2. The heart and “stuff”!

3. Blood travels through the heart twice before returning to the body
measure heart rate?
Pulse, where, why only in those spots?
The double circulatory system

4. External view of the heart
superior
vena cava
pulmonary
artery
aorta
pulmonary
vein
pulmonary
vein
coronary
artery
right atrium
left
ventricle
inferior
vena cava
right ventricle

6. Heart Structure

7. The vena cava carries deoxygenated blood from the body to the right atrium
superior
vena cava
(transports blood
from the head)
inferior
vena cava
(transports blood
from rest of body)

8. The right atrium collects deoxygenated blood and pumps it to the right ventricle

9. The right ventricle pumps deoxygenated blood to the lungs

10. The pulmonary artery carries deoxygenated blood from the right ventricle to the lungs

11. The septum separates the left and right sides of the heart

12. The pulmonary veins carry oxygenated blood from the lungs to the left atrium

13. The left atrium collects the oxygenated blood and pumps it to the left ventricle

14. The left ventricle pumps oxygenated blood to the body via the aorta

15. The aorta carries the oxygenated from the left ventricle to the rest of the body
Aortic arch
Aorta

16. Atrio-ventricular valves prevent backflow of blood into the atria when ventricles contract
Tricuspid valves
Bicuspid valve
(mitral valve)
Tendon

17. The semi-lunar valves prevent backflow of blood from the arteries into the ventricles
Pulmonary
semi-lunar
valve
Aortic semi-lunar
valve

18. Summary Quiz Identify the part of the heart indicated by an arrow .
There are 10 questions in total.

19. Question 1

20. Question 2

21. Question 3

22. Question 4

23. Question 5

24. Question 6

25. Question 7

26. Question 8

27. Question 9

28. Question 10

29. Answers
1 left ventricle 2 vena cava 3 right atrium 4 pulmonary artery 5 aorta 6 pulmonary vein 7 left atrium 8 atrio-ventricular (tricuspid) valve 9 semi-lunar (aortic) valve 10 right ventricle

30. Control of the cardiac cycle

31. Cardiac Cycle Control
Cardiac muscle is myogenic - this means that the contraction is initiated from within the muscle.
Within the wall of the RA is a group of cells called the sinoatrial node (SAN)

32. Cardiac Cycle Control The SAN initiates the stimulus for contraction
The SAN has a basic rhythm for contraction that determines the heartbeat
It is sometimes called the heart’s natural pacemaker

33. Cardiac Cycle Control – Stage 1
A wave of electrical activity spreads out from the SAN across both atria
This causes the atria to contract

34. Cardiac Cycle Control – Stage 2
A layer of non conductive tissue – the atrioventricular septum – prevents the wave crossing into the ventricles

35. Cardiac Cycle Control – Stage 3
The wave of electrical activity passes through a second group of cells called the atrioventricular node (AVN)

36. Cardiac Cycle Control – Stage 3
The wave of electrical activity passes through a second group of cells called the atrioventricular node (AVN)
This lies between the atria

37. Cardiac Cycle Control – Stage 4
The AVN, after a short delay, sends a wave of electrical activity between the ventricles along specialised muscle fibres called the bundle of His
Bundle of His

38. Cardiac Cycle Control – Stage 5
The Bundle of His conducts the wave through the atrioventricular septum to the base of the ventricles where it branches into smaller fibres
Bundle of His

39. Cardiac Cycle Control – Stage 6
The wave of electrical activity is released from these fibres causing the ventricles to contract, both at the same time, from the apex upwards
Bundle of His

40. Mammals have a closed circulatory system that allows pressure to be maintained and regulated

41. Definitions
Stroke volume is the amount of blood ejected by the left ventricle in one contraction. Cardiac output is the volume of blood pumped by the heart per minute. It is calculated using this formula: Cardiac output = Stroke volume x heart rate The heart rate is simply the number of heart beats per minute.

42. Pressure changes in the cardiac cycle
As a chamber fills with blood, the pressure is going to rise. When a chamber contracts, the pressure also rises.
Changes in pressure affect whether a valve is open or closed because fluids always move from areas of high pressure to areas of low pressure.
As the blood passes into the atria, the AV valves are open so most will fall immediately into the ventricle. There is a gradual rise in pressure in the atria until the end of atrial systole when the blood has moved into the ventricles.
The ventricular pressure rises as the ventricles fill with blood. This closes the AV valves.
Contraction of the ventricles means that the ventricular pressure is higher than the pressure in the artery which forces the blood out of the ventricle and into the aorta or pulmonary artery (depending on which side of the heart you’re looking at).
The increase in pressure of the artery causes the closing of the semilunar valves preventing the back flow of blood into the ventricle.

43. The Effect of Posture on Stroke Volume
When a person is lying down, the large veins in the chest are plump with blood. And because these veins are stretched, the pressure in them is higher than when they contain less blood. Consequently, when lying down, the central venous pressure is relatively high, the end-diastolic volume is relatively high and thus the stroke volume is comparatively high.
But this changes when we stand. The pressure in the large veins in the legs increases greatly. This causes the distensible, voluminous veins to expand, and blood pools in the leg veins. This reduces the blood in the central veins, and the central venous pressure drops. Because these central veins are very compliant structures, pressure cannot increase again in them until blood flows back into the thorax.
So why might cardiac out put remain the same when sitting and standing?

