Blood Vessels: Structure and Function
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Here are the answers to the questions: 1. Sedentary people with elevated triglyceride levels who continue to eat fatty foods are likely to have a high level of peripheral resistance. 2. Veins have one-way valves to prevent backflow of blood. 3. Arteries are the thickest walled to withstand the high pressure of blood being pumped from the heart. 4. Arteries carry blood away from the heart. 5. When blood is pumped into the thin-walled vessels of the lungs, the pressure decreases which allows for gas exchange between the blood and lungs. 6. The carotid artery delivers blood to the brain. 7. The
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Blood Vessels: Structure and Function
- 1. By Sunil Hariram Pal MD Kayachikitsa
- 2. Blood Vessels • Blood is carried in a closed system of vessels that begins and ends at the heart • Blood travel through the: • Pulmonary circuit • Systemic • Coronary
- 3. Blood Vessel Function • Transport respiratory gasses • Deliver nutrients • Remove waste • Transport hormones • Filter blood • Body temperature regulation • Maintain blood pressure • Provide an immune response
- 4. 5 Classes of Blood Vessels • Arteries: – carry blood away from heart • Arterioles: – Are smallest branches of arteries • Capillaries: – are smallest blood vessels – location of exchange between blood and interstitial fluid • Venules: – collect blood from capillaries • Veins: – return blood to heart
- 5. Tunica interna (tunica intima) • Endothelial layer that lines the lumen of all vessels • In vessels larger than 1 mm, a subendothelial connective tissue basement membrane is present Tunica media • Smooth muscle and elastic fiber layer, regulated by sympathetic nervous system • Controls vasoconstriction/vasodilation of vessels Tunics
- 6. Tunica externa (tunica adventitia) • Collagen fibers that protect and reinforce vessels • Larger vessels contain vasa vasorum Tunics
- 8. Figure 19.1b Tunica media (smooth muscle and elastic fibers) Tunica externa (collagen fibers) Lumen Artery Lumen Vein Internal elastic lamina External elastic lamina Valve (b) Endothelial cells Basement membrane Capillary network Capillary Tunica intima • Endothelium • Subendothelial layer
- 9. Artery vein
- 10. Arteries 1. Carry blood away from the heart. 2. Thick-walled to withstand hydrostatic pressure of the blood during ventricular systole. 3. Blood pressure pushes blood through the vessel
- 12. Elastic (Conducting) Arteries Thick-walled arteries near the heart; the aorta and its major branches • Large lumen allow low-resistance conduction of blood • Contain elastin in all three tunics • Withstand and smooth out large blood pressure fluctuations • Allow blood to flow fairly continuously through the body
- 13. Muscular (Distributing) Arteries and Arterioles Muscular arteries – distal to elastic arteries; deliver blood to body organs • Have thick tunica media with more smooth muscle and less elastic tissue • Active in vasoconstriction Arterioles – smallest arteries; lead to capillary beds • Control flow into capillary beds via vasodilation and constriction
- 14. Fig.21.02 Pressure reservoir function of elastic arteries
- 16. Veins • Carry blood to the heart. • Thinner-walled than arteries. • Possess one-way valves that prevent backwards flow of blood. • Blood flow due to body movements, not from blood pressure.
- 18. Varicose Veins
- 19. Varicose Veins
- 20. Capillaries One cell thick, endothilium Function: • Diffusion • Filtration • Transcytosis
- 21. CO2 O2 Diffusion
- 22. Filtration
- 23. Basement membrane Endothelial fenestration (pore) Intercellular cleft Pinocytotic vesicles Caveolae 4 Transport via vesicles or caveolae (large substances) 3 Movement through fenestrations (water-soluble substances) 2 Movement through intercellular clefts (water-soluble substances) 1 Diffusion through membrane (lipid-soluble substances) Lumen Transcytosis
- 24. Capillaries are the smallest blood vessels • Walls consisting of a thin tunica interna, one cell thick • Allow only a single RBC to pass at a time • Pericytes on the outer surface stabilize their walls There are three structural types of capillaries: continuous, fenestrated, and sinusoids Capillaries
- 25. Continuous Capillaries Continuous capillaries are abundant in the skin and muscles, and have: • Endothelial cells that provide an uninterrupted lining • Adjacent cells that are held together with tight junctions • Intercellular clefts of unjoined membranes that allow the passage of fluids
- 26. Continuous capillaries of the brain: • Have tight junctions completely around the endothelium • Constitute the blood-brain barrier Continuous Capillaries
- 28. Fenestrated Capillaries • Found wherever active capillary absorption or filtrate formation occurs (e.g., small intestines, endocrine glands, and kidneys) Characterized by: • An endothelium riddled with pores (fenestrations) • Greater permeability to solutes and fluids than other capillaries
- 30. Sinusoids • Highly modified, leaky, fenestrated capillaries with large lumens • Found in the liver, bone marrow, lymphoid tissue, and in some endocrine organs • Allow large molecules (proteins and blood cells) to pass between the blood and surrounding tissues • Blood flows sluggishly, allowing for modification in various ways
- 32. Capillary Beds A microcirculation of interwoven networks of capillaries, consisting of: • Vascular shunts – metarteriole– thoroughfare channel connecting an arteriole directly with a postcapillary venule • True capillaries – 10 to 100 per capillary bed, capillaries branch off the metarteriole and return to the thoroughfare channel at the distal end of the bed
