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  • Essentials of Human Anatomy & Physiology

    Seventh Edition

    Elaine N. Marieb

    Chapter 11

    The Cardiovascular System

    Copyright 2003 Pearson Education, Inc. publishing as Benjamin Cummings

    Slides 11.1 11.19

    The Cardiovascular System

    Lecture Slides in PowerPoint by Jerry L. Cook

  • The Cardiovascular SystemThe Cardiovascular System

    A closed system of the heart and bloodvessels

    The heart pumps blood

    Blood vessels allow blood to circulate to all

    Slide 11.2Copyright 2003 Pearson Education, Inc. publishing as Benjamin Cummings

    Blood vessels allow blood to circulate to allparts of the body

    The function of the cardiovascularsystem is to deliver oxygen andnutrients and to remove carbon dioxideand other waste products

  • The HeartThe Heart

    Location

    Thorax between the lungs

    Slide 11.3Copyright 2003 Pearson Education, Inc. publishing as Benjamin Cummings

    Pointed apex directed toward left hip

    About the size of your fist

  • The HeartThe Heart

    Slide 11.4Copyright 2003 Pearson Education, Inc. publishing as Benjamin Cummings

    Figure 11.1

  • The Heart: CoveringsThe Heart: Coverings

    Pericardium a double serousmembrane

    Visceral pericardium

    Next to heart

    Slide 11.5Copyright 2003 Pearson Education, Inc. publishing as Benjamin Cummings

    Next to heart

    Parietal pericardium

    Outside layer

    Serous fluid fills the space between thelayers of pericardium

  • The Heart: Heart WallThe Heart: Heart Wall

    Three layers

    Epicardium

    Outside layer

    This layer is the parietal pericardium

    Connective tissue layer

    Slide 11.6Copyright 2003 Pearson Education, Inc. publishing as Benjamin Cummings

    Connective tissue layer

    Myocardium

    Middle layer

    Mostly cardiac muscle

    Endocardium

    Inner layer

    Endothelium

  • External Heart AnatomyExternal Heart Anatomy

    Slide 11.7Copyright 2003 Pearson Education, Inc. publishing as Benjamin Cummings Figure 11.2a

  • The Heart: ChambersThe Heart: Chambers

    Right and left side act as separate pumps

    Four chambers

    Atria

    Receiving chambers

    Slide 11.8Copyright 2003 Pearson Education, Inc. publishing as Benjamin Cummings

    Right atrium

    Left atrium

    Ventricles

    Discharging chambers

    Right ventricle

    Left ventricle

  • Blood CirculationBlood Circulation

    Slide 11.9Copyright 2003 Pearson Education, Inc. publishing as Benjamin Cummings

    Figure 11.3

  • The Heart: ValvesThe Heart: Valves

    Allow blood to flow in only one direction

    Four valves

    Atrioventricular valves between atria andventricles

    Bicuspid valve (left)

    Slide 11.10Copyright 2003 Pearson Education, Inc. publishing as Benjamin Cummings

    Bicuspid valve (left)

    Tricuspid valve (right)

    Semilunar valves between ventricle andartery

    Pulmonary semilunar valve

    Aortic semilunar valve

  • The Heart: ValvesThe Heart: Valves

    Valves open as blood is pumpedthrough

    Slide 11.11Copyright 2003 Pearson Education, Inc. publishing as Benjamin Cummings

    Held in place by chordae tendineae(heart strings)

    Close to prevent backflow

  • Operation of Heart ValvesOperation of Heart Valves

    Slide 11.12Copyright 2003 Pearson Education, Inc. publishing as Benjamin Cummings

    Figure 11.4

  • The Heart: Associated Great VesselsThe Heart: Associated Great Vessels

    Aorta

    Leaves left ventricle

    Pulmonary arteries

    Leave right ventricle

    Slide 11.13Copyright 2003 Pearson Education, Inc. publishing as Benjamin Cummings

    Leave right ventricle

    Vena cava

    Enters right atrium

    Pulmonary veins (four)

    Enter left atrium

  • Coronary CirculationCoronary Circulation

    Blood in the heart chambers does notnourish the myocardium

    The heart has its own nourishingcirculatory system

    Slide 11.14Copyright 2003 Pearson Education, Inc. publishing as Benjamin Cummings

    circulatory system

    Coronary arteries

    Cardiac veins

    Blood empties into the right atrium via thecoronary sinus

  • The Heart: Conduction SystemThe Heart: Conduction System

    Intrinsic conduction system(nodal system)

    Slide 11.15Copyright 2003 Pearson Education, Inc. publishing as Benjamin Cummings

    (nodal system)

    Heart muscle cells contract, without nerveimpulses, in a regular, continuous way

  • The Heart: Conduction SystemThe Heart: Conduction System

    Special tissue sets the pace

    Sinoatrial node

    Pacemaker

    Slide 11.16Copyright 2003 Pearson Education, Inc. publishing as Benjamin Cummings

