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Over 60,000

Cardiovascular System: Vessels miles of vessels


per human body

Cardiovascular System – Vessels

Blood Vessel Anatomy:


(branch / diverge / fork)

Elastic Muscular Arterioles


Arteries Arteries

Vessel Types:
Heart (nutrient
exchange)
1) Arteries (away from heart)
2) Capillaries Capillaries
3) Veins (toward heart)

Veins Venules

(join / merge / converge)

Cardiovascular System – Vessels

Blood Vessel Anatomy:

O2-rich;
CO2-poor
Pulmonary circuit
(short, low pressure loop)
O2-poor;
CO2-rich
(long, high pressure loop)
Systemic circuit

O2-poor; O2-rich;
CO2-rich CO2-poor

% / volume not fixed:


Function: • Alteration of arteriole size
1) Circulate nutrients / waste • Alteration of cardiac output
2) Regulate blood pressure • Combination of two above

Costanzo (Physiology, 4th ed.) – Figure 4.1

1
Cardiovascular System – Vessels

Blood Vessel Anatomy: Only tunic present


in capillaries
Vessels composed of distinct tunics :

1) Tunica intima
Tunica intima • Endothelium (simple squamous epithelium)
• Connective tissue ( elastic fibers)

2) Tunica media
• Smooth muscle / elastic fibers
• Regulates pressure / circulation
• Sympathetic innervation
Lumen
Vasa
3) Tunica externa vasorum
• Loose collagen fibers
• Nerves / lymph & blood vessels
• Protects / anchors vessel

Vasomotor stimulation = vasoconstriction


Tunica media Vasomotor relaxation = vasodilation
Tunica externa

Cardiovascular System – Vessels Relative tissue


makeup
Blood Vessel Anatomy:
Smooth muscle

Arteriosclerosis:
Fibrous tissue
Elastic tissue
Endothelium

Arteries: Hardening / stiffening of arteries

Major groups:
D = Diameter
T = Thickness
1) Elastic Arteries (conducting arteries):
D: 1.5 cm
• Large, thick-walled (near heart) T: 1.0 mm
•  [elastic fibers] (pressure reservior)

2) Muscular Arteries (distributing arteries):


• Deliver blood to organs D: 6.0 mm
T: 1.0 mm
•  [smooth muscle] (vasoconstriction)

3) Arterioles:
• Control blood into capillaries D: 37.0 m
T: 6.0 m
• Neural / hormonal / local controls

Marieb & Hoehn (Human Anatomy and Physiology, 8th ed.) – Table 19.1

Cardiovascular System – Vessels Relative tissue


makeup
Blood Vessel Anatomy:
Smooth muscle

Fibrous tissue
Elastic tissue
Endothelium

Capillaries:

1) Capillaries:
• Location of blood / tissue interface D: 9.0 m
T: 1.0 m
• Stabilized by pericytes (smooth muscle cells)

Types of Capillaries:

A) Continuous 2) Fenestrated 3) Sinusoidal:


• Uninterrupted lining • Oval pores present • Holes / clefts present
• Found throughout body • Located in high absorption / • Allow passage of large
(most common type) filtration regions (e.g., kidney) molecules (e.g., liver)

Marieb & Hoehn (Human Anatomy and Physiology, 8th ed.) – Table 19.1 / Figure 19.3

2
Cardiovascular System – Vessels

Blood Vessel Anatomy:


Capillaries:

Capillaries do not function independently – Instead they


form interweaving networks called capillary beds

Vascular True capillaries Not all capillaries are perfused


shunt with blood at all times…

Terminal Postcapillary Precapillary sphincters


arteriole venule

• 10 - 100 capillaries / bed • Sphincters control blood flow


a) Vascular shunt through capillary bed
b) True capillaries
Marieb & Hoehn (Human Anatomy and Physiology, 8th ed.) – Figure 19.4

Cardiovascular System – Vessels Relative tissue


makeup
Blood Vessel Anatomy:
Smooth muscle

Leukocyte
Fibrous tissue
Elastic tissue

margination
Endothelium

Veins:

Major groups:

1) Venules:
D: 20.0 m
• Formed where capillaries unite T: 1.0 m
• Extremely porous

2) Veins (capacitance vessels):


