Professional Documents
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Fish
o The circulatory plan in the fish is fairly simple
Blood is pumped by the heart, goes to the gills and is
oxygenated, the oxygenated blood is carried to the
systemic tissues where it gives up its oxygen and the
blood returns to the heart
o The problem with this circ sys is that the heart has to pump
blood to the gills and the systemic circulation both of which are
sites of resistance
Heart must generate relatively high pressures
The gills as the first point of the system are going to see
relatively high points of pressure
They are able to withstand this because there is
water on the other side of the gill to counter balance
this pressure
Pressure of the system as a whole is limited to the
pressure that the gills can withstand
o Fish heart has 4 chambers in a series
Blood enters the sinus venoses the atrium
ventriclebulbous or conus arteriosis
The ventricle is where the main force generation
occurs
Bulbous and conus arteriosis are structurally
different but share the same purpose functionally
which is to maintain blood flow when the heart
relaxes
o Same function as the aorta in a mammal
o Sinus venosus is only found in fish; it disappears it land living
organisms
Mammals and birth
o Essential there are 2 two chambered hearts
They are physically together in the same organ however
when broken down you have 2, 2 chambered hearts
o The left side of the heart and a right side.
Left side Always on the right when looking at a diagram
and right side is the left in the diagram
o The left side of the hear takes blood returning from the lungs
and pumps it out to the systemic circulation
o The right side of the heart takes blood returning from systemic
circulation(deoxygenated) and it pumps it to the lungs to be
oxygenated
In the mammalian heart there are vales between the atria and the
ventricles to control blood flow
Heart is made of cardiac muscle
o It is similar to skeletal muscle
o These are considered to be striated because they contain
sarcomeres
o They are quite short and are connected end to end by
intercalated discs
In these discs one will find gap junctions
Which are communicating junctions that allow
electrical communication between the different cells
of the heart so they can contract as a unit
o The heart is innervated by the ANS
Within the ANS; there are 2 divisions
Sympathetic
o Responsible for fight/flight alarm type
situations
o Neurotransmitter of choice is noradrenaline
Interact with receptor in the tissues that
are adrenergic receptors
o B-1 receptors are more important for the heart
Parasympathetic
o Responsible for housekeeping or vegetative
functions
o the rest and digest system
o Responsible for functions outside of alarm
situations
o Neurotransmitter of choice is acetylcholine
Interacts with muscular genic receptors
in the effector organ
Main one for the heart is the m2
receptor
Both sympathetic and parasympathetic divisions are active
and in most tissues you can find innervation from both
Heart is innervated by both but they have opposite
affects
o Sympathetic will increase heart rate to allow
for response in emergency situation
o Parasympathetic will slow it down
They have antagonistic effects
ANS allows good control of internal functions without any
conscious control
Most of the heart is made of cardiac muscle cells and these come in
two types
the pacemaker cells in human sinoatrial node fire at rate of 100 time
per minute
o 100 depolarizations a minute
o This means the heart rate should be 100beats/min
o Heart beat is controlled by other mechanisms
There is input from the parasympathetic nervous system
that regulates heart rate
Sinoatrial node is in the atrium of the mammalian heart and it fires its
action potential first and this spreads across the atria real quick
o It slows down when it gets to the atrial ventricular node
o There is a layer of connective tissue between the two atria and
the two ventricle
o The cells of the atria re connected by gap junctions and the cells
of the ventricle are connected by gap junctions
But the atria and the ventricles do not communicate
This layer of connective tissue means there is no electrical
communication between the atria and ventricles except
through the atrial ventricular node
Conduction though this part of the system is quite slow
Once it gets through this system it speeds up
tremendously and shoots up through the ventricles at a
rate of 4or 5 m/s
ECG
o Measures the consequence of all the action potentials in the bod
fluid as a whole
It is the sum effect of all the action potentials happening
together
o Measured by placing electrodes upon the bodys surface not by
trying to impale a single heart cell to measure membrane
potential of that cell
o In the standard mammalian EKG there is a small wave called the
p wave
This shows the atria depolarizing
o There is a larger wave(QRS): this is the ventricles depolarizing
o Small t wave- this is the ventricular repolarization
o The repolarizing of the atrium is not seen because it occurs at
the same time that the ventricles depolarize and so it is masked
by this
o Value of the EKG tries to figure out what is going on in the heart
The heart as a pump
o Electrical activity in the conducting system has to be converted
into muscle contractions in 99% contractile part of the heart
To get these cells to contract the heart first has to be
depolarized
Slide 22
Action potential f contractile cells
o Stable resting potential and when it is triggered it undergoes
depolarization and a voltage gated Na+ channel opens allowing
Na+ to pour into the cell and this gives you a strong
depolarization
There is also a voltage gated Ca2+ channel that opens a
little bit later and this calcium channel stays open for a
while and that is how one gets the plateau region
This is an L-type gates calcium channel; in
pacemaker there is a t-type calcium channel
The flow of calcium into the cell triggers calcium
release from stores within the cell
o Not only have calcium moving into the cell
through the voltage gated channels you also
have calcium being released from stores inside
the cell
o The release of these stored calcium the
triggers the contraction of the cell
Calcium inflow + calcium
released=occurrence of muscle
contraction
o The cell then repolarizes and this represents a K+ channel that
is opened which allows K+ ions to flow out.
