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Essentials of Human Anatomy & Physiology
Seventh Edition
Elaine N. Marieb
Chapter 11
The Cardiovascular System
Slides 11.1 – 11.19
Lecture Slides in PowerPoint by Jerry L. Cook
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
The Cardiovascular System
 A closed system of the heart and blood
vessels
The heart pumps blood
Blood vessels allow blood to circulate to all
parts of the body
 The function of the cardiovascular
system is to deliver oxygen and
nutrients and to remove carbon dioxide
and other waste products
Slide 11.2Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
The Heart
 Location
Thorax between the lungs
Pointed apex directed toward left hip
 About the size of your fist
Slide 11.3Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
The Heart
Figure 11.1
Slide 11.4Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
The Heart: Coverings
 Pericardium – a double serous
membrane
Visceral pericardium
Next to heart
Parietal pericardium
Outside layer
 Serous fluid fills the space between the
layers of pericardium
Slide 11.5Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
The Heart: Heart Wall
 Three layers
Epicardium
 Outside layer
 This layer is the parietal pericardium
 Connective tissue layer
Myocardium
 Middle layer
 Mostly cardiac muscle
Endocardium
 Inner layer
 Endothelium
Slide 11.6Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
External Heart Anatomy
Slide 11.7Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Figure 11.2a
The Heart: Chambers
 Right and left side act as separate pumps
 Four chambers
Atria
 Receiving chambers
 Right atrium
 Left atrium
Ventricles
 Discharging chambers
 Right ventricle
 Left ventricle
Slide 11.8Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Blood Circulation
Figure 11.3
Slide 11.9Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
The Heart: Valves
 Allow blood to flow in only one direction
 Four valves
Atrioventricular valves – between atria and
ventricles
 Bicuspid valve (left)
 Tricuspid valve (right)
Semilunar valves between ventricle and
artery
 Pulmonary semilunar valve
 Aortic semilunar valve
Slide 11.10Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
The Heart: Valves
 Valves open as blood is pumped
through
 Held in place by chordae tendineae
(“heart strings”)
 Close to prevent backflow
Slide 11.11Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Operation of Heart Valves
Figure 11.4
Slide 11.12Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
The Heart: Associated Great Vessels
 Aorta
Leaves left ventricle
 Pulmonary arteries
Leave right ventricle
 Vena cava
Enters right atrium
 Pulmonary veins (four)
Enter left atrium
Slide 11.13Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Coronary Circulation
 Blood in the heart chambers does not
nourish the myocardium
 The heart has its own nourishing
circulatory system
Coronary arteries
Cardiac veins
Blood empties into the right atrium via the
coronary sinus
Slide 11.14Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
The Heart: Conduction System
 Intrinsic conduction system
(nodal system)
Heart muscle cells contract, without nerve
impulses, in a regular, continuous way
Slide 11.15Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
The Heart: Conduction System
Special tissue sets the pace
Sinoatrial node
 Pacemaker
Atrioventricular node
Atrioventricular bundle
Bundle branches
Purkinje fibers
Slide 11.16Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Heart Contractions
 Contraction is initiated by the sinoatrial
node
 Sequential stimulation occurs at other
autorhythmic cells
Slide 11.17Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Heart Contractions
Figure 11.5
Slide 11.18Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Filling of Heart Chambers –
the Cardiac Cycle
Figure 11.6
Slide 11.19Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
The Heart: Cardiac Cycle
 Atria contract simultaneously
 Atria relax, then ventricles contract
 Systole = contraction
 Diastole = relaxation
Slide 11.20Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
The Heart: Cardiac Cycle
 Cardiac cycle – events of one complete
heart beat
Mid-to-late diastole – blood flows into
ventricles
Ventricular systole – blood pressure builds
before ventricle contracts, pushing out
blood
Early diastole – atria finish re-filling,
ventricular pressure is low
Slide 11.21Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
The Heart: Cardiac Output
 Cardiac output (CO)
Amount of blood pumped by each side of
the heart in one minute
CO = (heart rate [HR]) x (stroke volume
[SV])
 Stroke volume
Volume of blood pumped by each ventricle
in one contraction
Slide 11.22Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Cardiac Output Regulation
Figure 11.7
Slide 11.23Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
The Heart: Regulation of Heart Rate
 Stroke volume usually remains relatively
constant
Starling’s law of the heart – the more that
the cardiac muscle is stretched, the
stronger the contraction
 Changing heart rate is the most
common way to change cardiac output
Slide 11.24Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
The Heart: Regulation of Heart Rate
 Increased heart rate
Sympathetic nervous system
