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Cardiovascular System
Blood, heart, vessels
168
Anatomy
Undergraduate 2
02/13/2011

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Cards

Term
What does blood deliver?
Definition
oxygen and nutrients
Term
What does blood transport?
Definition

Metabolic waste products to lungs or kidneys

 

Endocrine hormones to target cells

Term
What system regulates pH
Definition
bicarbonate
Term
How does blood regulate body temp
Definition
has coolant properties of water, vasodilation/constriction
Term
dilation/constriction
Definition

dilation dumps heat

constriction retains heat

Term
what does blood maintain
Definition

adequate fluid volume:

ion concentration and osmolarity

protein content

Term
What does blood protect against and how
Definition

blood loss by clotting

infection by WBCs, antibodies

Term
Components of blood
Definition

55% plasma

45% RBCs

1% WBCs

1% platelets

Term
plasma
Definition
liquid portion of blood containing organic and inorganic material
Term
proteins in plasma
Definition
albumins, immunoglobins, fibrinogen
Term
albumins
Definition
Function in fluid compartment regulation and nonspecific transport; helps give osmolarity
Term
immunoglobins
Definition
antibodies, immune function, made by one of a kind WBC to help fight off infection
Term
fibrinogen
Definition
inactive blood clotting protein, converted to fibrin to aid platelets in clotting
Term
hematopoesis
Definition
process by which a common progenitor cell differentiates to give rise to all blood cells; occurs in red marrow
Term
myeloid lineage
Definition
RBCs, platelets, all WBCs except lymphocytes
Term
lymphoid lineage
Definition
lymphocytes
Term
5 properties of RBCs
Definition

anuclear, biconcave disks

flexible shape

no cell division or ATP formation

Contain hemoglobin

Term
hemoglobin
Definition
protein that enables oxygen transport
Term
types of hemoglobin
Definition
different fetal types; only one expressed after birth
Term
heme
Definition
iron-containing hemoglobin cofactor
Term
lifespan of RBCs
Definition
120 days
Term
why do RBCs die
Definition

wear out from bending

no repair possible

Term
rbc removal
Definition
destroyed by fixed reticuloendothelial macrophages of spleen and liver
Term
globin breakdown
Definition
broken into amino acids and recycled
Term
heme breakdown
Definition
split into iron and bilirubin
Term
jaundice
Definition
buildup of bilirubin in tissues, yellow color in skin and eyes
Term
bruising
Definition
bruises turn yellow as lost heme is converted to bilirubin
Term
RBC birth
Definition

hemocytoblasts(hematopoietic stem cell)→erythroblasts(hemoglobin production)→normoblasts(ejection of organelles and nucleus)→reticulocyte(young erythrocyte)→erythrocyte(functional RBC)

 

Term
tissue hypoxia
Definition
cells not getting enough oxygen
Term
causes of hypoxia
Definition

high altitude

anemia

circulatory problems

Term
kidney response to hypoxia
Definition

release erythropoietin (EPO)

speed up development of new RBCs

Term
anemias
Definition
any disease that results in a subnormal oxygen carrying capacity of blood, types can overlap
Term
hemorrhagic anemia
Definition
result of blood loss
Term
hemolytic anemia
Definition
results from lysing or premature removal of RBCs
Term
causes of hemolytic anemia
Definition

several genetic disorders

certain pathogenic diseases

improper transfusions

erythroblastosis fetalis

Term
aplastic anemia
Definition
results from destruction or inhibition of red marrow
Term
causes of aplastic anemia
Definition
bone cancer, toxin, radiation, chemotherapy
Term
microcytic anemia
Definition
small pale RBCs due to iron deficiency
Term
pernicious or macrocytic anemia
Definition
due to folate or b12 deficiency; progenitor RBCs grow but cannot divide and develop normally; autoimmune disease- stomach mucosa is attacked and cannot provide cofactor for b12 absorption
Term
thalassemias
Definition
one of the globin proteins is absent or faulty; thin, delicate, RBCs in deficient numbers
Term
sickle cell anemia
Definition
RBCs assume sickle shape during periods of low oxygenation, blocks small vessels, painful
Term
polycythemia
Definition
abnormally high concentration  of RBCs; increased viscosity, slow blood flow
Term
most common cause of polycythemia
Definition
bone marrow cancer
Term
secondary polycythemia
Definition
increase in RBC count die to low atmospheric oxygen environment
Term
blood doping
Definition
intentional induction of polycythemia
Term
WBCs
Definition
cells of the immune system that travel throughout the body via blood, only formed element that is a complete cell
Term
neutrophils (6)
Definition

polymorhonuclear leukocytes;

