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Cardiovascular System The Heart

Cardiovascular System The Heart. Functions of the Heart. Generating blood pressure Routing blood Heart separates pulmonary and systemic circulations Ensuring one-way blood flow Heart valves ensure one-way flow Regulating blood supply

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Cardiovascular System The Heart

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  1. Cardiovascular System The Heart

  2. Functions of the Heart • Generating blood pressure • Routing blood • Heart separates pulmonary and systemic circulations • Ensuring one-way blood flow • Heart valves ensure one-way flow • Regulating blood supply • Changes in contraction rate and force match blood delivery to changing metabolic needs

  3. Size, Shape, Location of the Heart • Size of a closed fist • Shape • Apex: Blunt rounded point of cone • Base: Flat part at opposite of end of cone • Located in thoracic cavity in mediastinum

  4. Heart Cross Section

  5. Pericardium

  6. Heart Wall • Three layers of tissue • Epicardium: This serous membrane of smooth outer surface of heart • Myocardium: Middle layer composed of cardiac muscle cell and responsibility for heart contracting • Endocardium: Smooth inner surface of heart chambers

  7. Heart Wall

  8. External Anatomy • Four chambers • 2 atria • 2 ventricles • Auricles • Major veins • Superior vena cava • Pulmonary veins • Major arteries • Aorta • Pulmonary trunk

  9. External Anatomy

  10. Coronary Circulation

  11. Heart Valves • Atrioventricular • Tricuspid • Bicuspid or mitral • Semilunar • Aortic • Pulmonary • Prevent blood from flowing back

  12. Heart Valves

  13. Function of the Heart Valves

  14. Blood Flow Through Heart

  15. Systemic and PulmonaryCirculation

  16. Heart Skeleton • Consists of plate of fibrous connective tissue between atria and ventricles • Fibrous rings around valves to support • Serves as electrical insulation between atria and ventricles • Provides site for muscle attachment

  17. Cardiac Muscle • Elongated, branching cells containing 1-2 centrally located nuclei • Contains actin and myosin myofilaments • Intercalated disks: Specialized cell-cell contacts • Desmosomes hold cells together and gap junctions allow action potentials • Electrically, cardiac muscle behaves as single unit

  18. Conducting System of Heart

  19. Electrical Properties • Resting membrane potential (RMP) present • Action potentials • Rapid depolarization followed by rapid, partial early repolarization. Prolonged period of slow repolarization which is plateau phase and a rapid final repolarization phase • Voltage-gated channels

  20. Action Potentials inSkeletal and Cardiac Muscle

  21. SA Node Action Potential

  22. Refractory Period • Absolute: Cardiac muscle cell completely insensitive to further stimulation • Relative: Cell exhibits reduced sensitivity to additional stimulation • Long refractory period prevents tetanic contractions

  23. Electrocardiogram • Action potentials through myocardium during cardiac cycle produces electric currents than can be measured • Pattern • P wave • Atria depolarization • QRS complex • Ventricle depolarization • Atria repolarization • T wave: • Ventricle repolarization

  24. Cardiac Arrhythmias • Tachycardia: Heart rate in excess of 100bpm • Bradycardia: Heart rate less than 60 bpm • Sinus arrhythmia: Heart rate varies 5% during respiratory cycle and up to 30% during deep respiration • Premature atrial contractions: Occasional shortened intervals between one contraction and succeeding, frequently occurs in healthy people

  25. Alterations in Electrocardiogram

  26. Cardiac Cycle • Heart is two pumps that work together, right and left half • Repetitive contraction (systole) and relaxation (diastole) of heart chambers • Blood moves through circulatory system from areas of higher to lower pressure. • Contraction of heart produces the pressure

  27. Cardiac Cycle

  28. Events during Cardiac Cycle

  29. Heart Sounds • First heart sound or “lubb” • Atrioventricular valves and surrounding fluid vibrations as valves close at beginning of ventricular systole • Second heart sound or “dupp” • Results from closure of aortic and pulmonary semilunar valves at beginning of ventricular diastole, lasts longer • Third heart sound (occasional) • Caused by turbulent blood flow into ventricles and detected near end of first one-third of diastole

  30. Location of Heart Valves

  31. Mean Arterial Pressure (MAP) • Average blood pressure in aorta • MAP=CO x PR • CO is amount of blood pumped by heart per minute • CO=SV x HR • SV: Stroke volume of blood pumped during each heart beat • HR: Heart rate or number of times heart beats per minute • Cardiac reserve: Difference between CO at rest and maximum CO • PR is total resistance against which blood must be pumped

  32. Factors Affecting MAP

  33. Regulation of the Heart • Intrinsic regulation: Results from normal functional characteristics, not on neural or hormonal regulation • Starling’s law of the heart • Extrinsic regulation: Involves neural and hormonal control • Parasympathetic stimulation • Supplied by vagus nerve, decreases heart rate, acetylcholine secreted • Sympathetic stimulation • Supplied by cardiac nerves, increases heart rate and force of contraction, epinephrine and norepinephrine released

  34. Heart Homeostasis • Effect of blood pressure • Baroreceptors monitor blood pressure • Effect of pH, carbon dioxide, oxygen • Chemoreceptors monitor • Effect of extracellular ion concentration • Increase or decrease in extracellular K+ decreases heart rate • Effect of body temperature • Heart rate increases when body temperature increases, heart rate decreases when body temperature decreases

  35. Baroreceptor and ChemoreceptorReflexes

  36. Baroreceptor Reflex

  37. Chemoreceptor Reflex-pH

  38. Effects of Aging on the Heart • Gradual changes in heart function, minor under resting condition, more significant during exercise • Hypertrophy of left ventricle • Maximum heart rate decreases • Increased tendency for valves to function abnormally and arrhythmias to occur • Increased oxygen consumption required to pump same amount of blood

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