Cardio means
Heart
"vasc" means
blood vessels
Cardiovascular System study...
- Blood
- Heart
- Blood Vessls
Lymphatic System
- Lymph (interstitial fluid)
- Lymphatic Vessels
- Lymph Gland
It is considered
- the river of the life in the body or
- Life sustaining fluid
Blood
It serves:
- as a transport "vehicle" for the organs of the cardiovascular system
Blood
____________'s characteristics :
- Slightly viscous - 4.5 to 5.5 (due to cells and plasma proteins)
- consists of :
a) Cells
b) Plasma
c) NaCl
Blood
pH of Blood is
75.35 to 7.45
Amount of blood for :
- men
- women
- Males = 5 to 6 liters
- Females = 4 to 5 liters
a) Amount of blood cells in blood
- 99% RB's
- 1% WBC's)
Plasma is
- extracellular fluid, which 91% is water
- It is the liquid part of blood -
- Straw colored
- It is the whole blood MINUS the Cells
Range of Plasma in Blood
55%
Nutrients in Plasma are:
- Proteins: Albumins, globulins, fibrinogen and prothrombin
- Glucose
- Lipids
- O2
- CO2
- Na+, Ca++, Mg+, FI-, I-, Cl-, K+, HCO3, Fe, AA, urea, lacticid acid,
- Vitamin A, C
- Enzymes
- Hormones
pH level in blood for:
- Arteries
- Veins
- Arteries pH = 7.4
- Veins pH = 7.35
Blood's Functions:
- Transport
- Regulates
- Protects
Blood's transportantion help
- Deliver oxygen
- Transporting metabolic waste products
- Transport hormones from the endocrine organs
- Transport nutrients
Blood regulates by:
- Maintaining temperature - absorbs and distributing heat throughout the body and the skin
- Maintain normal pH - it acts as a buffer to prevent
- Maintain adequate fluid volume in the circulatory system. Blood proteins prevent excessive fluid loss from the bloodstream into the tissue space.
Blood protects by:
- Preventing blood loss
- Preventing infections
Bad pH in blood
- could jeopardize normal cell activities.
- Blood also acts as a the reservoir for the body's alkaline reserve (bicarbonate ions).
Hematocrit is a...
- It is a blood test that measures a percentage of red blood cells found in whole blood
How does a Hematocrit Test work...
- Withdraw blood from your finger and place it in a testing tube.
- Centrifugate the tube test with blood sample
- This process separates the heaviest elements of blood from the lightest
- this elements are identified by their visual characteristics (see next questions)
The testing tube where blood is placed is called
Heporant Capillary Tube
A Heporant Capillary Tube has _____________ added, which is an ___________________.
- Heporin
- Anti-coagulant
The greater the Hematocrit, the ___________________ de friction between cells because of its __________________.
- greater
- viscosity
- Water's Viscosity is
1.0
- Blood's viscosity is
4.5 to 5.5
To force blood move through a tube (veins or arteries), _____________ is required to force blood to move through a given space in the tube.
PRESSURE
Hematocrit Test ____________ blood. The pressure forces blood's elements to separate by _____________.
- Centrifugate
- Weight
Once the blood is separated, we can distinguish:
Top - PLASMA
Middle - Buffy coat
- Platelets
- White Blood Cells / Leukocytes
Bottom - Formed Elements (cells)
- Buffy Coat
- RBCs
- Hemoglobin
- Oxygen
- Hemoglobin
Hematocrit Numbers measure...
- Males = 42% of Formed Elements
- Females = 38% of Formed Elements
What are Formed Elements
the elements that give blood its viscosity and are:
- Buffy Coat
- Leukocytes (WBCs) = 1%
- Platelates
- Erythrocytes or Red Blood Cells
(contain No Nucleous)
- 45% whole blood (in the hematocrit)
- most dense components
______________ is necessary to form hemoglobin
Iron
________________are completely dedicated to their job of transporting respiratory gases (oxygen and carbon dioxide)
The erythrocytes or Red Blood Cells (RBC)
- _________________ is a protein that makes red blood cells RED.
- It binds easily to oxygen and carbon dioxide
- It is an excellent Buffer
Hemoglobin
Normal values for Hemoglobin are
Male Adults = 14-16.5 grams Hb/100 milliliters of blood (g/100 ml)
Female Adults = 12-15 g Hb/100 ml
In the Formed Elements, the amount of RBCs found per mm3 is
- male 5.0 millions
- female 4.5 millions
The formation of Blood Cells is called
Hematopoiesis
The formation of Red Blood Cells is called
Erythropoiesis
Red Blood Cells (RBCs) are also called
Erythrocytes
Embryo Cells are formed in the
Liver and Spleen
Adult Cells are formed in
the bone marrow and Lymph
RBC life span
120 days
The spleen and liver remove the old ________________ from the system. The __________________ from RBCs is broken down by the liver into Fe, billiruben (which is oxidized into billiverden).
