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Vessel Types:
Heart (nutrient
exchange)
1) Arteries (away from heart)
2) Capillaries Capillaries
3) Veins (toward heart)
Veins Venules
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
1
Cardiovascular System – Vessels
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
Arteriosclerosis:
Fibrous tissue
Elastic tissue
Endothelium
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)
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
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:
Marieb & Hoehn (Human Anatomy and Physiology, 8th ed.) – Table 19.1 / Figure 19.3
2
Cardiovascular System – Vessels
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
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
Atherosclerosis:
Formation of atheromas (small, patchy thickenings)
on wall of vessel; intrude into lumen
Link
Outcome:
Statins: • Myocardial infarctions
Cholesterol-lowering
drugs • Strokes
• Aneurysms Angioplasty / Stent Bypass surgery
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
A = r2
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
v = Q /A
(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
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
• The direction of blood flow is determined by the direction of the pressure gradient
5
Cardiovascular System – Vessels
To stay alive, blood must
Hemodynamics: be kept moving…
Heart
generates
initial
pressure
Vessel resistance
generates
pressure gradient
Peripheral Resistance:
Amount of friction blood encounters
passing through vessels
(mm Hg / mL / min)
1
Blood Flow (Q) =
Peripheral resistance (R)
(difference in voltage)
(current) Difference in blood pressure ( P)
Blood Flow (Q) =
Peripheral resistance (R)
(electrical resistance)
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 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:
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)
No loss of pressure
in major arteries
7
Cardiovascular System – Vessels
To stay alive, blood must
Hemodynamics: be kept moving…
2) Turbulent Flow: Blood moves in directions not aligned with axis of blood flow
• More pressure required to propel blood
• Noisy (stethoscope)
Volume (mL)
Compliance =
(mL / mm Hg) Pressure (mm Hg)
Compliance = slope of line
8
Cardiovascular System – Vessels
To stay alive, blood must
Hemodynamics: be kept moving…
~ 100
mm Hg
1
High initial pressure:
• Large volume of
blood entering aorta
• Low compliance of
1
aortic wall
Dicrotic
notch
Pulse Pressure:
Systolic pressure – Diastolic pressure
• Reflective of stroke volume
9
Cardiovascular System – Vessels
Pathophysiology:
Arteriosclerosis:
~ 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
Mean arterial pressure (Pa) is the driving force for blood flow, and
must be maintained at a high, constant level
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)
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
Baroreceptors:
Function:
• Mechanoreceptors (respond to stretch)
• Pa = stretch = firing rate
• Pa = stretch = firing rate
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
Pa
(+) (+)
cardiovascular
centers in
medulla
Decrease in
(+) Increase in
HR / contractility (-) (-) (-) (-) vessel diameter
( CO)
( PR)
Pa
(-)
cardiovascular
centers in
medulla
Increase in
(-) Decrease in
HR / contractility (+) (+) (+) (+) vessel diameter
( CO)
( PR)
Detected by mechanoreceptors
in afferent arterioles
Released by
juxtaglomerular cells
(kidney)
Decapeptide;
no biological activity
12
Cardiovascular System – Vessels
Blood Volume
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)
Heart
Exchange across capillary wall:
Microcirculation
Marieb & Hoehn (Human Anatomy and Physiology, 8th ed.) – Figure 19.2
13
Cardiovascular System – Vessels
Microcirculation:
c = Capillary osmotic pressure (mm Hg) Capillary osmotic pressure (due to [protein])
i = Interstitial osmotic pressure (mm Hg) Interstitial osmotic pressure (due to [protein])
Pc = 30 mm Hg
Pi = 1 mm Hg
Kf = 0.5 mL / min mm Hg
c = 26 mm Hg
i = 3 mm Hg
Pc = 30 mm Hg
Pi = 1 mm Hg
Kf = 0.5 mL / min mm Hg
c = 26 mm Hg
i = 3 mm Hg
Jv = 0.5 (6)
Pc = +30 c = -26 +6
Jv = 3 mL / min
(filtration)
Pi = -1 c = +3
14
Cardiovascular System – Vessels
Microcirculation:
Arterial end
Pi = 0 c = +1 Pi = 0 c = +1
Microcirculation:
Additional Functions:
Lymph node biopsy
• Produce / maintain / distribute lymphocytes
• Distributes hormones / nutrients / waste products
Flow of Lymph:
• Originate as pockets
• Large diameters / thin walls
• One-way valves (external)
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
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:
Elephantiasis
Jv = Kf [(Pc – Pi) – (c – i)]
Causes:
1) Increased capillary hydrostatic pressure
• Arteriole dilation
• Deep vein thrombosis
• Heart failure
Special Circulations:
Marieb & Hoehn (Human Anatomy and Physiology, 8th ed.) – Figure 19.13
Special Circulations:
Myogenic Hypothesis:
Q = P / R When vascular smooth muscle is
stretched, it contracts
16
Cardiovascular System – Vessels
Special Circulations:
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
Special Circulations:
B) Hormonal
Bradykinin
• arteriodilator; venoconstrictor
• Pc = local edema
Pathophysiology:
( HR;extreme
vasoconstriciton)
17