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Some diseases are closely linked to life-style

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Anatomy

  • Heart consists of 4 chambers
    • Right atrium (RA)
    • Right ventricle (RV)
    • Left atrium (LA)
    • Left ventricle (LV)
  • Blood flow
    • Right atrium receives blood from
      • Superior vena cava (SVC) - carries blood from upper body (head, arms)
      • Inferior vena cava (IVC) - carries blood from lower body (chest, abdomen, legs)
    • Blood flows from right atrium, across tricuspid valve, into right ventricle
    • Blood leaves right ventricle and enters pulmonary artery
      • Backflow into RV prevented by semilunar pulmonic valve
      • Deoxygenated blood arrives at lungs via pulmonary artery
      • Oxygenated blood leaves lungs via pulmonary vein
    • Blood from pulmonary vein enters left atrium
    • Blood flows from left atrium, across mitral valve, into left ventricle
    • Left ventricle has a thick muscular wall / generates high pressures during contraction
    • Blood from LV is ejected, across aortic valve, into aorta
  • Muscle of left ventricle is thicker than right ventricle
    • Pressure in aorta is higher than pulmonary artery
    • Left ventricle must generate more pressure to overcome pressure of aorta
    • Therefore, thicker muscle required in left ventricle
  • Tricuspid and mitral valves are atrioventricular (AV) valves
    • Have fibrous strands (cordae tendinae) that attach to papillary muscles
    • Papillary muscles contract during ventricular contraction
    • Generate tension on valve via cordae tendinae to prevent AV valves from flapping back into atria
  • Semilunar valves (pulmonic and aortic) do not have these attachments

Cardiac Cycle

  • Atria receive blood from veins and store it prior to each heart beat
  • Systole: period of contraction by heart muscle
  • Diastole: period of relaxation by heart muscle
  • Atrial systole
    • Both atria contract and move blood across AV valves into ventricles
    • This reduces volume of atria but increases pressure
      • Pressure of RA > RV - forces tricuspid valve to open
      • Pressure of LA > LV - forces mitral valve to open
  • Ventricular systole
    • Contraction of ventricles increases pressure
    • AV valves close as blood is forced against them → 1st heart sound
    • This prevents backflow into atria
    • Instead, blood is ejected into arteries through aortic and pulmonary valves
  • Ventricular diastole
    • End of cardiac cycle, all chambers relax
    • Aortic and pulmonary valves close2nd heart sound
    • This prevents backflow into ventricles
    • Atria fill up again to start next cycle
    • Volume increases while pressure decreases

Electrical Activity

  • Heart has unique ability to beat (contract) on its own
  • Assisted by nerves and hormones in blood but can function without them
  • Sinoatrial (SA) node
    • Located at the top right atrium
    • Also known as the "natural pacemaker" controlling heart rate
    • Increases with physical activity and decreases when relaxing
    • Sends impulses across the atria to the AV node
    • Cause contraction of atria
  • Atrioventricular (AV) node
    • Located between atrium and ventricle
    • Ventricles are isolated from atria
    • Impulse must pass through AV node to travel across ventricles
  • AV node is connected to the Bundle of His
    • Branches into a right bundle (to right ventricle) and left bundle (to left ventricle)
    • Fibres that branch out to distant ventricles are called Purkinje Fibers
    • Cause contraction of ventricles

Pressure Changes

  • Isovolumetric contraction
    • Ventricles start to contract
    • Intraventricular pressure rises and causes AV valves to close
    • Ventricles are no longer filled with blood and volume says the same
    • Pressure is not high enough to open semilunar valves
  • Pressure in LV > aorta
    • Semilunar valves open
    • Ventricular volume decreases
    • Blood is ejected into aorta
  • Pressure in LV < aorta
    • Back pressure causes blood to move back and semilunar valves to shut
  • Isovolumetric relaxation
    • AV and semilunar valves are closed
    • Lasts until pressure in atria > ventricles
  • Pressure atria > ventricles
    • Ventricles are filled
    • Atrial contraction/systole - final amount of blood is emptied into ventricles immediately prior to next phase of isovolumetric contraction of ventricles^

Blood vessels

Arteries

  • Pulmonary artery
    • Transports deoxygenated blood from right ventricle into lungs
  • Systemic arteries
    • Transport oxygenated blood from left ventricle to body tissues
    • Carry ≈10% of total blood volume
    • Blood is pumped from left ventricle into large elastic arteries
    • Elastic arteries become smaller muscular arteries
    • Muscular arteries branch into smaller arterioles (smallest arteries)
    • Arterioles regulate blood flow into tissue capillaries
  • Made up of 3 layers:
    • Tunica intima (innermost layer)
      • Simple squamous epithelium
      • Surrounded by a connective tissue basement membrane with elastic fibres
    • Tunica media (middle layer)
      • Smooth muscle and usually thickest layer
      • Changes vessel diameter to regulate blood flow and BP
    • Tunica adventitia (outermost layer)
      • Attaches vessel to surrounding tissue
      • Connective tissue with varying amounts of elastic and collagenous fibers
  • Compared to veins, arteries have a relatively small lumen

Veins

  • Pulmonary veins
    • Transport oxygenated blood from lungs to left atrium
  • Systemic veins
    • Transport deoxygenated blood towards the heart
    • Carry ≈70% of total blood volume
    • After blood has passed through the capillaries, it runs into venules (smallest veins)
    • Become progressively larger until they reach the right atrium
    • Medium and large veins have valvesthat prevent backflow of blood due to gravity
  • Made up of same 3 layers as arteries
    • BUT less smooth muscle and connective tissue
    • Makes walls of veins thinner with less pressurelarger lumen
    • Hold more blood than arteries


Latest Comments

34590 wrote on Tue, 15 Jun 2010 09:45:

Love it. but will there be any australian unit 1-4 bioloy test?? it will be sooo good!~

hamda wrote on Mon, 14 Jun 2010 14:14:

please explain what are systole and diastole?

hamda wrote on Tue, 16 Mar 2010 12:50:

it is the best heart explanation but can you do a diagram without animation of the heart but label it throughly!!!

Simon wrote on Fri, 20 Mar 2009 23:55:

I am not sure whether I understand your question but I just assume you are wondering how the impulse is generated within the SA node.

The SA node in the right atrium depolarises spontaneously as all cardiac cells have an unstable resting potential. What happens is that slow calcium channels on the cell membrane allow calcium to enter the cell. This activates more calcium channels which are found on SR tubules - a structure found within the cardiac cell. The high levels of calcium causes the depolarisation of the cardiac cell and this generates the impulse which is spreading from the SA node.

Changed by admin on Fri, 20 Mar 2009 23:56

Unknown User wrote on Fri, 20 Mar 2009 09:12:

Where from the impulse come in the sino-atrial node ?

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