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PowerPoint ® Lecture Slide Presentation by Patty Bostwick-Taylor, Florence-Darlington Technical College Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings PART A 11 The Cardiovascul ar System

CVA A&P - Chapter 11: Cardiovascular Honors

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Page 1: CVA A&P - Chapter 11: Cardiovascular Honors

PowerPoint® Lecture Slide Presentation by Patty Bostwick-Taylor, Florence-Darlington Technical College

Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings

PART A11

The Cardiovascular System

Page 2: CVA A&P - Chapter 11: Cardiovascular Honors

Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings

The Cardiovascular System

A closed system of the heart and blood vessels

The heart pumps blood

Blood vessels allow blood to circulate to all parts of the body

The function of the cardiovascular system is to deliver oxygen and nutrients and to remove carbon dioxide and other waste products

Page 3: CVA A&P - Chapter 11: Cardiovascular Honors

Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings

The Heart

Location

Thorax between the lungs in the inferior mediastinum

Orientation

Pointed apex directed toward left hip

Base points toward right shoulder

About the size of your fist

Page 4: CVA A&P - Chapter 11: Cardiovascular Honors

Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings

The Heart

Figure 11.1a–b

Page 5: CVA A&P - Chapter 11: Cardiovascular Honors

Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings

The Heart

Figure 11.1c

Page 6: CVA A&P - Chapter 11: Cardiovascular Honors

Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings

The Heart: Chambers

Right and left side act as separate pumps

Four chambers

Atria

Receiving chambers

Right atrium

Left atrium

Ventricles

Discharging chambers

Right ventricle

Left ventricle

Page 7: CVA A&P - Chapter 11: Cardiovascular Honors

Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings

The Heart: Chambers

Figure 11.2c

Page 8: CVA A&P - Chapter 11: Cardiovascular Honors

Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings

Differences in Right and Left Ventricles

Figure 11.4

Page 9: CVA A&P - Chapter 11: Cardiovascular Honors

Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings

The Heart: Valves

Allow blood to flow in only one direction to prevent backflow

Four valves

Atrioventricular (AV) valves—between atria and ventricles

Bicuspid (mitral) valve (left side of heart)

Tricuspid valve (right side of heart)

Semilunar valves—between ventricle and artery

Pulmonary semilunar valve

Aortic semilunar valve

Page 10: CVA A&P - Chapter 11: Cardiovascular Honors

Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings

The Heart: Valves

Figure 11.2c

Page 11: CVA A&P - Chapter 11: Cardiovascular Honors

Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings

The Heart: Valves

AV valves

Anchored in place by chordae tendineae (“heart strings”)

Open during heart relaxation and closed during ventricular contraction

Semilunar valves

Closed during heart relaxation but open during ventricular contraction

Notice these valves operate opposite of one another to force a one-way path of blood through the heart

Page 12: CVA A&P - Chapter 11: Cardiovascular Honors

Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings

Systemic and Pulmonary Circulations

Systemic circulation

Blood flows from the left side of the heart through the body tissues and back to the right side of the heart

Pulmonary circulation

Blood flows from the right side of the heart to the lungs and back to the left side of the heart

Page 13: CVA A&P - Chapter 11: Cardiovascular Honors

Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings

Systemic and Pulmonary Circulations

Figure 11.3

Page 14: CVA A&P - Chapter 11: Cardiovascular Honors

Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings

The Heart: Associated Great Vessels

Arteries

Aorta

Leaves left ventricle (takes oxygen-rich blood to body)

Pulmonary arteries

Leave right ventricle (takes oxygen-poor blood to lungs)

Page 15: CVA A&P - Chapter 11: Cardiovascular Honors

Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings

The Heart: Associated Great Vessels

Veins

Superior and inferior venae cavae (oxygen-poor blood)

Enter right atrium

Pulmonary veins (four) (oxygen-rich blood)

Enter left atrium

Page 16: CVA A&P - Chapter 11: Cardiovascular Honors

Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings

The Heart: Associated Great Vessels

Figure 11.2c

Page 17: CVA A&P - Chapter 11: Cardiovascular Honors

Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings

Blood Flow Through the Heart

Superior and inferior venae cavae dump blood into the right atrium

From right atrium, through the tricuspid valve, blood travels to the right ventricle

From the right ventricle, blood leaves the heart as it passes through the pulmonary semilunar valve into the pulmonary trunk

Pulmonary trunk splits into right and left pulmonary arteries that carry blood to the lungs

Page 18: CVA A&P - Chapter 11: Cardiovascular Honors

Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings

Blood Flow Through the Heart

Oxygen is picked up and carbon dioxide is dropped off by blood in the lungs

Oxygen-rich blood returns to the heart through the four pulmonary veins

Blood enters the left atrium and travels through the bicuspid valve into the left ventricle

From the left ventricle, blood leaves the heart via the aortic semilunar valve and aorta

Page 19: CVA A&P - Chapter 11: Cardiovascular Honors

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Systemic and Pulmonary Circulations

Figure 11.3

Page 20: CVA A&P - Chapter 11: Cardiovascular Honors

Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings

Coronary Circulation

Blood in the heart chambers does not nourish the myocardium (heart muscle)