D: 5.0 mm
• Large lumen; “volume” sink T: 0.5 mm
• Low pressure environment

Venous sinuses:
Specialized, flattened veins
composed only of endothelium;
supported by surrounding tissues

Marieb & Hoehn (Human Anatomy and Physiology, 8th ed.) – Figures 19.3 / 19.5

3
Cardiovascular System – Vessels
Vascular anastomoses:
Blood Vessel Anatomy: Regions where vessels unite,
forming interconnections

Heart
Heart

Venous anastomoses
are common; vein blockages
collateral
rarely lead to tissue death Arteriovenous channels
anastomosis
Arterial anastomoses
provide alternative channels
for blood to reach locations
• Joints
• Abdominal organs
• Brain

Retina, spleen, & kidney have


Great saphenous limited collateral circulation
vein harvest
Marieb & Hoehn (Human Anatomy and Physiology, 8th ed.) – Figure 19.2

Cardiovascular System – Vessels


Would you want
Pathophysiology: Most common form to find this pipe
of arteriosclerosis in your house?

Atherosclerosis:
Formation of atheromas (small, patchy thickenings)
on wall of vessel; intrude into lumen

1) Endothelium injured 3) Fibrous plaque forms


• Infection / hypertension • Collagen / elastin fibers
deposited around dying or
2) Lipids accumulate / oxidize dead foam cells
• LDLs collect on tunica intima
4) Plaque becomes unstable
Foam cells: • Calcium collects in plaque
Macrophages engorged • Vessel constricts; arterial wall
with LDLs; form fatty streak frays / ulcerates (= thrombus)

Link
Outcome:
Statins: • Myocardial infarctions
Cholesterol-lowering
drugs • Strokes
• Aneurysms Angioplasty / Stent Bypass surgery

Cardiovascular System – Vessels


To stay alive, blood must
Hemodynamics: be kept moving…

Blood Flow:
Volume of blood flowing past a
point per given time (ml / min)

The velocity of blood flow is not related to proximity of heart, but depends
on the diameter and cross-sectional area of blood vessels

v = Q /A

v = Velocity (cm / sec)


Q = Flow (mL / sec)
A = Cross-sectional area (cm 2)

A = r2

Costanzo (Physiology, 4th ed.) – Figure 4.4

4
Cardiovascular System – Vessels
To stay alive, blood must
Hemodynamics: be kept moving…

Blood Flow:
Volume of blood flowing past a
point per given time (ml / min)

The velocity of blood flow is not related to proximity of heart, but depends
on the diameter and cross-sectional area of blood vessels

v = Q /A
Blood velocity is
highest in the aorta
and lowest in the
capillaries Capillaries

Artery Vein

Randall et al. (Eckert Animal Physiology, 5th ed.) – Figure 12.23

Cardiovascular System – Vessels

v = Q /A

A man has a cardiac output of 5.5 L /


min. The diameter of his aorta is
estimated to be 20 mm, and the total
cross-sectional area of his systemic
capillaries is estimated to be 2500 cm2.

What is the velocity of blood flow


in the aorta relative to the velocity
of blood flow in the capillaries?
cm 3 (1 cm)
A = r2 A = (3.14) (10 mm)2 A = 3.14 cm2

(5500 mL)
5.5 L / min 5500 cm 3 / min
vcapillaries = vaorta =
2500 cm 2 3.14 cm 2 800x
difference
vcapillaries = 2.2 cm / min vaorta = 1752 cm / min

Cardiovascular System – Vessels


To stay alive, blood must
Hemodynamics: be kept moving…

Blood flow through a blood vessel or a series of blood vessels is


determined by blood pressure and peripheral resistance

Blood Pressure:
Force per unit area on wall of
vessel (mm Hg)

• The magnitude of blood flow is directly proportional to the size of the pressure
difference between two ends of a vessel

Blood Flow (Q) = Difference in blood pressure ( P)

• The direction of blood flow is determined by the direction of the pressure gradient

Always moves from high to low pressure

5
Cardiovascular System – Vessels
To stay alive, blood must
Hemodynamics: be kept moving…

Heart
generates
initial
pressure

Vessel resistance
generates
pressure gradient

Costanzo (Physiology, 4th ed.) – Figure 4.8

Cardiovascular System – Vessels


To stay alive, blood must
Hemodynamics: be kept moving…

Blood flow through a blood vessel or a series of blood vessels is


determined by blood pressure and peripheral resistance

Peripheral Resistance:
Amount of friction blood encounters
passing through vessels
(mm Hg / mL / min)