o Note in the diagram there is a prolonged plateau phase and a
refractory period
This is long refractory period is important because the
heart has to relax and refill with blood before it can
contract again
So the refractory period allows for the cells to rest
and reset as well as gives time for the heart to relax
and be refilled with blood
The long plateau in the action potential is necessary
because it allows all the muscle cells to contract at the
same time
This also makes sure that the heart cannot go into a
tetanic contraction-no muscle cramp in the heart
Refractory period: period where the cell is resting before
another AP can occur
Slide 23
Systolic
o When heart is contracting
Diastolic
o When the heart is relaxing
Stroke volume
o Volume of blood pumped b the heart
o When heart contracts it ejects a volume of blood called the SV
and this is the difference in volume of the heart when it is
full(end diastolic volume) and after it contracts(end systolic
volume)
Most of the filling of the ventricles is due to venous pressure
o The valves between the atria and ventricle sis open and so the
blood flow through the valves to the ventricle from the atria
o This is driven by venous pressure; the atrial contraction helps
but it is only responsible for 1/3 of the volume in the ventricle
Venous pressure does all the work
For the heart to function properly output from the heart must match
the need for oxygen delivery
o This can be achieved by increasing heart rate or stroke volume
o Regulation of stroke volume is referred to as inotropic control
and its caused by both a mechanical relationship and neural and
hormonal control
The mechanical relationship is the frank-starling
relationship
See in slide 23
It shows that as end diastolic volume increases(as
heart if filled) SV also increases
o The fuller the heart the more forceful the
contraction and this ejects more blood
It is ;mechanical b/c as you fill the heart fuller it
stretches out muscle and this result in a more
forceful contraction
Very important because you always want to empty
the heart to the same point so by filling the heart
fuller you need more blood out of it to get back to
the same empty point
As heart rate goes higher there is less time needed
to fill it with blood and so the SV gets smaller there
hormonal and neural; mechanisms to accompany the
mechanical relationship and these mechs work to
stoop stroke volume from falling
o Neural/hormonal control of the heart
The sympathetic nerves innervate the ventricles and
strongly contractile muscle cells they release
BIO3302
Lec 4
Blood vessels
3 types (arteries capillaries and veins)
All of them are lined by endothelial cells
o The cells the blood is in contact with
o A type of epithelial cell lining on a basement membrane
In capillaries the endothelial cells are the only cells present
In arteries and veins on top of the endothelial layer there are layers of
connective tissue and smooth muscle
o Connective tissue has elastic elements for flexibility and
collagen so there is too much flexibility
Blood leaves the hear through the aorta which then splits into arteries
and then arteriole and the arteriole leading to the capillaries
o The capillaries are the smallest vessels but they are the most
numerous and a result the surface area is highest in this place
Capillaries coalesce into venoules and veins and eventually lead back
to a single vessel that returns blood to the heart7
Capillaries are the site of exchange between the blood and the tissues
o A large surface area facilities effective exchange
This also means that the velocity of blood flow in the
capillaries is very low
Flow from human heart= 5L/min
This means that there is 5 L/min throughout the whole
circ system
o When blood is flowing in single vessels it flows at a high velocity
o When blood flows through capillaries which count as a broad
channel when all capillaries are taken into account, the velocity
of flow is very slow
Think in terms of a river
Water passing down the grand canyon is channeled
through a narrow river and so the speed of the
water is very high;
As it approaches the ocean it opens up into a delta
which is a very large area with very low flow
As area gets larger in the capillaries the velocity of
movement falls
This is important because it is a point of exchange
o Turbulent flow
In a clinical setting turbulent flow is used to measure Bp
Bp pump is used based on turbulent flow
o Also assume that the lengths of the blood vessels dont change
and so the main determinant of resistance in the circulatory
system is the radius of the vessels
o Another
Straight rigid tubes
o BV are rarely straight and they are not rigid
o This assumption has consequences for the productions that are
made based on Ps equation
o In slide 32 the two tubes have the same P however the low
pressure vessel will have lower flow than the high pressure
vessel
In a vessel that can change sizes high pressure will
expand the vessel and so a higher starting pressure, this
tends to stretch the vessel and increases the radius and
lowers resistance.