Crisis
Low blood pressure
Hormones
Epinephrine
Thyroxine
Exercise
Decreased blood volume
Slide 11.25Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
The Heart: Regulation of Heart Rate
 Decreased heart rate
Parasympathetic nervous system
High blood pressure or blood volume
Dereased venous return
Slide 11.26Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Blood Vessels: The Vascular
System
 Taking blood to the tissues and back
Arteries
Arterioles
Capillaries
Venules
Veins
Slide 11.27Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
The Vascular System
Figure 11.8b
Slide 11.28Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Blood Vessels: Anatomy
 Three layers (tunics)
Tunic intima
Endothelium
Tunic media
Smooth muscle
Controlled by sympathetic nervous
system
Tunic externa
Mostly fibrous connective tissue
Slide 11.29Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Differences Between Blood Vessel
Types
 Walls of arteries are the thickest
 Lumens of veins are larger
 Skeletal muscle “milks” blood in veins
toward the heart
 Walls of capillaries are only one cell
layer thick to allow for exchanges
between blood and tissue
Slide 11.30Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Movement of Blood Through
Vessels
 Most arterial blood is
pumped by the heart
 Veins use the milking
action of muscles to
help move blood
Slide 11.31Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Figure 11.9
Capillary Beds
 Capillary beds
consist of two
types of vessels
Vascular shunt –
directly connects an
arteriole to a venule
Slide 11.32Figure 11.10Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Capillary Beds
True capillaries –
exchange vessels
Oxygen and
nutrients cross to
cells
Carbon dioxide
and metabolic
waste products
cross into blood
Slide 11.33Figure 11.10Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Diffusion at Capillary Beds
Figure 11.20
Slide 11.34Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Major Arteries of Systemic Circulation
Figure 11.11
Slide 11.35Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Major Veins of Systemic Circulation
Figure 11.12
Slide 11.36Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Arterial Supply of the Brain
Figure 11.13
Slide 11.37Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Hepatic Portal Circulation
Figure 11.14
Slide 11.38Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Circulation to the Fetus
Figure 11.15
Slide 11.39Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Pulse
 Pulse –
pressure wave
of blood
 Monitored at
“pressure
points” where
pulse is easily
palpated
Figure 11.16
Slide 11.40Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Blood Pressure
 Measurements by health professionals
are made on the pressure in large
arteries
Systolic – pressure at the peak of
ventricular contraction
Diastolic – pressure when ventricles relax
 Pressure in blood vessels decreases as
the distance away from the heart
increases
Slide 11.41Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Measuring Arterial Blood Pressure
Figure 11.18
Slide 11.42Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Comparison of Blood Pressures in Different
Vessels
Figure 11.17
Slide 11.43Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Blood Pressure: Effects of Factors
 Neural factors
Autonomic nervous system adjustments
(sympathetic division)
 Renal factors
Regulation by altering blood volume
Renin – hormonal control
Slide 11.44Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Blood Pressure: Effects of Factors
 Temperature
Heat has a vasodilation effect
Cold has a vasoconstricting effect
 Chemicals
Various substances can cause increases or
decreases
 Diet
Slide 11.45Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Factors Determining Blood Pressure
Figure 11.19
Slide 11.46Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Variations in Blood Pressure
 Human normal range is variable
Normal
140–110 mm Hg systolic
80–75 mm Hg diastolic
Hypotension
Low systolic (below 110 mm HG)
Often associated with illness
Hypertension
High systolic (above 140 mm HG)
Can be dangerous if it is chronic
Slide 11.47Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Capillary Exchange
 Substances exchanged due to
concentration gradients
Oxygen and nutrients leave the blood
Carbon dioxide and other wastes leave the
cells
Slide 11.48Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Capillary Exchange: Mechanisms
 Direct diffusion across plasma
membranes
 Endocytosis or exocytosis
 Some capillaries have gaps (intercellular
clefts)
Plasma membrane not joined by tight
junctions
 Fenestrations of some capillaries
Fenestrations = pores
Slide 11.49Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Developmental Aspects of the
Cardiovascular System
 A simple “tube heart” develops in the
embryo and pumps by the fourth week
 The heart becomes a four-chambered
organ by the end of seven weeks
 Few structural changes occur after the
seventh week
Slide 11.50Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

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Heart jk

  • 1. Essentials of Human Anatomy & Physiology Seventh Edition Elaine N. Marieb Chapter 11 The Cardiovascular System Slides 11.1 – 11.19 Lecture Slides in PowerPoint by Jerry L. Cook Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
