Cardiovascular
System
      Dr. Ela kinra
      Department of Anatomy
INTRODUCTION
 The cardiovascular system is
  transport system of body
 It comprises blood, heart and
  blood vessels.
 The system supplies nutrients
  to and remove waste products
   from various tissue of body.
 The conveying media is liquid
 in form of blood which flows
 in close tubular system.
                                  Figure 1-2(f)
FUNCTION OF CARDIOVASCULAR
SYSTEM
 Transport nutrients, hormones
 Remove waste products
 Gaseous exchange
 Immunity
 Blood vessels transport blood
  ◦Carries oxygen and carbon dioxide
  ◦Also carries nutrients and wastes
 Heart pumps blood through blood vessels
COMPONENTS OF
CARDIOVASCULAR SYSTEM
–BLOOD
–HEART
                  Arteries
                   Veins
–BLOOD VESSELS   Capillaries
  BLOOD
–The Blood: Blood cells & Plasma
–Blood cells
1- Erythrocytes - Red Blood Cells
2- Leucocytes
3- Thrombocytes
–Plasma is fluid portion
HEART
–Heart is a four chambered, hollow
 muscular organ.
Location:
 – Superior surface of diaphragm
 – Left of the midline
 – Anterior to the vertebral column, posterior
   to the sternum
                                                 6
HEART
                                            Figure 18.1
        Chapter 18, Cardiovascular System          7
     FUNCTIONS OF THE HEART
– Generating blood pressure
– Routing blood
     Heart separates pulmonary and systemic
     circulations
– Ensuring one-way blood flow
   Heart valves ensure one-way flow
– Regulating blood supply
   Changes in contraction rate and force match
     blood delivery to changing metabolic needs
          BLOOD VESSELS
•Blood Vessels -A closed network of tubes
•These includes:
                Arteries
                Capillaries
                Veins
BLOOD VESSELS
 -Arteries(Distributing channel)
 – Thick walled tubes
 – Elastic Fibers
 – Circular Smooth Muscle
 –Capillaries (microscopic vessels)
 – One cell thick
 – Serves the Respiratory System
 –Veins (draining channel)
              BLOOD VESSELS
• General structure
  1.Tunica intima
  2.Tunica media
  3.Tunica adventitia
CLASSIFICATION OF BLOOD
VESSELS
–Conducting Vessels
–Distributing Vessels
–Resistance Vessels
–Exchange Vessels
–Capacitance / Reservoir Vessels
       ARTERIES
 Blood vessels that carry
  blood away from the
  heart are called arteries.
 They are the thickest
  blood vessels and they
  carry blood high in
  oxygen      known     as
  oxygenated         blood
  (oxygen rich blood).
ARTERIES
– Accompanied by vein and nerves
– Lumen is small
– No valves
– Repeated branching
CLASSIFICATION OF ARTEIES
 – Elastic- e.g. (Aorta & its Major branches)
 – Muscular -e.g.(Renal, Testicular, Radial, Tibial etc.)
 – Arterioles (<0.1 mm)-
                       Terminal arterioles
                        Meta-arterioles
                        Thoroughfare
                        channel/ preferred
CAPILLARIES (5-8 micron)
– The smallest blood vessels
  are capillaries and they
  connect the arteries and
  veins.
– This is where the exchange
  of nutrients and gases
  occurs.
                   TYPES OF CAPILLARIES
CONTINUOUS- SKIN, LUNG, SMMOTH MUSCLE, CONNECTIVE TISSUES
FENESTRATED- PANCREAS,ENDOCRINE GLANDS, SMALL
 INTESTINE,CHOROID PLEXUS,CILLIARY PROCESS etc.
 SINUSOIDS
–Large irregular vascular space (30-40 micron) .
–Eg.Liver, Spleen, Bone marrow, suprarenal, Parathyroid etc.
VEINS
– Blood vessels that carry
  blood back to the heart
  are called veins.
– They have one-way valves
  which prevent blood from
  flowing backwards.
– They carry blood that is
  high in carbon dioxide
  known as deoxygenated
  blood     (oxygen   poor
  blood).
