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Chapter 12

     The
Cardiovascular
and Lymphatic
   Systems


Lecture Presentation


       Mark Manteuffel
St. Louis Community College
The Cardiovascular and Lymphatic
Systems
    Cardiovascular system
    Blood vessels
    Heart
    Blood pressure

  Lymphatic system
The Cardiovascular System: Moving
Blood through the Body
 The cardiovascular system (or circulatory
  system) is built to rapidly transport blood to
  every living cell in the body

 Consists of the heart and blood vessels

 The system helps maintain homeostasis by
  providing rapid internal transport of substances
  to and from cells
The Heart and Blood Vessels Make up
  the Cardiovascular System
 Cardiovascular system

 1) Heart
 2) Blood vessels
     • Arteries: large diameter
     • Arterioles: smaller & narrower vessels
     • Capillaries: even narrower
     • Capillary beds: slow flowing blood moves through these vast
       numbers of slender capillaries- substances diffuse into and
       out of these from cells
     • Venules: blood flows from capillaries into these small
      vessels
     • Veins: from venules to larger veins that return blood to heart
The Heart and Blood Vessels Make Up
the Cardiovascular System
The Cardiovascular System Helps
Maintain Favorable Operating Conditions
Blood Circulation Is Essential to Maintain
Homeostasis
 Major role in homeostasis

 Blood brings oxygen, nutrients, and hormones to
  cells

 Blood removes waste products from cells and
  excess heat
The Cardiovascular System Is Linked to
the Lymphatic System
 Lymphatic vessels
  • Pick up excess extracellular fluid and usable
    substances
  • Return them to the cardiovascular system

  • More on this later
The Heart: A Double Pump
 In a lifetime of 70 years, the human heart beats
  some 2.5 billion times

 This durable pump is the centerpiece of the
  cardiovascular system
The Heart Is Divided into Right and
Left Halves
The Heart Has Two Halves and Four
Chambers
 Septum: thick wall divides heart in half

 Chambers of the heart
  • 2 Atria
  • 2 Ventricles



 Coronary arteries: branch off of the aorta, the
  major artery carrying oxygenated blood away
  from the heart
The Heart Itself Is Served by Coronary
Arteries and Veins
In a “Heartbeat,” the Heart’s Chambers
Contract, Then Relax
 “Heartbeat”: one cycle of contraction and
  relaxation of the heart chambers

 Cardiac cycle
  • Systole
  • Diastole
  • “Lub-dup”


 Cardiac output
  • Every 60 seconds ~5 liters/ventricle
Blood Travel

Pulmonary & Systemic Circuits
Each Half of the Heart Pumps Blood in a
Different Circuit
In the Pulmonary Circuit, Blood Picks Up
Oxygen in the Lungs
 Pulmonary Circuit
  • Blood from tissue circulates through the lungs for
    gas exchange
  • Role of pulmonary arteries and veins
Heart

  The right side of the heart
    • Contains blood low in oxygen
    • Pumps blood through the pulmonary circuit
        • Transports blood to and from the lungs
  The left side of the heart
    • Contains blood rich in oxygen
    • Pumps blood through the systemic circuit
        • Transports blood to and from body tissues
In the Systemic Circuit, Blood Travels to
and from Tissues
 Systemic circuit
  • Oxygenated blood pumped by left side of heart
    moves through body and returns to left atrium

 Aorta
  • Major arteries branch off it
Each Half of the Heart Pumps Blood in a
Different Circuit
Systemic and Pulmonary Circulation
 http://www.youtube.com/watch?v=0jznS5psypI
 0:30
Shunted through the Liver for
 Processing
 Hepatic portal system: the vessels involved in this
  detour
  • Hepatic portal vein: nutrient-laden blood
  • Hepatic vein: blood leaving the liver’s capillary bed
    enters the general circulation through this vein
  • Hepatic artery: the liver receives oxygenated blood
    via this artery

  • The liver removes impurities and processes
    absorbed substances
Blood from the Digestive Tract Detours
to the Liver
Circulatory system
 http://www.youtube.com/watch?v=D3ZDJgFDdk0
 2:58
Blood Pressure
 Heart contractions generate blood pressure,
  which changes as blood moves through the
  cardiovascular system