The heart has its own nourishing circulatory system consisting of

Coronary arteries—branch from the aorta to supply the heart muscle with oxygenated blood

Cardiac veins—drain the myocardium of blood

Page 21: CVA A&P - Chapter 11: Cardiovascular Honors

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The Heart: Conduction System

Intrinsic conduction system (nodal system)

Heart muscle cells contract, without nerve impulses, in a regular, continuous way

Page 22: CVA A&P - Chapter 11: Cardiovascular Honors

Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings

The Heart: Conduction System

Special tissue sets the pace

Sinoatrial node = SA node (“pacemaker”), is in the right atrium

Atrioventricular node = AV node, is at the junction of the atria and ventricles

Atrioventricular bundle = AV bundle (bundle of His), is in the interventricular septum

Bundle branches are in the interventricular septum

Purkinje fibers spread within the ventricle wall muscles

Page 23: CVA A&P - Chapter 11: Cardiovascular Honors

Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings

Heart Contractions

Figure 11.6

Page 24: CVA A&P - Chapter 11: Cardiovascular Honors

Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings

Heart Contractions

Tachycardia—rapid heart rate over 100 beats per minute

Bradycardia—slow heart rate less than 60 beats per minutes

Page 25: CVA A&P - Chapter 11: Cardiovascular Honors

Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings

The Heart: Cardiac Cycle

Atria contract simultaneously (‘lub’ sound)

Atria relax, then ventricles contract (‘dub’ sound)

Heart rate (HR)

Typically 75 beats per minute

Page 26: CVA A&P - Chapter 11: Cardiovascular Honors

Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings

Electrocardiogram

P=right before atrium contractionQRS=right before ventricle contractionT=recovering of ventricles

Page 27: CVA A&P - Chapter 11: Cardiovascular Honors

Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings

The Heart: Regulation of Heart Rate

Increased heart rate

Sympathetic nervous system

Crisis

Low blood pressure

Hormones

Epinephrine

Thyroxine

Exercise

Decreased blood volume

Page 28: CVA A&P - Chapter 11: Cardiovascular Honors

Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings

The Heart: Regulation of Heart Rate

Decreased heart rate

Parasympathetic nervous system

High blood pressure or blood volume

Decreased venous return

Page 29: CVA A&P - Chapter 11: Cardiovascular Honors

Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings

Pulse

Pulse

Pressure wave of blood

Monitored at “pressure points” in arteries where pulse is easily palpated

Pulse averages 70–76 beats per minute at rest

Page 30: CVA A&P - Chapter 11: Cardiovascular Honors

Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings

Pulse

Figure 11.18

Page 31: CVA A&P - Chapter 11: Cardiovascular Honors

Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings

Blood Vessels: The Vascular System

Transport blood to the tissues and back

Carry blood away from the heart (usually oxygen rich – exception are pulmonary arteries)

Arteries

Arterioles

Exchanges between tissues and blood

Capillary beds

Return blood toward the heart (usually oxygen poor – exception are pulmonary veins)

Venules

Veins

Page 32: CVA A&P - Chapter 11: Cardiovascular Honors

Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings

Blood Vessels: The Vascular System

Figure 11.9a

Page 33: CVA A&P - Chapter 11: Cardiovascular Honors

Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings

Hepatic Portal Circulation

Veins of hepatic portal circulation drain

Digestive organs

Spleen

Pancreas

Hepatic portal vein carries this blood to the liver

Liver helps maintain proper glucose, fat, and protein concentrations in blood

Page 34: CVA A&P - Chapter 11: Cardiovascular Honors

Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings

Fetal Circulation

Fetus receives exchanges of gases, nutrients, and wastes through the placenta

Umbilical cord contains three vessels

Umbilical vein—carries blood rich in nutrients and oxygen to the fetus

Umbilical arteries (2)—carry carbon dioxide and debris-laden blood from fetus to placenta

Page 35: CVA A&P - Chapter 11: Cardiovascular Honors

Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings

Fetal Circulation

Blood flow bypasses the lungs

Blood entering right atrium is shunted directly into the left atrium through the foramen ovale

Ductus arteriosus connects the aorta and pulmonary trunk (becomes ligamentum arteriosum at birth)

Page 36: CVA A&P - Chapter 11: Cardiovascular Honors

Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings

Blood Pressure

Measurements by health professionals are made on the pressure in large arteries

Systolic—pressure at the peak of ventricular contraction

Diastolic—pressure when ventricles relax

Write systolic pressure first and diastolic last (120/80 mm Hg)

Pressure in blood vessels decreases as distance from the heart increases

Page 37: CVA A&P - Chapter 11: Cardiovascular Honors

Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings

Variations in Blood Pressure

Normal human range is variable

Normal

140–110 mm Hg systolic

80–75 mm Hg diastolic

Hypotension

Low systolic (below 110 mm HG)

Often associated with illness

Hypertension

High systolic (above 140 mm HG)

Can be dangerous if it is chronic

Page 38: CVA A&P - Chapter 11: Cardiovascular Honors

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Factors Determining Blood Pressure

Figure 11.21

Page 39: CVA A&P - Chapter 11: Cardiovascular Honors

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Factors Producing Hypertension

High salt intake

High cholesterol

Obesity

Stress

Eclampsia

Heart disease

Exercise

Nicotine