- RBCs
- Hemoglobin (Hb)q
The production of RBCs can be stimulated by the hormone _____________________, when a low _______ concentration causes the kidneys to produce this hormone.
- erythropoietin (EPO),
- O2
Erythropoietin causes the _______________ to increase production of RBCs
Bone Marrow
- ___________ cells have No nuclei
- Their major function is to carry Hemoglobin (which carry O2)
- In a regular range
blood has for:
- male about _____________ of ______
- female about ____________ of ______
Red Blood Cells
5 million mm3 of RBCs
4.5 million mm3 of RBCs
RBCs production starts when and where
- a Hematopoietic Stem Cells descendant called Myeloid Stem Cells transforms into Pro-erythroblast.
- Erythrocytes are continuously being produced in the red bone marrow of large bones, at a rate of about 2 million per second.
RBCs Pathway Step 2 -
Low O2 concentration causes the kidneys to produce into the blood ________________ a hormon.
Erythropoietin
Erythropoietin causes the _________________ to increase production of RBCs
Bone marrow
Cellular Oxygen deficiency generates that cells do not receive enough oxygen, this is called...
Hypoxia
The number of functional RBCs and/or Hemoglobin levels are low, therefore the blood has a low O2 carrying capacity - This imbalance causes ________________
Anemia
Anemia also causes
- Lack of Fe
- Lack of certain AA (for the protein globin)
- Lack of vitamin B12
Vitamin ____________ helps RBCs formation by :
- when _________ is obtained from liver or meat; an intrinsic factor is secreted by the mucosa of the stomach which picks up the ____________ (extrinsic factor).
- Both go to the liver to form __________________ Factor.
- ___________________ factor goes to bone marrow to stimulate cell production.
B12
- B12
- B12
- B12
- Anti-Anemic Factor
- Anti-anemic
White Blood Cells are also called
Leukocytes
Leuko means
White
Leukocytes or WBCs main characteristics are...
- 1% of Blood Cells
- Nucleated
- Amiboid movement
- NO Hemoglobin (so do not carry O2)
- Carry out diapedesis
- 5000 - 10,000 /mm3 of blood
- Life Span 2-300 days
WBCs could be destroy by
- Microbres
- Spleen and liver
- Bone marrow
- Lymph nodes
There are two major categories of Leukocytes on the basis of Structural and chemical characteristics.
- Granulocytes, which contain obvious membran-bound cytoplasmic granules
- Agranulocytes lack obvious granuels.
Granulocytes are:
- Neutrophil
- Eosinophil
- Basophil
A-granular are
- Lymphocytes
- Monocytes
In order from most abundant to least abundant, list the different types of Leukocytes:
- Neutrophils 65%
- Lymphocytes 25%
- Monocytes 6%
- Eosinophil 3%
- Basophil .5 to 1%
Neutrophil's Functions 65%
- LS 6 hours to a few days
- phagocytic
- Release Lysozyme (enzyme)
Lymphocyte's Functions 25%
- hours to years
- Play LARGE role in immunity
- Become PHAGOCYTIC macrophages at the site of inflamation
- Attack vía Antibodies
Monocyte's Functions 6%
- Life Span - 2-3 days
- Nucleus U Kidney-shaped
- Gray-blue cytoplasm
- diameter 14-24u
Eosonophil's Functions
- Life Span of 5 days
- Kill parasitic worms
- Destroy Antigen-antibody complex
- Associated with allergies
- Found in extremely large numbers when the body is infected with parasites.
Basophi's Functions .5 to 1%
- Liberates Heparin into the blood to prevent clotting
- In large numbers at the site of inflamation - Releases histiamine as a mediator of inflamation
- also involved in allergies reactions
What does PHAGOCYTOSIS means
Cell Eating
What does BACTERIOLYSIS mean
Bacteria bursting
Phagogenes destroy through...
phagocytosis and bacteriolysis.
Chemotaxes
Are the chemical substances that cause WBCs to move toward and away from the source.