 Blood pressure is highest in the aorta
 Then it drops along the systemic circuit
Blood Exerts Pressure against the Walls
of Blood Vessels
 Blood pressure: fluid pressure that blood exerts
  against vessel walls
 Systolic and diastolic pressure: 120/80
        • Systolic pressure: The peak pressure in the aorta
          while the left ventricle contracts and pushes blood
          into the aorta
        • Diastolic pressure: The lowest blood pressure in the
          aorta, when blood is flowing out of it and the heart
          is relaxed
 Hypertension
  • Chronically elevated blood pressure
 Hypotension
  • Abnormally low blood pressure
Blood Pressure Values (mm of Hg)




    http://www.youtube.com/watch?v=tAmLbclSucQ
    3:01 High Blood Pressure Impacts
A Variety of Factors May Cause
Hypertension
 Nearly 1 in 3 adult Americans have it.

 African Americans are especially at risk.

 Learn why hypertension is called the 'silent
  killer'.

 http://www.webmd.com/video/hypertension-
  silent-killer
 3:06
Structure and Functions of Blood
Vessels
 As with all body parts, structure is key to the
  functions of blood vessels

 All our vessels transport blood, but there are
  important differences in how different kinds
  manage blood flow and blood pressure
Blood Pressure Changes as Blood Flows
through the Cardiovascular System
Arterioles Are Control Points for Blood
Flow
 Wall built of smooth muscle rings over elastic
  tissue
  • Dilates when smooth muscle relaxes
  • Constricts when smooth muscle contracts

 Offer more resistance to blood flow than other
  vessels do
Capillaries: Where Blood Exchanges
Substances with Tissues
 Blood enters the systemic circulation moving
  swiftly in the aorta, but this speed has to slow in
  order for substances to move into and out of the
  bloodstream
Capillaries Are Specialized for Diffusion
 Thinnest wall of any blood vessel
        • Single layer of endothelium


 Site of diffusion of gases, nutrients, and wastes

 Extensive
  • 62,000 miles

 Blood pressure drops slowly as blood flows through
  them
Some of the Substances Pass through
“Pores” in Capillary Walls
 Pores
  • Filled with water
  • Passages for substances that can dissolve in
    water

 Fluid movement in capillaries
  • “Bulk flow”: water and solutes forced out of the
    vessel
  • Lymph vessels return the fluid to the blood
A Vast Network of Capillaries Brings
Blood Close to Nearly All Body Cells
 40 billion capillaries

 Every cell is a diffusible distance away from a
  capillary

 Blood flow is slowest in the capillaries
Blood in Capillaries Flows Onward to
Venules
 Capillaries
  branch into
  capillary beds
Blood Vessels
  Venules
   • Capillaries merge to form venules, the
     smallest kind of vein
   • Venules join to form larger veins
  Veins
   • Carry blood back to the heart
   • Walls have the same three layers as arteries,
     but they are thinner; also have larger lumens
   • Serve as reservoirs for blood volume
Venules and Veins Return Blood to the
 Heart
 Venules
  • Function somewhat like capillaries


 Veins
  • Large diameters and low-resistance transport of blood
    back to the heart
  • Outer layer of connective tissue
  • Middle layer of smooth muscle and elastic fibers
  • Inner layer of endothelium
  • Valves prevent backflow of blood
  • Varicose veins: overstretched over time due to weak valves
 Varicose veins are gnarled, enlarged veins that most
  commonly affect legs and feet.
 The reason for this is gravity.
 Walking upright increases pressure in the veins in the
  lower part of the body, which can cause varicose
  veins.
 In most cases they are harmless, and simply a
  cosmetic concern.
  • However, for others it can be very painful and cause
    severe discomfort.
  • In some, rare cases, it can lead to more serious
    problems, such as severe disorders of the circulatory
    system.
The Structure of a Blood Vessel Matches
Its Function
Cardiovascular Disease
Cardiovascular Disease
 Major risk factors
   • Genetics
   • High levels of blood lipids, e.g., cholesterol and trans
     fats
   • Hypertension
   • Smoking, obesity, and lack of exercise
   • Age
 Infection-related inflammation
          • Can promote the formation of artery-blocking
            plaques
 and C-reactive protein
          • Produced by the liver in response to above; can
            lead to heart disease
 Too much homocysteine: an amino acid that is released
  as certain proteins break down; too much in the blood may cause
  damage leading to atheroslerosis
Major Risk Factors for Cardiovascular
Disease
Arteries Can Clog or Weaken: Arteriosclerosis
(hardening of the arteries) (1)

