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The Cardiovascular System

• Foundation Standard 1: Academic Foundation


Understand human anatomy, physiology, common diseases and
disorders, and medical math principles.
1.13 Analyze basic structures and functions of human body systems
• Components Of Blood
• Structures And Functions Of Blood Components
• Structures And Functions Of The Cardiovascular System
• Conduction System Of The Heart
• Cardiac Cycle
1.21 Describe common diseases and disorders of each body system
• Etiology
• Pathology
• Diagnosis
• Treatment
• Prevention
2
The Cardiovascular System
Function- Transportation
• Supplies 02/ Removes CO2

• Supplies nutrients
• Removes wastes
• Distributes hormones
• Distributes antibodies
• Regulate body temperature & electrolyte
balance
1.13 Analyze basic structures and functions of human body systems (cardiovascular).
d. Cardiovascular (functions of the cardiovascular system) 3
The Cardiovascular System

Components
• Blood
• Blood Vessels
• Arteries
• Capillaries
• Veins
• Heart

1.13 Analyze basic structures and functions of human body systems (cardiovascular).
d. Cardiovascular (structures of the cardiovascular system) 4
Lesson 1– Blood

Blood is vital to life.

About 4-6 liters of blood


circulates through the average
body.(accounting for about 8%
of body weight)

Two parts of blood:


▫ Formed elements-the solid parts
▫ Plasma- the liquid part
Blood
• Liquid tissue
• Liquid- Plasma 55%
• H2O (90%) and proteins
• Cells 45%
• Red Blood Cells
• White Blood Cells
• Platelets

1.13 Analyze basic structures and functions of human body systems (cardiovascular).
d. Cardiovascular (components of blood,)c 6
Blood Components

Total
Blood
Volume
6 qt.= 12 pt.

1.13 Analyze basic structures and functions of human body systems (cardiovascular).
d. Cardiovascular (components of blood, structures)
7
Lesson 1– Plasma

 Plasma-a pale yellow liquid


that’s left when formed elements
are removed from blood.
 Whole blood is 55% plasma.
◦ 90% water
◦ 10% proteins
It also has proteins that fight
infection & aid in the clotting
process.

 Serum-plasma w/out the clotting


proteins.
◦ Used to research & identify antibodies
Lesson 1– Blood Cells

 Red blood cells


◦ AKA- Erythrocytes

 White blood cells


◦ AKA- Leukocytes

 Platelets
◦ AKA- Thrombocytes
Blood
•White blood cells (WBC)
- Fight infections
•Red blood cells (RBC)
- Contain hemoglobin
Normal
- Carry 02
•Platelets
- Also called thrombocytes
- Aid in blood clotting
1.13 Analyze basic structures and functions of human body systems (cardiovascular).
d. Cardiovascular (components of blood, structures and functions of blood components)c 10
Platelets

 may form a plug to


 the smallest blood cells seal small vessels by
themselves or they
may start the
 help form clots to clotting process.
prevent blood loss from a
wound  Platelets are usually
produced in red
 As they pass over a rough bone marrow and
spot in a vessel, they live for about 5-9
become sticky days.
Red Blood Cells

 Contain a protein called


hemoglobin.

 Each red blood cell lives about


90-120 days.

 New cells are produced in the


red marrow of bones in a
process called hemopoiesis.

 The liver and spleen remove


dead red blood cells and reuse
the material.
Blood
Normal
•Hemoglobin
• Heme = iron Globin = protein
• Provides oxygen to tissues
• Returns CO2 to lungs
• Gives RBCs their red color

1.13 Analyze basic structures and functions of human body systems (cardiovascular).
d. Cardiovascular (components of blood, structures and functions of blood components)c 13
Blood
Abnormal

• WBC
- abnormal WBC
- leukemia
• RBC
- too few red blood cells
- too little hemoglobin ANEMIA
• Platelets
- hemorrhage, profuse bleeding

1.13 Analyze basic structures and functions of human body systems (cardiovascular).
d. Cardiovascular (components of blood, structures and functions of blood components)c 14
White Blood Cells

 There are fewer white


blood cells than red
ones, and they are
larger.

