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  • 7/26/2019 SS 108

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    #$%& '((((((((((((((((((((((((((((((((((((( )) "*+ ,) -. "Chapter

    Eight: Cardiovascular

    System

    OVERVIEW

    OF THE

    CARDIOVASCULAR SYSTEM

    The card iovascular system consis ts

    of the h ea rt as a pump b lood vessels

    t ha t ta ke b l oo d away f rom th e h e a rt

    a r t e ri e s , and b lood vesse ls th a t t ak e

    b lo o d b ack t o th e h e a rt v ei ns .

    Locate the heart on the i l lu s tr a ti on

    and colo r it i n p ur p le . L ab el th e

    common carotidartery

    and col or it

    in red . Arteries are typ ically co lored

    in r ed and v ei ns a re col or ed b lu e .

    L ab el a nd colo r i n th e

    internal

    jugular

    ve in too . The in te rna l

    j ug u la r v ein t ak es b lo o d to t he

    superiorvena cava which tak es

    b lo o d to t he h e ar t. L ab el a nd colo r

    the

    aortic

    arch re d an d find th e

    con t inua t ion o f the

    aorta

    that

    t rave ls down the l ef t s ide o f the

    b od y, s pli ts a nd ta ke s b lo od t o th e

    femo ra l a r t e ry . The vesse lp a ra ll el t o

    th e femo ra l a r te r y is th e f emo ra l

    v ei n and it s h ou ld b e col or ed b lu e.

    T he f emo ra l v ein ta ke s b lo od to th e

    inferior v en a c ava b efo r e i t g oe s to

    th e h e ar t. B lo od tr av els to th e a rm by

    the brachial

    artery and

    deoxygenated color i t b lue b lood

    tr av els t o t he lu ng s in th e

    pulmonarytrunk

    An s we r Ke y : a . I n te r na l j u gu l ar v e i n

    Cornman carotid artery

    c.

    Superior

    vena cava d.

    Brachial

    artery e . I n fe n o r

    vena cava Aortic

    arch

    g. Pulmonary

    trunk h.

    Heart

    i.

    Aorta

    j.

    Femoral artery

    k.

    Femoral

    vem.

    a. _

    b. _

    c. _

    d. _

    e

    \

    p/Cr

    H

  • 7/26/2019 SS 108

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    Chapter i ht I I 9

    Cardiovascular System meulca

    CIRCUL TION

    m.

    === oxygen-rich blood

    oxygen-poor blood

    D

    oxygen-poor blood

    D

    oxygen-rich blood

    f circulation:

    internal organs and legs

    f circulation:

    head and arms

    _

    J.

    d. _

    k _

    a. _

    1. _

    There are two major circulations in

    the body. One goesto the lungs and

    this iscalled the pulmonary

    circulation. Deoxygenated blood

    leavesthe right ventricle of the heart

    and travels through the

    pulmonary

    artery blue to the lungs where the

    blood is oxygenated. Blood returns

    from the lungs to the left atrium of

    the heart by the pulmonaryveins

    red . The

    other

    main circulation in

    the body iscalled the systemic

    circulation

    where blood travels from

    the leftventricle of the heart and

    goes to the other regions of the body.

    Arteries are vascular tubes that take

    blood awayfrom the heart while

    veins are vesselsthat return blood to

    the heart. Most arteries carry

    oxygenated blood and most veins

    carry deoxygenated blood

    but

    there

    are a few exceptions.

    The first vesselthat leavesthe heart

    isthe aorta which is part of the

    arterial system. Color it red. Arteries

    receive blood from the aorta and

    take blood throughout the body.

    They branch and become smaller

    until they become arterioles. The

    arterioles are the structures that

    control blood pressure in the body.

    Asthey get smaller they become

    capillaries. The capillaries are the

    site of exchange with the cells of the

    body. Label and then color the

    capillaries purple. Purple isa good

    choice because the capillaries are the

    interchange between the arteries

    red and the veins blue . On the

    return flow the capillaries enlarge

    and turn into venules, which take

    blood to the veins. Color the venules

    and remaining veins of the body

    blue. Blood from the inferior

    portion

    of the heart returns

    to

    the

    heart by the

    inferior

    vena cava.

    The heart has four chambers

    including the superior atria and the

    inferior ventricles. There isa typical

    coloring

    pattern

    for the

    cardiovascular system. Vesselsor

    chambers that carrydeoxygenated

    blood are colored in blue while

    vessels that

    carry

    oxygenated blood

    are colored red. Label and color the

    right atrium

    blue , right ventricle

    blue , left atrium red and left

    ventricle red . Remember the heart

    isin anatomical position so the right

    atr ium is on the left in the

    illustration.

