Professional Documents
Culture Documents
Edexcel
Unit 1
Topic Overview
Structure of the Heart Blood Pressure
Arteries and Veins Carbohydrate Structure
The Cardiac Cycle Lipids
Atherosclerosis Energy Budget
Estimating Risk Cholesterol
Identifying Health Risks Caffeine affecting heart
Prevention and rate
Treatment of CVD Vitamin C
Structure of the Heart
Learn the names of the
different valves,
arteries and veins for the
exam.
Also known as
Atrioventricular valve.
Arteries and Veins
Arteries: Veins
Narrow lumen Wide lumen
Thick muscular walls with elastic Thinner walls
fibres Less collagen
More collagen Has valves to stop backflow
Smooth muscle Pumps deoxygenated blood to
No valves the heart
Pumps oxygenated blood to the Blood at low pressure
body
Blood at high pressure
Arteries
Every time the heart contracts, blood is forced into
arteries and their elastic wall stretch to accommodate
the blood.
When the heart relaxes, the elasticity of the artery
walls causes them to recoil behind the blood, helping
to push the blood forward.
The blood moves along the length of the artery as each
section sin series stretches to recoil in this way.
Veins
The heart has a less direct
effect on the flow of blood Valves preventing backflow
through the veins.
In the veins, blood flow is
assisted by the contraction of
skeletal muscles during
movement of limbs and
breathing.
Backflow is prevented by
valves within the veins
The steady flow without pulses
of blood means that the blood
is under low pressure in veins
The Cardiac Cycle
Phase 1: Atrial Systole Phase 2: Ventricular Systole
(Ventricles are relaxed) The (The atria relax). The ventricles
atria contract, decreasing the contract, increasing their
volume of the chamber and pressure. The pressure becomes
increasing the pressure inside higher in the ventricles than the
atria, which forces the
the chamber This pushes
atrioventricular valves shut to
the blood into the ventricles.
prevent back-flow.
There is a slight increase in The pressure in the ventricles is
ventricular pressure and also higher than in the aorta and
chamber volume as the pulmonary artery, which forces
ventricles receive the ejected open the semi-lunar valves and
blood from the contracting blood is forces out into the arteries.
atria.
The Cardiac Cycle
Phase 3: Diastole
The ventricles and atria both relax. The higher pressure in the
pulmonary artery and aorta closes the semi-lunar valves to
prevent back-flow into the ventricles.
Blood returns to the heart and the artia fill again due to the
higher pressure in the vena cava and pulmonary vein. This starts
to increase the pressure of the atria.
As the ventricles continue to relax, their pressure falls below
the pressure of the atria and the atrioventrivular valves open
this allows blood to flow passively into the ventricles from
the atria
The atria contract and the whole process starts again.
The Cardiac Cycle
Pulmonary Aorta Pulmonary
Artery vein
Vena Cava
Or Or
Atrioventricular Atrioventricular
valve valve
Atherosclerosis
What is it?
It is the disease process that leads to coronary heart
disease and strokes.
Fatty deposits can either block an artery directly, or
increase its chance of being blocked by a blood clot
(thrombosis) – the blood supply can be blocked
completely and cells can be permanently damaged.
What happens in atherosclerosis?
The endothelium becomes damaged. result from
high blood pressure which puts an extra strain on the layer of cells, or from toxins in cigarette
smoke in the bloodstream.
Then there is an inflammatory response once the inner lining of the artery is
breached. White blood cells leave the blood vessel and move into the artery
wall accumulates chemicals e.g. Cholesterol.
A deposit builds up called an atheroma
A hard swelling called a plaque occurs on the inner wall of the artery. The
build-up of fibrous tissue means that the artery wall loses some of its elasticity.
Plaques cause the artery to become narrower. This makes it more difficult for
the heart to pump blood around the body and can lead to a rise in blood
pressure.
Now there is a dangerous positive feedback plaques lead to raised blood
pressure and raised blood pressure makes it more likely that plaques will form
Blood Clots (Thrombosis)
Thrombosis is used by the body to prevent lots of blood being
lost when a blood vessel is damaged. A series or reactions
occurs that leads to the formation of a blood clot.
1. A protein called thromboplastin is released from the
damaged blood vessel
2. Thromboplastin triggers the conversion of prothrombin
(soluble protein) into thrombin (an enzyme)
3. Thrombin then catalyses the conversion of fibrinogen
(soluble protein) to fibrin (solid insoluble fibres)
4. The fibrin fibres tangle together and form a mesh in which
platelets and red blood cells get trapped – forms a blood clot.
Blood Clot (diagram of thrombosis)
Fibrin fibres
have tangled
together to form
a mesh.
Estimating Risk
Risk – ‘the probability of occurrence of some unwanted event or
outcome’
The statistical chance of something unfavourable happening is
supported by scientific research e.g. The actual risk of dying from
CVD is 60% higher for smokers than non-smokers.
People’s perception may be different from actual risk
May overestimate the risk e.g. May have known someone who
smoked and died from CVD, therefore think if you smoke you will die
of CVD. Articles and media give constant exposure which make
people worry
Underestimate risk, could be due from lack of information making
them unaware of the factors that contribute to diseases like CVD.
Identifying Health Risks
Lifestyle risk factors for CVD:
1. Diet – high in saturated fats increases blood cholesterol level
leads to atheroma formation, which leads to blood clots
and therefore heart attack or stroke. High is salt increases
risk of high blood pressure.
2. High blood pressure – increases risk of damage to the artery
walls, which increases risk of atheroma formation leads
to CVD.
3. Smoking – CO combines with haemoglobin and reduces
amount of oxygen transported in the blood.
