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Circulation
Function of the Circulatory System
The blood vessels of the body form a network more complex than an
interstate highway system.
The blood vessels carry blood to within two or three cell diameters of nearly
all the trillions of cells that make up the body.
Blood flow through them is regulated, so that cells receive adequate
nutrients and so that waste products are removed. Blood vessels remain
functional, in most cases, in excess of 70 years, and when they are damaged,
they repair themselves.
Function of the Circulatory System
Blood vessels outside the heart are divided into two classes:
Pulmonary Vessels - transport blood from the right ventricle of the heart
through the lungs and back to the left atrium
Systemic Vessels - transport blood through all parts of the body, from the left
ventricle of the heart and back to the right atrium
Function of the Circulatory System
Carries blood
Exchanges nutrients, waste products, and gases with tissues.
Transports substances
Helps regulate blood pressure
Directs blood flow to the tissues
General Features of Blood Vessel
Structure
Arteries carry blood away from the heart; usually, the blood is oxygen-rich.
Blood is pumped from the ventricles of the heart into large, elastic arteries,
which branch repeatedly to form progressively smaller arteries.
As they become smaller, the artery walls undergo a gradual transition from
having more elastic tissue than smooth muscle to having more smooth muscle
than elastic tissue .
Arteries
Arterioles transport
blood from small
arteries to capillaries.
Arterioles are the
smallest arteries in
which the three tunics
can be identified; the
tunica media consists
of only one or two
layers of circular
smooth muscle cells.
Small arteries and
arterioles are adapted
for vasodilation and
vasoconstriction.
Capillaries
Is it at the capillaries where exchange occurs between the blood and the
tissue fluid.
Blood flow through capillaries is regulated by smooth muscle cells called
precapillary sphincters located at the origin of the branches of the
capillaries
Capillary walls consist of endothelium which is a layer of simple squamous
epithelium surrounded by delicate loose connective tissue.
Capillaries
Red blood cells flow through most capillaries in single file and are frequently
folded as they pass through the smaller-diameter capillaries.
As blood flows through capillaries, blood gives up O2 and nutrients to the
tissue spaces and takes up CO2 and other byproducts of metabolism.
Capillary networks are more numerous and more extensive in the lungs and in
highly metabolic tissues, such as the liver, kidneys, skeletal muscle, and
cardiac muscle, than in other tissue types.
Veins
The tunica media, or middle layer, consists of smooth muscle cells arranged
circularly around the blood vessel.
It also contains variable amounts of elastic and collagen fibers, depending on
the size and type of the vessel.
In muscular arteries, a layer of elastic connective tissue forms the outer
margin of the tunica media.
Tunica Adventitia
Aorta
All arteries of the systemic circulation branch directly or indirectly from the
aorta.
The aorta is usually considered in three parts:
the ascending aorta
the aortic arch, and
the descending aorta
the thoracic aorta
the abdominal aorta
Blood Vessels of the Systemic
Circulation: Arteries
The ascending aorta is the part of the aorta that passes superiorly from the
left ventricle.
The right and left coronary arteries arise from the base of the ascending
aorta and supply blood to the heart
The aorta arches posteriorly and to the left as the aortic arch. Three major
arteries, which carry blood to the head and upper limbs, originate from the
aortic arch: the brachiocephalic artery, the left common carotid artery, and
the left subclavian artery
Blood Vessels of the Systemic
Circulation: Arteries
The descending aorta is the longest part of the
aorta. It extends through the thorax and abdomen
to the upper margin of the pelvis.
The part of the descending aorta that extends through
the thorax to the diaphragm is called the thoracic
aorta.
The part of the descending aorta that extends from the
diaphragm to the point at which it divides into the two
common iliac arteries is called the abdominal aorta.
Blood Vessels of the Systemic
Circulation: Arteries
Arterial Aneurysm - is a localized dilation of an artery that usually develops
in response to trauma or a congenital (existing at birth) weakness of the
artery wall.
