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circulatory system
DR IRAM IQBAL
AIM
To describe common
features of,
cardiovascular system
along with types and
their different
component .
SEQUENCE
Defination
Different types and subtypes of
circulatory system
Components of Cardiovascular System
Anatomy of the Heart and blood
vessels
Classifications of blood vessels
Vascular patterns
End arteries
anastomosis
Association between arteries and
veins
Anatomy of the Lymphatic System
Points of clinical significance
Main arteries and veins of the body
conclusion
Circulatory systems are
composed of great
numbers of cell lined
tubes and spaces which
surround and permeate
the tissues, providing a
continuous perfusion of
body fluids.
The most extensive of
Circulatory system of the
human body are
Vascular system
CSF
Perilymph
Various endocochlear fluids
Ocular aqueous humour
Synovial fluid
The fluids of the coelomic spaces –
Pericardial, Pleural and Peritoneal
Vascular System
Cardiovascular
system
Lymphatic
system
ANGIOLOGY
Is the study of
cardiovascular system
which is one of the
major circulatory system
of the body.
Cardiovascular system is of
three type
Systemic circulation
Pulmonary circulation
Portal circulation
SYSTEMIC CIRCULATION
Systemic circulation
pathways arise from the
aorta and end in the right
atrium.
4. Blood always goes through
the pulmonary circulation
SYSTAMIC CIRCULATION
PULMONARY
CIRCULATION
1..Transports blood (low in
oxygen) from the right
ventricle to the lungs.
2. Exchange of oxygen and
carbon dioxide occurs
between alveoli & blood in
pulmonary capillaries.
Pulmonary Circulatory
Route
Right Atrium
Tricuspid
Valve
Right
Ventricle
Pulmonary Semilunar
Valve
Pulmonary
Arteries
Lungs
Pulmonary Veins
Left Atrium
HEPATIC PORTAL
CIRCULATION
1. The term “PORTAL” is used to refer
to veins which carry blood to organs
other than the heart.
2. In this case the arterial blood
passes through two sets of capillaries
finally to be drained into the heart.
This takes place at three sites
Hepatic Portal Circulation Route
Inferior Vena Cava
Aorta
Celiac Artery
Digestive
Organs
Hepatic Portal Vein
Liver
Hepatic Veins
Inferior Vena
Cava
Right Atrium
Hypothalamo-hypophyseal
Circulation
One set in
hypothalamus.
Hypothalamo
hypophyseal V
hypophyseal V drain
Hypothalamo - hypophysial
portal circulation
Renal postal Circulation
arterial in type .
one set of capillaries
is situated
between two
arteries
(a glomeruli
between afferent
and efferent
arterioles )
efferent arterioles
divide into
2nd set of
capillaries
(Peritubular
Blood
Volume in body is 5 litres, equals about
7% of total body weight.
Composed of plasma and cells.
Plasma / fluid portion :
Heart .
Blood
vessels.
Anatomy of the Heart
The heart is a funnel-
shaped, hollow,
muscular organ that is
responsible for
pumping blood to all
parts of the body.
The heart is located near the center
of the thoracic cavity between the
lungs and is contained in the
pericardial sac.
The pericardial sac supports the
heart and contains some fluid for
lubrication.
The broad end,
or base, of the
heart is also
supported by
large arteries
and veins.
The pointed
end, or apex,
of the heart is
directed
The heart wall is made up of three
layers.
Epicardium
outer layer
of heart
wall, which
is also the
inner layer
of epicardial
sac;
Endocardiu
m inner
layer that
consists of
endothelial
cells, which
line the
heart,
covers the
• Myocardium – middle
layer composed of cardiac
muscle.
The cardiac muscle is an
involuntary, striated
muscle with fibers that
intertwine.
Therefore, the heart is said to
have four chambers (right
atrium, right ventricle, left
The AV valves have flaps of
tissues, called leaflets or
cusps, which open and close
to ensure that the blood flows
only in one direction and
does not backflow into the
atriums.
The AV valve on the right side
of the heart is called the
tricuspid valve because it has
three leaflets (cusps).
The AV valve on the left side of
the heart is called the bicuspid
valve (or mitral valve) because
it has two leaflets.
The pulmonary valve and the
aortic valve prevent blood
from back-flowing into their
respective ventricles.
The pulmonary valve is
located between the right
ventricle and the
pulmonary artery.
