood (because the
intraventricular pressure has not risen sufficiently to open the
semilunar valves).
Systole Contโ€™dโ€ฆ
โ€ข 2. Ejection โ€“ blood is pumped out
of the ventricles. When the
pressure in the left ventricle
becomes greater than the
pressure in the aorta, the
phase of ejection begins as
the semilunar valves open.
โ€ข Has 3 phases:
1. Isovolumetric relaxation โ€“ both atria and ventricles are
relaxed. As the pressure in the ventricles falls below the pressure
in the arteries, the back pressure causes the semilunar valves to
snap shut and produce the second heart sound (DUB). During
this phase, the AV and semilunar valves are closed. This phase
lasts until the pressure in the ventricles falls below the pressure
in the atria.
Pressure Changes During The
Cardiac Cycle: Diastole
Diastole Contโ€™dโ€ฆ
2. Rapid filling โ€“ rapid inflow of blood into
the ventricles. When the pressure in the
ventricles falls below the pressure in the
atria, the AV valves open and a phase of
rapid filling of the ventricles occurs.
3. Atrial contraction (atrial systole) โ€“ the
atria contract to deliver the final amount of
blood into the ventricles immediately prior
to the next phase of isovolumetric
contraction of the ventricles.
Cardiac Output
โ€ข Defined as the amount of blood each ventricle pumps out per minute.
โ€ข Determined by:
โ€ข Stroke volume โ€“ amount of blood that each ventricle pumps out
per beat
โ€ข Heart rate โ€“ number of times the heart beats in one minute
โ€ข Cardiac Output = Heart rate X Stroke volume
Cardiac Output Contโ€™dโ€ฆ
โ€ข Normal resting stroke volume = 70 mL of blood
โ€ข Normal resting heart rate = 70-72 beats per minute
โ€ข When one factor changes, the body regulates the other factor to enhance the cardiac output.
โ€ข Normal cardiac output = 4.9-5.4 L/min (based on the body size of an
individual)
โ€ข Normal physiological Resting Cardiac Output โ€“ 5 L/min
โ€ข When the body begins to move, the cardiac output increases so as to
enhance blood flow to the muscles.
Heart Sounds
โ€ข There are 4 heart sounds, 3 normal, 2 of which are easily
heard
โ€ข The 4th heart sound may normally be heard in a young
child, but is abnormal in adults
โ€ข The 1st and 2nd heart sounds are associated with the
closure of valves
Heart Sound Contโ€™dโ€ฆ
๏ฑ 1st Heart Sound (Lubb)
โ€ข When the ventricle contract, the tricuspid and bicuspid valves
snap shut
๏ฑ 2nd Heart Sound (Dubb)
โ€ข When the atria contract and the pulmonary and aortic valves
snap shut
Heart Sound Contโ€™dโ€ฆ
๏ฑ 3rd Heart Sound
โ€ข Produced during diastole
โ€ข Heard when the two inlet valves opens
โ€ข Not usually audible, may be heard in young child
๏ฑ 4th Heart Sound
โ€ข Caused by contraction of both atria
โ€ข Itโ€™s heard when there is atrial hypertrophy
โ€ข Thickening of the wall of the atria
The Heart: Cardiac Conduction System
โ€ข Group of structures that send electrical impulses through the heart
โ€ข Sinoatrial node (SA node)
โ€ข Wall of right atrium
โ€ข Generates impulse
โ€ข Natural pacemaker
โ€ข Sends impulse to AV node
โ€ข Atrioventricular node (AV node)
โ€ข Between atria just above ventricles
โ€ข Atria contract
โ€ข Sends impulse to the bundle of His
โ€ข Bundle of His
โ€ข Between ventricles
โ€ข Two branches
โ€ข Sends impulse to
Purkinje fibers
โ€ข Purkinje fibers
โ€ข Lateral walls of ventricles
โ€ข Ventricles contract
Cardiac Conduction
System
Figure 1.10 The conduction system of the
heart. The conduction system consists of
specialized myocardial cells that rapidly
conduct the impulses from the atria into the
ventricles.
Blood Vessels
โ€ข Blood vessels form a tubular network throughout the body that
permits blood to flow from the heart to all the living cells of the body
and then back to the heart
โ€ข Blood leaving the heart passes through vessels of progressively
smaller diameters, referred to as arteries, arterioles, and capillaries
โ€ข Blood returning to the heart from the capillaries passes through
vessels of progressively larger diameters, called venules and veins.