Major Arteries
Arteries of
the Head
and Trunk
Arteries of
the Upper
Limbs
Arteries of
the Lower
Limbs
Arteries of the Head and Neck
Arteries of the Head and Neck
Brachiocephalic (brā ′ kē -ō -se-fal′ ik; vessel to the arm and head) artery. This
short artery branches at the level of the clavicle to form the right common
carotid (ka-rot′ id) artery
Right Common Carotid (ka-rot′ id) artery – that transports blood to the right
side of the head and neck, and the right subclavian (sŭ b-klā ′ vē -an
Right Subclavian (sŭ b-klā ′ vē -an; beneath the clavicle) artery, - that
transports blood to the right upper limb
Left Common Carotid Artery - transports blood to the left side of the head
and neck
Left Subclavian Artery - transports blood to the left upper limb.
Arteries of the Head and Neck
Internal carotid arteries - The base of each internal carotid artery is slightly
dilated to form a carotid sinus
Carotid Sinus – that contains structures important in monitoring blood
pressure (baroreceptors)
The external carotid arteries - have several branches that supply the
structures of the neck, face, nose, and mouth.
Cerebral Arterial Circle - The vessels that supply blood to most of the brain
branch from the cerebral arterial circle.
Vertebral (ver′ tĕ-brăl) Arteries - Branches of the vertebral arteries supply
blood to the spinal cord, as well as to the vertebrae, muscles, and ligaments
in the neck.
Arteries of the Head and Neck
The branches of the thoracic aorta can be divided into two groups:
The Visceral (vis′ er-ă l) Arteries - supply the thoracic organs
The visceral branches of the thoracic aorta supply the esophagus, the
trachea, the parietal pericardium, and part of the lung.
The Parietal (pă -rı̆ ′ ĕ -tă l) Arteries- supply the thoracic wall.
The major parietal arteries are the posterior intercostal (in-ter-kos′ tă
l) arteries, which arise from the thoracic aorta and extend between
the ribs.
Posterior Intercostal (in-ter-kos′ tă l) Arteries - supply the intercostal
muscles, the vertebrae, the spinal cord, and the deep muscles of the
back.
Thoracic Aorta and its Branches
The external iliac artery in the pelvis becomes the Femoral (fem′ ŏ-răl)
Artery in the thigh
Popliteal (pop-lit′ ē-ăl) Artery in the popliteal space, which is the
posterior region of the knee.
Anterior Tibial Artery and the, Posterior Tibial Artery- both of which give
rise to arteries that supply blood to the leg and foot.
The anterior tibial artery becomes the Dorsalis Pedis (dōr-sāl′ lis pē′ dis;
pes, foot) Artery at the ankle
The posterior tibial artery gives rise to the fibular artery, or peroneal
artery
Fibular Artery, or Peroneal Artery- which supplies the lateral leg and foot
Arteries of the lower limbs
The femoral triangle is located in the superior and medial area of the
thigh.
Its margins are formed by the inguinal ligament, the medial margin of
the sartorius muscle, and the lateral margin of the adductor longus
muscle.
A pulse in the femoral artery can be detected in the area of the
femoral triangle. This area is also susceptible to serious traumatic
injuries that result in hemorrhage and nerve damage. In addition,
pressure applied to this area can help prevent bleeding from wounds
in more distal areas of the lower limb. The femoral triangle is an
important access point for certain medical procedures as well.
Major Veins
Blood Vessels of the systemic
Circulation: Veins
Three major veins return blood from the thorax to the superior vena
cava: the right and left brachiocephalic veins and the azygos (az-ı̆′ gos, az′
i-gos) vein
Blood drains from the anterior thoracic wall by way of the anterior
intercostal veins.
These veins empty into the internal thoracic veins, which empty into the
brachiocephalic veins.
Blood from the posterior thoracic wall is collected by posterior
intercostal veins that drain into the azygos vein on the right and the
hemiazygos vein or the accessory hemiazygos vein on the left.
The hemiazygos and accessory hemiazygos veins empty into the azygos
vein, which drains into the superior vena cava
Major Veins of the
Abdomen and Pelvis
Veins of the Abdomen and Pelvis
Blood from the posterior abdominal wall drains through ascending lumbar
veins into the azygos vein.
Blood from the rest of the abdomen and from the pelvis and lower limbs
returns to the heart through the inferior vena cava.
