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CARDIO-VASCULAR SYSTEM
• Principles
• Structures
• Two circuits
  – Pulmonary
  – Systemic
• Fetal Circulation
• Heart Details
• Other details
What Does C-V System do?
• Circulate blood throughout entire body
  for
  – Transport of oxygen to cells
  – Transport of CO2 away from cells
  – Transport of nutrients (glucose) to cells
  – Movement of immune system components
    (cells, antibodies)
  – Transport of endocrine gland secretions
How does it do it?
• Heart is pump
• Arteries and veins are main tubes (plumbing)
  – Arteries Away from Heart
  – Veins to Heart
• Diffusion happens in capillaries (oxygen,
  CO2, glucose diffuse in or out of blood)
Overall Organization of System


• Heart/Great Vessels--
  1 Route
• Smaller aa. vv.--many
  routes (collateral
  circulation)
• Capillaries—network
  where diffusion
  occurs
Collateral Circulation
Walls of Arteries and Veins
• Tunica externa
   – Outermost layer
   – CT w/elastin and collagen
   – Strengthens, Anchors
• Tunica media
   – Middle layer
   – Circular Smooth Muscle
   – Vaso-constriction/dilation
• Tunica intima
   – Innermost layer
   – Endothelium
   – Minimize friction
• Lumen                           pg 546
Artery/Vein differences
          Arteries (aa.)       Veins (vv.)
Direction Blood Away from      Blood to Heart
of flow   Heart
Pressure Higher                Lower

Walls     THICKER: Tunica      THINNER: Tunica
          media thicker than   externa thicker
          tunica externa       than tunica media
Lumen     Smaller              Larger

Valves    No valves            Valves (see next)
Capillaries
• Microscopic--one
  cell layer thick
• Network
• Bathed in
  extracellular matrix
   of areolar tissue
• Entire goal of C-V
  system is to get
  blood into
  capillaries where
  diffusion takes
  place
Two circulatory paths
    Systemic
          Pulmonary
GREAT VESSELS
•Aorta
•IVC, SVC
•Pulmonary Trunk
•Pulmonary Veins
Heart Chambers and Valves
Right Heart Chambers: Pulmonary Circuit
• Right Atrium (forms most of posterior of heart)
   – Receives O2-poor blood from body via IVC, SVC, Coronary sinus
   – Ventral wall = rough Pectinate muscle
   – Fossa Ovalis- on interatrial septum, remnant of Foramen Ovale
• Right Ventricle
   – Receives O2-poor blood from right atrium through tricuspid valve
   – Pumps blood to lungs via Pulmonary Semilunar Valve in
     pulmonary trunk
   – Trabeculae Carnae along ventral surface
   – Papillary Muscle-cone-shaped muscle to which chordae tendinae
     are anchored
   – Moderator Band-muscular band connecting anterior papillary
     muscle to interventricular septum
Left Heart Chambers: Systemic Circuit

• Left Atrium
  – Receives O2-rich blood from 4 Pulmonary Veins
  – Pectinate Muscles line only auricle
• Left Ventricle (forms apex of heart)
  – Receives blood from Left Atrium via bicuspid valve
  – Pumps blood into aorta via Aortic Semilunar Valve to body
  – Same structures as Rt Ventricle: Trabeculae carnae,
    Papillary muscles, Chordae tendinae
  – No Moderator Band
Heart Valves: Lub*-Dub**
• *Tricuspid Valve: Right AV valve
   –   3 Cusps (flaps) made of endocardium and CT
   –   Cusps anchored in Rt. Ventricle by Chordae Tendinae
   –   Chordae Tendinae prevent inversion of cusps into atrium
   –   Flow of blood pushes cusps open
   –   When ventricle in diastole (relaxed), cusps hang limp in ventricle
   –   Ventricular contraction increases pressure and forces cusps closed
• *Bicuspid (Mitral) Valve: Left AV valve
   – 2 cusps anchored in Lft. Ventricle by chordae tendinae
   – Functions same as Rt. AV valve
• **Semilunar valves: prevents backflow in large arteries
   – Pulmonary Semilunar Valve: Rt Ventricle and Pulmonary Trunk
   – Aortic Semilunar Valve: Left Ventricle and Aorta
   – 3 cusps: blood rushes past they’re flattened, as it settles they’re pushed
     down (valve closed)
Another View
Location of Heart in Thorax