Blood Vessels: Arteries and Arterioles
โ€ข Strongest of the blood vessels
โ€ข Carry blood away from the
heart
โ€ข Under high pressure
โ€ข Vasoconstriction
โ€ข Vasodilation
โ€ข Arterioles
โ€ข Small branches of arteries
โ€ข Aorta
โ€ข Takes blood from the heart
to the body
โ€ข Coronary arteries
โ€ข Supply blood to heart
muscle
The
Microcirculation
Figure 1.12 The microcirculation. Metarterioles
(arteriovenous anastomoses) provide a path of least
resistance between arterioles and venules. Precapillary
sphincter muscles regulate the flow of blood through
the capillaries.
Blood Vessels: Capillaries
โ€ข The arterial system branches extensively to deliver blood to over 40 billion
capillaries in the body.
โ€ข The tiny capillaries provide a total surface area of 1,000 square miles for
exchanges between blood and tissue fluid.
โ€ข The amount of blood flowing through a particular capillary bed depends
primarily on the resistance to blood flow in the small arteries and arterioles
that supply blood to that capillary bed.
โ€ข Vasoconstriction in these vessels thus decreases blood flow to the capillary
bed, whereas vasodilation increases blood flow
Types of Capillaries
โ€ข In terms of their endothelial lining, these capillary types include those that
are continuous, those that are fenestrated, and those that are
discontinuous.
โ€ข Continuous capillaries are those in which adjacent endothelial cells are
closely joined together. These are found in muscles, lungs, adipose tissue,
and the central nervous system.
โ€ข Fenestrated capillaries occur in the kidneys, endocrine glands, and
intestines. They are characterized by wide intercellular pores that are
covered by a layer of mucoprotein, which serves as a basement membrane
over the capillary endothelium
โ€ข Discontinuous capillaries are found in the bone marrow, liver, and spleen
Blood Vessels: Veins and Venules
โ€ข Most of the total blood volume is contained in the venous system.
โ€ข Unlike arteries, which provide resistance to the flow of blood from the
heart, veins are able to expand as they accumulate additional amounts of
blood.
โ€ข Average pressure in the veins is only 2mmHg compared to a much higher
arterial pressure of about 100mmHg
โ€ข The low venous pressure is insufficient to return blood to the heart,
particularly from the lower limbs. Veins, however, pass between skeletal
muscle groups that provide a massaging action as they contract.
The Action of The
One-way Venous
Valves
Figure 1.13 The action of the one-way venous valves. Contraction of skeletal muscles helps to pump blood toward the
heart, but the flow of blood away from the heart is prevented by closure of the venous valves.
Lymphatic System
โ€ข Lymphatic vessels absorb excess interstitial fluid and transport this
fluidโ€”now called lymphโ€”to ducts that drain into veins.
โ€ข The lymphatic system has three basic functions:
โ€ข It transports interstitial (tissue) fluid, initially formed as a blood
filtrate, back to the blood
โ€ข It transports absorbed fat from the small intestine to the blood
โ€ข It cellsโ€”called lymphocytes โ€”help provide immunological
defenses against disease-causing agents
Lymphatic System Contโ€™dโ€ฆ
โ€ข The smallest vessels of the
lymphatic system are the
lymphatic capillaries.
โ€ข Microscopic closed-ended tubes
that form vast networks in the
intercellular spaces within most
organs
โ€ข Once fluid enters the lymphatic
capillaries, it is referred to as
lymph.
Figure 1.14 The relationship between blood capillaries and lymphatic capillaries
Lymphatic System Contโ€™dโ€ฆ
โ€ข Before the lymph is returned
to the cardiovascular system,
it is filtered through lymph
nodes
โ€ข Lymph nodes contain
phagocytic cells, which help
remove pathogens, and
germinal centers, which are
sites of lymphocyte
production.
Figure 1.15 The relationship between the circulatory and lymphatic systems
Location of Lymph
Node Along the
Lymphatic Pathways
Figure 1.16 The location of lymph nodes
along the lymphatic pathways. Lymph nodes
are small bean shaped bodies, enclosed
within dense connective tissue capsules.
In Summary
โ€ข The circulatory system consists of the cardiovascular system and the lymphatic system.
โ€ข Blood transports oxygen and nutrients to all the cells of the body and removes waste
products from the tissues.
โ€ข Plasma is the fluid part of the blood, containing dissolved ions and various organic molecules.
โ€ข The right and left sides of the heart pump blood through the pulmonary and systemic
circulations, respectively.
