1 of 29

Mediastinum Apex Atria Heart

Ventricles Valves Dub Lub Endocardium Aorta Snow

Veins Diastole Atrium Oxygen

Coronary Pressure Cardiovascular

Heart attack Systole Vessels

Blood Arteries Myocardium Lungs

Bicuspid Semilunar Body Base

Deoxygenated Venae Cavae Mechanic

Pick 10-Circulatory System

Copyright © 2004. Mosby Inc. All Rights Reserved.

Slide 0

2 of 29

Bell Work Chapter 5

6) The combining form that means blood vessel is ____________.

7) A medical term that means surgical repair of a valve is ______.

8) A medical term that means inflammation of a valve is _______.

9) A medical term that means involuntary muscle contraction of a vessel is ____________________.

10) A medical term that means ruptured artery is _____________.

Copyright © 2004. Mosby Inc. All Rights Reserved.

Slide 1

3 of 29

Bell Work Chapter 5

11) A medical term that means narrowing of a vessel is ____________________.

12) A medical term that means inflammation of inner heart is ____________________.

13) A medical term that means state of fast heart is ____________________.

14) The combining form that means clot is ____________________.

15) A medical term that means heart muscle disease is ____________________.

Copyright © 2004. Mosby Inc. All Rights Reserved.

Slide 2

4 of 29

Video intro

Copyright © 2004. Mosby Inc. All Rights Reserved.

Slide 3

5 of 29

Circulatory/Cardiovascular System

Copyright © 2004. Mosby Inc. All Rights Reserved.

Slide 4

6 of 29

Heart

  • Location, size, position
    • Triangular organ located in mediastinum with two thirds of the mass to the left of the body midline and one third to the right; the apex on the diaphragm
    • Cardiopulmonary resuscitation (CPR)—rhythmic compression of the heart between the sternum and vertebrae can maintain blood flow during cardiac arrest; if combined with artificial respiration procedure, it can be life saving

Copyright © 2004. Mosby Inc. All Rights Reserved.

Slide 5

7 of 29

Heart

(…Cont’d)

  • Anatomy
    • Heart chambers
      • Two upper chambers are called atria (receiving chambers)—right and left atria
      • Two lower chambers are called ventricles (discharging chambers)—right and left ventricles
      • Wall of each heart chamber is composed of cardiac muscle tissue called myocardium
      • Endocardium—smooth lining of heart chambers—inflammation of endocardium is endocarditis

� (Cont’d…)

Copyright © 2004. Mosby Inc. All Rights Reserved.

Slide 6

8 of 29

Heart

(…Cont’d)

    • Covering sac or pericardium
      • Pericardium is a two-layered fibrous sac with a lubricated space between the two layers
      • Inner layer is the visceral pericardium, or epicardium
      • Outer layer is the parietal pericardium
    • Heart action
      • Contraction of the heart is called systole; relaxation is diastole

� (Cont’d…)

Copyright © 2004. Mosby Inc. All Rights Reserved.

Slide 7

9 of 29

(…Cont’d)

    • Heart sounds
      • Two distinct heart sounds in every heartbeat or cycle—“lub-dup”
      • First (lub) sound is caused by the vibration and closure of AV valves during contraction of the ventricles
      • Second (dup) sound is caused by the closure of the semilunar valves during relaxation of the ventricles

� (Cont’d…)

Heart

Copyright © 2004. Mosby Inc. All Rights Reserved.

Slide 8

10 of 29

Heart

(…Cont’d)

    • Blood flow through the heart
      • Heart acts as two separate pumps—the right atrium and ventricle performing different functions from the left atrium and ventricle

� (Cont’d…)

Copyright © 2004. Mosby Inc. All Rights Reserved.

Slide 9

11 of 29

Heart

(…Cont’d)

    • Blood flow through the heart
      • Sequence of blood flow: venous blood enters the right atrium through the superior and inferior venae cavae—passes from the right atrium through the tricuspid valve to the right ventricle; from the right ventricle it passes through the pulmonary semilunar valve to the pulmonary artery to the lungs—blood moves from the lungs to the left atrium, passing through the bicuspid (mitral) valve to the left ventricle; blood in the left ventricle is pumped through the aortic semilunar valve into the aorta and is distributed to the body as a whole

(Cont’d…)

Copyright © 2004. Mosby Inc. All Rights Reserved.

Slide 10

12 of 29

Let’s Draw!

Copyright © 2004. Mosby Inc. All Rights Reserved.

Slide 11

13 of 29

Heart

(…Cont’d)

  • Blood supply to the heart muscle
    • Blood, which supplies oxygen and nutrients to the myocardium of the heart, flows through the right and left coronary arteries

    • Blockage of blood flow through the coronary arteries is called myocardial infarction (heart attack)

� (Cont’d…)

Copyright © 2004. Mosby Inc. All Rights Reserved.

Slide 12

14 of 29

Heart

    • Angina pectoris—chest pain caused by inadequate oxygen to the heart

    • Coronary bypass surgery—veins from other parts of the body are used to bypass blockages in coronary arteries

Copyright © 2004. Mosby Inc. All Rights Reserved.

