VESSELS & CIRCULATION

Lecture Notes

I. Vessels
The vessels of our circulatory system contain the blood in a closed system. Red blood cells do not leave vessel, platelets seal tears in vessels and white blood cells can migrate through vessel walls. Other water and dissolved substances leave primarily at capillaries, only.

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General sequence of vessels is: artery, arteriole, capillary, venule and vein. Except for capillary, vessels have two or three layers in their walls.

A. General structure of arteries and veins -most complex vessels 1. Lumen (hollow in vessel)

2. Tunica interna or intima (innermost)
simple squamous epithelial

maintains smooth surface to promote flow
(in capillaries provides an easy exchange site)

3. Tunica media (middle layer)
elastic fibers and smooth muscle

these tissues promote vasodilation and vasocontstriction

4. Tunica externa (adventitia)
mostly collagen fibers

protects blood supply from loss

B. Comparison of arteries and veins                            
                                Arteries                            Veins
Lumen     small, open         large, collapsed  Tunica media     thick                     thin  Tunica externa     thin                     thick  Valves         no                         yes
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Compare and contrast the structure of arteries and veins.

C. Arteries
1. Three layered walls

2. Larger arteries, near heart, have lots of elastic in tunica media to promote rebound keeping blood pressure continuous despite cyclical variation in blood pressure

3. Arteries function to distribute blood via strong pressure developed by myocardial contractions.
 
 

D. Arterioles 1. Two layered walls (t. externa absent)

2. Arterioles are normally partly vasoconstricted. More ANS stimulation causes greater vasoconstriction. Less stimulation allows elastic rebound and vasodilation

3. Arterioles function to regulate blood flow by changing vessel lumen diameter (vasodilation & vasoconstriction ).
 
 

E. Capillaries 1. One-cell thick, walled vessels (simple squamous epithelium cell) with many spaces between cells (loose junctions). Diameter not much larger than red blood cells.

2. Usually a capillary next to nearly every cell in body (except epidermis, cornea and cartilage)

3. Primary function is to promote the exchange of water, transported materials & gases to cells or away from cells

F. Venules (small veins) and Veins (and Lymph vessels)1. Weak blood flow due to skeletal muscular and respiratory pumping

2. Tend to be larger than arteries so most blood (~60%) is stored in veins and venules

3. Function to drain blood from areas serviced by capillaries

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Compare and contrast the functions of each vessel type

II. Physiology of circulation
A. blood flow determined by three factors.
 

1. Cardiac output (CO)= volume of blood moving through heart (and flowing through the body)
CO = BP/R

2. Blood pressure (pressure by blood against vessel, measured in mm Hg)


a. Pressure highest near the (aorta and distributing arteries) where it fluctuates normally within a cardiac cycle (120/80 mm Hg)

b. Pressure lowest near the heart (vena cavae)

c. Blood flow goes down pressure gradient so Increased distance from heart results in decreased blood pressure and therefore decreased blood flow.

In general, increased cardiac output = increased blood pressure = increased flow

3. Systemic Vascular Resistance a. Blood viscosity (thickness reduces flow).
If viscosity is increased (dehydration or polythemia) then flow will be decreased. Normally fairly constant

b. Blood vessel length
If length is increased then flow will be decreased. Normally fairly constant

c. Blood vessel diameter (vasomotor responses)
Vasoconstriction reduces blood flow and vasodilation increases blood flow to the following tissue or organ. Normally quite changeable, so arterioles affect greatest change in blood flow.
Regulated via nervous system feedback with vasomotor center in medulla.

From a global point of view, global increased resitance (general vasoconstriction) reduces flow to peripheral organs (like skin) resulting in increased blood pressure and increased flow through rest of body (core organs like heart, lungs, liver, brain). Reminder-shunting of blood flow during emergency, exercise, etc..

Compare and contrast the factors that determine blood flow.