                        pg 523
Location of Heart in Chest

•   Oblique Position
•   Apex = Left of Midline (5th ICS), Anterior to rest of heart
•   Base (posterior surface) sits on vertebral column
•   Superior Right = 3rd Costal Cartilage, 1” right midsternum
•   Superior Left = 2nd Costal Cartilage, 1” left midsternum
•   Inferior Right = 6th Costal Cartilage, 1” right midsternum
•   Inferior Left = 5th Intercostal Space at Midclavicular line
• Epicardium (most
  superficial)
  – Visceral pleura     Heart   Wall
• Myocardium (middle layer)
  – Cardiac muscle
  – Contracts            How does heart
• Endocardium (inner)    muscle get blood
  – Endothelium on CT    supply?
  – Lines the heart
  – Creates the valves



                                      pg 524
Blood supply to heart wall
• Rt and Lft Coronary Arteries
  –   Branch from Ascending Aorta
  –   Have multiple branches along heart
  –   Sit in Coronary Sulcus
  –   Coronary Heart Disease
• Cardiac Veins
  – Coronary Sinus (largest)
  – Many branches feed into sinus
  – Sit in Coronary Sulcus
Heart Innervation
• Heart receives visceral
  motor innervation
  – Sympathetic (speeds up)
  – Parasympathetic (slows
    down)      p. 534
Fetal Circulation
•No circulation to lungs
    •Foramen ovale
    •Ductus arteriosum
•Circulation must go to placenta
    •Umbilical aa., vv.
Adult remnants of fetal circulation
Adult                         Fetus
Fossa ovale                   Foramen ovale

Ligamentum arteriosum         Ductus arteriosus

Medial umbilical ligaments    Umbilical aa.(within fetus)

Round ligament                Umbilical v.(within fetus)
(ligamentum teres) of liver
Ligamentum venosum            Ductus venosus

Medial umbilical ligament     Umbilical cord (leaving fetus)
Hepatic Portal System
Lymphatic System…The Players:
• Lymph- clear fluid from loose areolar CT around
  capillaries
• Lymphatic capillaries (near blood capillaries) 
• Lymph collecting vessels (small, 3 tunicas, valves)
• Lymph nodes (sit along collecting vessels)-clean
  lymph of pathogens, they are NOT glands
• Lymphatic trunks (convergence large collecting
  vessels)
  – Lumbar, intestinal, bronchomediastinal, subclavian, jugular
• Lymphatic ducts  empty into veins of neck
Lymphatic System--Function
• Function: to collect excess tissue fluid collecting at
  arteriole end and return leaked blood proteins to
  blood (maintain osmotic pressure needed to take
  up water into bloodstream)
• Lymph moved through vessels
   –   Pulse of nearby arteries
   –   Contraction of surrounding skeletal muscle
   –   Regular movement of body (wiggling legs)
   –   Muscle in Tunica Media
• Lacteals-lymphatic capillaries w/unique function
   – In mucosa of small intestine, receive digested fat from
     intestine
   – Fatty lymph becomes milky = Chyle
   – Chyle goes to bloodstream