• Blood flow is inversely proportional to resistance encountered in the system

1
Blood Flow (Q) =
Peripheral resistance (R)

The major mechanism for changing blood flow in the


cardiovascular system is by changing the resistance of blood
vessels, particularly the arterioles

Cardiovascular System – Vessels


To stay alive, blood must
Hemodynamics: be kept moving…

(difference in voltage)
(current) Difference in blood pressure ( P)
Blood Flow (Q) =
Peripheral resistance (R)
(electrical resistance)

Analogous to Ohm’s Law (V = I x R OR I = V / R)

Q = P / R
A man has a renal blood flow of 500
mL / min. The renal atrial pressure R = P / Q
is 100 mm Hg and the renal venous
pressure is 10 mm Hg. 100 mm Hg – 10 mm Hg
R =
What is the vascular resistance of 500 mL / min
the kidney for this man?
R = 0.18 mm Hg / mL / min

6
Cardiovascular System – Vessels
To stay alive, blood must
Hemodynamics: be kept moving…

The factors that determine the resistance of a blood vessel to


blood flow are expressed by Poiseuille’s (pwä-zwēz) Law:

Powerful relationship! R = Resistance


Slight diameter change
8Lη η = Viscosity of blood
R =
equals
large resistance change
r4 L = Length
r = Radius

1) Blood viscosity 2) Vessel Length 3) Vessel Diameter

 viscosity =  resistance  length =  resistance  diameter =  resistance

Cardiovascular System – Vessels


To stay alive, blood must
Hemodynamics: be kept moving…

The total resistance associated with a set of blood vessels also depends
on whether the vessels are arranged in series or in parallel

A) Series resistance:

Sequential arrangement (e.g., pathway within single organ)

Arteriolar resistance is the greatest which equates to


the area with the greatest decrease in pressure

The total resistance is equal to the sum of the individual resistances

Costanzo (Physiology, 4th ed.) – Figure 4.5

Cardiovascular System – Vessels


To stay alive, blood must
Hemodynamics: be kept moving…

The total resistance associated with a set of blood vessels also depends
on whether the vessels are arranged in series or in parallel

B) Parallel resistance:
Simultaneous arrangement (e.g., pathway among various circulations)

Adding a new resistance to the


circuit causes total resistance
to decrease

No loss of pressure
in major arteries

Increasing the resistance in one


circuit causes total resistance
to increase

The total resistance is less than any of the individual resistances

Costanzo (Physiology, 4th ed.) – Figure 4.5

7
Cardiovascular System – Vessels
To stay alive, blood must
Hemodynamics: be kept moving…

Ideally, blood flow in the cardiovascular system is streamlined

1) Laminar Flow: Characterized by parabolic velocity profile


• Flow is 0 velocity at wall; maximal at center
• Layers of fluid slide past one another
Blood ~ 4x
Viscosity: more viscous
Measure of the resistance to sliding than water
between adjacent layers

What would you expect to happen to blood viscosity  viscosity in


as vessel diameter decreases? capillaries – Why?

Fahraeus – Lindqvist Effect:


()
Relative viscosity of blood decreases with
RBCs Hematocrit
decreasing vessel diameter
(< 0.3 mm ~ 1.8x water)

Reduced energy required to drive blood


through microcirculation Plasma Skimming Exit to smaller
Costanzo (Physiology, 4th ed.) – Figure 4.6
vessels

Cardiovascular System – Vessels


To stay alive, blood must
Hemodynamics: be kept moving…

Ideally, blood flow in the cardiovascular system is streamlined

1) Laminar Flow: Characterized by parabolic velocity profile


• Flow is 0 velocity at wall; maximal at center
• Layers of fluid slide past one another
Blood ~ 4x
Viscosity: more viscous
Measure of the resistance to sliding than water
between adjacent layers

2) Turbulent Flow: Blood moves in directions not aligned with axis of blood flow
• More pressure required to propel blood
• Noisy (stethoscope)