44. Left atrium
Contract
Left ventricle
Relax
Aortic pressure rises when the ventricles contract as blood is forced into the aorta
It then gradually falls but never below ~12 kPa because of the elasticity of its wall
which creates a recoil action – this is necessary if blood is to be continuously supplied
to the tissue
The recoil produces a temporary rise in pressure at the start of the relaxation phase

45. Left atrium
Contract
Left ventricle
Relax
Ventricluar pressure is low at first but gradually increases as the ventricles fill with
blood as the atria contract
The left atrioventricular valves close and pressure rises dramatically as the thick muscular
Walls of the ventricle contract
As pressure rises above that of the aorta, blood is forced into the aorta past the
semilunar valves
Pressure falls as the ventricles empty and the walls relax

46. Left atrium
Contract
Left ventricle
Relax
Atrial pressure is always relatively low because the thin walls of the atrium cannot
create much force
It is highest when they are contracting, but drops when the left atrioventricular valve
closes and its walls relax
The atria then fill with blood, which leads to a gradual build-up of pressure until a slight drop
when the left atrioventricular valve opens and some blood moves into the ventricle

47. Left atrium
Contract
Left ventricle
Relax
Ventricular volume rises as the atria contract and the ventricles fill with blood
The volume then drops suddenly as blood is forced out into the aorta when
the semilunar valve opens
Volume increases again as the ventricles fill with blood

48. Discuss the following:
Why is there a difference in pressure between the left and right ventricles?
What features of the heart allow it to withstand this high pressure on the left side?

49. The Cardiac Cycle
Stage 1 – Atrial Diastole Stage 2 - Ventricular Diastole Stage 3 – Atrial Systole Stage 4 – Ventricular Systole
Relax & Refill (0.5 Secs) Contraction (0.3 Secs)

50. Cardiac Cycle Stage of Cardiac Cycle Description Action of Valves
Atrial diastole (relaxation)
Atria fill with blodd
Atrioventricular valves closed.
Semi-lunar valves open
Ventricular diastole (relaxation)
Rising pressure in atria causes the AV valves to open and ventricles to fill
AV valves open.
Semi-lunar valves closed
Atrial systole (contraction)
Atria contract, forcing blood into ventricles
AV valves open
Ventricular systole (contraction)
Ventricles contract, increasing pressure in the ventricles and forcing blood into the aorta and pulmonary artery
AV valves are forced to close

51. Performance of the Heart
Dependent on 2 variables:
STROKE VOLUME (SV) & HEART RATE (HR)
Stroke Volume is determined by:
Venous Return
Elasticity of cardiac fibres
Contractuality of cardiac tissue

52. Performance of Heart - SV
Venous Return:
Volume of blood returning to right atrium.
Greater VR = Greater SV
Elasticity of Cardiac Tissue:
Degree of stretch of cardiac tissue just before contraction.
Greater contraction = Greater force of contraction (STARLING’S LAW)
Contractuality of Cardiac Tissue:
Increased contractuality = Greater force of contraction = Increase in SV.
This is a result of the INJECTION FRACTION
(% of blood pumped out of left ventricle per contraction)
At Rest = 55% (45% of blood remains in heart)
Exercise = Up to 85%

53. Performance of Heart - HR
Is the number of complete cardiac cycles and therefore the number of times the left ventricle ejects blood into the aorta per minute. Av resting HR = 72 bpm Elite athlete = below 60 bpm (Bradycardia) OLYMPIC ROWING CHAMPION, STEVE REDGRAVE HAS A RESTING HEART RATE OF BETWEEN BPM

54. Cardiac output (Q) = stroke volume (SR) x heart rate (HR)
Is the relationship between SV & HR
Cardiac output (Q) = stroke volume (SR) x heart rate (HR)
Measured in litres per minute
(1 litre = dm3)
Cardiac output = SV x HR
Definition
The volume of blood ejected from heart per minute
The volume of blood ejected from heart per beat
The number of cardiac cycles per minute
Untrained subject
5 litres per min
70 ml
72 bpm
Trained subject
5 litres per minute
85 ml
60 bpm

55. Heart Rate Response to Exercise
Heart rate typically increases with intensity of exercise
This continues until reach max HR (220 – Age)
During SUB-MAXIMAL exercise (eg. 1500m swim) HR reaches a plateau (steady state)
This represents point at which O2 demand is being met by O2 supply.
HR also rises due to anticipation just before exercise commences
After exercise ends, HR takes a while to return to resting rate – to rid body of waste products

56. Heart Rate Response to Exercise
Matthew Pinsent
James Cracknell
Resting HR 45 40
Just prior to start 55 50
500m
160
155
1000m
1500m
1750m
190
185
2000m (Finish)
Key Terms:
Starling’s Law – mechanism by which an increase in venous return leads to stronger ventricular contraction and increase in SV
Ejection Fraction - % of blood actually pumped out of left ventricle per contraction
Bradycardia – reduction in resting HR below 60 bpm as a result of endurance training
Sub-Maximal Exercise – exercise that is low intensity and well within capabilities of performer
Anticipatory Rise – the pre exercise response of the heart to the release of andrenalin (rise in HR)