2-5 nuclear lobes

fine granules

most abundant

fastest response to bacteria

phagocytic cells that kill with bleach

Term
eosinophils (3)
Definition

too large to phagocytize

2-3 lobes connected by thin strand

attack large parasites

Term
basophils (2)
Definition

release histamine

large, dark purple granules that obscure nucleus

Term
granulocytes
Definition

neutrophil

eosinophil

basophil

Term
agranulocytes
Definition

monocytes

lymphocytes

Term
monocytes
Definition

become macrophages

active phagocytes

nucleus is kidney or horseshoe shaped

largest WBC

kill pathogens and remove debris

Term
lymphocytes
Definition
large round nucleus, very little cytoplasm, dark oval round nucleus
Term
kinds of lymphocytes
Definition

B cells- produce antibodies

t cells- kill infected/tumor cells, pathogens

natural killer cells-viral infected/some tumor cells

Term
leukopoiesis
Definition

production of WBCs

stimulated by cytokines

positive feedback

Term
leukocytosis
Definition

high WBC count

indicative of acute infection or physiological stress

Term
leukemia
Definition
a group of cancers resulting in excess numbers of a specific nonfunctional WBC clone within blood, cancerous WBC production crowds out production of other cells and results in anemia with death due to infection or hemorrhage
Term
types of leukemias
Definition

lymphocytic or myelocytic

acute or chronic

Term
infectious mononucleosis
Definition
caused by EBV, excessive number of typically abnormal monocytes and lymphocytes, can develop into cancer
Term
leukopenia
Definition
low WBC count, indicative of systemic infection or certain types of poisoning
Term
differential WBC count
Definition
determine percentages of each leukocytes to determine infection or leukemia
Term
WBC cells counts
Definition

neutrophils if bacterial infection

lymphocytes if viral infection

monocytes if fungal/viral infection

eosinophils if parasite infection

basophils if allergy reaction

Term
platelets
Definition
cytoplasmic fractions derived from megakaryocytes, aid in clotting
Term
platelet role in clotting
Definition

release serotonin-stimulate smooth muscle contraction


attach to protruding collagen fibers of BM


become sticky and attract more platelets to form platelet plug

 

Term
hemostasis
Definition
cessation of bleeding in a quick and localized fashion when vessels are damaged
Term
process of hemostasis
Definition

blood vessel spasm

platelet plug

coagulation

Term
blood vessel spasm
Definition

damage to arteries and arterioles causes reflex contractions in smooth muscle of vessel walls


leads to vasoconstriction to reduce blood flow


due to reflex activity and release of serotonin

Term
platelet plug
Definition

platelets attach to exposed collagen and fibrin plug aids stability


adhesion

release

aggregation

Term
coagulation
Definition
positive feedback mechanism by which a group of substances react with one another and eventually form a clot
Term
mechanisms that initiate coagulation
Definition

extrinsic pathway

intrinsic pathway

Term
extrinsic pathway
Definition

clot forms in seconds, requires factor not in bloodstream


damage->factor reaches blood->clotting factors activated->activation of prothrombin activator (prothrombinase)

Term
intrinsic pathway
Definition

clot forms in minutes, all components housed in blood


damage exposes BM ->platelets bind collagen->activation of hageman factor (factor XII)->clotting factors activated->activation of prothrombinase

Term
common pathway
Definition

prothrombin activator cleaves prothrombin to thrombin


thrombin converts fibrinogen to fibrin threads


fibrin fibers form mesh around platelets to form clot

Term
post-clot functions
Definition

clot plugs ruptured areas


PDGF signals smooth muscle and fibroblast proliferation to repair tissue


VEGF signal endothelial proliferation to regrows the vessel

Term
fibrinolysis
Definition
plasminogen activator secreted by endothelial cells->cleaves plasminogen into plasmin->plasmin digests fibrin fibers to break up clot
Term
thrombus
Definition
a clot that develops and persists in an unbroken blood vessel, can blood circulation
Term
embolus
Definition
if all or some of thrombus break loose and travel to smaller blood vesels, become wedged and block circulation
Term
heparin
Definition
inhibits thrombin
Term
aspirin
Definition
inhibits production of a particular pro-clotting factor
Term
coumadin
Definition
inhibits use of vitamin K (used to make several clotting factors)
Term
disseminated intravascular coagulation (DIC)
Definition