  • 2. The Cardiovascular System  A closed system of the heart and blood vessels The heart pumps blood Blood vessels allow blood to circulate to all parts of the body  The function of the cardiovascular system is to deliver oxygen and nutrients and to remove carbon dioxide and other waste products Slide 11.2Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
  • 3. The Heart  Location Thorax between the lungs Pointed apex directed toward left hip  About the size of your fist Slide 11.3Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
  • 4. The Heart Figure 11.1 Slide 11.4Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
  • 5. The Heart: Coverings  Pericardium – a double serous membrane Visceral pericardium Next to heart Parietal pericardium Outside layer  Serous fluid fills the space between the layers of pericardium Slide 11.5Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
  • 6. The Heart: Heart Wall  Three layers Epicardium  Outside layer  This layer is the parietal pericardium  Connective tissue layer Myocardium  Middle layer  Mostly cardiac muscle Endocardium  Inner layer  Endothelium Slide 11.6Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
  • 7. External Heart Anatomy Slide 11.7Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Figure 11.2a
  • 8. The Heart: Chambers  Right and left side act as separate pumps  Four chambers Atria  Receiving chambers  Right atrium  Left atrium Ventricles  Discharging chambers  Right ventricle  Left ventricle Slide 11.8Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
  • 9. Blood Circulation Figure 11.3 Slide 11.9Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
  • 10. The Heart: Valves  Allow blood to flow in only one direction  Four valves Atrioventricular valves – between atria and ventricles  Bicuspid valve (left)  Tricuspid valve (right) Semilunar valves between ventricle and artery  Pulmonary semilunar valve  Aortic semilunar valve Slide 11.10Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
  • 11. The Heart: Valves  Valves open as blood is pumped through  Held in place by chordae tendineae (“heart strings”)  Close to prevent backflow Slide 11.11Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
  • 12. Operation of Heart Valves Figure 11.4 Slide 11.12Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
  • 13. The Heart: Associated Great Vessels  Aorta Leaves left ventricle  Pulmonary arteries Leave right ventricle  Vena cava Enters right atrium  Pulmonary veins (four) Enter left atrium Slide 11.13Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
  • 14. Coronary Circulation  Blood in the heart chambers does not nourish the myocardium  The heart has its own nourishing circulatory system Coronary arteries Cardiac veins Blood empties into the right atrium via the coronary sinus Slide 11.14Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
  • 15. The Heart: Conduction System  Intrinsic conduction system (nodal system) Heart muscle cells contract, without nerve impulses, in a regular, continuous way Slide 11.15Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
  • 16. The Heart: Conduction System Special tissue sets the pace Sinoatrial node  Pacemaker Atrioventricular node Atrioventricular bundle Bundle branches Purkinje fibers Slide 11.16Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
  • 17. Heart Contractions  Contraction is initiated by the sinoatrial node  Sequential stimulation occurs at other autorhythmic cells Slide 11.17Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
  • 18. Heart Contractions Figure 11.5 Slide 11.18Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
  • 19. Filling of Heart Chambers – the Cardiac Cycle Figure 11.6 Slide 11.19Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
  • 20. The Heart: Cardiac Cycle  Atria contract simultaneously  Atria relax, then ventricles contract  Systole = contraction  Diastole = relaxation Slide 11.20Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
  • 21. The Heart: Cardiac Cycle  Cardiac cycle – events of one complete heart beat Mid-to-late diastole – blood flows into ventricles Ventricular systole – blood pressure builds before ventricle contracts, pushing out blood Early diastole – atria finish re-filling, ventricular pressure is low Slide 11.21Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
  • 22. The Heart: Cardiac Output  Cardiac output (CO) Amount of blood pumped by each side of the heart in one minute CO = (heart rate [HR]) x (stroke volume [SV])  Stroke volume Volume of blood pumped by each ventricle in one contraction Slide 11.22Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
  • 23. Cardiac Output Regulation Figure 11.7 Slide 11.23Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
  • 24. The Heart: Regulation of Heart Rate  Stroke volume usually remains relatively constant Starling’s law of the heart – the more that the cardiac muscle is stretched, the stronger the contraction  Changing heart rate is the most common way to change cardiac output Slide 11.24Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
