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    Cardiovascular System

    by

    M. Rasjad Indra

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    Main function

    Serve a transportation for:

    Supplying nutrition and oxygen to tissues

    Elimination of metabolic end products from

    tissues

    Hormones & other chemical substances as a

    intercellular communication mediator

    Maintain a stable internal environment fora life & optimal function of cells.

    How does this system regulate its activities to achieve the

    function???

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    Blood flow

    Blood pressure

    Tissue perfussion (Supply

    nutrition & oxygen and eliminate

    metabolic waste products)

    Cardic pumping

    Local blood vesselresisstance

    Total blood vessel

    resisstance

    Cardiac muscle

    contraction

    Action potential

    Cardiac muscle &

    cunductive system

    Heart Space &

    Valves

    Vasoconstriction /

    dilatation

    Vascular smooth

    muscle

    Cardiac

    cycle

    Blood volume

    Theoritical Framework of Cardiavascular System

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    For better understanding the mechanism of regulation you

    have to recognize many parameters of the system:

    1. Cardiac output [CO]

    2. Blood pressure [P]3. Blood flow [Q]

    4. Vascular resistant [R]

    Cardiac output= Stroke Volume x Frequency

    R

    PQ

    Ohm law:l

    Q

    8

    Pr4

    Poiseuille law:

    r = radius

    d= blood viscosity

    l= blood vessel length

    Stroke volume = End Diastolic Vol. - End Systolic Vol.

    Cardiac index = Cardiac output / Body Surface Area

    Ejection Fraction=(SV/EDV) x 100 %

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    Role of each CVS compartmentHeart: Blood pumping

    Arteri: Blood transport under high pressure to tissues.

    Ateriole: Regulate blood flow to capillaries

    Capillary: Fluid exchange, nutrition, electrolites hormone

    between plasma & interstitial

    Venula: Blood flow from capillaries to middle veins

    Vein: Blood flow from tissues to heart

    Regulated blood reservoir.

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    Blood Volume in Cardiovascular

    System

    84 % in systemic circulation:

    64 % in vein

    13 % in artery

    7 % in arteriole and capillaries

    16 % pulmonary & cardiac circulation:

    7 % in the heart

    9 % in the lungs

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    Parameter Aorta Small artery Arteriole Capillary V. Cava

    Number 1 8000 2 x 107 1 x 1010 1

    Radius 1,13,cm 0,5 mm 15 m 3 m 1,38 cm

    Diameter 4 cm2 7,9 x 10-3 cm2 7,1 x 10-7 cm2 2,8 x 10-7 cm2 6 cm2

    Total diameter 4 cm2 63 cm2 141 cm2 2827 cm2 6 cm2

    Total blood flow 83 ml/second 83 ml/second 83 ml/second 83 ml/second 83 ml/scnd

    Mean of Linier velocity 21 cm/secnd 1,3 cm/second 0,6 cm/second 0,003 cm/sc 14 cm/scnd

    Blood flow per unit 83 ml/second 0,01 ml/secnd 4 x 10-6 ml/scnd 8 x 10-9 ml/sc 83 ml/scnd

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    Diameter of Blood Vessels

    Blood vessel Diameter (cm2)

    Aorta 2,5

    Small Arteries 20

    Arteriole 40

    Capillaries 2500

    Venule 250Small Vein 80

    Vena cava 8

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    Blood Flow

    In aorta: 33 cm / second

    In capillary: 0,3 mm / second

    The blood flow going slower because of

    decreasing blood pressure and increasing total

    diameter of blood vessels

    Capillaries length: 0,3 1 mm blood stay incapillary 1 3 seconds

    Very short time for fluid exchange betweenplasma and interstitial !!!!

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    Blood pressure

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    3 Basic Principles of

    Cardiovascular Function

    1. Tissue blood flow is regulated in

    accordance with tissue metabolic need.

    2. Cardiac output is controlled mainly by

    total tissue blood flow / metabolic need.

    3. Blood pressure is determined by a

    balance between regulation of tissue

    blood flow and cardiac output regulation

    mechanism.