This fact can screw up the assumptions one makes when
using Ps equation
This fact is taken into consideration by calculating
compliance
o Compliance is the change in volume for a given change in
pressure
In highly compliant vessels one can see high changes in
volume for only small changes in pressure.
This is the bases of giving blood
The venous system is compliant
Large changes in blood volume with very little
pressure
Meaning you can take a litre of blood out of the
venous system with affecting overall blood pressure.
Because of this high compliance the venous system
tends to act like a reservoir
o Blood exists the capillaries and flow into the post-cap resistance
vessels
o These are the venoules and the smallest veins
o The walls of these vessels contain smooth muscle and so the
radius can be adjusted to help control pressure within the
capillary bed
If constricted there is higher pressure in the capillaries
Capacitance
o These are the large veins
o Highly distensible the walls are relatively thin
o Their walls contain smooth muscles and so the radius can be
adjusted to the amount of blood that is present
o Allows them to function as capacitance vessels
Large changes in volume but little change in pressure
o This is important they act as a volume reservoir
When giving blood, blood is taken from the venous
reservoir
When one exercises and an increase in blood flow is
needed, volume is immobilized from the venous reservoir
to increase blood flow to exercising muscles
If volume of the system is not adjusted to the volume of blood that is
there
o Standing still/perfectly for two long and the skeletal muscle
pumps cannot return blood to the heart
o Blood will pool in the lower extremities and the consequence of
that is fainting
o This happens because
Blood pools in the venous system which is very complaint
and due to gravity blood will be pulled down
Typically the muscles pump the blood pooled into the
venous system back to the heart
But in the case of standing perfectly still the muscles
are not moving and so cannot do this
This results in a decrease of venous flow to the heart and
when this falls it results in a decrease in cardiac output
This decrease in cardiac output reduces blood flow to the
brain and the consequence of this is fainting.
If there is no constant flow to the brain the circ system
rearranges the position in order to redistribute the blood
back to the brain
The brain is very sensitive to lack of oxygen and
requires constant flow
Loss of blood also results ^^
Capillary function
These are the key to the circ system b/c its in the capillaries that
exchange between tissues and blood occur
Capillaries are important in the exchange of nutrients, gasses, waste
products
o This occurs by diffusion
o The Fick equation basically tells you how much is diffusing and
this is dependent on:
The amount that is being transferred
the amount that is transferred by diffusion depends
on the gradient and the gradient is set by partial
pressure or concentration
if the cells are using oxygen you are given a partial
pressure gradient for oxygen movement from the
blood to the tissues
using up glucose will give a concentration gradient
Permeability
Lipid soluble (O2 +CO2) vs lipid insoluble
substances(or water soluble like glucose or urea/
ions/amino acids)
Lipid soluble molecules can simple move through
the walls of the capillaries through the cell
membrane
Water soluble compounds can only move through the
walls of the capillaries either by being transported
or by moving though water channels
Capillaries vary in permeability and water channels
that are present
Depends on surface area
Larger surface area the more diffusion
Inversely proportional to the thickness of the walls
Diffusion is harder to accomplish in a thick wall vs a
thin wall
Types of capillaries
o Continuous capillaries
Capillaries where there are no major gaps
Just narrow intercellular clefts between the cells about
4nm in width
Will allow water and ions to pass through
But no proteins can enter through these clefts b/c the
clefts are small
Lec 5
Capillaries manage fluid balance
In a closed system animal has blood an interstitial fluid and these two
fluids differ in composition
o Blood contains blood cells and plasma proteins; interstitial fluid
does not
o Interstitial fluid is 3x more in volume than blood
Lecture 6
Lymphatic system
There is overall a net loss of fluid from the capillaries this lost fluid or
proteins needs to go back to the circulatory system
This return is the function of the lymphatic system
The lymphatic system parallels the venous system;
o It has leaky lymph capillaries collect fluid and protein that are
lost from the circulatory system and they return it to the circ
system
The lymph vessels are very thin walled and non-muscular but they