  • 25. The Heart: Regulation of Heart Rate  Increased heart rate Sympathetic nervous system Crisis Low blood pressure Hormones Epinephrine Thyroxine Exercise Decreased blood volume Slide 11.25Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
  • 26. The Heart: Regulation of Heart Rate  Decreased heart rate Parasympathetic nervous system High blood pressure or blood volume Dereased venous return Slide 11.26Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
  • 27. Blood Vessels: The Vascular System  Taking blood to the tissues and back Arteries Arterioles Capillaries Venules Veins Slide 11.27Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
  • 28. The Vascular System Figure 11.8b Slide 11.28Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
  • 29. Blood Vessels: Anatomy  Three layers (tunics) Tunic intima Endothelium Tunic media Smooth muscle Controlled by sympathetic nervous system Tunic externa Mostly fibrous connective tissue Slide 11.29Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
  • 30. Differences Between Blood Vessel Types  Walls of arteries are the thickest  Lumens of veins are larger  Skeletal muscle “milks” blood in veins toward the heart  Walls of capillaries are only one cell layer thick to allow for exchanges between blood and tissue Slide 11.30Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
  • 31. Movement of Blood Through Vessels  Most arterial blood is pumped by the heart  Veins use the milking action of muscles to help move blood Slide 11.31Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Figure 11.9
  • 32. Capillary Beds  Capillary beds consist of two types of vessels Vascular shunt – directly connects an arteriole to a venule Slide 11.32Figure 11.10Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
  • 33. Capillary Beds True capillaries – exchange vessels Oxygen and nutrients cross to cells Carbon dioxide and metabolic waste products cross into blood Slide 11.33Figure 11.10Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
  • 34. Diffusion at Capillary Beds Figure 11.20 Slide 11.34Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
  • 35. Major Arteries of Systemic Circulation Figure 11.11 Slide 11.35Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
  • 36. Major Veins of Systemic Circulation Figure 11.12 Slide 11.36Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
  • 37. Arterial Supply of the Brain Figure 11.13 Slide 11.37Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
  • 38. Hepatic Portal Circulation Figure 11.14 Slide 11.38Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
  • 39. Circulation to the Fetus Figure 11.15 Slide 11.39Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
  • 40. Pulse  Pulse – pressure wave of blood  Monitored at “pressure points” where pulse is easily palpated Figure 11.16 Slide 11.40Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
  • 41. Blood Pressure  Measurements by health professionals are made on the pressure in large arteries Systolic – pressure at the peak of ventricular contraction Diastolic – pressure when ventricles relax  Pressure in blood vessels decreases as the distance away from the heart increases Slide 11.41Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
  • 42. Measuring Arterial Blood Pressure Figure 11.18 Slide 11.42Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
  • 43. Comparison of Blood Pressures in Different Vessels Figure 11.17 Slide 11.43Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
  • 44. Blood Pressure: Effects of Factors  Neural factors Autonomic nervous system adjustments (sympathetic division)  Renal factors Regulation by altering blood volume Renin – hormonal control Slide 11.44Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
  • 45. Blood Pressure: Effects of Factors  Temperature Heat has a vasodilation effect Cold has a vasoconstricting effect  Chemicals Various substances can cause increases or decreases  Diet Slide 11.45Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
  • 46. Factors Determining Blood Pressure Figure 11.19 Slide 11.46Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
  • 47. Variations in Blood Pressure  Human normal range is variable Normal 140–110 mm Hg systolic 80–75 mm Hg diastolic Hypotension Low systolic (below 110 mm HG) Often associated with illness Hypertension High systolic (above 140 mm HG) Can be dangerous if it is chronic Slide 11.47Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
  • 48. Capillary Exchange  Substances exchanged due to concentration gradients Oxygen and nutrients leave the blood Carbon dioxide and other wastes leave the cells Slide 11.48Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
  • 49. Capillary Exchange: Mechanisms  Direct diffusion across plasma membranes  Endocytosis or exocytosis  Some capillaries have gaps (intercellular clefts) Plasma membrane not joined by tight junctions  Fenestrations of some capillaries Fenestrations = pores Slide 11.49Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
  • 50. Developmental Aspects of the Cardiovascular System  A simple “tube heart” develops in the embryo and pumps by the fourth week  The heart becomes a four-chambered organ by the end of seven weeks  Few structural changes occur after the seventh week Slide 11.50Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings