More Circulatory System

Tutorials and ResourcesTexas Heart Institute Tutorials Anatomy of the Heart at Wisc-Online Webanatomy Quizzes (Vessels)Heart Actions

Cardiac Cycle - once complete heartbeat

Systolic pressure / diastolic pressure

Systolic occurs when blood is forced out of the left ventricle, and the aortic valve OPENS...this is the high number on a blood pressure reading

Diastolic occurs when the aortic valve closes and the ventricle relaxes, this is the lower number of the blood pressure reading.

Average (Normal) Blood Pressure = 120/80

Average heart rate = 72 bpm

The cusps (flaps) of the bicuspid and tricuspid valves are anchored to the ventricle walls by fibrous “cords” called chordate tendineae, which attach to the wall by papillary muscles. This prevents the valves from being pushed up into the atria during ventricular systole.

*The device used to measure blood pressure is a SPHYGMOMANOMETER

Factors affecting blood pressure:

1. Cardiac Output

2. Blood volume (5 liters for avg adult)

3. Blood Viscosity

4. Peripheral Resistance

ECG = electrocardiogram

- recording or electrical events that occur during the cardiac cycle

P Wave – depolarization of the atria (atrial contraction – systole)

QRS Complex – depolarization of the ventricles (ventricular contraction, systole)

T Wave – Repolarization of the ventricles

Heart Sounds

- the opening and closing of the valves makes a characteristic "lub dub" sound.

- doctors use a STETHESCOPE to listen to the heart sounds, cardiologists are trained to hear abnormalities.

Cardiac Conduction System: Specialized cardiac muscle tissue which conducts impulses.

1. Sinoatrial (S-A) Node – “Pacemaker.” Posterior wall of the right atrium. Special muscle tissue that spontaneously generates (initiates) rhythmic impulses which spread through the myocardium. Cells of the S-A Node are “self-excitatory”

2. Junctional Fibers – carries impulses into the A-V Node. Also these slow down the impulse (smaller fibers)

3. Atrioventricular Node (A-V) – conducts impulses from the atria through the septum, to the ventricles. Slows the impulse further, giving atria time to empty and the ventricles time to fill. Found in the floor of right atrium, near septum

4. A-V Bundle – within the interventricular septum. A right and left branch transmits impulse to walls of the ventricles.

5. Perkinje Fibers – Begin about halfway down the septum. Branch throughout the walls of the ventricles and carry impulse rapidly throughout ventricles, stimulating contraction

Cardiac Output = Stroke Volume x Heart Rate

Regulation of the Cardiac Cycle – controlled by the cardiac center within the medulla oblongata. The cardiac center signals heart to increase or decrease its rate according to many factors that the brain constantly monitors.

Increased muscle activity = Higher oxygen demands = increase in heart rate

Higher Body temperature = increased heart rate; Lower body temp = lower heart rate

Blood level of certain ions - Potassium High = Lower heart rate; Potassium Low = Higher heart rate

- Calcium high = Higher heart rate; Calcium Low = Lower heart rate

Abnormal Heart Rhythms – Arrhythmias

Tachycardia = rapid heartbeat ( > 100 BPM)

Bradycardia = slow heartbeat ( < 60 BPM)

Fibrillation = rapid, uncoordinated unsynchronized heart rate. Atria (not serious. Ventricles (deadly)

SADS = (Sudden Arrhythmia Death Syndromes or Sudden Adult Death Syndrome)

Interpreting ECGs

An ECG is printed on paper covered with a grid of squares.

Notice that five small squares on the paper form a larger square. The width of a single small square on ECG paper represents 0.04 seconds. A common length of an ECG printout is 6 seconds; this is known as a "six second strip."

A&P Cardiac Cycle

Defibrillator- common treatment for life-threatening cardiac arrhythmia The device shocks the heart and allows it to re-establish its normal rhythm The device can also be used to start a heart that has stopped

Measuring Blood Pressure (LAB)

This lab outlines the procedure involved in taking a patient's blood pressure using a sphygmomanometer and a stethescope.

13.4 Blood Vessels : arteries, veins, capillaries

Arteries : strong elastic vessels which carry blood moving away from the heart. Smallest ones arearterioles which connect to capillaries .

Veins : Thinner, less muscular vessels carrying blood toward the heart. Smallest ones are calledvenules which connect to capillaries . Contain valves .

Capillaries : Penetrate nearly all tissues. Walls are composed of a single layer of squamous cells – very thin. Critical function: allows exchange of materials (oxygen, nutrients) between blood and tissues.

Control of Blood Flow:

Precapillary sphincters – circular, valve-like muscle at arteriole-capillary junction.

Vasoconstriction – narrowing blood vessel’s lumen (“passageway”)

Vasodilation – explanding blood vessel’s lumen

Blood flow through veins – not very efficient. Slow, weak “pushing” by arterial blood pressure is not much of a factor at all.

Important factors include:

1. Contraction of the diaphragm.

2. Pumping action of the skeletal muscles.

3. Valves in the veins.

* Blood Clots can occur if blood does not flow properly through the veins - can occur if a person does not move enough

Major Blood Vessels

Aorta - Ascending Aorta, Aortic Arch, Descending Aorta, Abdominal Aorta. The aorta is the largest artery. (leaves right ventricle)

Pulmonary Trunk – splits into left and right, both lead to the lungs (leaves left ventricle)

Pulmonary Veins – return blood from the lungs to the heart (connects to left atrium)

Superior and Inferior Vena Cava – return blood from the head and body to the heart (connects to right atrium)

Branches of the Aorta

Right and Left Coronary Arteries - supply blood to the heart itself

Brachiocephalic Artery branches into the Right Subclavian ( supplies blood to the arms) and the Left Common Carotid (bicarotid)

The common carotid then branches into the left and right carotid arteries which supply blood to the head

Left Subclavian Artery – supplies blood to the left arms

Note that the vessels are not symmetrical.