โ€ข Lymphatic capillaries are blind-ended but highly permeable. They drain excess tissue fluid
into lymph ducts. Lymph passes through lymph nodes and is returned by way of the lymph
ducts to the venous blood.
Reference
Fox, Stuart Ira., HUMAN PHYSIOLOGY, 12th Edition. Copyright ยฉ 2011
by The McGraw- Hill Companies, Inc. Published by McGraw-Hall, a
business unit of the McGraw-Hill Companies, Inc., 1221 Avenue of the
Americas, New York, NY 10020.
What counts in life is not the mere fact that we have lived. It is
what difference we have made to the lives of others that will
determine the significance of the life we lead.โ€
THE END
Nelson Mandela

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Circulatory System Physiology [Zoo 403]

  • 1. Circulatory System Physiology Presented by: Group One Benetta N. Kekulah Abraham Peters Cordelia Capehart April 8, 2019 Human Physiology [Zoo 404]
  • 2. Presentation Outline โ€ข Overview of the circulatory system โ€ข Function of the Circulatory system โ€ข Transportation โ€ข Regulation โ€ข Protection โ€ข Major components of the circulatory system โ€ข Cardiovascular system โ€ข Lymphatic system โ€ข Blood Composition โ€ข Structure of the Heart โ€ข Blood Circulation โ€ข Pulmonary and Systemic circuit โ€ข Valves of the Heart โ€ข Pathway of Blood flow through the heart โ€ข The cardiac cycle โ€ข Pressure changes during the cardiac cycle: Systole & Diastole โ€ข Cardiac Output โ€ข Heart sounds โ€ข Cardiac Conduction System
  • 3. Presentation Outline โ€ข Blood vessels โ€ข Arteries and Arterioles โ€ข Capillaries and Types โ€ข Veins and Venules โ€ข Lymphatic System โ€ข Conclusion
  • 4. Circulatory System Overview โ€ข The circulatory system consists of โ€ข Blood โ€ข Blood vessels โ€ข The Heart โ€ข Lymphatic vessels โ€ข It works together with other systems in maintaining Homeostasis โ€ข Respiratory โ€ข Urinary โ€ข Digestive โ€ข Endocrine, and โ€ข Integumentary systems
  • 5. Function of The Circulatory System โ€ข Transportation โ€“ transport substances essential for cellular metabolism These substances can be categorized as follows: โ€ข Respiratory โ€“ Oxygen (RBC), Carbon dioxide (blood) โ€ข Nutritive - absorbed products of digestion (blood, lymphatics) โ€ข Excretory - Metabolic wastes (such as urea), excess water and ions, etc. (blood into kidneys = urine) โ€ข Regulation - contributes to both hormonal and temperature regulation โ€ข Hormonal โ€“ hormones (blood) โ€ข Temperature - diversion of blood from deeper to more superficial cutaneous vessels or vice versa
  • 6. Function Contโ€™dโ€ฆ โ€ข Protection โ€“ protects against blood loss from injury and against pathogens, including foreign microbes and toxins introduced into the body. These substances can be categorized as follows: โ€ข Clottingโ€“ prevents blood loss when blood vessels are damaged โ€ข Immune function - protect against many disease-causing agents (pathogens). Performed by leukocytes (white blood cells).
  • 7. Major Components of the Circulatory System ๏ฑCardiovascular system consist of: โ€ข Heart โ€ข Blood vessels: form a tubular network that permits the flow of blood โ€ข Arteries, arterioles, veins, capillaries ๏ฑLymphatic system consists of: โ€ข Lymphatic vessels โ€ข Lymphoid tissues โ€ข Found in the spleen, thymus, tonsil and lymph nodes โ€ข The circulatory system is divided into two major subdivisions: โ€ข The Cardiovascular system and the Lymphatic system
  • 8. Composition of the Blood โ€ข It consist of formed elements that are suspended and carried in fluid know as plasma โ€ข The formed element of the blood consist of: โ€ข Erythrocyte (RBC) โ€ข Leukocyte (WBC) โ€ข Platelets โ€ข Hematopoiesis is the formation of blood cells โ€ข Hematopoietic stem cells
  • 9. The Constituents of Blood โ€ข Figure 1.1 The constituents of blood. Blood cells become packed at the bottom of the test tube when whole blood is centrifuged, leaving the fluid plasma at the top of the tube.