 Atherosclerosis
  • Lipids build up in the artery wall
     • Cholesterol
     • Trans fats

    http://www.youtube.com/watch?v=qRK7-DCDKEA
    0:39
 Atherosclerotic plaque
  • Narrowing of artery
Plaques and Blood Clots May Clog
Arteries
Arteries Can Clog or Weaken (2)
 Coronary arteries
  •   Narrow and vulnerable to clogging by plaques
  •   Angina pectoris (mild chest pain)
  •   “Plaque-busting” drugs: statins
  •   Ways to repair coronary blockage
       • Coronary bypass
       • Laser angioplasty
       • Balloon angioplasty
  • Aneurysm
       • When a weakened artery wall balloons outward,
         creating a pouchlike weak spot
       • Could be fatal if it bursts
Plaques and Blood Clots May Clog
Arteries
Heart Damage Can Lead to Heart Attack
and Heart Failure
 Heart attack
  • Damage or death to cardiac muscle
  • Warning signs
  • Risk factors


 Heart Failure (HF)
  • Weak heart and ineffective pump
  • Even walking can become difficult
  • May require repeated hospitalization
Arrhythmias Are Abnormal Heart
Rhythms
 Electrocardiogram (ECG)
  • Recording of the electrical activity of the cardiac
    cycle

 Arrhythmias: irregular heart rhythms
A Heart-Healthy Lifestyle May Help
Prevent Cardiovascular Disease
 Benefit of a diet that is moderate in fats

 Regular exercise

 Do not smoke
Infections, Cancer, and Heart Defects (1)
 Infections may seriously damage the heart

 Streptococcus bacteria: Rheumatic fever

  Strep in green 




 Endocarditis
       • When microbes attack heart valves directly


 Borrelia burgdorferi:
   • may cause heart complications (lyme disease
     pathogen)
Infections, Cancer, and Heart Defects (2)
 Myocarditis: Heart inflammation; various causes
  • Bacterial
  • Alcohol abuse
  • Drug abuse
The Lymphatic System

       Next…

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Ch10 or 12 circulatory system