The aortic valve is located
between the left ventricle
A group of cells called the
sinoatrial node (SA node)
control the beat of the heart by
sending out electrical signals to
make
Blood the heart
supply pump.
of heart
The heart wall is supplied
.
by
the coronary arteries and
the cardiac veins
Coronary
Circulation
Pattern
Aorta
Coronary Arteries
Myocardium
Coronary Circulation
Pattern
Aorta
Coronary
Arteries
Myocardium
Cardiac
Veins
Coronary
Sinus
Right
Atrium
Vessel Wall
(intima)
Endothelial cell resting on
basement membrane
Sub endothelial ells
internal elastic lamina
Tunica media
middle layer
usually thickest; smooth
muscle, collagen, some
elastic
(tunica adventitia)
outermost layer
External elastic lamina
loose connective tissue with
vasa vasorum and nerve
BLOOD VESSELS
Arterioles Veinules
Histological Structure of Blood
Vessels
Notes
Muscular arteries
Classification of Blood
Vessels
A. Anatomical Classification:
Based upon structure of tunica
media and diameter of blood
vessels.
B. Functional Classification
4. Conduction vessels.
5. Distribution vessels
6. Resistance vessels
7. Exchange vessels
1. Large sized/Elastic/Conduction vessels.
(73000micro m or 30mm)
2. Medium sized/Muscular/Distribution
vessels.
(1000- 3000micro m)
3. Small sized/Muscular/Distribution vessels.
(50-1000micro m)
4. Muscular arterioles/Resistance vessels.
(50-100 micro m)
5. Terminal arterioles/Resistance vessels (50
micro m)
7. Capillarie/Exchange vessels. (5 micro
m)
8. Venules/Exchange vessels.(20-
30micro m)
9. Post capillary venules/Exchange
vessels.
(20-30 micro m)
10. Small sized muscular
vein/Capacitance vessels.
11. Medium sized muscular
BLOOD VESSELS
COMPARISON OF
ARTERIES,
CAPILLARIES, & VEINS
Arteries & Capillarie Veinules &
Arterioles s Veins
Tunica
Tunica
Media
Intima
(Blood)
Tunica
Adventitia
Avascular Structures :
cartilage.
stratified epithelium.
cornea.
hair .
nails.
CAPILLARIES
Diameter (5 micro
m)
Endothelium
Continuous
,intestine)
Discontinuous
Discontinuo
us
-liver, bone
marrow, spleen
irregular
blood-filled
spaces; some
have extra
large
fenestrations,
allow proteins
and blood cells
VASA VESORUM
(vessels of vessels)
Arteries and veins
with a diameter
greater than 1 mm
are
supplied by small
vessels called Vasa
vesorum.
Vascularity
Cellular tissues are vascular.
Glands are very vascular (Kidney, Suprarenal,
Thyroid and Renal)
C.T. are only slightly vascular
Loose and dense fibrous tissues have a very
less blood supply.
Fat and bone have a fair supply.
Hyaline cartilage, cornea & epidermis ,nail & hair
are non
vascular.
Nervous tissue
Gray matter of brain and spinal medulla, being
cellular, is more vascular than the white matter
and the peripheral nerve.
VEINS
Tunica intima
Little more than endothelium
Tunica media
Thin layer of smooth muscle
Tunica adventitia
Thickest layer
Veins
lower blood pressure: 10mmHg
with little fluctuation
thinner walls, less muscular and
elastic tissue
expand easily, have high
capacitance
venules more porous than
capillaries
VENOUS PUMP
Valves - formed from
folds of tunica intima
prevent backflow of blood
in veinules & veins.
Function like semilunar
valves forcing blood to
flow against gravity
VENOUS PUMP
Skeletal
muscles
pressing
against walls
of veins
provide force
to move blood
from one
valve through
the next
toward the
heart.
Valves are absent in
veins of < 2 mm in
diameter, Vena
Cava,
hepatic, renal,
uterine
ovarian, cerebral,
spinal, pulmonary
and
There are no functioning
valves in the Portal
System and only rarely
do those (2 or 3) in the
cardiac veins function.
Valves are most
numerous in the veins of
the limbs and they are
commonly placed just
distal to the mouth of a
tributary
End arteries
End arteries are arteries that do not
anastomose with neighboring arteries
except through terminal
capillaries.
