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 Auricles Major veins Major arteries
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 Semilunar
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 Pulmonary Circulation

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 in Skeletal 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” Second heart sound or “dupp”
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 Chemoreceptor Reflexes

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