  • 10. Blood Composition Contโ€™dโ€ฆ โ€ข Erythropoiesis refers to the formation of erythrocytes โ€ข Leukopoesis refers to the formation of leukocytes โ€ข These processes occur in two classes of tissues after birth โ€ข Myeloid and lymphoid
  • 11. The Heart Structure โ€ข Located in the thoracic cavity in the mediastinum, between the lungs and deep to the sternum โ€ข Contains four chamber โ€ข Its about the size of a fist, the hollow, cone-shaped โ€ข There is a layer of dense connective tissues b/t the atria and ventricle Figure 1.5. The Structure of the Heart
  • 12. Blood Circulation โ€ข Movement of blood through the vessels of the body that is induced by the pumping action of the heart and serves to distribute oxygen to and remove wasted products from all parts of the body โ€ข Two (2) types: โ€ข Pulmonary circulation โ€ข Systemic circulation
  • 13. Blood Circulation Contโ€™dโ€ฆ โ€ข Pulmonary circuit carries deoxygenated blood away from the heart to the lungs and returns oxygenated blood to the heart โ€ข Systemic circuit carries oxygenated blood away from the heart to body system and returns deoxygenated blood to the heart โ€ข Pulmonary circuit begins in the right ventricle and ends in the left atrium โ€ข Systemic circuit beings in the left ventricle and ends in the right atrium Figure 1.6 A Diagram of the circulatory system.
  • 14. Valves of the Heart โ€ข Two (2) main types: โ€ข Atrioventricular Valves โ€ข Semilunar Valves Figure 1.7 The heart valves
  • 15. Valves of the Heart: Atrioventricular Valves โ€ข Found between the atria and ventricles โ€ข Constitutes; โ€ข Tricuspid valve โ€ข Bicuspid valve โ€ข Tricuspid valve: right AV valve that prevents blood from flowing back into the right atrium when the right ventricle contract. It has three flaps of tissues โ€ข Bicuspid valves: left AV valve that prevents blood from flowing back into the left atrium when the left ventricle contract. Tricuspid valve Bicuspid valve AV Valves
  • 16. Valves of the Heart: Semilunar Valves โ€ข Shaped like half moons โ€ข Constitutes; โ€ข Pulmonary valve โ€ข Aortic valve โ€ข Pulmonary valve: beginning of the pulmonary truck. Prevents blood from flowing back into the right ventricle โ€ข Aortic valve: beginning of the aorta. Prevents blood from flowing back into the left ventricle Aortic valve Pulmonary valve
  • 17. Pathway of Blood Flow Through the Heart
  • 18. The Cardiac Cycle โ€ข Cardiac cycle refers to the repeating patterns of contraction and relaxation of the heart. The phase of contraction is called systole, and the phase of relaxation is called diastole โ€ข One heartbeat = one cardiac cycle ๏‚ง Atria contract and relax ๏‚ง Ventricles contract and relax โ€ข Right atrium contracts (1st Diastole) โ€ข Tricuspid valve opens โ€ข Blood fills right ventricle โ€ข Right ventricle contracts (1st Systole) โ€ข Tricuspid valve closes โ€ข Pulmonary semilunar valve opens โ€ข Blood flows into pulmonary artery โ€ข Left atrium contracts (2nd Diastole) โ€ข Bicuspid valve opens โ€ข Blood fills left ventricle โ€ข Left ventricle contracts (2nd Systole) โ€ข Bicuspid valve closes โ€ข Aortic semilunar valve opens โ€ข Blood pushed into aorta
  • 19. Cardiac cycle Figure 1.9 The cardiac cycle of ventricular systole and diastole. Contraction of the atria occurs in the last 0.1 second of ventricular diastole. Relaxation of the atria occurs during ventricular systole. The durations given for systole and diastole relate to a cardiac rate of 75 beats per minute.
  • 20. Pressure Changes During The Cardiac Cycle: Systole โ€ข Has 2 phases: 1. Isovolumetric contraction โ€“ the both ventricles contract to increase the pressure in the ventricles. As the ventricles begin their contraction, the intraventricular pressure rises, causing the AV valves to snap shut and produce the first heart sound (LUB). At this time, the ventricles are neither being filled with blood (because the AV valves are closed) nor ejecting blood (because the intraventricular pressure has not risen sufficiently to open the semilunar valves).
  • 21. Systole Contโ€™dโ€ฆ โ€ข 2. Ejection โ€“ blood is pumped out of the ventricles. When the pressure in the left ventricle becomes greater than the pressure in the aorta, the phase of ejection begins as the semilunar valves open.