4. Inactivity – lack of exercise increases risk of CVD as it
increases blood pressure
Identifying Health Risks
Factors beyond your control
1. Genetics - inherit particular alleles that make them
more likely to have high blood pressure or high blood
cholesterol, more likely to suffer from CVD
2. Age – risk of developing CVD increases with age.
Arteries lose some of their elasticity
3. Gender – men are 3 times more likely to suffer from
CVD than pre-menopausal women
Prevention and Treatment of CVD
Antihypertensives Plant Statins
Include diuretics, beta-blockers, Reduce blood cholesterol
vasodilators
Reduce high blood pressure – less level by reducing amount
chance of damage to artery walls. of cholesterol abosorbed
Benefits – different antihypertensives
by the gut
work in different ways, so can be
given in combination. Blood pressure Benefits – reduce risk of
can be monitored at home
Risks – palpitations, abnormal heart
developing CVD
rhythms, fainting, headaches and Risks – reduce the
drowsiness, all side effects from
blood pressure being too low. Allergic
absorption of some
reactions and depression vitamins from the gut
Prevention and Treatment of CVD
Anticoagulants Platelet Inhibitory Drugs
Reduce blood clots – blood clots are less
likely to form at sites of damage in artery A type of anticoagulant
walls, so less chance of a blood vessel They work by preventing
becoming blocked by a blood vessel
Benefits – can be used to treat people
platelets clumping together to
who already have blood clots or CVD.
form a blood clot
Prevent any existing blood clots from Benefits – can be used to treat
growing any larger and prevent any new people who already have blood
blood clots from forming clots or CVD, (but can’t get rid of
Risks – if person is badly injured, the
existing blood clots)
reduction of blood clotting can cause
Risks – side effects including,
excessive bleeding, which can lead to
fainting or even death. Other side effects rashes, diarrhoea, nausea, liver
are allergic reactions, osteoporosis and function problems and excessive
swelling of the tissues. bleeding
Blood Pressure
Elevated blood pressure, known as hypertension, is
considered to be one of the most common factors in
the development of CVD.
Systolic pressure – pressure in the artery is at its
highest, ventricles have contracted and forced blood
into arteries
Diastolic pressure – pressure is at its lowest in the
artery when the ventricles are relaxed
Blood Pressure
A sphygmomanometer is used to measure blood
pressure
Blood pressure is reported in 2 measures
Systolic
pressure, the
max blood
pressure when
the hearts Diastolic pressure,
contracts the blood pressure
when the heart is
relaxed
Blood Pressure
What determines blood pressure?
Contact between blood and the walls cause friction, this
impedes the flow of blood – peripheral resistance
If the smooth muscles in the walls of an artery contract,
the vessels constrict , increasing resistance – blood
pressure is raised.
If the smooth muscles relax, the lumen is dilated, so
peripheral resistance is reduced and blood pressure falls.
Any factor that causes arteries or arterioles to constrict
can lead to elevated blood pressure e.g. Natural loss of
elasticity with age, adrenaline, high-salt diet.
Diagrams related to blood pressure
Carbohydrates Structure
Carbohydrates are the main energy supply in living
organisms.
Most carbohydrates are large, complex molecules
composed of long chains of monosaccharides
Glucose is a monosaccharide with 6 carbon atoms in
each molecule
Water is formed
in this reaction
Underweight - illness,
diet, eating disorder.
Excessive exercise,
stress, high BMR
Overweight – overeating
and low exercise
Cholesterol
It is a lipid made in the body
Some is needed to function normally
Needs to be attached to protein to be moved around, do the body forms
lipoproteins
High density lipoproteins (HDLs)
1. Mainly protein
2. Transport cholesterol from body tissues to the liver where it’s recycled or
excreted.
3. Function is to reduce total blood cholesterol when level is too high
Low density lipoproteins (LDLs)
1. Mainly lipid
2. Transport cholesterol from liver to the blood, where it circulates until
needed by cells
3. Function is to increase total blood cholesterol when level is too low.
Cholesterol
A diet high in saturated fats increase the rick of CVD.
This is because it increases blood cholesterol level.
This increases atheroma formation which can lead
formation of blood clots which can cause heart attacks
and strokes.
Caffeine affecting heart rate
Investigation: observe daphnia through a microscope to see the effect
of caffeine on the heart rate.
1. Make up a range of caffeine solutions of different concentrations,
with control solution with no caffeine
2. Transfer one daphnia into dimple of cavity slide
3. Place slide onto the stage of a light microscope and focus on bating of
the heart
4. Place small drop of caffeine solution onto daphnia
5. Count number of heartbeats in 10 secs and multiply by 6 to calculate
beats per min.
6. Repeat with all caffeine solutions, keeping all factors constant
7. Compare results to see how caffeine concentration affects heart rate.
Caffeine affecting heart rate
Ethical Issues:
1. Studying animal allows scientists to study things
unethical to study using humans
2. But using animals can also be seen as unethical –
can’t give consent
3. Some believe more acceptable to perform
experiments on invertebrates than on vertebrates –
simpler organisms which have much less
sophisticated nervous system
4. Could cause distress or suffering to living organism
Vitamin C
Investigation to test how much vitamin C is in fruit juices:
1. Have about 6 different fruit juices of known concentrations
2. Measure out a set volume of DCPIP into a test tube
3. Add one of the fruit juices to the DCPIP, drop by drop, using a pipette.
4. Gently shake the test tube after each drop of fruit juice is added
5. When the solution turns colourless, record the volume of fruit juice that
has been added
6. Repeat experiment twice more, with same solution to record an average
7. Make sure all other variables are kept constant
8. Use the results to make a line graph, showing volume of vitamin C
solution against its concentration – calibration curve
9. This means an unknown solution can be tested in same way to find
vitamin C content