 Each white blood cells


lives about 9 days.
This Photo by Unknown Author is licensed under CC BY-NC-ND

 Pus consists of white


blood cells mixed with
bacteria.
Leukocytes

•Granulocytes
- granules
•Agranulocytes
- no granules

1.13 Analyze basic structures and functions of human body systems (cardiovascular).
d. Cardiovascular (components of blood, structures and functions of blood components)c 16
Granulocytes(granules)
• BASOPHILS
- mast cells
- Inflammation, allergies

• NEUTROPHILS
- 1st phagocytic cell

• EOSINOPHILS
- Destroy parasites
1.13 Analyze basic structures and functions of human body systems (cardiovascular).
d. Cardiovascular (components of blood, structures and functions of blood components)c 17
Leukocytes
Agranulocytes
• MONOCYTES
- 2ND phagocytic cell
- Initiate specific immune response

•LYMPHOCYTES
- B and T cells
- Produce specific immune response

1.13 Analyze basic structures and functions of human body systems (cardiovascular).
d. Cardiovascular (components of blood, structures and functions of blood components)c 18
Blood Types

 A person’s blood is
categorized into one of
four groups, or types.
 The types include:

◦ A, B, AB, and O.
 Blood type is an inherited
trait
 It is determined by what

proteins(antigens) are
present on the surface of
the red blood cells.
Blood Types
Antigens
• Proteins on the cell surface
• Stimulate immune response if foreign
to the body

Antibodies
• Fight foreign intruders causing them
to form little clumps (agglutinate)
• Reaction can be severe, life-
threatening
1.13 Analyze basic structures and functions of human body systems (cardiovascular).
d. Cardiovascular (components of blood, structures and functions of blood components)c 20
Blood Types
• Type A (41% of Americans)
- Contains A self-antigens (A protein); anti-B antibodies
• Type B
- Contains B self-antigens (B protein); anti-A antibodies
• Type AB
- Contains both A and B self-antigens (Both A & B proteins);
- Neither A nor B antibodies
• Type O
- Contains NO A nor B antigens (neither A or B proteins);
- Both A and B antibodies

1.13 Analyze basic structures and functions of human body systems (cardiovascular).
21
d. Cardiovascular (components of blood, structures and functions of blood components)c
Rh Factor
85% white and 88% African-American
population in the U.S. have the Rh antigen
(causes the body to produce antibodies) :
• Rh-positive (+)
- Have the Rhesus antigen
• Rh-negative (-)
- Without the antigen

1.13 Analyze basic structures and functions of human body systems (cardiovascular).
d. Cardiovascular (components of blood, structures and functions of blood components)c 22
Blood Recipients
and Donors

1.13 Analyze basic structures and functions of human body systems (cardiovascular).
d. Cardiovascular (components of blood, structures and functions of blood components)c 23
Blood Typing
Lesson 1– Blood Transfusion

 Incompatible types might


have an adverse reaction.
▫ Type O- is the universal
donor. It has no
substances that will cause
antibodies to be produced.

▫ Type AB+ is the universal


recipient. It can safely
receive any other type of
blood.
Blood Vessels

Arteries
Capillaries
Veins

1.13 Analyze basic structures and functions of human body systems (cardiovascular).
d. Cardiovascular (structures and functions of the cardiovascular system)c 26
Arteries
• Away from the heart
• Smooth muscle expand/contract (elastic)
• Spurts with each contraction of the heart
• Fast
• O2  red, oxygenated
• Pumps oxygenated blood out to the body
• Hidden
• Aorta-largest artery (pumps blood directly from
heart)
• Aneurysm - weakened artery 27
Blood Vessels

 The aorta branches into


other arteries, which
then branch into smaller
vessels called arterioles.

 The blood then moves


to capillaries where
gases, nutrients, and
wastes are exchanged
through the thin walls of
the vessels.
Capillaries

• Exchange diffusion (H  L)
• One cell thick

• Single file SLOOOOW


• Slow for time to exchange
• Connect arteries to veins
1.13 Analyze basic structures and functions of human body systems (cardiovascular).
d. Cardiovascular (structures and functions of the cardiovascular system)c 29
Blood Vessels
 Venules(tiny veins) receive
the deoxygenated blood
 Veins are thinner and
from the capillaries. much less muscular
than arteries.
 Branches of venules come
together to form larger
 Gravity and the
veins. movement of muscles
around the veins help
 Blood is delivered to the
the blood continue to
heart by the body’s 2
flow.
largest veins:
◦ Superior vena cava returns
 Veins also have valves
blood from the upper part of that keep blood from
the body moving backward
◦ Inferior vena cava returns it
from the lower part.
Veins
• To the heart
• Valves prevent the back flow of blood
• Deoxygenates = Little O2  Dark Red
• Little smooth muscle
• Defective valves:
- Varicose veins
- Hemorrhoids

1.13 Analyze basic structures and functions of human body systems (cardiovascular).
d. Cardiovascular (structures and functions of the cardiovascular system)c
31
HEART
• Pump
- 2 pumps
- Right and left
• Size - fist
• Weight - 1 lb.