B. Regulation of BP

1. Neural control via baroreceptor reflexes
Neural negative feedback loop components (RSAME=Receptor, Sensory neuron, Association control center, Motor neuron, Effector cell)
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a) Baroreceptor reflexes.Baroreceptors (stretch receptors) in carotid artery measure BP
and send impulses via glossopharangeal and vagus cranial nerves. medulla oblongata (vasomotor center) determines amount of sympathetic stimulation to smooth muscle effector cells in vessels (=vasomotor tone) and cardiac muscle effector cells in heart

1). increased BP (stimulus) so increased stretch of baroreceptors causing frequent action potentials to medulla's cardiovascular centers which reduces sympathetic stimulation (less Norepinephrine) to heart (decreased HR) and blood vessels ( decreased peripheral vasoconstriction) resulting in decreased BP (response)

2). decreased BP (stimulus) so less stretched baroreceptors so less stimulattion of medulla cardiovascular centers  resulting in increased sympathetic stimulation (more Norepinephrine) to heart (increased  HR) and vessels (increased  vasoconstriction) resulting in increased  BP (response)

Construct the nervous system feedback loop that regulates blood pressure.

2. Hormonal control of blood pressure via Regulation of water volume (and therefore blood volume)
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1) RAA system (Renin, Angiotensin, Aldosterone System)
Stimulus:When blood volume(and pressure) drops, then cells in nephron of kidney secrete enzyme (Renin) which, with Angiotensin Converting Enzymes, produces active hormone Angiotensin. Angiotensin targets smoot muscle in vessels, causing vasoconstriction. Angiotensin targes nephron cells promoting retention of Sodium, and therefore water. Angiotensin also targets cortex of adrenal gland to stimulate production of hormone Aldosterone which also targets cells of nephron to retain Na, increasing osmotic pressure in kidney. All of these hormonal actions result, indirectly, in increased water retention, therefore more blood volume.
Response: increased pressure.

2) ADH (Antidiuretic hormone)
Stimulus: high blood osmolarity
Hypothalamus produces ADH that targets cells in collecting duct of nephron to increase water retention, therefore more blood volume.
Response: increased blood pressure.

3) ANP (Atrial natriuetic peptide)
Stimulus:high blood pressure
Atrial cells produce ANP which target nephron cells to reduce Na retention.
This results, indirectly, in decreased water retention, therefore less blood volume.
Response: decreased blood pressure.


Construct the endocrine system feedback loops that regulate blood pressure.
CLICK TO VIEW AND PRINT THE COMPLETE HORMONE CYCLE TEMPLATE.


C.Local regulation of blood flow (autoregulation) at the tissue 1. Amount of blood flow flows to each tissue depending on need locally

2. Result of local control of arterioles allowing more/less blood flow (vasomotor responses)

3.  Normal stimulus is low [O2] or high[CO2] in  skeletal muscle, brain tissue, skin
increased vasodilation of arteriole & blood flow and  more O2 to tissues. Exception is lungs

-- if low O2 levels in alveoli  therefore increased  vasoconstriction promoting slower blood flow& greater gas exchange into blood

4. Chemicals produced by tissues also affect vasomotor responses. For example, both Nitric oxide (NO) and Histamine are vasodilators
 

II. Capillary exchange
A. Conditions at capillary
Blood flow is intermittent and slow as a result of autoregulatory control. Slow flow allows more time for exchange between blood and ECF
surrounding systemic cells.

B. Mechanisms of exchange

1. Solute exchange due to diffusion gradients
Cells require oxygen and nutrients and release carbon dioxide and nitrogenous wastes.

a. Amino acids, O2, glucose into ECF

b. CO2, urea and ammonia out of ECF

2. Bulk flow - Water and ions move as result of opposing forces of blood pressure and osmotic pressure
a. Blood pressure (forces fluid through capillary walls = filtration)
high BP at artery end relative to venous end (due to decreased BP from more resistance)

-promotes tendency for water/ions to leave vessel

b. Osmotic pressure
blood OP high because of dissolved solutes in blood & low in EC

constant from arterial to venous sides of capillary

( promotes tendency for fluid to stay in vessels
=reabsorption).
 

c. Balance
BP > OP at arterial
end of capillary
BP < OP at venous
end of capillary

As such, fluid tends to leave at arterial end and fluid is reclaimed (almost all) at venous end

excess ECF fluid is removed by lymph vessels and
returned to veins via lymphatic circulation.
if too little blood drains from interstitial areas then it swells to cause edema

Compare and contrast the exchange methods (and direction of flow) of the following: water, ions, glucose, amino acids, oxygen, carbon dioxide, ammonia (urea).

