Wednesday, March 16, 2011

Cardiovascular System Things to Know

Blood Vessels
     Blood is carried in a closed system of vessels that begins and ends at the heart
     The three major types of vessels are arteries, capillaries, and veins
     Arteries carry blood away from the heart, veins carry blood toward the heart
     Capillaries contact tissue cells and directly serve cellular needs

Generalized Structure of Blood Vessels
     Arteries and veins are composed of three tunics- tunica interna, tunica media, and tunica externa
     Lumen- central blood- containing space surrounded by tunics
     Capillaries are composed of endothelium with sparse basal lamina

Tunics
     Tunica interna (tunica intima)
          Endothelial layer that lines the lumen of all vessels 
          In vessels larger than 1 mm, a subendothelial connective tissue basement membrane is present
     Tunica media
          Smooth muscle and elastic fiber layer, regulated by sympathetic nervous system
          Controls vasoconstriction/vasodilation of vessels
     Tunica externa (tunica adventitia)
          Collagen fibers that protect and reinforce vessels
          Larger vessels contain vasa vasorum

Elastic (conducting) Arteries
     Thick-walled arteries near the heart; the aorta and its major branches
          Large lumen allow low-resistance conduction of blood
          Contain elastin in all three tunics
          Withstrand and smooth out large blood pressure flutuations
          Allow blood to flow fairly

Muscular (Distributing) Arteries and Arterioles
     Muscular arteries- distal to elastic arteries; deliver blood to body organs
          Have thick tunica media with more smooth muscle and less elastic tissue
          Active in vasoconstriction
     Arterioles- smalest srteries; lead to cappillay beds
          Control flow into capillary beds via vasodilation and constriction

Capillaries
     Capillaries are the smallest blood vessels
          Walls consisting of a thin tunica interna, one cell thick
          Allow only a single RBC to pass at a time
          Pericytes on the outer surface stabilize their walls
     There are three structural types of capillaries: continuous, fenestrated, and sinusoids

Venous System: Venules
     Are formed when capillary beds unite
          Allow fluids and WbCs to pass from the bloodstream to tissues
     Postcapillary venules- smallest venuels, composed of endothelium and a few pericytes
     Large venules have one or two layers of smooth muscle (tunica media)

Venous System: Veins
     Veins are:
          Formed when venules convege
          Composed of three tunics, with a thin tunica media and a thick tunica externa consisting of a collagen fibers and elastic networks
          Capacitance vessels (blood reservoirs) that contain 
     Veins have much lower blood pressure and thinner walls than arteries
     To return blod to the heart, veins have special adaptations
          Large-diameter lumens, which offer little resistance to flow
          Valves (resembling semilunar heart valves), which are 

Anastomoses
     Blood will flow where it can

Blood Flow
     Actual volume of blood flowing through a vessel, an organ, or the entire circulation in a givn period:
          Is measured in ml per min
          Is equivalent to cardiac output (CO), considering the entire vascular system
          Is 

Blood Pressure
     Force per unit area exerted on the wall of a blood vessel by its contained blood
          Expressed in millimeters of mercury (mmHg)
          Measured in reference to systemic arterial BP in large arteries near the heart
     The differences in BP within the vasclar system provide the driving forse that keeps blood moving from higher to lower pressure areas

Resistance
     Resistance- opposition to flow
          Measure of the amount of friction blood encounters as it passes through vessels
          Generally encountered in the systemic circulation
          Referred to as peripheral resistance (PR)
     The three important sources of the resistance are blood viscosity, total blood vessel length, and blood vessel diameter

Resistance Factors: Viscosity and Vessel Lenght
     Resistance factors that remain relatively constant are:
          Blood vi

Blood Vessel Diameter
     Changes in vessel diameter are frequent and significantly 
     Small-diameter arterioles are the major determinants of peripheral resistance
     Fatty plaques from atherosclerosis:
          Cause turbulent blood flow
          Dramatically increase resistance due to turbulance

Blood Flow, Blood Pressure, and Resistance
     blood flow (F) is directly proportional to the difference in blood pressure between two points in the circulation

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