  • 22. โ€ข Has 3 phases: 1. Isovolumetric relaxation โ€“ both atria and ventricles are relaxed. As the pressure in the ventricles falls below the pressure in the arteries, the back pressure causes the semilunar valves to snap shut and produce the second heart sound (DUB). During this phase, the AV and semilunar valves are closed. This phase lasts until the pressure in the ventricles falls below the pressure in the atria. Pressure Changes During The Cardiac Cycle: Diastole
  • 23. Diastole Contโ€™dโ€ฆ 2. Rapid filling โ€“ rapid inflow of blood into the ventricles. When the pressure in the ventricles falls below the pressure in the atria, the AV valves open and a phase of rapid filling of the ventricles occurs. 3. Atrial contraction (atrial systole) โ€“ the atria contract to deliver the final amount of blood into the ventricles immediately prior to the next phase of isovolumetric contraction of the ventricles.
  • 24. Cardiac Output โ€ข Defined as the amount of blood each ventricle pumps out per minute. โ€ข Determined by: โ€ข Stroke volume โ€“ amount of blood that each ventricle pumps out per beat โ€ข Heart rate โ€“ number of times the heart beats in one minute โ€ข Cardiac Output = Heart rate X Stroke volume
  • 25. Cardiac Output Contโ€™dโ€ฆ โ€ข Normal resting stroke volume = 70 mL of blood โ€ข Normal resting heart rate = 70-72 beats per minute โ€ข When one factor changes, the body regulates the other factor to enhance the cardiac output. โ€ข Normal cardiac output = 4.9-5.4 L/min (based on the body size of an individual) โ€ข Normal physiological Resting Cardiac Output โ€“ 5 L/min โ€ข When the body begins to move, the cardiac output increases so as to enhance blood flow to the muscles.
  • 26. Heart Sounds โ€ข There are 4 heart sounds, 3 normal, 2 of which are easily heard โ€ข The 4th heart sound may normally be heard in a young child, but is abnormal in adults โ€ข The 1st and 2nd heart sounds are associated with the closure of valves
  • 27. Heart Sound Contโ€™dโ€ฆ ๏ฑ 1st Heart Sound (Lubb) โ€ข When the ventricle contract, the tricuspid and bicuspid valves snap shut ๏ฑ 2nd Heart Sound (Dubb) โ€ข When the atria contract and the pulmonary and aortic valves snap shut
  • 28. Heart Sound Contโ€™dโ€ฆ ๏ฑ 3rd Heart Sound โ€ข Produced during diastole โ€ข Heard when the two inlet valves opens โ€ข Not usually audible, may be heard in young child ๏ฑ 4th Heart Sound โ€ข Caused by contraction of both atria โ€ข Itโ€™s heard when there is atrial hypertrophy โ€ข Thickening of the wall of the atria
  • 29. The Heart: Cardiac Conduction System โ€ข Group of structures that send electrical impulses through the heart โ€ข Sinoatrial node (SA node) โ€ข Wall of right atrium โ€ข Generates impulse โ€ข Natural pacemaker โ€ข Sends impulse to AV node โ€ข Atrioventricular node (AV node) โ€ข Between atria just above ventricles โ€ข Atria contract โ€ข Sends impulse to the bundle of His โ€ข Bundle of His โ€ข Between ventricles โ€ข Two branches โ€ข Sends impulse to Purkinje fibers โ€ข Purkinje fibers โ€ข Lateral walls of ventricles โ€ข Ventricles contract
  • 30. Cardiac Conduction System Figure 1.10 The conduction system of the heart. The conduction system consists of specialized myocardial cells that rapidly conduct the impulses from the atria into the ventricles.
  • 31. Blood Vessels โ€ข Blood vessels form a tubular network throughout the body that permits blood to flow from the heart to all the living cells of the body and then back to the heart โ€ข Blood leaving the heart passes through vessels of progressively smaller diameters, referred to as arteries, arterioles, and capillaries โ€ข Blood returning to the heart from the capillaries passes through vessels of progressively larger diameters, called venules and veins.
  • 32. Blood Vessels: Arteries and Arterioles โ€ข Strongest of the blood vessels โ€ข Carry blood away from the heart โ€ข Under high pressure โ€ข Vasoconstriction โ€ข Vasodilation โ€ข Arterioles โ€ข Small branches of arteries โ€ข Aorta โ€ข Takes blood from the heart to the body โ€ข Coronary arteries โ€ข Supply blood to heart muscle
  • 33. The Microcirculation Figure 1.12 The microcirculation. Metarterioles (arteriovenous anastomoses) provide a path of least resistance between arterioles and venules. Precapillary sphincter muscles regulate the flow of blood through the capillaries.