Reynolds Number: Anemia


Thrombi
Indicator of whether flow will be
laminar or turbulent
 Re = turbulence (> 2000) Factors affecting Reynolds Number:
1) Viscosity ( viscosity =  Reynolds number)
2) Velocity ( velocity =  Reynolds number)
Costanzo (Physiology, 4th ed.) – Figure 4.6

Cardiovascular System – Vessels


To stay alive, blood must
Hemodynamics: be kept moving…

The capacitance of a blood vessel describes the volume of


blood a vessel can hold at a given pressure

Volume (mL)
Compliance =
(mL / mm Hg) Pressure (mm Hg)
Compliance = slope of line

Compliance is high in veins Unstressed


(large blood volumes @ low pressure) volume

Compliance is low in arteries Stressed


(low blood volumes @ high pressure) volume

Total blood volume = Unstressed volume + Stressed volume

Changes in compliance of the veins cause


redistribution of blood between arteries and veins Arterial pressure increases in
elderly due to lower compliance
• Venoconstriction

Costanzo (Physiology, 4th ed.) – Figure 4.7

8
Cardiovascular System – Vessels
To stay alive, blood must
Hemodynamics: be kept moving…

As noted earlier, blood pressure is not equal throughout system

~ 100
mm Hg
1
High initial pressure:
• Large volume of
blood entering aorta
• Low compliance of
1
aortic wall

Costanzo (Physiology, 4th ed.) – Figure 4.8

Cardiovascular System – Vessels


To stay alive, blood must
Hemodynamics: be kept moving…

Although mean pressure is high and constant, there are


pulsations of aortic (and arterial) pressure

Dicrotic
notch

Systolic Pressure: Dicrotic notch:


Pressure from ventricular contraction Brief period following
closure of aortic valve
Diastolic Pressure: where pressure drops
due to retrograde flow
Pressure from ventricular relaxation

Costanzo (Physiology, 4th ed.) – Figure 4.9

Cardiovascular System – Vessels


To stay alive, blood must
Hemodynamics: be kept moving…

Although mean pressure is high and constant, there are


pulsations of aortic (and arterial) pressure

Pulse Pressure:
Systolic pressure – Diastolic pressure
• Reflective of stroke volume

Mean Arterial Pressure: Why is it not


Diastolic pressure + 1/3 Pulse pressure + 1/2 pulse pressure?

Costanzo (Physiology, 4th ed.) – Figure 4.9

9
Cardiovascular System – Vessels

Pathophysiology:

Several pathologic conditions alter the arterial


pressure curve in a predictable way

Arteriosclerosis:

 compliance =  systolic pressure C = V/P


Aortic stenosis:

 Stroke volume =  systolic pressure


Costanzo (Physiology, 4th ed.) – Figure 4.10

Cardiovascular System – Vessels


To stay alive, blood must
Hemodynamics: be kept moving…

As noted earlier, blood pressure is not equal throughout system


Pulsations in large arteries greater than aorta
~ 100 ~ 100 • Pressure wave travels faster than blood
mm Hg mm Hg • Pressure waves reflected at branch points
2
Pressure remains high:
• High elastic recoil of
artery walls
• Pressure reservoir
1 2

Costanzo (Physiology, 4th ed.) – Figure 4.8

Cardiovascular System – Vessels


To stay alive, blood must
Hemodynamics: be kept moving…

As noted earlier, blood pressure is not equal throughout system

~ 100 ~ 100 ~ 50 ~ 20 ~4
mm Hg mm Hg mm Hg mm Hg mm Hg
2
Pressure remains high:
Largest
Profile similar in
• High elastic recoil of drop pulmonary system
artery walls but with much lower
• Pressure reservoir pressures (25 / 8)
Energy
1 2 consumed
3 to overcome
frictional
Dramatic drop in pressure:
forces
• High resistance to flow 4
3
4
Pressure continues to drop:
• Frictional resistance to flow
• Filtration of fluid out of
Blood return assisted by:
capillaries
• Large lumen ( resistance)
• Valves
Costanzo (Physiology, 4th ed.) – Figure 4.8 • Muscular pumps

10
Cardiovascular System – Vessels

Blood Pressure Regulation:

Mean arterial pressure (Pa) is the driving force for blood flow, and
must be maintained at a high, constant level

Difference in blood pressure ( P)


Blood Flow (Q) =
Peripheral resistance (R)