1.13 Analyze basic structures and functions of human body systems (cardiovascular).
d. Cardiovascular structures and functions of the cardiovascular system)c 32
HEART
Heartbeats
- Normal = 60-100 beats/minute

Abnormal:
- Tachycardia > 100 beats/minute
- Bradycardia < 60 beats/minute

Ejection blood volume - 2 ½ oz.

1.13 Analyze basic structures and functions of human body systems


(cardiovascular).
33
d. Cardiovascular (structures and functions of the cardiovascular system)c
Location of the Heart
• Thoracic Cavity
- (Chest) Ribcage and
Diaphragm
• Base
- Top
- Third Rib
- Retrosternal
• Apex
- Pointed Bottom
- On diaphragm
- 3 In. to left of sternum

1.13 Analyze basic structures and functions of human body systems (cardiovascular).
d. Cardiovascular (structures and functions of the cardiovascular system)c 34
Lesson 1– The Heart and Its Layers

 The heart is a two-


sided, hollow organ
about the size of a
fist.
 Three layers of tissue:
▫ Pericardium
▫ Myocardium
▫ Endocardium
Pericardium

 a double membrane,
or sac
 It covers the outside of

the heart
 It contains a

lubricating fluid that


reduces friction as the
heart beats in order to
prevent tissue damage
This Photo by Unknown Author is licensed under CC BY-SA
Myocardium

 The middle layer

 The thickest layer

 It is made of
muscle tissue and
pumps the blood This Photo by Unknown Author is licensed under
CC BY-SA

through the system


Endocardium

 a smooth layer of cells


that lines the inside of
the heart and the
blood vessels.

 It allows for the blood


to flow smoothly
through the system.

This Photo by Unknown Author is licensed under CC BY-SA


Anatomy of the Heart
• Atria (Pleural) - Top
chambers
• Atrium (Singular)
• Coronary sulcus
(sunken)
• Divides the atria
from the ventricles
 Septum- a thick, muscular wall
that divides heart into right &
left sides

39
Anatomy of the Heart
Ventricles - Bottom chambers
• Left
- Pumps blood to the body
- Thicker walls
• Right
- Pumps blood to the lungs
• Interventricular sulcus
- Separates right and left ventricles
1.13 Analyze basic structures and functions of human body systems
(cardiovascular).
40
d. Cardiovascular (structures and functions of the cardiovascular system)c
Lesson 1– Heart Valves

 Four valves in the heart keep the


blood flowing in only 1 direction
 Atrioventricular –located between
the atria & ventricles
▫ Tricuspid valve-on the right side of
heart
▫ Bicuspid valve- on left side of heart

 Semilunar – located between


ventricle & vessels where blood
leaves the heart
▫ Pulmonary valve
▫ Aortic valve
External Anatomy
of the Heart

Coronary Arteries
•Heart arteries
• Supply O2 and nutrients to
heart muscles
Coronary Sulcus
Interventricular Sulcus

1.13 Analyze basic structures and functions of human body systems (cardiovascular).
d. Cardiovascular (structures and functions of the cardiovascular system)c 42
Internal Anatomy
of the Heart

pericardium

myocardium

endocardium

1.13 Analyze basic structures and functions of human body systems (cardiovascular).
d. Cardiovascular (structures and functions of the cardiovascular system)c
43
Blood Flow
VAVA
•Vein
•Atrium
•Ventricle
•Artery

1.13 Analyze basic structures and functions of human body systems (cardiovascular).
d. Cardiovascular (structures and functions of the cardiovascular system)c 44
Blood Flow - Right VAVA
• Vena Cava
• Carries blood to the
heart
• Superior
• From the head
• Inferior
• From the rest of the
body

1.13 Analyze basic structures and functions of human body systems (cardiovascular).
45
d. Cardiovascular (structures and functions of the cardiovascular system)c
Blood Flow - Right VAVA
• Right Atrium
- Right AV valve = Tricuspid valve closing=
lub

• Right Ventricle
- Pulmonary semilunar valve closing = dub

• Pulmonary Arteries
- carry deoxygenated blood to the lungs
Lungs where deoxygenated  oxygenated