    Pacemaker

    Atrioventricular node

    Atrioventricular bundle

    Bundle branches

    Purkinje fibers

  • Heart ContractionsHeart Contractions

    Contraction is initiated by the sinoatrialnode

    Slide 11.17Copyright 2003 Pearson Education, Inc. publishing as Benjamin Cummings

    Sequential stimulation occurs at otherautorhythmic cells

  • Heart ContractionsHeart Contractions

    Slide 11.18Copyright 2003 Pearson Education, Inc. publishing as Benjamin Cummings

    Figure 11.5

  • Filling of Heart ChambersFilling of Heart Chambers the Cardiac Cyclethe Cardiac Cycle

    Slide 11.19Copyright 2003 Pearson Education, Inc. publishing as Benjamin Cummings

    Figure 11.6

  • The Heart: Cardiac CycleThe Heart: Cardiac Cycle

    Atria contract simultaneously

    Atria relax, then ventricles contract

    Slide 11.20Copyright 2003 Pearson Education, Inc. publishing as Benjamin Cummings

    Atria relax, then ventricles contract

    Systole = contraction

    Diastole = relaxation

  • The Heart: Cardiac CycleThe Heart: Cardiac Cycle

    Cardiac cycle events of one completeheart beat

    Mid-to-late diastole blood flows intoventricles

    Slide 11.21Copyright 2003 Pearson Education, Inc. publishing as Benjamin Cummings

    ventricles

    Ventricular systole blood pressure buildsbefore ventricle contracts, pushing outblood

    Early diastole atria finish re-filling,ventricular pressure is low

  • The Heart: Cardiac OutputThe Heart: Cardiac Output

    Cardiac output (CO)

    Amount of blood pumped by each side ofthe heart in one minute

    CO = (heart rate [HR]) x (stroke volume

    Slide 11.22Copyright 2003 Pearson Education, Inc. publishing as Benjamin Cummings

    CO = (heart rate [HR]) x (stroke volume[SV])

    Stroke volume

    Volume of blood pumped by each ventriclein one contraction

  • Cardiac Output RegulationCardiac Output Regulation

    Slide 11.23Copyright 2003 Pearson Education, Inc. publishing as Benjamin Cummings

    Figure 11.7

  • The Heart: Regulation of Heart RateThe Heart: Regulation of Heart Rate

    Stroke volume usually remains relativelyconstant

    Starlings law of the heart the more that

    Slide 11.24Copyright 2003 Pearson Education, Inc. publishing as Benjamin Cummings

    Starlings law of the heart the more thatthe cardiac muscle is stretched, thestronger the contraction

    Changing heart rate is the mostcommon way to change cardiac output

  • The Heart: Regulation of Heart RateThe Heart: Regulation of Heart Rate

    Increased heart rate

    Sympathetic nervous system

    Crisis

    Low blood pressure

    Slide 11.25Copyright 2003 Pearson Education, Inc. publishing as Benjamin Cummings

    Hormones

    Epinephrine

    Thyroxine

    Exercise

    Decreased blood volume

  • The Heart: Regulation of Heart RateThe Heart: Regulation of Heart Rate

    Decreased heart rate

    Parasympathetic nervous system

    Slide 11.26Copyright 2003 Pearson Education, Inc. publishing as Benjamin Cummings

    Parasympathetic nervous system

    High blood pressure or blood volume

    Dereased venous return

  • Blood Vessels: The VascularBlood Vessels: The VascularSystemSystem

    Taking blood to the tissues and back

    Arteries

    Arterioles

    Slide 11.27Copyright 2003 Pearson Education, Inc. publishing as Benjamin Cummings

    Arterioles

    Capillaries

    Venules

    Veins

  • The Vascular SystemThe Vascular System

    Slide 11.28Copyright 2003 Pearson Education, Inc. publishing as Benjamin Cummings

    Figure 11.8b

  • Blood Vessels: AnatomyBlood Vessels: Anatomy

    Three layers (tunics)

    Tunic intima

    Endothelium

    Tunic media

    Slide 11.29Copyright 2003 Pearson Education, Inc. publishing as Benjamin Cummings

    Tunic media

    Smooth muscle

    Controlled by sympathetic nervoussystem

    Tunic externa

    Mostly fibrous connective tissue

  • Differences Between Blood VesselDifferences Between Blood VesselTypesTypes

    Walls of arteries are the thickest

    Lumens of veins are larger

    Skeletal muscle milks blood in veins

    Slide 11.30Copyright 2003 Pearson Education, Inc. publishing as Benjamin Cummings

    Skeletal muscle milks blood in veinstoward the heart

    Walls of capillaries are only one celllayer thick to allow for exchangesbetween blood and tissue

  • Movement of Blood ThroughMovement of Blood ThroughVesselsVessels

    Most arterial blood ispumped by the heart

    Slide 11.31Copyright 2003 Pearson Education, Inc. publishing as Benjamin Cummings

    Veins use the milkingaction of muscles tohelp move blood

    Figure 11.9

  • Capillary BedsCapillary Beds

    Capillary bedsconsist of twotypes of vessels

    Slide 11.3