Disorders of the Circulatory System

1. MVP - mitral valve prolapse, the mitral valve does not close all the way; this creates a clicking sound at the end of a contraction.

2. Heart Murmurs – valves do not close completely, causing an (often) harmless murmur sound. Sometimes holes can occur in the septum f the heart which can also cause a murmur

3. Myocardial Infarction (MI) - a blood clot obstructs a coronary artery, commonly called a “heart attack”

4. Atherosclerosis – deposits of fatty materials such as cholesterol form a “plaque” in the arteries which reduces blood flow. Advanced forms are called arteriosclerosis. Treatment: Angioplasty, where a catheter is inserted into the artery and a balloon is used to stretch the walls open. A bypass can also treat clogged arteries, a vein is used to replace a clogged artery. Coronary bypass refers to a procedure where the coronary artery is bypassed to supply blood to the heart. (The phrase “quadruple bypass” means that 4 arteries were bypassed.)

5. Hypertension – high blood pressure, the force within the arteries is too high. A sphygmomanometer can be used to diagnose hypertension

Fill in the blanks to trace the path of blood through the circulatory system

From the right atrium to the (1) ____ through the (2)_ _ valve to the pulmonary trunk to the right and left (3), to the capillary beds of the (4) , to the (5) _, to the (6) __ of the heart through the (7) _ valve, to the (8) ___ through the (9) semilunar valve, to the (10) _, to the systemic arteries, to the (11) _ of the body tissues, to the system veins, to the (12) and (13) __, which enter the right atrium of the heart.

1. ____________________________________

2. ____________________________________

3. ____________________________________

4. ____________________________________

5. ____________________________________

6. ____________________________________

7. ____________________________________

8. ____________________________________

9. ____________________________________

10. ____________________________________

11. ____________________________________

12. ____________________________________

13. ____________________________________

Label the Diagram

A - Vessels serving the head and upper limbs

B - Vessels serving the body trunk and lower limbs

C - Vessels serving the viscera

D - Pulmonary Circulation

E - Pulmonary "Pump"

F - Systemic "Pump"

answers-to-circulation-review-guide

1. How do you calculate cardiac output (formula)? ___________________

How much blood is contained in the average human? ________

2. Arteries carry blood ____________ from the heart.

Veins carry blood _____ the heart.

Which (arteries or veins) carries oxygenated blood? ___________

Name the one vessel that is the exception: ___________________

3. What do you call the loose, outer layer of the sac around the heart? _______________________

What side points toward the heart (inside

layer)? ______________________ What layer is on the outside? _____________

4. When vessels expand, it is called _____________________

When they contract? ____________________

5. Briefly describe the epicardium, myocardium, and endocardium

6. Describe the size and location of the heart.

Where is the apex of the heart located? _______________________

What divides the left and right side of the heart? __________________

Which side is more muscular? __________________

What bone lies directly in front of the heart? _______________

7. During systole, the aortic valve is __________________.

During diastole, the aortic valve is __________________.

8. Veins and arteries meet at ________________________, where nutrients are exchanged with body tissues.

Arteries branch into smaller vessels called _________________

Veins also have smaller branches called __________________

Other Resources

Flash Tutorial on Blood Flow in the Heart at Wisc Online

Heart Diagram at Texas Institute

Drag and Drop Heart Quiz

9. What three things push blood back to the heart (through the veins)? _________________________

What are pre-capillary sphincters? _____________________________________

10. Describe the function of the sinoatrial node and trace the path of a nerve (cardiac) impulse through the cardiac conduction system.

What is the pacemaker? ____________________________

What fibers cause a contraction in the ventricle? ________________________

Where is the AV node located? ________________________

11. What do the terms tachycardia and bradycardia mean? What is arrhythmia? Be able to identify these on an ECG.

12. Generally speaking, when the ventricle contracts, the atrium ________________

Any contraction (atrial or ventricular) is called ___________________

Relaxing is called ____________________. At what point is blood pressure at its highest? ________________

14. Identify the P-Wave, the QRS complex and a T wave on an ECG.

What is an ECG? (Be able to analyze one)

15. What is a defibrillator used for? How does it work?

16. What are systolic pressure and diastolic pressure? What is the “normal” blood pressure for a human?

17. What two piece of equipment are needed to take a person’s blood pressure?

Describe the procedure:

18. Name and give the function of all four valves of the heart. Some have multiple names; make sure you know all of them.

19. Blood that moves from the heart to the lungs and back to the heart again is in the _____________________ circuit.

Blood moving throughout the body is in the ___________________ circuit.

20. List the three major vessels that branch off of the aortic arch. You may want to draw a diagram.

21. Label all of the major vessels that attach to the heart.

22. Label a diagram of the heart and trace the flow of blood through the heart.

23. Know each of the following diseases related to the circulatory system, included how they are treated

Hypertension ___________________________________________________________________

Atherosclerosis _________________________________________________________________

Mitral Valve Prolapse _____________________________________________________________

Cardiac Infarction ________________________________________________________________

Heart Murmer ___________________________________________________________________

Deep Vein Thrombosis (Blood Clots) _________________________________________________

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