  • 1. Chapter 12 The Cardiovascular and Lymphatic Systems Lecture Presentation Mark Manteuffel St. Louis Community College
  • 2. The Cardiovascular and Lymphatic Systems  Cardiovascular system  Blood vessels  Heart  Blood pressure  Lymphatic system
  • 3. The Cardiovascular System: Moving Blood through the Body  The cardiovascular system (or circulatory system) is built to rapidly transport blood to every living cell in the body  Consists of the heart and blood vessels  The system helps maintain homeostasis by providing rapid internal transport of substances to and from cells
  • 4. The Heart and Blood Vessels Make up the Cardiovascular System  Cardiovascular system  1) Heart  2) Blood vessels • Arteries: large diameter • Arterioles: smaller & narrower vessels • Capillaries: even narrower • Capillary beds: slow flowing blood moves through these vast numbers of slender capillaries- substances diffuse into and out of these from cells • Venules: blood flows from capillaries into these small vessels • Veins: from venules to larger veins that return blood to heart
  • 5. The Heart and Blood Vessels Make Up the Cardiovascular System
  • 6. The Cardiovascular System Helps Maintain Favorable Operating Conditions
  • 7. Blood Circulation Is Essential to Maintain Homeostasis  Major role in homeostasis  Blood brings oxygen, nutrients, and hormones to cells  Blood removes waste products from cells and excess heat
  • 8. The Cardiovascular System Is Linked to the Lymphatic System  Lymphatic vessels • Pick up excess extracellular fluid and usable substances • Return them to the cardiovascular system • More on this later
  • 9. The Heart: A Double Pump  In a lifetime of 70 years, the human heart beats some 2.5 billion times  This durable pump is the centerpiece of the cardiovascular system
  • 10.
  • 11. The Heart Is Divided into Right and Left Halves
  • 12. The Heart Has Two Halves and Four Chambers  Septum: thick wall divides heart in half  Chambers of the heart • 2 Atria • 2 Ventricles  Coronary arteries: branch off of the aorta, the major artery carrying oxygenated blood away from the heart
  • 13. The Heart Itself Is Served by Coronary Arteries and Veins
  • 14. In a “Heartbeat,” the Heart’s Chambers Contract, Then Relax  “Heartbeat”: one cycle of contraction and relaxation of the heart chambers  Cardiac cycle • Systole • Diastole • “Lub-dup”  Cardiac output • Every 60 seconds ~5 liters/ventricle
  • 15. Blood Travel Pulmonary & Systemic Circuits
  • 16. Each Half of the Heart Pumps Blood in a Different Circuit
  • 17. In the Pulmonary Circuit, Blood Picks Up Oxygen in the Lungs  Pulmonary Circuit • Blood from tissue circulates through the lungs for gas exchange • Role of pulmonary arteries and veins
  • 18. Heart  The right side of the heart • Contains blood low in oxygen • Pumps blood through the pulmonary circuit • Transports blood to and from the lungs  The left side of the heart • Contains blood rich in oxygen • Pumps blood through the systemic circuit • Transports blood to and from body tissues
  • 19.
  • 20. In the Systemic Circuit, Blood Travels to and from Tissues  Systemic circuit • Oxygenated blood pumped by left side of heart moves through body and returns to left atrium  Aorta • Major arteries branch off it
  • 21. Each Half of the Heart Pumps Blood in a Different Circuit
  • 22. Systemic and Pulmonary Circulation  http://www.youtube.com/watch?v=0jznS5psypI  0:30
  • 23. Shunted through the Liver for Processing  Hepatic portal system: the vessels involved in this detour • Hepatic portal vein: nutrient-laden blood • Hepatic vein: blood leaving the liver’s capillary bed enters the general circulation through this vein • Hepatic artery: the liver receives oxygenated blood via this artery • The liver removes impurities and processes absorbed substances
  • 24. Blood from the Digestive Tract Detours to the Liver
  • 26. Blood Pressure  Heart contractions generate blood pressure, which changes as blood moves through the cardiovascular system  Blood pressure is highest in the aorta  Then it drops along the systemic circuit
  • 27. Blood Exerts Pressure against the Walls of Blood Vessels  Blood pressure: fluid pressure that blood exerts against vessel walls  Systolic and diastolic pressure: 120/80 • Systolic pressure: The peak pressure in the aorta while the left ventricle contracts and pushes blood into the aorta • Diastolic pressure: The lowest blood pressure in the aorta, when blood is flowing out of it and the heart is relaxed  Hypertension • Chronically elevated blood pressure  Hypotension • Abnormally low blood pressure
  • 28. Blood Pressure Values (mm of Hg) http://www.youtube.com/watch?v=tAmLbclSucQ 3:01 High Blood Pressure Impacts
  • 29. A Variety of Factors May Cause Hypertension
  • 30.  Nearly 1 in 3 adult Americans have it.  African Americans are especially at risk.  Learn why hypertension is called the 'silent killer'.  http://www.webmd.com/video/hypertension- silent-killer  3:06
  • 31. Structure and Functions of Blood Vessels  As with all body parts, structure is key to the functions of blood vessels  All our vessels transport blood, but there are important differences in how different kinds manage blood flow and blood pressure