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Cardiovascular system

  • 1. CARDIO-VASCULAR SYSTEM • Principles • Structures • Two circuits – Pulmonary – Systemic • Fetal Circulation • Heart Details • Other details
  • 2. What Does C-V System do? • Circulate blood throughout entire body for – Transport of oxygen to cells – Transport of CO2 away from cells – Transport of nutrients (glucose) to cells – Movement of immune system components (cells, antibodies) – Transport of endocrine gland secretions
  • 3. How does it do it? • Heart is pump • Arteries and veins are main tubes (plumbing) – Arteries Away from Heart – Veins to Heart • Diffusion happens in capillaries (oxygen, CO2, glucose diffuse in or out of blood)
  • 4. Overall Organization of System • Heart/Great Vessels-- 1 Route • Smaller aa. vv.--many routes (collateral circulation) • Capillaries—network where diffusion occurs
  • 6. Walls of Arteries and Veins • Tunica externa – Outermost layer – CT w/elastin and collagen – Strengthens, Anchors • Tunica media – Middle layer – Circular Smooth Muscle – Vaso-constriction/dilation • Tunica intima – Innermost layer – Endothelium – Minimize friction • Lumen pg 546
  • 7. Artery/Vein differences Arteries (aa.) Veins (vv.) Direction Blood Away from Blood to Heart of flow Heart Pressure Higher Lower Walls THICKER: Tunica THINNER: Tunica media thicker than externa thicker tunica externa than tunica media Lumen Smaller Larger Valves No valves Valves (see next)
  • 8.
  • 9. Capillaries • Microscopic--one cell layer thick • Network • Bathed in extracellular matrix of areolar tissue • Entire goal of C-V system is to get blood into capillaries where diffusion takes place
  • 10. Two circulatory paths Systemic Pulmonary
  • 13. Right Heart Chambers: Pulmonary Circuit • Right Atrium (forms most of posterior of heart) – Receives O2-poor blood from body via IVC, SVC, Coronary sinus – Ventral wall = rough Pectinate muscle – Fossa Ovalis- on interatrial septum, remnant of Foramen Ovale • Right Ventricle – Receives O2-poor blood from right atrium through tricuspid valve – Pumps blood to lungs via Pulmonary Semilunar Valve in pulmonary trunk – Trabeculae Carnae along ventral surface – Papillary Muscle-cone-shaped muscle to which chordae tendinae are anchored – Moderator Band-muscular band connecting anterior papillary muscle to interventricular septum
  • 14. Left Heart Chambers: Systemic Circuit • Left Atrium – Receives O2-rich blood from 4 Pulmonary Veins – Pectinate Muscles line only auricle • Left Ventricle (forms apex of heart) – Receives blood from Left Atrium via bicuspid valve – Pumps blood into aorta via Aortic Semilunar Valve to body – Same structures as Rt Ventricle: Trabeculae carnae, Papillary muscles, Chordae tendinae – No Moderator Band
  • 15. Heart Valves: Lub*-Dub** • *Tricuspid Valve: Right AV valve – 3 Cusps (flaps) made of endocardium and CT – Cusps anchored in Rt. Ventricle by Chordae Tendinae – Chordae Tendinae prevent inversion of cusps into atrium – Flow of blood pushes cusps open – When ventricle in diastole (relaxed), cusps hang limp in ventricle – Ventricular contraction increases pressure and forces cusps closed • *Bicuspid (Mitral) Valve: Left AV valve – 2 cusps anchored in Lft. Ventricle by chordae tendinae – Functions same as Rt. AV valve • **Semilunar valves: prevents backflow in large arteries – Pulmonary Semilunar Valve: Rt Ventricle and Pulmonary Trunk – Aortic Semilunar Valve: Left Ventricle and Aorta – 3 cusps: blood rushes past they’re flattened, as it settles they’re pushed down (valve closed)
  • 17. Location of Heart in Thorax pg 523
  • 18. Location of Heart in Chest • Oblique Position • Apex = Left of Midline (5th ICS), Anterior to rest of heart • Base (posterior surface) sits on vertebral column • Superior Right = 3rd Costal Cartilage, 1” right midsternum • Superior Left = 2nd Costal Cartilage, 1” left midsternum • Inferior Right = 6th Costal Cartilage, 1” right midsternum • Inferior Left = 5th Intercostal Space at Midclavicular line
  • 19. • Epicardium (most superficial) – Visceral pleura Heart Wall • Myocardium (middle layer) – Cardiac muscle – Contracts How does heart • Endocardium (inner) muscle get blood – Endothelium on CT supply? – Lines the heart – Creates the valves pg 524
  • 20. Blood supply to heart wall • Rt and Lft Coronary Arteries – Branch from Ascending Aorta – Have multiple branches along heart – Sit in Coronary Sulcus – Coronary Heart Disease • Cardiac Veins – Coronary Sinus (largest) – Many branches feed into sinus – Sit in Coronary Sulcus
  • 21. Heart Innervation • Heart receives visceral motor innervation – Sympathetic (speeds up) – Parasympathetic (slows down) p. 534
  • 22. Fetal Circulation •No circulation to lungs •Foramen ovale •Ductus arteriosum •Circulation must go to placenta •Umbilical aa., vv.
  • 23. Adult remnants of fetal circulation Adult Fetus Fossa ovale Foramen ovale Ligamentum arteriosum Ductus arteriosus Medial umbilical ligaments Umbilical aa.(within fetus) Round ligament Umbilical v.(within fetus) (ligamentum teres) of liver Ligamentum venosum Ductus venosus Medial umbilical ligament Umbilical cord (leaving fetus)
  • 25. Lymphatic System…The Players: • Lymph- clear fluid from loose areolar CT around capillaries • Lymphatic capillaries (near blood capillaries)  • Lymph collecting vessels (small, 3 tunicas, valves) • Lymph nodes (sit along collecting vessels)-clean lymph of pathogens, they are NOT glands • Lymphatic trunks (convergence large collecting vessels) – Lumbar, intestinal, bronchomediastinal, subclavian, jugular • Lymphatic ducts  empty into veins of neck
  • 26. Lymphatic System--Function • Function: to collect excess tissue fluid collecting at arteriole end and return leaked blood proteins to blood (maintain osmotic pressure needed to take up water into bloodstream) • Lymph moved through vessels – Pulse of nearby arteries – Contraction of surrounding skeletal muscle – Regular movement of body (wiggling legs) – Muscle in Tunica Media • Lacteals-lymphatic capillaries w/unique function – In mucosa of small intestine, receive digested fat from intestine – Fatty lymph becomes milky = Chyle – Chyle goes to bloodstream