    Answer Key: a Right atrium b orta c Leftatrium d Rightventricle e Leftventricle f Systemic g

    Pulmonary

    h Pulmonary

    artery

    i Pulmonaryvein j Infenorvena

    cava

    k Vein

    I Venule

    m Capillary n Arteriole o Artery

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    NTERIOR SURF E VIEW OF HE RT

    The apex of the heart is inferior and the

    base

    is superior Label each

    chamber

    of

    the heart

    an d color them

    each a

    different

    color Locate the

    coronary

    arteries and their branches and color them in red Th e

    right

    coronary

    artery

    leads to

    the

    right

    marginal artery The left

    coronary

    q

    p

    o

    n _

    m

    Chapter

    i ht I

    UPLANd

    I 9

    Cardiovascular System

    me lea

    artery

    takes blood to the

    anterior interventricularbranch

    an d the

    circumflex branch

    The

    cardiac

    veins can

    also be seenon the

    anterior

    side Thegrea tcardiacvein runs in the

    interventricular

    sulcus on the

    anterior side Label all

    of

    the major vessels entering and exiting the heart

    c _

    1

    Answer Key:a Aorticarch b Pulmonary trunk c Base of heart d Leftatrium e Circumflexbranch f Anterior interventricular branch g Leftcoronary artery

    h Great cardiac vein I Left ventricle j Apexof heart k Descending aorta Inferiorvena cava rn Rightventricle n Rightmarginal artery o Rightatrium

    p Rightcoronary artery q Superior vena cava

    chamber of t he hea rt an d

    color

    them

    each a d i ffe ren t co lo r Locate

    th e

    c o r o n ar y a r t e r ie s a n d t hei r b ranches and

    color

    them in red The r ight

    coronary

    r tery l eads to

    th e

    r ight

    margina l

    ar tery The left coron ry

    q

    p

    o

    n _

    m

    anterior side Label all of t h e m a j or vessels enter ing and ex it ing the heart

    c _

    1

    Answer Key:a Aorticarch b Pulmonary trunk c Base of heart d Leftatrium e Circumflexbranch f Anterior interventricular branch g Leftcoronary artery

    h Great cardiac vein I Left ventricle j Apex of heart k Descending aorta Inferiorvena cava rn Rightventricle n Rightmarginal artery o Rightatrium

    p Rightcoronary artery q Superior vena cava

    SUPERIOR SPECT

    OFTHE

    HE RT

    Thi s v iewof t he hea r t i s seen as i f t h e a tr ia

    an d

    the major vessels have

    been removed.Youshouldbe able to see allof the majorvalvesof the

    heart . The most anteriorvalve is the pulmonary semilunar valve that

    occurs between the right vent ricle and the pulmonary trunk. Label an d

    color this valve blue. Posterior to this i s the

    aor t icsem ilunar

    valve. It

    occurs between the leftventric le and the aorta . Label this valve and color

    i t in red . Both of these valvesprevent b lood from return ing to the

    a. _

    c _

    ECG CONDUCTION

    P THW Y

    The heart has specia lized cel ls that in it iate an elect r ica l impulse that

    radiates throughout the heart . The cel ls are clustered in a particu lar area

    known as the

    s inoatr ial node

    or the pacemaker.These cel ls produce a

    depolarization that t ravels across the atr ia which depolarize an d then

    cont ract . Depolarizat ion isan electr ical event whi le cont ract ion isa

    mechanical event . Between the wal lof the right

    a t rium and

    the right

    Chapter

    Eight I IAPLAN

    d

    I

    3

    Cardiovascular System me lea

    ventric les once they have fin ished cont ract ing . On the right sideof the

    i llust rat ion and on the right side of the heart i s the

    right

    atrioventricular or tricuspid valve, so named because i thas three flaps

    or cusps. This valve occurs hetween the right a t r ium and the right

    ventricle. It p revent s t he b lood f rom re tu rning to the r ight a t ri um du ri ng

    ventricu lar contraction. Label this valve and color i tb lue . On the left s ide

    o f t he hear t i s t he l e ft

    atrioventricular

    bicuspid valve. It prevents blood

    from moving back to the lefta t r ium when the leftvent ricle cont racts .

    d. _

    ventricle is a lump of tissue known as the atrioventricular AV node.

    Once the impu lse reaches th is a rea t he AVnode pause s a momen tbe fo re

    send ing the impu l se t o t he

    atrioventricular

    bundle. This bundle divides

    in to the bundle branches and then

    the impulse t ravels to the

    conduct ion Purkin je fibers . These fibers reach the muscle of the

    ventricles and stimulate them t o con tract . Co lo r each o f t he componen t s

    of the conduct ion pathwaya di fferent color.

    h _

    e.

    g.