  • 32. Blood Pressure Changes as Blood Flows through the Cardiovascular System
  • 33. Arterioles Are Control Points for Blood Flow  Wall built of smooth muscle rings over elastic tissue • Dilates when smooth muscle relaxes • Constricts when smooth muscle contracts  Offer more resistance to blood flow than other vessels do
  • 34. Capillaries: Where Blood Exchanges Substances with Tissues  Blood enters the systemic circulation moving swiftly in the aorta, but this speed has to slow in order for substances to move into and out of the bloodstream
  • 35. Capillaries Are Specialized for Diffusion  Thinnest wall of any blood vessel • Single layer of endothelium  Site of diffusion of gases, nutrients, and wastes  Extensive • 62,000 miles  Blood pressure drops slowly as blood flows through them
  • 36.
  • 37. Some of the Substances Pass through “Pores” in Capillary Walls  Pores • Filled with water • Passages for substances that can dissolve in water  Fluid movement in capillaries • “Bulk flow”: water and solutes forced out of the vessel • Lymph vessels return the fluid to the blood
  • 38.
  • 39.
  • 40. A Vast Network of Capillaries Brings Blood Close to Nearly All Body Cells  40 billion capillaries  Every cell is a diffusible distance away from a capillary  Blood flow is slowest in the capillaries
  • 41.
  • 42. Blood in Capillaries Flows Onward to Venules  Capillaries branch into capillary beds
  • 43. Blood Vessels  Venules • Capillaries merge to form venules, the smallest kind of vein • Venules join to form larger veins  Veins • Carry blood back to the heart • Walls have the same three layers as arteries, but they are thinner; also have larger lumens • Serve as reservoirs for blood volume
  • 44. Venules and Veins Return Blood to the Heart  Venules • Function somewhat like capillaries  Veins • Large diameters and low-resistance transport of blood back to the heart • Outer layer of connective tissue • Middle layer of smooth muscle and elastic fibers • Inner layer of endothelium • Valves prevent backflow of blood • Varicose veins: overstretched over time due to weak valves
  • 45.
  • 46.  Varicose veins are gnarled, enlarged veins that most commonly affect legs and feet.  The reason for this is gravity.  Walking upright increases pressure in the veins in the lower part of the body, which can cause varicose veins.  In most cases they are harmless, and simply a cosmetic concern. • However, for others it can be very painful and cause severe discomfort. • In some, rare cases, it can lead to more serious problems, such as severe disorders of the circulatory system.
  • 47. The Structure of a Blood Vessel Matches Its Function
  • 49. Cardiovascular Disease  Major risk factors • Genetics • High levels of blood lipids, e.g., cholesterol and trans fats • Hypertension • Smoking, obesity, and lack of exercise • Age  Infection-related inflammation • Can promote the formation of artery-blocking plaques  and C-reactive protein • Produced by the liver in response to above; can lead to heart disease  Too much homocysteine: an amino acid that is released as certain proteins break down; too much in the blood may cause damage leading to atheroslerosis
  • 50. Major Risk Factors for Cardiovascular Disease
  • 51. Arteries Can Clog or Weaken: Arteriosclerosis (hardening of the arteries) (1)  Atherosclerosis • Lipids build up in the artery wall • Cholesterol • Trans fats http://www.youtube.com/watch?v=qRK7-DCDKEA 0:39  Atherosclerotic plaque • Narrowing of artery
  • 52. Plaques and Blood Clots May Clog Arteries
  • 53. Arteries Can Clog or Weaken (2)  Coronary arteries • Narrow and vulnerable to clogging by plaques • Angina pectoris (mild chest pain) • “Plaque-busting” drugs: statins • Ways to repair coronary blockage • Coronary bypass • Laser angioplasty • Balloon angioplasty • Aneurysm • When a weakened artery wall balloons outward, creating a pouchlike weak spot • Could be fatal if it bursts
  • 54. Plaques and Blood Clots May Clog Arteries
  • 55. Heart Damage Can Lead to Heart Attack and Heart Failure  Heart attack • Damage or death to cardiac muscle • Warning signs • Risk factors  Heart Failure (HF) • Weak heart and ineffective pump • Even walking can become difficult • May require repeated hospitalization
  • 56. Arrhythmias Are Abnormal Heart Rhythms  Electrocardiogram (ECG) • Recording of the electrical activity of the cardiac cycle  Arrhythmias: irregular heart rhythms
  • 57. A Heart-Healthy Lifestyle May Help Prevent Cardiovascular Disease  Benefit of a diet that is moderate in fats  Regular exercise  Do not smoke
  • 58. Infections, Cancer, and Heart Defects (1)  Infections may seriously damage the heart  Streptococcus bacteria: Rheumatic fever Strep in green   Endocarditis • When microbes attack heart valves directly  Borrelia burgdorferi: • may cause heart complications (lyme disease pathogen)
  • 59. Infections, Cancer, and Heart Defects (2)  Myocarditis: Heart inflammation; various causes • Bacterial • Alcohol abuse • Drug abuse