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21 Blood Vessels and Circulation C h a p t e r
PowerPoint® Lecture Slides prepared by Jason LaPres Lone Star College - North Harris Copyright © 2009 Pearson Education, Inc., publishing as Pearson Benjamin Cummings
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Structure of vessel walls
Walls of arteries and veins contain three distinct layers Tunic intima Tunica media Tunica externa
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Figure 19.1 A Comparison of a Typical Artery and a Typical Vein
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Differences between arteries and veins
Compared to veins, arteries Have thicker walls Have more smooth muscle and elastic fibers Are more resilient
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Arteries Undergo changes in diameter
Vasoconstriction – decreases the size of the lumen Vasodilation – increases the size of the lumen Classified as either elastic (conducting) or muscular (distribution) Small arteries (internal diameter of 30 um or less) are called arterioles
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Capillaries An endothelial tube inside a basal lamina These vessels
Form networks Surround muscle fibers Radiate through connective tissue Weave throughout active tissues Capillaries have two basic structures Continuous Fenestrated Flattened fenestrated capillaries = sinusoids
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Figure 19.2 Histological Structure of Blood Vessels
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Figure 19.4 Capillary Structure
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Capillary Beds An interconnected network of vessels consisting of
Collateral arteries feeding an arteriole Metarterioles Arteriovenous anastomoses Capillaries Venules
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Figure 19.5 The Organization of a Capillary Bed
Figure 19.5a, b
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Veins Collect blood from all tissues and organs and return it to the heart Are classified according to size Venules Medium-sized veins Large veins
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Venous Valves Venules and medium-sized veins contain valves
Prevent backflow of blood
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Figure 19.6 The Function of Valves in the Venous System
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Distribution of blood Total blood volume is unevenly distributed
Venoconstriction maintains blood volume Veins are capacitance vessels Capacitance = relationship between blood volume and pressure PLAY Animation: Anatomy review: Blood vessel structure and function
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Figure 19.7 The Distribution of Blood in the Cardiovascular System
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Circulatory Pressure Circulatory pressure is divided into three components Blood pressure (BP) Capillary hydrostatic pressure (CHP) Venous pressure
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Figure 19.8 An Overview of Cardiovascular Physiology
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Resistance (R) Resistance of the cardiovascular system opposes the movement of blood For blood to flow, the pressure gradient must overcome total peripheral resistance Peripheral resistance (PR) is the resistance of the arterial system
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Overview of Cardiovascular Pressures
Factors involved in cardiovascular pressures include Vessel diameter Cross-sectional area of vessels Blood pressure Blood viscosity
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Figure Relationships among Vessel Diameter, Cross-sectional Area, Blood Pressure, and Blood Viscosity Figure 19.9
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Arterial blood pressure
Maintains blood flow through capillary beds Rises during ventricular systole and falls during ventricular diastole Pulse is a rhythmic pressure oscillation that accompanies each heartbeat Pulse pressure = difference between systolic and diastolic pressures Mean arterial pressure (MAP)
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Figure 19.10 Pressures within the Cardiovascular System
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Capillary Exchange Flow of water and solutes from capillaries to interstitial space Plasma and interstitial fluid are in constant communication Assists in the transport of lipids and tissue proteins Accelerates the distribution of nutrients Carries toxins and other chemical stimuli to lymphoid tissues
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Processes that move fluids across capillary walls
Diffusion Filtration Hydrostatic pressure (CHP) Reabsorption
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Figure 19.11 Capillary Filtration
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Forces acting across capillary walls
Capillary hydrostatic pressure (CHP) Blood colloid osmotic pressure (BCOP) Interstitial fluid colloid osmotic pressure (ICOP) Interstitial fluid hydrostatic pressure (IHP)
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Filtration and reabsorption
Processes involved in filtration and reabsorption include Net hydrostatic pressure CHP - IHP Net colloid osmotic pressure BCOP - ICOP
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Figure 19.12 Forces Acting across Capillary Walls
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Venous pressure and venous return
Assisted by two processes Muscular compression The respiratory pump PLAY Animation: Factors that affect blood pressure
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Cardiovascular Regulation
Autoregulation Neural mechanisms Endocrine mechanisms
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Autoregulation of blood flow within tissues
Local vasodilators accelerate blood flow in response to: Decreased tissue O2 levels or increased CO2 levels Generation of lactic acid Release of nitric acid Rising K+ or H+ concentrations in interstitial fluid Local inflammation Elevated temperature
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Figure Homeostatic Adjustments that Compensate for a Reduction in Blood Pressure and Blood Flow Figure 19.13
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Neural Mechanisms Adjust CO and PR to maintain vital organ blood flow
Medullary centers of regulatory activity include Cardiac centers Vasomotor centers control Vasoconstriction via adrenergic release of NE Vasodilation via direct or indirect release of NO
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Reflex control of cardiovascular function
Baroreceptors reflexes monitor stretch Atrial baroreceptors monitor blood pressure Chemoreceptor reflexes monitor CO2, O2, or pH levels PLAY Animation: Autoregulation and capillary dynamics
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Figure 19.14 Baroreceptor Reflexes of the Carotid and Aortic Sinuses