1.13 Analyze basic structures and functions of human body systems (cardiovascular).
d. Cardiovascular (structures and functions of the cardiovascular system)c 46
Blood Flow – Left VAVA
• Pulmonary Vein
- Oxygenated - carries blood to the left atrium
• Left Atrium
- Left A-V VALVE = Bicuspid = Mitral Valve
closing= lub
• Left Ventricle
- pumps blood to aorta
- Aortic semilunar valve closing = dub
• Aorta
- carries blood to the body
1.13 Analyze basic structures and functions of human body systems (cardiovascular
d. Cardiovascular (, structures and functions of the cardiovascular system,) 47
Lesson 1– Circulation of Blood

 Pulmonary circulation
◦ The flow of blood
between the heart and
lungs

 Systemic circulation
◦ The flow of blood
between the heart and
the cells of the body
Pulmonary Circulation

 The right side of the


heart pumps
deoxygenated
(oxygen-poor) blood
to the lungs
 In the lungs, carbon

dioxide is exchanged
for oxygen
This Photo by Unknown Author is licensed under CC BY-SA-NC  Then the oxygenated

(oxygen-rich) blood
returns to the left side
of the heart.
Systemic Circulation
 The left side of the
heart pumps the
oxygenated blood to
the rest of the body.

 The blood returns


from the body to the
right side of the heart
to maintain
This Photo by Unknown Author is licensed under CC BY-SA-NC
continuous
circulation.
This Photo by Unknown Author is licensed under CC BY-SA
Lesson 1– Heartbeat

 Electrical impulses starting


in the heart cause the
muscles to contract and the
heart to beat.
◦ (Only the heart contains muscle
tissue that can stimulate its own
contractions.)

 The right and left sides of


heart work together in a
cycle to produce a heartbeat.
Heart’s Conducting System
• Heart’s Conducting System
- Electricity
• SA NODE- (sino-atria node)
- Natural pacemaker , starts the heart beating
- Impulses travel from the top of the atrium to
the bottom
- Atrium contracts from the top to the bottom
forcing blood into the ventricle
- P Wave

53
Cardiac Cycle

1.13 Analyze basic structures and functions of human body systems


(cardiovascular) 54
Heart’s Conducting System
• AV NODE (Atrium-Ventricular node)
- Collect impulses generated from the SA node allows the atrium
to contract before the ventricle
• BUNDLE OF HIS
- Conducts impulses from the AV node to the bottom of the
ventricle without causing contraction
• PURKINJE FIBERS
- Impulses travel from the bottom to the top of the ventricle
• Contraction of the Ventricle from the Bottom to the Top
of Ventricle Out Through the Arteries
- QRS wave
- T wave- ventricles relax

1.13 Analyze basic structures and functions of human body systems (cardiovascular)
55
d. Cardiovascular (conduction system of the heart, cardiac cycle)
Heart’s Conducting System

56
EKG
Atrial Ventricular
Contraction Contraction
No Electrical
Activity, CPR

Ventricular
LUB DUB Fibrillation
AED

57
Diseases and Disorders
Arteriosclerosis
Atherosclerosis
Angina Pectoris
Myocardial Infarction
Hypertension
Cerebrovascular Accident

1.21 Describe common diseases and disorders of each body system


(heart disease). a. Etiology b. Pathology c. Diagnosis d. Treatment e. 58
Prevention
Coronary Arteries
• Arteriosclerosis
- Hardening of the arteries leading
to loss of elasticity
- Increases with aging
- Prevention:
 Exercise Delays

1.21 Describe common diseases and disorders of each body system (heart 59
disease). a. Etiology b. Pathology c. Diagnosis d. Treatment e. Prevention
Coronary Arteries
• Atherosclerosis
• Fatty deposits (usually plaque) deposited on
the walls of the coronary arteries
• Usually enhanced by diets high in saturated
fats and cholesterol

1.21 Describe common diseases and disorders of each body system (heart 60
disease). a. Etiology b. Pathology c. Diagnosis d. Treatment e. Prevention
Angina Pectoris
• Chest Pain
• Caused by Coronary Artery
Disease
• Ischemia
- Occurs during exertion and/or
stress
Treatment:
- Nitroglycerin (vasodilator)- Angioplasty
- Calcium - channel blockers - By-pass surgery

1.21 Describe common diseases and disorders of each body system (heart 61
disease). a. Etiology b. Pathology c. Diagnosis d. Treatment e. Prevention
Myocardial Infarction (M.I.)
Heart Attack
• Heart Muscle Cell Death
• A Condition Caused by Partial or
Complete Occlusion of One or More of
the Coronary Arteries
• Treatment:
- Angioplasty
- By-pass surgery

