1. PowerPoint ® Lecture Slide Presentation by Patty Bostwick-Taylor, Florence-Darlington Technical College Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings PART A 11 The Cardiovascular System

2. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings I can describe how to reduce concussion rates  Estimate………  How many concussions are suffered in US per year?  Who suffers more, males or females?

3. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings I can describe the anatomy of the heart  BR – What are the two divisions of the heart?

4. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings The Cardiovascular System  A closed system of the heart and blood vessels  The heart pumps blood  Blood vessels allow blood to circulate to all parts of the body  function of the cardiovascular system  deliver oxygen and nutrients  remove carbon dioxide and other waste products

5. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings The Heart  Location  Thorax between the lungs  Orientation  Pointed apex directed toward left hip  Base points toward right shoulder  About the size of your fist

6. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings The Heart Figure 11.1a–b

7. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings The Heart Figure 11.1c

8. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings The Heart Figure 11.2a

9. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings The Heart: Coverings  Pericardium—a double-walled sac  Fibrous pericardium is loose and superficial  Serous membrane  Parietal pericardium  Outside layer that lines the inner surface of the fibrous pericardium  Visceral pericardium  Next to heart; also known as the epicardium  Serous fluid fills the space between the layers of pericardium

10. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings The Heart: Heart Wall Figure 11.2b

11. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings The Heart: Heart Wall  Three layers  Epicardium – also known as visceral pericardium  Outside layer  Connective tissue layer  Myocardium  Thick, middle layer  Mostly cardiac muscle  Endocardium  Inner layer  Endothelium

12. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings The Heart: Heart Wall Figure 11.2b

13. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings

14. I can describe the anatomy of the heart  Bell Ringer – match layers of heart to type of tissue A. MyocardiumB. Endocardium C.Epicardium 1.Connective tissue layer 2.Endothelium 3.Mostly cardiac muscle

15. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Heart Chambers

16. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings The Heart: Heart Wall Figure 11.2c

17. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings The Heart: Chambers  Right and left side act as separate pumps  Four chambers  Atria  Receiving chambers  Right atrium  Left atrium  Ventricles  Discharging chambers  Right ventricle  Left ventricle

18. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings The Heart: Chambers Figure 11.2c

19. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Differences in Right and Left Ventricles Figure 11.4

20. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings The Heart: Septa  Interventricular septum  Separates the two ventricles  Interatrial septum  Separates the two atria

21. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings The Heart: Chambers Figure 11.2c

22. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Heart Valves

23. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings The Heart: Valves  Allow blood to flow in only one direction to prevent backflow  Four valves  Atrioventricular (AV) valves—between atria and ventricles  Bicuspid (mitral) valve (left side of heart)  Tricuspid valve (right side of heart)

24. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings The Heart: Valves  Semilunar valves—between ventricle and artery  Pulmonary semilunar valve  Aortic semilunar valve

25. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings The Heart: Valves Figure 11.2c

26. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings The Heart: Valves  AV valves  Anchored in place by chordae tendineae (“heart strings”)  Open during heart relaxation and closed during ventricular contraction  Semilunar valves  Closed during heart relaxation but open during ventricular contraction  Notice these valves operate opposite of one another to force a one-way path of blood through the heart

27. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings

28. Figure 11.5a, step 1 Blood returning to the atria, puts pressure against AV valves; the AV valves are forced open Ventricles Operation of the AV valves AV valves open (a)

29. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Figure 11.5a, step 2 Blood returning to the atria, puts pressure against AV valves; the AV valves are forced open As the ventricles fill, AV valve flaps hang limply into ventricles Ventricles Operation of the AV valves AV valves open (a)

30. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Figure 11.5a, step 3 Blood returning to the atria, puts pressure against AV valves; the AV valves are forced open As the ventricles fill, AV valve flaps hang limply into ventricles Atria contract, forcing additional blood into ventricles Ventricles Operation of the AV valves AV valves open (a)

31. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Figure 11.5a, step 4 Ventricles contract, forcing blood against AV valve flaps (a)

32. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Figure 11.5a, step 5 Ventricles contract, forcing blood against AV valve flaps AV valves close AV valves closed (a)

33. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Figure 11.5a, step 6 Ventricles contract, forcing blood against AV valve flaps AV valves close Chordae tendineae tighten, preventing valve flaps from everting into atria AV valves closed (a)

34. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings The Heart: Valves PLAY Figure 11.5b, step 1 As ventricles contract and intraventricular pressure rises, blood is pushed up against semilunar valves, forcing them open Aorta Pulmonary trunk Semilunar valve open Operation of the semilunar valves (b)

35. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Figure 11.5b, step 2 As ventricles contract and intraventricular pressure rises, blood is pushed up against semilunar valves, forcing them open Aorta Pulmonary trunk Semilunar valve open Semilunar valve closed As ventricles relax, and intraventricular pressure falls, blood flows back from arteries, filling the leaflets of semilunar valves and forcing them to close Operation of the semilunar valves (b)

36. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings I can describe the flow of blood through heart  Which valves:  Separate ventricle and arteries?  Separate atrium and ventricle?

37. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Systemic and Pulmonary Circulations  Systemic circulation  Blood flows from the left side of the heart through the body tissues and back to the right side of the heart  Pulmonary circulation  Blood flows from the right side of the heart to the lungs and back to the left side of the heart

38. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Systemic and Pulmonary Circulations Figure 11.3

39. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings The Heart: Associated Great Vessels  Arteries  Aorta  Leaves left ventricle  Pulmonary arteries  Leave right ventricle

40. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings The Heart: Associated Great Vessels  Veins  Superior and inferior venae cavae  Enter right atrium  Pulmonary veins (four)  Enter left atrium

41. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings The Heart: Associated Great Vessels Figure 11.2c

42. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings The Heart The Heart: Blood Flow PLAY The Heart: Anatomy PLAY

43. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Blood Flow

44. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Blood Flow Through the Heart  Superior and inferior venae cavae dump blood into the right atrium  From right atrium, through the tricuspid valve, blood travels to the right ventricle

45. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Blood Flow Through the Heart  From the right ventricle, blood leaves the heart as it passes through the pulmonary semilunar valve into the pulmonary trunk  Pulmonary trunk splits into right and left pulmonary arteries that carry blood to the lungs

46. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Blood Flow Through the Heart  Oxygen is picked up and carbon dioxide is dropped off by blood in the lungs  Oxygen-rich blood returns to the heart through the four pulmonary veins

47. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Blood Flow Through the Heart  Blood enters the left atrium and travels through the bicuspid valve into the left ventricle  From the left ventricle, blood leaves the heart via the aortic semilunar valve and aorta

48. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Systemic and Pulmonary Circulations Figure 11.3

49. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings I can identify parts and blood flow of a cow heart  Blood from systemic circulation enters the heart via ______________________________  Blood exits the heart to pulmonary circulation via ___________________________  Blood from pulmonary circulation enters the heart via ___________________________  Blood exits the heart to systemic circulation via ___________________________

50. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Coronary Circulation  Blood in the heart chambers does not nourish the myocardium  The heart has its own nourishing circulatory system consisting of  Coronary arteries—supply the heart muscle with oxygenated blood  Cardiac veins—drain the myocardium of blood

51. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings I can describe how cardiac muscle contracts  Which has a thicker wall, pulmonary trunk or aorta? WHY?????????

52. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings The Heart: Conduction System  Intrinsic conduction system (nodal system)  Heart muscle cells contract, without nerve impulses, in a regular, continuous way

53. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Heart Contractions  Contraction is initiated by the sinoatrial node (SA node)  Sequential stimulation occurs at other autorhythmic cells  Force cardiac muscle depolarization in one direction—from atria to ventricles

54. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Heart Contractions  Sinoatrial node = SA node (“pacemaker”), is in the right atrium  Initiates the contraction  Once SA node starts the heartbeat  Impulse spreads to the AV node  Then the atria contract  At the AV node, the impulse passes through the AV bundle, bundle branches, and Purkinje fibers  Blood is ejected from the ventricles to the aorta and pulmonary trunk as the ventricles contract

55. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings  http://media.pearsoncmg.com/bc/bc_marieb_ehap _9/activities/chapter11/Act11C.html http://media.pearsoncmg.com/bc/bc_marieb_ehap _9/activities/chapter11/Act11C.html

56. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Heart Contractions Figure 11.6

57. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Heart Contractions  Tachycardia—rapid heart rate over 100 beats per minute  Bradycardia—slow heart rate less than 60 beats per minutes

58. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings The Heart: Cardiac Cycle  Atria contract simultaneously  Atria relax, then ventricles contract  Systole = contraction  Diastole = relaxation

59. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Filling Heart Chambers: Cardiac Cycle Figure 11.7 Atrial contraction Mid-to-late diastole (ventricular filling) Ventricular systole (atria in diastole) Early diastole Isovolumetric contraction phase Ventricular ejection phase Isovolumetric relaxation Ventricular filling Left atrium Right atrium Left ventricle Right ventricle

60. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Filling Heart Chambers: Cardiac Cycle Figure 11.7, step 1a Mid-to-late diastole (ventricular filling) Ventricular filling Left atrium Right atrium Left ventricle Right ventricle

61. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Filling Heart Chambers: Cardiac Cycle Figure 11.7, step 1b Atrial contraction Mid-to-late diastole (ventricular filling) Ventricular filling Left atrium Right atrium Left ventricle Right ventricle

62. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Filling Heart Chambers: Cardiac Cycle Figure 11.7, step 2a Atrial contraction Mid-to-late diastole (ventricular filling) Ventricular systole (atria in diastole) Isovolumetric contraction phase Ventricular filling Left atrium Right atrium Left ventricle Right ventricle

63. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Filling Heart Chambers: Cardiac Cycle Figure 11.7, step 2b Atrial contraction Mid-to-late diastole (ventricular filling) Ventricular systole (atria in diastole) Isovolumetric contraction phase Ventricular ejection phase Ventricular filling Left atrium Right atrium Left ventricle Right ventricle

64. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Filling Heart Chambers: Cardiac Cycle Figure 11.7, step 3 Atrial contraction Mid-to-late diastole (ventricular filling) Ventricular systole (atria in diastole) Early diastole Isovolumetric contraction phase Ventricular ejection phase Isovolumetric relaxation Ventricular filling Left atrium Right atrium Left ventricle Right ventricle

65. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings The Heart: Cardiac Cycle  Cardiac cycle—events of one complete heart beat  Mid-to-late diastole—blood flows from atria into ventricles  Ventricular systole—blood pressure builds before ventricle contracts, pushing out blood  Early diastole—atria finish refilling, ventricular pressure is low Atrial contraction Mid-to-late diastole (ventricular filling) Ventricular systole (atria in diastole) Early diastole Isovolumetric contraction phase Ventricular ejection phase Isovolumetric relaxation Ventricular filling Left atrium Right atrium Left ventricle Right ventricle

66. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings

67. ECG – Electrocardiogram