III. Adult system circulation routes (you should know gas levels) A. Arterial circulation 1. From LV of heart
Aorta from LV (highly oxygenated blood,low in CO2)

Coronary artery branches off ascending aorta before arch (oxygenates heart muscle first)

2. Right side upper body
Branching off the aortic arch,

Brachiocephalic artery (R only) which continues to the two following arteries:

R common carotid artery (supplies neck, head, face) and
R subclavian artery (supplies shoulder), which continues to

R axillary artery (supplies armpit, arm) which continues to

R brachial artery (supplies arm) which continues to

R radial & ulnar arteries (supplies hand)

3. Left upper body
Also branching off the aortic arch,

L common carotid
artery branches off aortic arch (supplies neck, head, face)

L subclavian artery branches off aortic arch and continues to

axillary, brachial & radial arteries (same as R side)

4. Thorax, abdomen, legs
Aorta descends to become

thoracic artery (supplies chest muscles)
which continues to

abdominal artery
(supplies abdominal organs. i.e., liver through hepatic artery , stomach via gastric artery, small intestine via mesenteric artery , spleen via splenic artery, kidneys via renal arteries) which continues to

common iliac artery (supplies pelvic organs genitalia, urinary bladder, colon) which continues to

femoral artery ( supplies thighs) which continues to

popliteal artery (supplies knees, legs) which continues to

tibial artery (supplies lower legs, feet)

5. Lungs

R Ventricle to pulmonary artery (poorly oxygenated blood, hgh in CO2)

B. Venous circulation 1. Heart

R Atrium receives blood from superior vena cava, inferior vena cava and corornary vein/sinus

2. Upper Body (thorax)

superior vena cava receives blood from

brachiocephalic vein which receives blood from following two veins:

jugular vein (drains face and neck) , and
subclavian vein which receives blood from

axillary vein, which receives blood from

brachial vein, which receives blood from

radial and ulnar veins

3.Lower Body

inferior vena cava receives blood from

common iliac veins, which receives blood from

femoral veins, which receives blood from

popliteal veins, which receives blood from

tibial veins
 
 

4. Hepatic portal system
hepatic portal system drains intestine, stomach and spleen through

liver before going back to heart via hepatic veins, hence "portal"
liver uses nutrients (carbs and proteins) before they get into CV system

also detoxifies chemicals before CV system

5. Head

brain of sinuses fill & then drain into jugulars

7. Lungs

pulmonary veins to L Atrium (highly oxygenated blood, low in CO2)

Construct the various arteries and veins that supply and drain, respectively, each body region and organ.

From vessels that supply the liver, infer the liver's various functions.

IV. Fetal circulation
different because lungs, kidneys and liver not functioning completely

mother performs these functions through placenta
1. Systemic circulation - similar to adult EXCEPT a. Umbilical vein returns nutrient-laden oxygenated blood to fetal inferior vena cava from placenta

b. Umbilical artery (from iliac A) takes waste-laden & unoxygenated blood to placenta

c. Most blood goes through fetal liver shunt (ductus venosus) \ little blood in fetal liver

2. Fetal heart & associated shunts
since lungs don't work, little blood is sent there
a. Foramen ovale (hole in septa between atria) so avoids pulmonary circulation

b. Ductus arteriosis - shunt between pulmonary artery and aorta so
avoids pulmonary circulation


Professor Thomas M. Lancraft

Human Anatomy and Physiology Courses 
at St. Petersburg College
St. Petersburg/Gibbs Campus

5/2008