- 34. Figure 19.4 (b) Sphincters closed—blood flows through metarteriole thoroughfare channel and bypasses true capillaries. Terminal arteriole Postcapillary venule
- 36. Blood pressure (BP) • Force per unit area exerted on the wall of a blood vessel by the blood –Expressed in mm Hg –Measured as systemic arterial BP in large arteries near the heart • The pressure gradient provides the driving force that keeps blood moving from higher to lower pressure areas
- 37. Resistance (peripheral resistance) • Opposition to flow • Measure of the amount of friction blood encounters • Generally encountered in the peripheral systemic circulation Three important sources of resistance • Blood viscosity • Total blood vessel length • Blood vessel diameter
- 38. Systemic Blood Pressure The pumping action of the heart generates blood flow Pressure results when flow is opposed by resistance Systemic pressure • Is highest in the aorta • Declines throughout the pathway • Is 0 mm Hg in the right atrium The steepest drop occurs in arterioles
- 39. Figure 19.6 Systolic pressure Mean pressure Diastolic pressure
- 40. Resistance Factors that remain relatively constant: • Blood viscosity –The “stickiness” of the blood due to formed elements and plasma proteins • Blood vessel length –The longer the vessel, the greater the resistance encountered
- 41. Resistance • Frequent changes alter peripheral resistance • Varies inversely with the fourth power of vessel radius • E.g., if the radius is doubled, the resistance is 1/16 as much
- 42. Resistance • Small-diameter arterioles are the major determinants of peripheral resistance • Abrupt changes in diameter or fatty plaques from atherosclerosis dramatically increase resistance • Disrupt laminar flow and cause turbulence
- 43. Mm Hg 120- 80- Artery Arteriole Capillary Venule Vein
- 44. Baroreceptors
- 45. Short-Term Hormonal Control Vasoconstrictors: • Norepinephrine and epinephrine • Angiotensin II • ADH Vasodilators: • ANP (atrial natriutic peptide) • PTH • NO
- 47. Sphygmomanometer Used to estimate pressure
- 49. 120/80 is good Blood Pressure
- 50. brachial carotid Superficial Pulse Points- arteries, not veins radial femoral • Temporal artery • Facial artery • Common carotid artery • Brachial artery • Radial artery • Femoral artery • Popliteal artery • Posterior tibial artery • Dorsal pedis artery 60 beats/minute popliteal facial temporal Posterior tibial Dorsal pedis
- 51. Homeostatic Imbalances • Tachycardia: abnormally fast heart rate (>100 bpm) • If persistent, may lead to fibrillation • Bradycardia: heart rate slower than 60 bpm • May result in grossly inadequate blood circulation • May be desirable result of endurance training
- 52. Circulatory Shock • Any condition in which • Blood vessels are inadequately filled • Blood cannot circulate normally • Results in inadequate blood flow to meet tissue needs
- 53. Circulatory Shock • Hypovolemic shock: results from large-scale blood loss • Vascular shock: results from extreme vasodilation and decreased peripheral resistance • Cardiogenic shock: results when an inefficient heart cannot sustain adequate circulation https://www.youtube.com/watch?v=9a7N9AU1GiQ
- 54. Three Types of Circulation 1. Pulmonary 2. Systemic 3. Coronary
- 59. Coronary Circulation Marginal Artery Right coronary artery Great Cardiac Vein Anterior interventricular artery Circumflex artery Left coronary artery
- 60. Coronary Circulation Inferior vena cava Middle cardiac Veins Posterior interventricular artery Great cardiac vein Coronary sinus (b) The major cardiac veins Superior vena cava Posterior vein
- 62. Fig.21.18b
- 63. Fig.21.20 Brachiocephalic Right subclavian Right Common Carotid Left Common Carotid Left Subclavian
- 64. Fig.21.20
- 65. Fig.21.20
- 66. Fig.21.22a
- 67. Fig.21.23
- 69. Fig.21.25
- 70. Fig.21.26
- 71. Fig.21.27
- 72. Fig.21.28
- 74. Hepatic Portal Circulation Left Gastric Vein Splenic Vein Inferior Mesentaric Vein Inferior Mesentaric Vein Renal Vein Superior Mesentaric Vein Right Gastropiplore Vein Hepatic Portal Hepatic Vein Inferior Vena cava
- 75. liver Inferior vena cava Hepatic veins Abdominal aorta Proper hepatic artery Hepatic portal vein Splenic vein Superior mesenteric vein Tributaries from portions of stomach. pancreas & lg intestine Tributaries from sm intestine & portions of stomach, lg intestine & pancreas
- 76. Fetal Circulation • Placenta - site where exchange of materials between fetus and mother occur • Umbilical arteries (2) - carry fetal blood high in CO2 / low in O2 to the placenta • Umbilical vein - returns oxygenated blood from the placenta to the fetus
- 77. Fetal Circulation • Ductus venosus - allows blood to bypass the liver • Foramen ovale - opening in interatrial septum allowing blood to bypass the lungs Blood flows from r.atrium ->l.atrium • Ductus arteriosus - vessel connecting pulmonary artery to the aorta
- 78. Fetal circulation and changes at birth
- 79. INQUIRY 1. Sedentary people with elevated triglyceride levels who continue to eat fatty foods are likely to have a high level of _____. 2. Which vessels have valves? 3. Which vessel is the thickest walled? 4. What type of blood vessels carry blood away from the heart? 5. What happens when blood is pumped into the thin- walled vessels of the lungs? 6. Which blood vessel delivers blood to the brain? 7. Which blood vessel delivers blood to the liver? 8. The distinctive Korotkoff sounds heard when taking blood pressure are produced by ____.