are compressed by surrounding muscles
o They have valves that direct fluid flow
o Fluid that accumulates in the lymph capillaries are gradually
moved into the circulatory system
o The lymph vessels empty into the large veins in the neck
This is where the lowest pressures of the circulatory
system are found
Although lymph flow is not a large as cardiac output
Cardiac output=5l/min
Lymphatic flow= 2ml/min
Without the lymph flow to collect the fluid and proteins you end up
with oedema
o Oedema occurs when the tissue swells
The importance of the lymphatic system becomes more prominent
when its function is blocked
o Filariasis
A diseases in which larval nematodes invade the lymphatic
system by blocking the lymph vessels resulting in
extremely severe oedema
Under normal conditions sometimes the lymphatic system cannot
keep up with fluid loss
Kwashiorkors syndrome
In K syndrome the individual is getting enough calories to maintain
life but is protein deficient
The consequence of this causes tissue oedema in the lower legs, feet
and esp. in the abdomen
In K syndrome the lymphatic system is working normally
The physiological basis of K syndrome
o Loss of fluid into surrounding tissues is caused by insufficient
protein in the blood to balance the absorptive force and
filtration force
but this will not affect blood flow to the brain, heart
or gas exchange organ
helps maintain priority
second level on control at the level or arterioles
o based on the sympathetic nervous system but this time the
adrenal medulla releases a circulating catecholamine
o this acts on the 2 receptor
o the 2 receptor are scattered throughout blood vessels and are
found in the arteriole smooth muscle
these cause the muscle to relax
when they are activated the blood vessels dilate
both the 1 and 2 receptors can be found in the same tissues
however you will typically find slightly different distributions between
tissues
o the viscera is well endowed with -1 receptors
o skeletal muscles contain 1 receptors(how cold induces
lessened blood flow to the hands work
however they also contain a lot of 2 receptors which
allow you to override the vasoconstrictor response in
emergency situations
when it is a true fight or flight situation one gets a kick of
adrenaline
adrenal gland suddenly releases adrenaline into
circulation; when this happens adrenergic
receptors are activated and you get vasodilation
in a true full out sympathetic panic blood flow is shut
down to the viscera through the 1 receptors while at the
sometimes causing vasodilation in the skeletal muscles
allowing to escape from the predator
all this is at the level of the smooth muscle of the arteriole
wall
Local Control Mechanism of blood flow
this controls arterioles and pre-capillary sphincters
heat
o promotes vasodilation
compounds produced and released from endothelial cells
o promotes vasodilation and increases blood flow
o ex nitric oxide
inflammatory mediators
o promotes vasodilation and increases blood flow
o ex histamine
metabolic control
Lec 6 recap
Baroreceptor reflex is one of the really important neural pathways for
the acute regulation of blood pressure
o But its not the only neural pathway
o There are chemoreceptors that detect blood and CO2 levels
that help regulate blood pressure
Baroreceptors are still the key mechanism for the adjustment of blood
pressure on a moment to moment basis
o Going from lying down to standing up
They are sensory receptors in the all of the aorta and carotid sinuses
and are activated by stretch
o Have a resting firing rate and as pressure goes up they fire
more, as pressure falls they fires less
o This degree of firing is integrated by the cardiovascular center
in the medulla and appropriate output is sent to the effector
organs(heart and smooth muscle in blood vessel walls) and they
adjust pressure
To adjust pressure heart rate and vasoconstriction of the
arterioles are adjusted and this occurs in a negative
feedback fashion
Slide 52
o Arterial blood pressure has increased
Could happen if one quickly drink a large volume of water
Or going from standing up to lying down
o Increase in bp and want to bring down to the normal value
This increase is detected by the baroreceptors
Causes the firing to increase
Firing is detected and integrated by the cardiovascular
center in the brain stem
o It adjust the sympathetic and parasympathetic activity in the
heart and blood vessels
o Heart
If blood pressure increased, decrease cardiac output must
occur to bring heart rate down
Parasympathetic control
So heart rate has to slow down by increasing the
parasympathetic activity through the vagus nerve
and m2 receptors
o Need to increase vagal tone
The increase in parasympathetic activity will in turn
decrease heart rate and decrease cardiac output
Sympathetic control