VEINS
– Thin Walled
– Large irregular lumen
– Have valves
– Dead space around
– Types:
      Large
      Medium
      Small
VEINS
– Veins without valves:
 SVC & IVC
 Hepatic, Renal
 Uterine, Ovarian not Testicular
 Facial
 Pulmonary
 Umbilical
 Emissary
 Portal Veins <2mm
VEINS
– Veins without Muscular tissue:
 Dural venous sinuses
 Pial Veins
 Retinal
 Veins of erectile tissue of sex organs
 Veins of spongy bones
VEINS
– Factors responsible for venous return:
1. Muscle contraction
2. Negative intrathoracic pressure
3. Pulsation of arteries
4. Gravity
5. Valves
                    ANASTOMOSIS
• Communication
  between vessels
• ARTERIAL:
 Actual( end to end &
  convergent)- Palmar,
  plantar, Circle of Willis,
  Labial Intestinal arcade, etc.
Potential-Coronary,
  around joints etc.
                  ANASTOMOSIS….
• ARTERIOVENOUS
  ANASTOMOSIS:
1. Skin of nose
2. Lips
3. External Ear
4. Mucus membrane of GI &
   nose
5. Erectile tissue of sex organ
6. Thyroid
7. Tongue
                ANASTOMOSIS….
• VENOUS ANASTOMOSES: Communication between
  the veins or tributaries of veins.
• Example :
The dorsal venous arches of foot and hand.
                 END ARTERIES
• END ARTERIES:
Which do not anastomose
with their neighbours
1. Central artery of retina
2. Arteries of spleen, liver,
   kidneys, metaphyses of
   long bones
3. Central branches of
   cerebral cortex
CIRCULATION
– Coronary circulation – the circulation of
  blood within the heart.
– Pulmonary circulation – the flow of blood
  between the heart and lungs.
– Systemic circulation – the flow of blood
  between the heart and the cells of the
  body.
– Fetal Circulation
SYSTEMIC AND PULMONARY
CIRCULATION
 Pulmonary circulation
 The flow of blood
 between the heart
 and lungs.
 Systemic circulation
 The flow of blood
 from the left ventrical,
 through various parts
 of the body.
                            Figure 18.5
                                 30
CORONARY CIRCULATION:
ARTERIAL SUPPLY
          Chapter 18, Cardiovascular System          31
                                              Figure 18.7a
          PORTAL CIRCULATION
Portal   circulation -
the flow of blood
between tow set of
capillaries      before
draining in systemic
veins.
FETAL CIRCULATION
                              PLACENTA
          UMBILICAL ARTERY
                                         UMBILICAL VEIN
           DESCENDING AORTA
                                         PORTAL VEIN
(Through Ductus Arteriosus)
                                           (Through Ductus Venosus)
                                         INFERIOR VENA CAVA
         PULMONARY TRUNK
                                         RIFHT ATRIUM
         RIGHT VENTRICLE
                                            (Through Foramen Ovale)
         ASCENDING AORTA
                                         LEFT ATRIUM
APPLIED
 Diseases and Disorders
  BLOOD PRESSURE
  HAEMORRHAGE/STROKE
  ARTERIOSCLEROSIS
  ANEURYSM
  CORONARY ARTERY DISEASE (CAD)
  HEART ATTACK
  CONGESTIVE HEART FAILURE (CHF)
  ANEMIA, HEMOPHILIA, AND LEUKEMIA
APPLIED
– Problems with the cardiovascular
  system are common, but they
  don’t just affect older people.
– Many heart problems affect
  children and teenagers.
Thank you…!
QUESTIONS
1-All of the following are the example of elastic arteries except:
a)Aorta
b)Common carotid artery
c)Subclavian artery
d)Radial artery
QUESTIONS
2-All of the following are the example of end   arteries except:
a)Central branches of cerebral arteries
b)Central artery of retina
c)Facial artery
d)Splenic artery
QUESTIONS
3-Arteriovenous anastomosis are found at all of the following sites except:
a)Skin of lips
b)Erectile tissue of penis
c)Thyroid gland
d)Liver
QUESTIONS
4-All of the following are the example of portal circulation except:
a)Hepatic circulation
b)Renal circulation
c)Circulation of hypophysis cerebri
d)Pulmonary circulation
QUESTIONS
5-All of the following are features of veins except:
a)Thin walls
b)Thin tunica media
c)Thin tunica adventia
d)Wide lumen
REFERENCES
1- General Anatomy by Vishram Singh
2- Clinical Anatomy by R. Snell
3-Gray’s Anatomy