Thrombocytes have another name
Platelates
Thrombocytes characteristics
- Originate in Bone marrow most of the time
- Life Span 1 week
- NO Nucleus
- Very small 2-4u in diameter o oval disk
- 300,000/mm3
Thrombocytes form
Formed from Megakaryocytes, which fragment while still in the bone marrow
Thrombocytes contain
thromboplastin to start the clotting mechanism
Plasma
- The liquid part of blood
- straw colored
- whole blood minus the cells
- 91% water
- The other 10% isProteins, gas, electrolytes, waste products.
Plasma 10% include:
- Proteins - Albumins, globulins, fibrinogen and Prothrombin, Enzymes and Hormones
- Lipids, AA,
- Electrolites - Ca++, Na+, K+, Mg+, Fl-, I-, Cl
- Vitamins: A, C.
- Gases - O2, CO2
- Waste products : Urea, lactid acid
Serum
Is the plasma minus the clotting factors.
P.e. the fluid expressed from a clot.
Antigen
A foreign protein (like a bacteria)
Antibody
special proteins produced by the body that inactivate antigens.
Antigen-Antibody Response
- An antigen enters the body and reacts with ______________
- The B lymphocytes become ______________ , which are capable of producing ______________, which will attach to the antigen.
- Antibodies are antigen ____________.
- B Lypmphocyte
- Plasma cells
- Antibodies
- Specific
Blood Clotting:
- Vessel cut or ruptured - vessel contract to reduce _____________
- Platelets attempt to plug ________ in the vessel, when they contact the ____________. ____________ become sticky and secrete ______, which perpetuates the ____________
- Blood _____ forms
- It growth of ___________ tissue into ______ to close hole in the vessel permeability
- Flow
- the opening
- collagen fibers
- Fibers
- ADP
- Cycle
- clot
- Fibrous
- Clot
Coagulation
is the process of clotting
Coagulation Extrensic Pathway
It is caused from damaged tissue
Coagulation Extrinsic Pathway
- An extract from the damage tissue, tissue thromboplastin, is released into the blood.
- Tissue thromboplastin reacts with Ca++ ions to form extrensic thromboplastin
- Extrensi thromboplastin and several factors react to form prothrombin
- Prothrombin reacts with Ca++ to become thrombin
- Thrombin reacts with Ca++ to catalyze the conversion of FIBRINOGEN to fibrin
Intrensic Pathway
The blood itself is traumatized
- The endohelial lining and platlets are both negatively charged and repel each other, therefore they don't stick together.
- Platlets will stick to a rupture lining
- Platlets release coagulation factors & form inttrensic thromboplastin
- Intrensic thromboplastin helps to convert prothrombin into thrombin
Fibrinolysis
The enzymatic break down of the fibrin into blood
Plaque
Plaque that accumulates on the inner walls of your arteries is made from various substances that circulate in your blood. These include calcium, fat, cholesterol, cellular waste, and fibrin, a material involved in blood clotting. In response to plaque buildup, cells in your artery walls multiply and secrete additional substances that can worsen the state of clogged arteries.
Thrombosis
Thrombosis is the process of a blood clot, also known as a thrombus, forming in a blood vessel. This clot can block or obstruct blood flow in the affected area, as well as cause serious complications if the clot moves to a crucial part of the circulatory system, such as the brain or the lungs.
Embolus
It is normal for the body to produce clotting factors like platelets and fibrin when a blood vessel is injured, to prevent an excessive loss of blood from the body. If this effect is over productive it can obstruct the flow of blood and form an embolus that moves around the blood stream.
Blood Group Types study
- Red Blood Cells
- Blood Type Antigens
- Blood Type Antibodies
Blood's Antigens
is a protein on the surface of the RBCs
Blood's Antigens are also known as
Agglutinins
Blood's Antibodies
is a protein in the plasma of the blood
Rh Factors are
an antigen on the surface of the RBCs
Rh Symbols depend on
If the blood ...
has the Rh Factor (+)
or
Do not have Rh Factor (-)
If Rh- is pregnant with a fetus with Rh+
Then will produce Rh+ antibodies
Hemolytic Deseas of the new born or
Erythroblastosis Fetalis
- Effects 1 out of 30 births
- it is the result of an Rh- mother having an Rh+ fetus
- Must receive Anti-Rh-Gamma-2globin Antibody preparation
Anti-Rh-Gamma-2globin Antibody preparation is also known as
RhoGam
Known as Cardiac Muscle or Myocardium, the ____________ pumb and lies in the ________________.