complication of pregnancy and surgery


clotting factor are used up by widespread mini-clots,

nothing left to form a clot,

results in severe bleeding

Term
thrombocytopenia
Definition
deficient platelet numbers due to loss of bone marrow, petechiae
Term
petechiae
Definition
small purple bruises caused by numerous small hemorrhages
Term
hemophilia
Definition
group of genetic disorders in which an individual lacks a specific clotting factor, rely on injection of factor to stop bleeding
Term
agglutinins
Definition
antibodies directed against blood antigens not present on persons own RBCs, will attach and lyse any RBC containing those antigens
Term
universal donor
Definition
o-
Term
universal recipient
Definition
AB+
Term
location of heart
Definition
superior surface of diaphragm, left of midline, within the mediastinum of thorax
Term
pulmonary circulation
Definition
right of the heart
Term
systemic circulation
Definition
left of heart
Term
pericardium
Definition
double sac covering of the heart
Term
functions of pericardium
Definition
protect and anchor, prevent overstretching, prevent friction
Term
parietal pericardium
Definition
folds to form visceral pericardium, lines internal surface of the fibrous pericardium
Term
visceral pericardium
Definition
epicardium; attached to outer heart
Term
pericardial cavity
Definition
fluid filled space between parietal and visceral pericardium, contains small amount of fluid that reduces friction
Term
pericarditis
Definition
infection causes inflammation of pericardium, layers adhere interfering with heart movements and causing considerable pain
Term
layers of heart
Definition
epicardium, myocardium, endocardium
Term
epicardium
Definition
visceral layer of serous pericardium, outer protective layer consisting of mesothelium and connective tissue
Term
myocardium
Definition
cardiac muscle layer of heart, muscle tissue oriented in several ways and fibrous skeleton (connective tissue)
Term
endocardium
Definition
endothelial cells, simple squamous epithelium and connective tissue rich in elastic and collagen fibers
Term
purkinje fibers
Definition
specialized cells that transmit the electrical impulses of the heart
Term
atria
Definition
upper chambers that receive blood from veins, thin-walled, superior portion
Term
auricles
Definition
appendages that increase volume of atria
Term
ventricles
Definition
lower chambers that receive blood from atria, pump blood into arteries, thick-walled
Term
skeletal system of heart
Definition
dense fibrous connective tissue continuous between septa, help anchor myocytes
Term
heart valves
Definition
ensure unidirectional flow of blood through heart chambers
Term
AV valves
Definition
lie between atria and ventricles, prevent backflow into atria
Term
semilunar valves
Definition
lie between ventricles and exiting vessels
Term
circumflex artery
Definition
supplies walls of left atrium and ventricle; left coronary branch
Term
anterior interventricular artery
Definition

supplies walls of both ventricles; left coronary branch

Term
posterior interventricular artery
Definition
supplies walls of both ventricles; right coronary branch
Term
marginal artery
Definition
supplies walls of right atrium and ventricle; right coronary branch
Term
collateral routes
Definition
ensure blood delivery to heart even if major vessels are occluded
Term
murmur
Definition
leakage of a heart valve
Term
intercalated discs
Definition
specialized connections between adjacent cardiac myocytes containing gap junctions and desmosomes
Term
ventricular syncytium
Definition
ventricular contraction, regulated by AV node
Term
atrial syncytium
Definition
atrial contraction, regulated by SA node
Term
cardiac conduction system
Definition
network of cardiac muscle cells that are specialized to transmit impulses in a time-coordinated fashion throughout the heart
Term
SA node
Definition
sinoatrial node; acts as pacemaker to stimulate atrial syncytium in a rhythmic fashion
Term
AV node
Definition

atrioventricular node; stimulates ventricular syncytium, stimulated by SA node, impulse is delayed