The gonads (testes or ovaries), kidneys, adrenal glands, and liver are the only
abdominal organs outside the pelvis from which blood drains directly into the
inferior vena cava.
The internal iliac veins drain the pelvis and join the external iliac veins from
the lower limbs to form the common iliac veins.
The common iliac veins combine to form the inferior vena cava
Veins of the Abdomen and Pelvis
A portal (pōr′ tăl) system - is a vascular system that begins and ends with
capillary beds and has no pumping mechanism, such as the heart, in between.
The hepatic (he-pa′ tik) portal system - begins with capillaries in the viscera
and ends with capillaries in the liver.
The major tributaries of the hepatic portal system are the splenic (splen′ ik)
vein and the superior mesenteric vein.
The inferior mesenteric vein - empties into the splenic vein.
Splenic Vein - carries blood from the spleen and pancreas.
The superior and inferior mesenteric veins - carry blood from the intestines.
The splenic vein and the superior mesenteric vein join to form the hepatic
portal vein, which enters the liver.
Hepatic veins -where blood from the liver flows which join the inferior vena
cava.
Renal veins –carry blood from the kidney and the
Suprarenal veins drain the adrenal glands
Testicular veins- drain the testes in males;
Ovarian veins- drain the ovaries in females
Veins of the Lower Limbs
The veins of lower the lower limbs, like those of the upper limbs, consist of
deep and superficial group.
Deep veins follow the same path as the arteries and are named for the
arteries they accompany.
Superficial veins consist of:
1. Great saphenous- originates over the dorsal and medial side of the foot and
ascends along the medial side of the leg and thigh to empty in the femoral
vein.
2. Small saphenous- begins over the lateral side of foot and joins the popliteal
vein, which becomes the femoral vein.
Physiology of Circulation
Measure of the force blood exerts against the blood vessel walls.
In arteries, blood pressure values go through a cycle that depends on the
rhythmic contractions of the heart.
Systolic pressure- when the ventricles contract, blood is forced into the
arteries, and the pressure reaches a maximum value.
Diastolic pressure- when the ventricles relax, blood pressure in the arteries
falls to a minimum value
Auscultatory- Most often use method to determine blood pressure.
A blood pressure cuff connected to a sphygmomanometer is wrapped around
the patient’s arm, and a stethoscope is placed over the brachial artery.
Korotkoff sounds –turbulance produces vibration in the blood and surrounding
tissues that can be heard through the stethoscope.
As the pressure in the blood pressure cuff is lowered still more, the Korotkoff
sounds change tone and loudness. When the pressure has dropped until the
brachial artery is no longer constricted and blood flow is no longer turbulent,
the sound disappear completely. The pressure at which the sounds disappear
is diastolic pressure.
Measuring Blood Pressure
1. When the cuff pressure is high enough to keep the brachial artery closed, no blood
flows through it, and no sound is heard.
2. When cuff pressure decreases and is no longer able to keep the brachial artery
closed, blood is pushed through the partially opened brachial artery, producing
turbulent blood flow and sounds. Systolic pressure is the pressure where the
sound is first heard.
3. As cuff pressure continues to decrease, the brachial artery opens even more
during systole. At first, the artery is closed during diastole, but as cuff pressure
continues to decrease, the brachial artery partially opens during diastole.
4. Eventually, cuff pressure decreases below the pressure in the brachial artery, and
it remains open during systole and diastole. Nontubulent flow is reestablished, and
no sounds are heard. Diastole pressure is the pressure where the sounds
disappears.
Pulse Pressure
1. At the arterial end of the capillary, the movement of fluid out of the capillary
due to blood pressure is greater than the movement of fluid into the capillary
due to osmosis.
2. At the venous end of the capillary, the movement of fluid into the capillary
due to osmosis is greater than the movement of fluid out of the capillary due
to blood pressure.
3. Approximately nine-tenths of the fluid that leaves the capillary at its arterial
end reenters the capillary at its venous end. About one –tenth of fluid passes
into the lymphatic capillaries.
Edema- swelling, results from a disruption in the normal inwardly and
outwardly directed pressures across the capillary walls.
Control of Blood Flow in Tissues