    1

    _

    Answer

    Key: a Pulmonary semilunar valve b Aortic semilunar valve

    c

    Leftatrioventricular valve d Right atrioventricular valve e Sinoatrial node

    f

    Atrioventricular

    bundle g Atrioventricular node h Bundle branches I Purkinje fibers

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    Chapter

    Eight

    I

    KAPLAN

    d I 2

    Cardiovascular System

    me lea

    CORONAL

    SECTION

    OF

    HEART

    The h e ar t is l oc at ed in a t ou g h, f ib ro us sa c

    known

    a s t he p riet l

    peric rdium wh ic h h as an outer f i b rous

    l ayer and

    an

    inner

    serous layer.

    If th is sa c is opened

    you

    c an s ee a s p ac e c al le d t he p e ri c ar d ia l c av it y. The

    hear t i s in thi s cav ity. The outer surface of the hear t is c al le d t he v i sc e ra l

    peric rdium o r the

    epic rdium

    Inside

    of

    t hi s i s t he

    main portion

    o f t he

    hea r t wal l cal led the myoc rdium

    made

    of ca rd iac muscle

    a n d t h e

    innermost layer of the hear t i s the endoc rdium

    Deoxygenated

    blood

    en te rs the right trium

    of

    the

    hear t

    by th re e

    vessels: the

    superior

    vena

    cava, the

    inferior

    vena

    cava

    nd

    the

    coron ry

    sinus.

    The wal ls

    of

    t he r i gh t

    at rium

    a re t h in -wal l ed a s th ey on ly h ave to

    pump b lood to the right ven t r ic le . The blood in th e r ig ht at rium is i n

    contact

    wi th

    the f os sa o va li s w h ic h is a t h in spo t i n t he i n te r at ri a l

    sep tum. This

    thin

    s po t is a

    remnant of

    a ho le in the fe tal

    hea r t know

    as

    the for men o va le . B lo od in th e r ig h t at rium flows t h rough t he c u sp s o f

    the tricuspid or right trioventricul r v al ve i n to th e right ventricle.

    The

    t r i cu sp id valve i s

    made

    of t he t hr e e c usps , t he chord e t end ineae

    a n d t h e p pill ry musc le s t h a t

    hold

    t he c ho rd a e t e nd i ne a c t o t he

    ven tr icle wa ll . The ven tr ic le wa ll i s l ined wi th

    t r a becu l a e ca rneae

    that

    a ct a s s t ru t s a l ong t he e dg e

    of

    t he wal l. The wal l b etween the v en tr ic le s is

    known as the interventricul r septum

    F rom the r i gh t v en tr ic le , b l ood p as se s

    t h rough

    the

    pulmon ry

    semilun r v alve an d in to th e pulmon ry trunk where the

    blood

    goes to

    the l un gs . In th e l un gs the b lo o d is o xy ge na te d. F r om the lu ngs the b l oo d

    re tu rns

    t o t he l ef t

    trium of

    the h ea rt . B lo od in the le ft

    at rium

    moves to

    t he l e ft

    vent r i c le th rough

    th e l e ft trioventricul rv al ve o r th e

    biscuspid v al ve . Th is v al ve h as two cusps , c h o rd a e t e nd i ne a e and

    papil lary muscles .

    When

    the lef t ven tr icle con t rac t s , the

    blood

    moves

    t h rough the ortic semilun rvalve and

    into

    the

    ascending

    aor t a .

    1.

    m.

    y _

    J.

    k

    e.

    From lungs

    To lungs

    c

    White a rrows

    =

    oxygen-rich blood

    / 1

    Black arrows = oygen-poorb lood

    D

    = veins

    D

    = arteries

    w.

    v.

    u.

    t.

    s.

    r.

    q

    p.

    x.

    From lungs

    To lung s

    n.

    o. _

    Answer

    Key:

    a. Pulmonarytrunk,b. Pulmonarysemilunar valve c. Left atrium,e. Left atrioventricular valve

    f Aortric

    semilunar valve g.

    Left

    ventricle, h. Endocardium,

    i Epicardium,

    j

    Myocardium, Parietal pericardium,

    Fibrous

    layer,

    m. Serous layer, n. Interventricular septum, o. Trabeculaecarneae, p. Inferior vena cava q. Papillary

    muscle, Right ventricle, s. Chordae tendineae, t Right atrioventricular valve u. Opening of coronarysinus,v Fossa ovalis, w Right atrium,x Superior vena

    cava y

    Aorta