- Heart
- Mediastinum
Outside, the heart is surrounded of specific layers:
1- _______________ is a serous membrane sac surrounding the heart, also called ___________________ sac
- Parietal Pericardium
- Pericardial Sac
The serous inner layer of the Pericardial Sac produces ________________
serous fluid
The inflammation of the parietal pericardium is called...
Pericarditis
The Fibrous outer layer of the Pericardial Sac produces____________ and is attached to:
- ___________
It provides :__________, _________, ___________
- Fibrous CT
- Attached to:
- blood vessels, sternum, diaphragm ,thoracic wall
- Support, protection and prevents over-distension
The serous tissue and mesothelium of Simple squamous epithelium covering the heart is known as ___________ or ________________
- Epicardium
- Visceral Pericardium
Pericardial Sac has 2 layers:
- Serous inner layer
- Fibrous outer layer
The space between the parietal pericardium and the visceral pericardium is called
Pericardial Cavity
The Serus Fluid is located in
the Pericardial Cavity
This layer covers the heart and is made of serous tissue and mesothelium (simple squamous epithelium)
Visceral Pericardium or EPICARDIUM
Myocardium
is the Cardiac Muscle
Endothelial lining continuous with the blood vessels of the heart
Endocardium
2 Atria + 2 Ventricles form
the Chambers of the heart
The heart lies in the __________________; has a tip named _____________ and a botom named ________________.
- Mediastium
- apex
- base
The atria receive blood _____________ the heart
Into
The ventricles pump blood ___________________ of the heart
Out
Blood Flow
1- starts with __________________ and _____________________ which pump blood into the heart
1 - Superior Vena Cava
2 - Inferior Vena Cava
2 and 3 - Blood enters into the ___________________ which uses the _____________ Valves to send blood into the ______ventricles.
2- Right Atrium
3- Tricuspid Valve
4-Right Ventricle
4- The _____ ventricle contracts to pump blood out through the __________________ ______________ valves.
4 Right Ventricle
5- Pulmonary Semilunar valves
5- Pulmonary _____________ valves let blood go through the ______________________, which send blood through both ________________ _____________________.
5- Semilunar
6- Pulmonary Trunk
7- Right and Left Pulmonary Arteries
6 - _______________ receive blood for gas exchange, and they resend oyigenated blood back to the heart through the _________ _______________ ______________
8 - Lungs
9- Four Pulmonary Veins
7- Pumonary ____________ pump blood back to the heart to deposit it into the _____________ _______________-
9- Veins
10- Left Atrium
8- _________ Atrium uses the ______________ valves to move blood from the Atrium to the __________ _______________
10 - Left Atrium
11- Bicuspid Valve
12 - Left Ventricle
When left ventricle contracts, pushes blood out of the heart through the ____________________ valves
13 - Aortic Semilunar Valve
__________ Semilunar Valves pump blood out through the ____________ to the body
13- Aortic
14- Aorta
Hearts have their own self contained pacemaker for their conduction system. This is:
- Sinoatrial Node (SA Node)
A Conduction System consists of
- A self contained pacemaker for the heart
- Noncontractile cardiac cells specialized to initiate and distribute impulses throughout the heart, so that it depolarizes and contracts in an orderly, sequential manner.
Conduction System Process is
- Sinoidal Node (SA Node)
- Atrialventricular Node (AV Node)
- Atrialventricular Bundle (AV Bundle)
- Bundle Branches
- Myoconduction Fibers (Purkinje)
What is a Node
a mass of conducting cells
What is EKG
- Also known as ECG or Electrocardiogram
- is a recording of the electrical activity of the heart
- Represents a COMPLETE Cardiac Cycle
Cardiac Cycle
- P Wave - Both Atria Contract - Atrial Depolarization
- QRS Segment - Ventricle Contract - Ventricular Depolarization
- T Wave - Ventricle Relax - Ventricular Repolarization
Heart Murmur occurs
when a leaking valve
Heart is a muscle which need to have its own...
- blood supply with a...
- circular system with...
- Pressure
Coronary Circulation
is the responsible system for the blood supply to the myocardio
Blood supply requires the right amount of ______________ to get blood from one chamber to other, and to move blood through vessel.
Pressure
Ventricular ____________ during contractions must overcome Atrial ____________ before the aortic or pulmonary __________ __________ will open.
- Pressure
- Pressure
- Semilunar Valve
The blockage of a coronary artery circulation can be serious and sometimes fatal. _______________ (chocked chest) is thoracic pain caused by a fleeting deficiency in blood delivery to the myocardium.