  • 34. Blood Vessels: Capillaries โ€ข The arterial system branches extensively to deliver blood to over 40 billion capillaries in the body. โ€ข The tiny capillaries provide a total surface area of 1,000 square miles for exchanges between blood and tissue fluid. โ€ข The amount of blood flowing through a particular capillary bed depends primarily on the resistance to blood flow in the small arteries and arterioles that supply blood to that capillary bed. โ€ข Vasoconstriction in these vessels thus decreases blood flow to the capillary bed, whereas vasodilation increases blood flow
  • 35. Types of Capillaries โ€ข In terms of their endothelial lining, these capillary types include those that are continuous, those that are fenestrated, and those that are discontinuous. โ€ข Continuous capillaries are those in which adjacent endothelial cells are closely joined together. These are found in muscles, lungs, adipose tissue, and the central nervous system. โ€ข Fenestrated capillaries occur in the kidneys, endocrine glands, and intestines. They are characterized by wide intercellular pores that are covered by a layer of mucoprotein, which serves as a basement membrane over the capillary endothelium โ€ข Discontinuous capillaries are found in the bone marrow, liver, and spleen
  • 36. Blood Vessels: Veins and Venules โ€ข Most of the total blood volume is contained in the venous system. โ€ข Unlike arteries, which provide resistance to the flow of blood from the heart, veins are able to expand as they accumulate additional amounts of blood. โ€ข Average pressure in the veins is only 2mmHg compared to a much higher arterial pressure of about 100mmHg โ€ข The low venous pressure is insufficient to return blood to the heart, particularly from the lower limbs. Veins, however, pass between skeletal muscle groups that provide a massaging action as they contract.
  • 37. The Action of The One-way Venous Valves Figure 1.13 The action of the one-way venous valves. Contraction of skeletal muscles helps to pump blood toward the heart, but the flow of blood away from the heart is prevented by closure of the venous valves.
  • 38. Lymphatic System โ€ข Lymphatic vessels absorb excess interstitial fluid and transport this fluidโ€”now called lymphโ€”to ducts that drain into veins. โ€ข The lymphatic system has three basic functions: โ€ข It transports interstitial (tissue) fluid, initially formed as a blood filtrate, back to the blood โ€ข It transports absorbed fat from the small intestine to the blood โ€ข It cellsโ€”called lymphocytes โ€”help provide immunological defenses against disease-causing agents
  • 39. Lymphatic System Contโ€™dโ€ฆ โ€ข The smallest vessels of the lymphatic system are the lymphatic capillaries. โ€ข Microscopic closed-ended tubes that form vast networks in the intercellular spaces within most organs โ€ข Once fluid enters the lymphatic capillaries, it is referred to as lymph. Figure 1.14 The relationship between blood capillaries and lymphatic capillaries
  • 40. Lymphatic System Contโ€™dโ€ฆ โ€ข Before the lymph is returned to the cardiovascular system, it is filtered through lymph nodes โ€ข Lymph nodes contain phagocytic cells, which help remove pathogens, and germinal centers, which are sites of lymphocyte production. Figure 1.15 The relationship between the circulatory and lymphatic systems
  • 41. Location of Lymph Node Along the Lymphatic Pathways Figure 1.16 The location of lymph nodes along the lymphatic pathways. Lymph nodes are small bean shaped bodies, enclosed within dense connective tissue capsules.
  • 42. In Summary โ€ข The circulatory system consists of the cardiovascular system and the lymphatic system. โ€ข Blood transports oxygen and nutrients to all the cells of the body and removes waste products from the tissues. โ€ข Plasma is the fluid part of the blood, containing dissolved ions and various organic molecules. โ€ข The right and left sides of the heart pump blood through the pulmonary and systemic circulations, respectively. โ€ข Lymphatic capillaries are blind-ended but highly permeable. They drain excess tissue fluid into lymph ducts. Lymph passes through lymph nodes and is returned by way of the lymph ducts to the venous blood.
  • 43. Reference Fox, Stuart Ira., HUMAN PHYSIOLOGY, 12th Edition. Copyright ยฉ 2011 by The McGraw- Hill Companies, Inc. Published by McGraw-Hall, a business unit of the McGraw-Hill Companies, Inc., 1221 Avenue of the Americas, New York, NY 10020.
  • 44. What counts in life is not the mere fact that we have lived. It is what difference we have made to the lives of others that will determine the significance of the life we lead.โ€ THE END Nelson Mandela