Friday, October 29, 2010

Week 10


SA node
            starts the heart beat
            Automatic
            Sends stimulus that causes both atria to contract at the same time
            What pacemakers do

AV node
            Close to coronary sinus
            Between atria and ventricles
            Right & left sides are bundled up and branch out over each ventricle
            Purkinje fibers transmit the impulse that cause the ventricles to contract at the same time

Contractions start at the apex and travel to the base

Blood Vessels
            3 Layers in a vessel
                        called tunics
            Tunica Interna
                        Thin surface layer of endothelium & elastic CT
            Tunica Media
                        Smooth muscle with some elastic CT
                        Circular arrangement
                        Contractions constrict flow of blood, increasing Blood Pressure (BP)
                        Relaxing dilates the vessels decreasing BP
            Tunica Externa
                        Thin white fibrous elastic CT

Ellastic Arteries
            Conducting Vessels
            Aorta is an example
            Expand and recoil
            Delivers to muscular arteries

Musclar arteries
            Conduct blood to location or distribute
            Continuous flow

Autoregulation
            Automatic local adjustment of blood flow in a given region of the body in            
            response to needs of over tissues à need for oxygen is stimulus

Colateral Circulation
            2 arteries serving the same location

Anastomosis
            2 arteries joining at distal end

Infarction
            Death of cell due to lack of oxygen

NO VALVES IN ARTERIES

Capillaries
            Layer of simple squamous epithelium
            Slows the flow of blood
            Purpose of the cardiovascular system is to serve these
            More numerous in tissues that need/use more oxygen
            Can be closed of with sphincters
            Interconnector between arterioles and venules

Veins
            3 layers
            Same as arteries but less distinct
            Minimal elastic tissue
            Thinner walls
            Greater diameter
            Vena comitans
                        2 veins following a common artery
            Surface veins
                        Cutaneous
            Valves are use to carry blood up against the force of gravity
            Low Pressure
            Pressure gradients help move blood
            Skeletal muscles can act as a pump
            Respiratory can act as a pump

Pulmonary Circuit
            Receives oxygen deficient blood
            Purpose is to oxygenate blood

            Begins Right Ventricle
                        Conus arteriosus
            Ends in the Left Atrium

Pulmonary trunk
            In front of ascending aorta
            To the left & under the arch
            Short wide vessel
            Is an Artery

            Divides into right and left arteries
            Right side delivers blood to right side of lung
                        Branches in lower and superiors branches
                                    Lower branch is larger and delivers to lower lobes
                                    Superior branch delivers to upper lobe
            Left side delivers blood to left side of lung
                        Branches into lower and superior
                                    Lower branch delivers to lower lobe
                                    Superior branch delivers to upper lobe
                                   
            2 Pulmonary veins from each lung empty into left atrium

Systemic Circuit
            More extensive
            Starts in Left ventricle
            Ends in right atrium

            Dispenses from Aorta
            Delivers Oxygen to all systemic arteries

            Aorta has 3 regions
                        Ascending
                        Arch
                        Descending (2 parts)
                                     Thorassic
                                    Abdominal

Ascending Aorta          
            2 coronary arteries
            only branches of ascending Aorta
            Right side receives first
            Left side divides more
                        Anterior ventricular artery
                        Posterior ventricular artery
                        Circumflex artery         
                                   
Arch of the Aorta
            Region that leaves the pericardial sac
            Leave out & heads back
            Ends ~ T4
            3 branches on the top of the arch
                        1st and largest is Brachiocephalic
                        Left Common Carotid 2nd
                        Left Subclavian 3rd

Descending Aorta
            Begins ~ T4 ~ T6

            Thorassic branch
            Has parietal & visceral branches
           
            Abdomincal branch
            Has parietal & visceral & terminal branches

Systemic veins
            Drainage system of blood
            Lots of valves to prevent backflow of blood
            Brings back nutrients waste and lacks oxygens
            Tributaries instead of branches
            Tributaries of origin
                        2 veins merging into 1 common vein
            Superficial
                        Under skin
                        No companion arteries
                        Empty into deep veins
            Deep
                        Travel with artery
                        Artery usually has the same name
            Venus Sinus
                        Space between layer of dura mater (outer layer)
                        Endothelium lined
                        Empty into internal jugular vein

Coronay Sinus
            Heart wall return

Superior Vena Cava  à SVC
            7cm long
            Receives blood from right and left brachiocephalic
                        Right side is shorter
            Receives blood from head neck thorax and upper extremities

Inferior Vena Cava à IVC
            Recieves blood from trunk and lower limbs
           
All 3 empty into Right Atrium


Portal Sytems or Hephatic (Liver) system
            Artery
            Arteriole
            Capillary (sinusoid)
            Venule
            Capillary (sinusoid)
            Venule
            Vein
           
            Recieves blood from digestive tract and spleen
            Portal vein takes blood to liver
            Feeds capillary beds
                        Which filter the blood
                        What gets filtered depends on what the body needs at the moment

Fetal Circulation
            5th week the fetal heart can start beating
            Foramen Ovale
                        Oval shaped hole between right and left atrium
                        Allows blood to skip going to the lungs since a baby doesn’t use it lungs
                        Decreases in size after birth
                        Becomes fossa ovale

            Large Eustachian valve in IVC
                        Prevents blood from going into ventricle prematurely

            Ductus Arteriosus
                        Allows blood in right ventricle to skip lung
                        Becomes ligamentum arteriosum

            2 umbilical arteries
                        lack oxygen
                        goes to placenta to be oxygenated and get nutrients
                        becomes lateral umbilical ligament

            1 umbilical vein
                        goes back to liver/IVC
                        becomes ligamentum teres

            Ductus venosus
                        Between umbilical vein & IVC
                        Skips liver
                        Becomes ligamentum venosum

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