av node>av bundles>purkinje fibers>syncytium

Term
arrhythmias
Definition
uncoordinated atrial and ventricular contraction
Term
fibrillation
Definition
rapid and irregular heart beats due to loss of SA node pacemaker activity
Term
heart block
Definition
damage to AV node
Term
electrocardiogram
Definition
comprehensive picture of the electrical activity of the heart
Term
p wave
Definition
atrial depolarization initiated by SA node
Term
qrs comples
Definition
ventricular depolarization (atrial repolarization is masked by larger qrs complex)
Term
t wave
Definition
ventricular repolarization
Term
cardiac output
Definition
volume of blood pumped per minute, product of rate and stroke volume
Term
regulation of cardiac output
Definition
controlled by ANS
Term
parasympathetic fibers
Definition
slow down output, fiber via vagus nerves, act on AV and SA nodes
Term
sympathetic fibers
Definition
accelerate output, fibers via accelerator nerves
Term
premature beats
Definition
center other than SA node initiating beat
Term
fluter
Definition
atria or ventricles contract at a very rapid but regular rate
Term
age related conditions
Definition

sclerosis and thickening of valves

decline in cardiac reserve

atherosclerosis

Term
arteries
Definition
carry blood away from the heart; aorta branches into smaller and smaller branches and eventually into arterioles
Term
capillaries
Definition
smallest blood vessels, only one cell layer thick, site of exchange between blood and tissues of body
Term
veins
Definition
carry blood from tissues to heart, formed by convergence of venules into larger veins
Term
lumen
Definition
central blood containing space surrounded by tunics
Term
tunica externa
Definition
outermost layer composed of connective tissue containing vaso vasorum
Term
tunica media
Definition
composed of smooth muscle and elastic connective tissue, thicker in arteries than veins, innervated by sympathetic ANS
Term
tunica intima
Definition
composed of simple squamous epithelium and underlying connective tissue; only layer present in capillaries
Term
elastic arteries
Definition
large thick-walled arteries close to the heart, expand and recoil, aorta and branches, large lumen, elastin in all three tunics, withstand and smooth out large pressure fluctuations
Term
muscular arteries
Definition
carry blood to specific organs, able to constrict to regulate blood flow, thick tunica media with more muscle
Term
arterioles
Definition
regulate blood flow to capillary beds via constriction/dilation, smallest arteries
Term
capillary permeability
Definition
contain fenestrations at cell junctions
Term
factors that determine what leaks out of capillaries
Definition

size of pores

hydrostatic pressure (outward pressure)

osmotic pressure (inward pressure)

Term
precapillary sphincter
Definition
cuff of smooth muscle at capillary/arteriole junction that can cut off blood flow through at a capillary bed, regulates blood flow into the bed
Term
valves in veins
Definition
found in veins of the legs to prevent back flow of blood between heart contractions
Term
low pressure system
Definition
veins rely heavily on skeletal muscle contractions and respiratory pumps to return blood to heart
Term
varicose veins
Definition
incompetent valves leading to dilation of affected veins, typically due to venous pressure, common in legs and anus
Term
venous sinuses
Definition
specialized large flattened veins with walls consisting solely of endothelium, allow very low back pressure drainage, lack outer tunics
Term
vascular anatomoses
Definition
the joining or crosslinking of blood vessels that serve a common region; allow alternate patterns of blood flow in case of blockage or injury
Term
patterns of anastomoses
Definition

artery to artery

vein to vein

arteriole to venule

Term
blood flow
Definition
amount of blood flowing through a structure in a given period of time, measures in volume per minute, same as cardiac output
Term
blood pressure
Definition
outward force exerted against walls of blood vessels by blood; arterial higher than venous
Term
resistance
Definition
opposition to blood flow, referred to as peripheral resistance, amount of friction blood encounters
Term
sources of resistance
Definition

blood viscosity

vessel length

vessel diameter

Term
factors influencing blood pressure
Definition

cardiac output (systolic)

blood volume (diastolic)

peripheral resistance (both)

viscosity

Term
hypertension
Definition
high BP, transient or persistent, no symptoms
Term
essential or primary hypertension
Definition
idiopathic
Term
secondary hypertension
Definition
due to known cause such as atherosclerosis or positive feedback
Term
hypertension dangers
Definition

increased blood clotting

formation of aneurysm

Term
blood flow rate
Definition

fastest in aorta

slowest in capillaries

Term
autoregulation
Definition
the intrinsic adjustment of blood flow to individual organs based on their immediate requirements
Term
circulatory shock
Definition
any condition when blood vessels are inadequately filled
Term
hypovolemic shock
Definition
low blood volume due to hemorrhage
Term
vascular shock
Definition
abnormal vasodilation due to loss of sympathetic input
Term
cardiogenic shock
Definition
pump failure of heart
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