Mean Arterial Pressure (Pa) = Cardiac Output (Q) x Peripheral


Resistance (R)

Note:
Cardiovascular System – Vessels
Equation deceptively simple;
in reality, cardiac output and
Blood Pressure Regulation:
peripheral resistance are not
independent of each other
Factors Affecting Blood Pressure:

Blood Volume *
( Blood Volume =  BP)

Mean Arterial Pressure (Pa) = Cardiac Output (Q) x Peripheral


Resistance (R)
Cardiac Output * Vessel Diameter *
( CO =  BP) ( D =  R =  BP)

Blood Viscosity
( V =  R =  BP)
Pa is regulated by two major systems that work via
negative feedback to maintain ~ 100 mm Hg Vessel Length
( L =  R =  BP)

Vessel Elasticity
( VE =  R =  BP)
* Variables that can be readily manipulated

Cardiovascular System – Vessels

Blood Pressure Regulation: System 1

Baroreceptor mechanisms are fast, neurally mediated reflexes that attempt


to keep Pa constant via changes in cardiac output and vessel diameter

Baroreceptors:

Function:
• Mechanoreceptors (respond to stretch)
•  Pa =  stretch =  firing rate
•  Pa =  stretch =  firing rate

While sensitive to absolute level of


pressure, they are most sensitive
rates of changes in pressure

Location:
• Carotid sinus (increase / decrease in Pa)
• Glossopharyngeal nerve (IX)
• Aortic arch (increase in Pa)
• Vagus nerve (X)

Marieb & Hoehn (Human Anatomy and Physiology, 8th ed.) – Figures 18.4 / 19.22

11
Cardiovascular System – Vessels

Blood Pressure Regulation:

Baroreceptor mechanisms are fast, neurally mediated reflexes that attempt


to keep Pa constant via changes in cardiac output and vessel diameter

 Pa
(+) (+)

(integration center; medulla) (-)


(+)

cardiovascular
centers in
medulla

Decrease in
(+) Increase in
HR / contractility (-) (-) (-) (-) vessel diameter
( CO)
( PR)

Costanzo (Physiology, 4th ed.) – Figure 4.31

Cardiovascular System – Vessels


Valsalva Maneuver:
Blood Pressure Regulation: Expiring against a closed glottis; used
to test integrity of baroreceptor reflex

Baroreceptor mechanisms are fast, neurally mediated reflexes that attempt


to keep Pa constant via changes in cardiac output and vessel diameter

 Pa
(-)

(integration center; medulla) (+)


(-)

cardiovascular
centers in
medulla

Increase in
(-) Decrease in
HR / contractility (+) (+) (+) (+) vessel diameter
( CO)
( PR)

Costanzo (Physiology, 4th ed.) – Figure 4.31

Cardiovascular System – Vessels

Blood Pressure Regulation: System 2

Renin-angiotensin II-aldosterone system is a slow, hormonally mediated


response to keep Pa constant via changes in blood volume

Detected by mechanoreceptors
in afferent arterioles
Released by
juxtaglomerular cells
(kidney)
Decapeptide;
no biological activity

(Produced by liver) (lungs / kidneys)

Costanzo (Physiology, 4th ed.) – Figure 4.33

12
Cardiovascular System – Vessels

Blood Pressure Regulation:

Renin-angiotensin II-aldosterone system is a slow, hormonally mediated


response to keep Pa constant via changes in blood volume

(adrenal cortex) (kidney) (hypothalamus) (blood vessels)

 Blood Volume

Costanzo (Physiology, 4th ed.) – Figure 4.33

Cardiovascular System – Vessels

Blood Pressure Regulation:

Additional mechanisms aid in regulating mean arterial pressure

A) Peripheral chemoreceptors C) Antidiuretic hormone (ADH)


(carotid bodies / aortic arch) (posterior pituitary)

• Respond to  PO2with vasoconstriction


and increased heart rate aka vasopressin

B) Central chemoreceptors
(medulla oblongata) • Respond to an  serum osmolarity and
a  in blood pressure
• Respond to primarily to  PCO2 and  pH
• Triggers vasoconstriction (V1 receptors)
Brain becomes ischemic
D) Atrial natriuretic peptide (ANP)
 PCO2 and  pH (atria)

