The cardiovascular system is the first major regulatory system to develop in the embryo, appearing in the third week of development. By the beginning of the fourth week, the heart has started functioning and the earliest sign of the heart is the appearance of paired endothelial cords. This early development of the cardiovascular system is necessary to meet the nutrient and oxygen demands of the rapidly growing embryo, as diffusion alone can no longer satisfy these needs. The vascular system develops from mesoderm cells that proliferate to form blood vessels and blood cells.