1.21 Describe common diseases and disorders of each body system (heart disease). 62
a. Etiology b. Pathology c. Diagnosis d. Treatment e. Prevention
Hypertension
• High blood pressure
- >140/90
 Top Number = Systole = heart is contracting
 1st heart sound (number recorded when taking blood pressure)
 Bottom number = diastole = ventricles are relaxing
 last heart sound (number recorded when taking blood pressure)

• Treatment
- Reduce salt intake
- ACE inhibitors (medications)
- Calcium channel blockers (meds)
- Reduce stress
- Avoid
1.21 Describe tobacco,
common improve
diseases and diet,
disorders of each & exercise
body system (heart disease).
63
a. Etiology b. Pathology c. Diagnosis d. Treatment e. Prevention
Hypertension: high blood pressure
 often called the “silent killer” because it may not show
any symptoms.

 If left untreated, it can lead to permanent damage to


the heart, blood vessels, and kidneys.

 Risk factors that contribute to this condition are


family history, race, obesity, smoking, stress, age,
and a diet high in saturated fat.

 There is no cure.
Hypertension: high blood pressure
Cerebrovascular Accident (CVA)

Stroke “Brain Attack”


• Brain cells deprived of oxygen due to
hemorrhage or ischemia (blood clot)
Causes:
• High blood pressure
• Cigarette smoking
• Atrial fibrillation
• Physical inactivity
Treatment:
• Anticoagulants/Anti-platelets
• Anti-hypertensives
• TPA for ischemic to dissolve the clot
1.21 Describe common diseases and disorders of each body system (heart disease). 66
a. Etiology b. Pathology c. Diagnosis d. Treatment e. Prevention
Congestive heart failure (CHF)

 occurs when the heart is unable to pump


enough blood to supply the needs of the body.
 It may strike suddenly, or it may progress over

a period of time.
 Sx:

◦ swelling, shortness of breath, fatigue, low blood


pressure, and a rapid pulse.
 Treatment:
◦ medication for the heart and to remove excess body
fluids, elastic support hose, and oxygen therapy.
◦ In addition, rest and lifestyle changes are needed to
relieve symptoms.
Congestive heart failure (CHF)
Anemia

 when red blood cells do not supply enough oxygen to


the body tissues.
 Results from a low amount of red blood cells or from
a low amount of hemoglobin in the blood cells, or
both.
 There are several types of anemia with different
causes.
 Symptoms include:
◦ fatigue, shortness of breath, paleness, and rapid heart rate.
 Treatment:
◦ varies depending on the type of anemia.
◦ It may involve dietary supplements, such as iron or vitamin
B12, blood transfusions, or in severe cases, bone marrow
transplant
Anemia
Leukemia

 Abnormal increase in the number of white


blood cells.

 The cells are immature and are not effective at


fighting disease.

 They also take the place of red blood cells and


reduce the amount of oxygen being carried to
the body tissues.
Leukemia

 Symptoms:
◦ fatigue, anemia, bleeding gums, and excessive
bruising. The condition can be life-threatening.

 Treatment:
◦ radiation, chemotherapy, or bone marrow
transplant.
◦ The patient may also be isolated to protect against
infection.
Leukemia
Cardiac Arrest
 a sudden loss of blood
flow
 Symptoms :  Results from the failure
◦ loss of consciousness of the heart to
◦ abnormal or absent effectively pump
breathing  triggered by an
electrical malfunction
◦ Some may have:- chest  causes an irregular
pain, shortness of breath, heartbeat---AKA:
or nausea before cardiac arrhythmia
arrest

◦ It’s often fatal, if the


appropriate steps aren’t
taken immediately
Cardiac Arrest
Atrial Fibrillation
 Common causes
are:
 A.K.A: Afib ◦ Abnormal heart
 quivering or irregular
valves, heart defects
at birth, and
heartbeat (arrhythmia) overactive thyroid
 Can lead to: glands
◦ blood clots, stroke, heart
failure, and other heart- o Other causes may be:
related complications exposure to
stimulants, such as
At least 2.7 million medications, caffeine,
Americans are living with tobacco, or alcohol
AFib
Atrial Fibrillation
Sickle Cell Disease

 when the body produces


abnormal red blood cells
in the shape of a crescent.
 The cells cannot pass
smoothly through the
blood vessels
 Vessels become clogged
 Resulting in:
◦ the oxygen in the red blood
cells does not get to the
body's organs
◦ Which causes pain and organ
damage

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