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Figure 19.15 The Chemoreceptor Reflexes
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Hormones and cardiovascular regulation
Antidiuretic hormone – released in response to decreased blood volume Angiotensin II – released in response to a fall in blood pressure Erythropoietin – released if BP falls or O2 levels are abnormally low Natriuretic peptides – released in response to excessive right atrial stretch
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Figure 19.16 The Regulation of Blood Pressure and Blood Volume
Figure 19.16a
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Figure 19.16 The Regulation of Blood Pressure and Blood Volume
Figure 19.16b
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Exercise and the Cardiovascular System
Light exercise results in Extensive vasodilation Increased venous return A rise in cardiac output Heavy exercise results in Increased blood flow to skeletal muscles Restriction of blood flow to nonessential organs
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Cardiovascular response to hemorrhaging: Short term
Carotid and aortic reflexes increase CO and peripheral vasoconstriction Sympathetic nervous system elevates blood pressure E and NE increase cardiac output and ADH enhances vasoconstriction
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Cardiovascular response to hemorrhaging: Long term
Decline in capillary blood pressure recalls fluids from interstitial spaces Aldosterone and ADH promote fluid retention Increased thirst promotes water absorption across the digestive tract Erythropoietin ultimately increases blood volume and improves O2 delivery
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Figure 19.17 Cardiovascular Responses to Hemorrhaging and Blood Loss
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Special circulation The brain
Four arteries which anastomose insuring constant blood flow The heart Coronary arteries arising from the ascending aorta The lungs Pulmonary circuit, regulated by local responses to O2 levels Opposite other tissues (declines in O2 cause vasodilation)
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The distribution of blood: General functional patterns
Peripheral distribution of arteries and veins is generally symmetrical Except near the heart Single vessels may have several names as they cross anatomical boundaries Arteries and corresponding veins usually travel together
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Figure 19.18 An Overview of the Patterns of Circulation
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Pulmonary circuit consists of pulmonary vessels
Arteries which deliver blood to the lungs Capillaries in the lungs where gas exchange occurs Veins which deliver blood to the left atrium
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Figure 19.19 The Pulmonary Circuit
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Systemic arteries Ascending aorta
Right and left coronary arteries originate from base of aortic sinus Aortic arch and branches Brachiocephalic Left common carotid Left subclavian arteries Descending aorta and its branches Thoracic and abdominal aortas
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Figure 19.20 An overview of the Major Systemic Arteries
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Figure 19.21 Arteries of the Chest and Upper Limb
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Figure 19.21 Arteries of the Chest and Upper Limb
Figure 19.21b
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Figure 19.22 Arteries of the Head and Neck
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Figure 19.23 Arteries of the Brain
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Figure 19.24 Major Arteries of the Trunk
Figure 19.24a
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Figure 19.24 Major Arteries of the Trunk
Figure 19.24b
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Figure 19.25 Arteries Supplying the Abdominopelvic Organs
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Figure 19.26 Arteries of the Lower Limb
Figure 19.26a, b
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Figure 19.26 Arteries of the Lower Limb
Figure 19.26c
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Systemic Veins Superior vena cava Drains blood from the head and neck
Inferior vena cava Drains blood from the remainder of the body
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Figure 19.27 An Overview of the Major Systemic Veins
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Figure 19.28 Major Veins of the Head, Neck and Brain
Figure 19.28a
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Figure 19.28 Major Veins of the Head, Neck and Brain
Figure 19.28b
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Figure 19.29 The Venous Drainage of the Abdomen and Chest
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Figure 19.31 Venous Drainage from the Lower Limb
Figure 19.31a, b
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Figure 19.31 Venous Drainage from the Lower Limb
Figure 19.31c
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Hepatic Portal System Contains substance absorbed by the stomach and intestines Delivers these compounds to the liver for Storage Metabolic conversion Excretion
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Figure 19.32 The Hepatic Portal System
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Placental Supply Fetal blood flow to the placenta is supplied via paired umbilical arteries A single umbilical vein drains from the placenta to the ductus venosus Collects blood from umbilical vein and liver Empties into the inferior vena cava
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Fetal Circulation of the Heart and Great Vessels
No need for pulmonary function in the fetus Two shunts bypass the pulmonary circuit Foramen ovale Ductus arteriosus
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Cardiovascular Changes at Birth
Lungs and pulmonary vessels expand Ductus arteriosus constricts and becomes ligamentum arteriosum A valvular flap closes the foramen ovale
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Figure 19.33 Fetal Circulation
Figure 19.33a, b
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You should now be familiar with:
The types of blood vessels Fluid and dissolved material transport into and out of the cardiovascular system The factors that influence blood pressure and blood pressure regulation The mechanisms involved in the movement of fluids between capillaries and interstitial spaces
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You should now be familiar with:
How blood flow and pressure in tissues is regulated The principle blood vessels of each circuit and the areas they serve Fetal circulation patterns and the changes that occur in these patterns at birth
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