Increased sympathetic outflow

BIG RED BUTTON

Intense arteriolar vasoconstriction in


peripheral capillary beds • Respond to an  in blood pressure
Redirects blood • Triggers vasodilation and  H2O excretion
to brain

Cardiovascular System – Vessels

Functions of the arterioles, capillaries,


Microcirculation:
lymphatic vessels, and veins

Heart
Exchange across capillary wall:

(lipid soluble) (water soluble)

O2 / CO2 Fluids Solutes

Directly through Aqueous clefts


endothelium between cells

• Simple diffusion drives exchange of


gases and solutes
• Fluid transfer across membrane occurs
via osmosis
• Hydrostatic pressure Starling
• Osmotic pressure forces

Microcirculation

Marieb & Hoehn (Human Anatomy and Physiology, 8th ed.) – Figure 19.2

13
Cardiovascular System – Vessels

Microcirculation:

Fluid movement across a capillary wall is driven by the


Starling pressures across the wall
capillary
Starling equation:
Pc c
Jv = Kf [(Pc – Pi) – (c – i)] Kf
interstitial fluid
Pi i
Jv = Fluid movement (mL / min)
Kf = Hydraulic conductance (mL / min  mm Hg) Water permeability of capillary wall (structural property)

Pc = Capillary hydrostatic pressure (mm Hg) Capillary fluid pressure

Pi = Interstitial hydrostatic pressure (mm Hg) Interstitial fluid pressure

c = Capillary osmotic pressure (mm Hg) Capillary osmotic pressure (due to [protein])

i = Interstitial osmotic pressure (mm Hg) Interstitial osmotic pressure (due to [protein])

Direction of fluid movement (Jv) may be into or out of capillary


Filtration = Net fluid movement is out of capillary and into interstitial fluid ((+) number)
Absorption = Net fluid movement is into capillary and out of interstitial fluid ((-) number)

Cardiovascular System – Vessels

In a skeletal muscle of an individual, the


following Starling pressures were measured:

Pc = 30 mm Hg
Pi = 1 mm Hg
Kf = 0.5 mL / min  mm Hg
c = 26 mm Hg
i = 3 mm Hg

What is the direction and magnitude


of fluid movement across this capillary?

Jv = Kf [(Pc – Pi) – (c – i)]


Jv = 0.5 [(30 – 1) – (26 – 3)]
Jv = 0.5 [29 – 23]
Jv = 0.5 (6) Jv = 3 mL / min
(filtration)

Cardiovascular System – Vessels

In a skeletal muscle of an individual, the


following Starling pressures were measured:

Pc = 30 mm Hg
Pi = 1 mm Hg
Kf = 0.5 mL / min  mm Hg
c = 26 mm Hg
i = 3 mm Hg

What is the direction and magnitude


of fluid movement across this capillary?

Jv = 0.5 (6)
Pc = +30 c = -26 +6
Jv = 3 mL / min
(filtration)

Pi = -1 c = +3

14
Cardiovascular System – Vessels

Microcirculation:

Fluid movement across a capillary wall is not


equal along the length of a capillary

Arterial end

+10 Pc = +35 c = -26 Pc = +17 c = -26 -8


Venous end

Pi = 0 c = +1 Pi = 0 c = +1

Jv = 0.5 (2) What happens to the fluid


not returned to the capillary?
Jv = 1 mL / min
(net filtration)

Randall et al. (Eckert Animal Physiology, 5th ed.) – Figure 12.37

Cardiovascular System – Vessels

Microcirculation:

Lymphoid system returns excess fluid to bloodstream

Additional Functions:
 Lymph node biopsy
• Produce / maintain / distribute lymphocytes
• Distributes hormones / nutrients / waste products

Lymph nodes filter


fluids (99% purified)

Flow of Lymph:

• Originate as pockets
• Large diameters / thin walls
• One-way valves (external)

Lymphatic ducts Lymphatic Trunks

Lymphatic capillaries Lymphatic vessels Collecting Vessels

One-way valves (internal)


Marieb & Hoehn (Human Anatomy and Physiology, 8th ed.) – Figure 20.1

Cardiovascular System – Vessels

Microcirculation:
• Lymph from right side of • Lymph from left side of
Flow of Lymph: body above diaphragm head, neck, and thorax

Thoracic Duct:
• Begins inferior to diaphragm
• Empties into left subclavian vein