Angina Pectoris
Prolongated coronary blockage is far more serous because it can lead to a ___________________
Myocardial Infarction (MI) or Heart Attack
Conduction System
A Self contained pacemaker for the heart
- Sinoatrial Node (SA Node)
- Known as Pacemaker
- Impulse Generated
- Atrial excitation begins
- Atrialventricular Node (AV Node)
- Impulse Delayed
- Atrialventricular Bundle (AV Bundle) and
- Bundle Branches
- Impulse passes to heart apex;
- Ventricular exitation begins
- Myoconduction Fibers (Purkinje)
- Ventricular excitation complete
Systemic Circulation Process
- Left Ventricular
- Aorta
- To the body
- SVC and IVC
- Right Atrium
Pulmonary Circulation
- Right Ventricular
- Pulmonary Trunk
- Rt and Lf Pulmonary Arteries
- Lungs
- Pulmonary Veins
- Left Atrium
Coronary Circulation
- Right Coronary Artery next to Left Coronary artery
- From Left Coronary Artery
- Anterior Interventricular Artery and Circumflex Artery
- Venous Uptake into Coronary Sinus
- Rt Atrium
Hepatic Portal Circulation
- Venous Uptake from :
- Stomach
- Small Intestine
- Large Intestine
- Hepatic Portal Vein
- Sinusoids of the Liver
- Hepatic Vains
- IVC
Is the amount of blood pumped out by Lt. Ventricle into the Aorta per minute
Cardiac Output
To calculate Cardiac Output (CO) it is needed:
- Stroke Volume (SV) - The volume of blood pumped out of the Lt Ventricle PER contraction
- Heart Rate (HR) - The number of heart beats per minute
The average stroke volume aprox. per contraction
70 ml
The average of heart rate aprox.
75 beats per minute
Formula for Cardiac Output
CO = SV * HR
CO = 70 ml * 75 bpm
CO = 5250 ml/min or 5.25 l/min
The importance of a Cariovascular Center basic Rhythm maybe modified
The sympathetitc nervous Sys. (the accelerator) increases both the rate and the force of the heartbeat.
Parasympathetic Nervous Sys. (the brakes) slows the heart.
Cardiovascular Center is Located in __________________
in the medulla oblongata
Cardiovascular Center receives
input from sensory receptors and higher brain centers
Chemoreceptors
monitor chemical changes in the blood
Baroreceptors
Monitor blood pressure in major veins and arteries p.e.
- Carotid Arteries -------> Carotid Sinus Reflex
- Aortic Arch -------> Aortic Reflex
- SVC and IVC -------> Right Heart Reflex
- Carotid Arteries -------> Carotid Sinus Reflex
- Aortic Arch -------> Aortic Reflex
- SVC and IVC -------> Right Heart Refle
- Are stimulated by the blood pressure stretching the walls of the arteries.
- Impulses are sent until the blood pressure returns to normal
Cardiac Accelerator Nerves
Consists of sympathetic nerve fibers which extend from the cardiovascular center of the medulla to the spinal cord in the thoracic region.
- Innervate SA Node, AV Node and Myocardium
- Their fibers release Norepinephrine
Cardiac Accelerator Nerves effects are
- Increased heart rate
- Increase strength of contraction
Consists of Parasympathetic Nerve fibers which extend from the medula.
- This fibers innervate the SA Node and the AV Node
- Their fibers release acetylcholine
Vagus Nerve (X)
Parasympathetic Cardiac Inhibitor effects are
- Decreased heart rate
- decreased strength of contractions
Examples: High Blood Pressure
Impulses from the baroreceptors are sent to the cardiovascular center to stimulate the Vagus (X) nerves and inhibit the cardiac accelerator nerves.
The result is a slowing of the force and rate of the heart which allows more time for the excess amount of blood on the arterial side to drain thereby lowering the systolic blood pressure
Example Low Blood Pressure
Impulses from the baroreceptors are sent to the cardiovascular center to stimulate the cardiac accelerator nerves and inhibit the vagus (X) nerve.
The result is an increase in the force and rate of the heart which sends more blood volume to the arterial side thereby increasing the systolic blood pressure.
Chemical regulation of the heart, for example
Epinephrine, released due to fear, stress, and anger or anxiety.
Thyroid hormones increase excitability of SA Node which causes heart rate and strength of contraction to increase
Temperature
Heat causes AV Node to discharge faster; cold has a reverse effect
Age, gender and fitness
Also effect the rate of the heart
Cardiovascular System
A closed circulatory system of vessels containing blood.