Slide 13

15 of 29

Heart

  • Cardiac cycle
    • Heartbeat is regular and rhythmic—each complete beat is called a cardiac cycle; average is about 72 beats per minute

    • Each cycle, about 0.8 second long, is subdivided into systole (contraction phase) and diastole (relaxation phase)

Copyright © 2004. Mosby Inc. All Rights Reserved.

Slide 14

16 of 29

Heart

    • Stroke volume—volume of blood ejected from one ventricle with each beat

    • Cardiac output—amount of blood that one ventricle can pump each minute; average is about 5 L per minute at rest

Copyright © 2004. Mosby Inc. All Rights Reserved.

Slide 15

17 of 29

Conduction System of the Heart

  • Normal structure and function
    • SA (sinoatrial) node, the pacemaker—located in the wall of the right atrium near the opening of the superior vena cava
    • AV (atrioventricular) node—located in the right atrium along the lower part of the interatrial septum
    • AV bundle (bundle of His)—located in the septum of the ventricle
    • Purkinje fibers—located in the walls of the ventricles

Copyright © 2004. Mosby Inc. All Rights Reserved.

Slide 16

18 of 29

Specialized conduction system structures generate and transmit the electrical impulses that result in contraction of the heart

These tiny electrical impulses can be picked up on the surface of the body and transformed into visible tracings by a machine called an electrocardiograph

Electrocardiogram

Copyright © 2004. Mosby Inc. All Rights Reserved.

Slide 17

19 of 29

Heart

(…Cont’d)

    • The visible tracing of these electrical signals is called an electrocardiogram, or ECG
    • The normal ECG has three deflections or waves called the P wave, the QRS complex, and the T wave

Depolarization=contraction, Repolarization=relaxation

      • P wave—associated with depolarization of the atriums
      • QRS complex—associated with depolarization of the ventricles(atrium repolarization)
      • T wave—associated with repolarization of the ventricles

Copyright © 2004. Mosby Inc. All Rights Reserved.

Slide 18

20 of 29

Copyright © 2004. Mosby Inc. All Rights Reserved.

Slide 19

21 of 29

Blood Vessels

  • Kinds
    • Arteries—carry blood away from the heart
    • Veins—carry blood toward the heart
    • Capillaries—carry blood from the arterioles to the venules

� (Cont’d…)

Copyright © 2004. Mosby Inc. All Rights Reserved.

Slide 20

22 of 29

Blood Vessels

(…Cont’d)

  • Functions
    • Arteries—distribution of nutrients, gases, etc. with movement of blood under high pressure; assist in maintaining the arterial blood pressure
    • Capillaries—serve as exchange vessels for nutrients, wastes, and fluids
    • Veins—collect blood for return to the heart; low-pressure vessels

    • Cardiovascular Song

Copyright © 2004. Mosby Inc. All Rights Reserved.

Slide 21

23 of 29

Copyright © 2004. Mosby Inc. All Rights Reserved.

Slide 22

24 of 29

Circulation

  • Plan of circulation—refers to the blood flow through the vessels arranged to form a circuit or circular pattern
  • Types of circulation
    • Systemic circulation
      • Carries blood throughout the body

� (Cont’d…)

Copyright © 2004. Mosby Inc. All Rights Reserved.

Slide 23

25 of 29

Circulation

(…Cont’d)

Pulmonary circulation

Carries blood to and from the lungs; arteries deliver deoxygenated blood to the lungs for gas exchange

Hepatic portal circulation

Unique blood route through the liver

Fetal circulation

Refers to circulation before birth

� (Cont’d…)

Copyright © 2004. Mosby Inc. All Rights Reserved.

Slide 24

26 of 29

Blood Pressure

  • Blood pressure is push or force of blood in the blood vessels
  • Highest in arteries, lowest in veins
  • Blood pressure gradient causes blood to circulate—liquids can flow only from the area where pressure is higher to where it is lower

  • Khan Academy Video

� (Cont’d…)

Copyright © 2004. Mosby Inc. All Rights Reserved.

Slide 25

27 of 29

Blood Pressure

(…Cont’d)

  • Blood volume, heartbeat, and viscosity are main factors that produce blood pressure
  • Blood pressure varies within normal range from time to time
  • Venous return of blood to the heart depends on five mechanisms—a strongly beating heart, adequate arterial blood pressure, valves in the veins, pumping action of skeletal muscles as they contract, and changing pressures in the chest cavity caused by breathing

Copyright © 2004. Mosby Inc. All Rights Reserved.

Slide 26

28 of 29

Pulse

  • Definition—alternate expansion and recoil of the blood vessel wall
  • Places where you can count the pulse easily
    • Superficial temporal artery, facial artery, carotid artery, axillary artery, brachial artery, radial artery, femoral artery, popliteal (posterior to patella), dorsalis pedis

Copyright © 2004. Mosby Inc. All Rights Reserved.

Slide 27

29 of 29

The End

Copyright © 2004. Mosby Inc. All Rights Reserved.

Slide 28