Obstruction of such an artery is likely to
lead to local death, resulting in the case
of the:
cerebral artery, in paralysis
central artery to the retina, in blindness
branch of the renal or splenic artery, in
death of a
segment of the kidney or spleen
several adjacent end arteries of the gut, in
gangrene
Anastomoses
Arteries
do not
always
end in
arterioles
and
capillaries
. They
may unite
Arterial anastomosis
Communication between two vessels through
collateral channels.
May occur between arteries, between veins,
between arterioles and venules
Arterial anastomosis
External Iliac
Great Saphenous
Femoral
Popliteal
Posterior Tibial
Anterior Tibial Great Saphenous
lymphatic plexuses;
lymphatic vessels;
lymph;
lymph nodes;
lymphocytes
Starling hypothesis
Starling hypothesis
Starling hypothesis
e fluid and electrolytes entering the extracellular
spaces from the blood capillaries is also reabsorbed by
them. However, as much as 3 L each day fails to be
reabsorbed by the blood capillaries. Furthermore, some
plasma protein leaks into the extracellular spaces, and
material originating from the tissue cells that cannot
pass through the walls of blood capillaries, such as
cytoplasm from disintegrating cells, continually enters
the space in which the cells live. If this material were to
accumulate in the extracellular spaces, a reverse
osmosis would occur, bringing even more fluid and
resulting in edema (an excess of interstitial fluid,
manifest as swelling). However, the amount of
interstitial fluid remains fairly constant under normal
Blood fluid escapes
through the thin-walled
capillaries into spaces
between body tissue
cells.
Lymph vessels, which
have very thin walls,
pick up these fluids
The lymph
vessels join
to form
larger ducts
that pass
through
lymph
nodes (or
glands).
Each lymph
node has a
fibrous
outer
covering
(capsule), a
Lymph nodes filter foreign
substances, such as bacteria
and cancer cells, from the
lymph before it is re-entered
into the blood system through
the larger veins.
Lymph nodes, which are
scattered among the lymph
vessels, act as the body’s first
defense against infection.
Each lymph node has its
own blood supply and
venous drainage.
The lymph nodes usually
have names that are
related to their location in
the body.
When a specific location gets
infected, the lymph nodes in
that area will enlarge to fight
the infection.
If the lymph node closest to
an infected area is unable to
eliminate the infection, other
lymph nodes in the system
will attempt to fight the
infection.
This is particularly
critical in the case of
cancer, which can be
spread from its point
of origin to all parts of
the body through the
lymphatic system.
Clinical notes
Atherosclerosis
Varicoseveins
Lymphangitis
Lymphadenitis
Lymphography
Spread of cancer
VARICOSE VEINS
1. Veins that are stretched, dilated &
overfilled with blood due to
incompetent valves
2. Contributing causes:
Weak valves or veins - (heredity)
Excessive weight
Excessive standing, straining
Inadequate exercise
Increased intra-pelvic pressure -
pregnancy, constipation
VARICOSE VEINS
MAJOR ARTERIES OF THE
BODY
Brachiocephalic
Aortic Arch
Ascending Aorta Thoracic Aorta
Abdominal Aorta
Celiac
ARTERIES OF THE LEG
External Internal
Iliac Iliac
Femor
al
Popliteal (behind
knee)
Anterior Tibial
Posterior Tibial (behind
Tibia)
ARTERIES OF THE HEAD &
NECK
ARTERIES OF THE ARM &
SHOULDER
Subclavia
n Axillary
Brachia
l
Radil
Ulnar
ARTERIES OF THE HEART
Aort
Pulmonary Artery
a
Coronary Arterie
MAJOR VEINS OF THE
BODY
MAJOR VEINS OF THE HEAD &
NECK
MAJOR VEINS OF ARM &
SHOULDER
Subclavi
an
Axilla
Cephal y
icBrachi
al Basil
ic
Median
Cubital
Radial Ulna
r
MAJOR VEINS OF THE
LEG
External Iliac
Great Saphenous
Femoral
Popliteal
Posterior Tibial
Anterior Tibial Great Saphenous
Pulmonary Veins
Inferior Vena Cava
Coronary Sinus
Cardiac Veins
CONCLUSION
REFERENCES
Gray’s Anatomy (37 th
edition).
Grant’s method of Anatomy.
(10 th edition).
Clinical Anatomy by Richard S.
Snell, (7 th edition).
Clinical oriented
Anatomy(klm)6th edt