Right Lymphatic Duct:


• Empties into right subclavian vein

Cisterna chyli:
Chamber that collects lymph from
abdomen, pelvis, and lower limbs
Similar to Marieb & Hoehn (Human Anatomy and Physiology, 8th ed.) – Figure 20.2

15
Cardiovascular System – Vessels

Pathophysiology:

Edema (swelling) results from an increase


in interstitial fluid volume
Forms when the volume of fluids filtered out of the capillaries exceeds the
ability of the lymphatics to return it to circulation

Elephantiasis
Jv = Kf [(Pc – Pi) – (c – i)]

Causes:
1) Increased capillary hydrostatic pressure
• Arteriole dilation
• Deep vein thrombosis
• Heart failure

2) Decreased capillary osmotic pressure


• Severe liver failure (limited protein synthesis)
• Protein malnutrition 4) Impaired lymphatic drainage
• Prolonged standing
3) Increased hydraulic conductance
• Removal / irradiation of lymph nodes
• Severe burn
• Parasitic infection
• Inflammation (leaky vessels)

Cardiovascular System – Vessels

Special Circulations:

Blood flow is variable between one organ and another, depending


on the overall demands of each organ system

Interorgan differences in blood


flow results from differences
in vascular resistance

Blood flow to specific organs can


increase or decrease depending on
metabolic demands

What about the lungs?


Changes in blood flow to an
individual organ are achieved by
altering arteriolar resistance

Marieb & Hoehn (Human Anatomy and Physiology, 8th ed.) – Figure 19.13

Cardiovascular System – Vessels

Special Circulations:

The mechanisms that regulate blood flow are categorized as


local (intrinsic) control and neural / hormonal (extrinsic) control
Local controls are most important mechanism for regulating
1) Local control: coronary, cerebral, skeletal muscle, pulmonary,
and renal circulation
A) Autoregulation
• Maintenance of constant blood flow in face of changing arterial pressure

Myogenic Hypothesis:
Q = P / R When vascular smooth muscle is
stretched, it contracts

 BP  BP =  smooth muscle stretch = vasoconstriction


=
ALTERNATIVELY

 BP =  BP =  smooth muscle stretch = vasodilation

16
Cardiovascular System – Vessels

Special Circulations:

The mechanisms that regulate blood flow are categorized as


local (intrinsic) control and neural / hormonal (extrinsic) control
Local controls are most important mechanism for regulating
1) Local control: coronary, cerebral, skeletal muscle, pulmonary,
and renal circulation
B) Active hyperemia
• Blood flow to an organ is proportional to its metabolic activity

C) Reactive hyperemia (Repayment of oxygen ‘debt’)


• Blood flow to an organ is increased in response to a period of decreased blood flow
Vasodilator metabolites

Metabolic Hypothesis:
O2 delivery to a tissue is matched CO2 H+ K+ lactate CO2 H+ K+ lactate Back to resting…
to O2 consumption by altering
O2 Fluid
arteriole resistance

Tissues Tissues Tissues

Cardiovascular System – Vessels

Special Circulations:

The mechanisms that regulate blood flow are categorized as


local (intrinsic) control and neural / hormonal (extrinsic) control

Neuronal / hormonal controls are most important


2) Neuronal / Hormonal controls: mechanism for maintaining skin circulation
A) Neuronal
• Sympathetic innervation of vascular smooth muscle

B) Hormonal

Histamine Serotonin Prostaglandins


• arteriodilator; venoconstrictor • local vasoconstriction • local vasodilators / vasoconstrictors
•  Pc = local edema

Bradykinin
• arteriodilator; venoconstrictor
•  Pc = local edema

Cardiovascular System – Vessels

Pathophysiology:

Circulatory shock refers to any condition in which


the blood vessels are inadequately filled

A) Hypovolemic Shock B) Vascular Shock C) Cardiogenic Shock


Large-scale blood loss Abnormal expansion of Heart malfunctions
vascular beds due
Thready pulse
to extreme vasodilation

(  HR;extreme
vasoconstriciton)

• Acute hemorrage • Myocardial infarction


• Severe vomiting / diarrhea
• Anaphylaxis (allergies)
• Extensive burns
• Failure of ANS regulation
• Septicemia (bacteria)

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