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THE CARDIOVASCULAR SYSTEM. LEARNING OBJECTIVES. Understand the interaction between the cardiovascular and respiratory systems Identify and describe the external and internal structures of the heart.

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Learning objectives l.jpg
LEARNING OBJECTIVES

  • Understand the interaction between the cardiovascular and respiratory systems

  • Identify and describe the external and internal structures of the heart.

  • Describe and explain the events of the cardiac cycle and how it is linked to the conduction system

  • Know definitions and resting values for stroke volume, heart rate & cardiac output.

  • Describe and explain changes in heart rate, stroke volume and cardiac output during sub–maximal and maximal work

  • Explain how changes in heart rate are regulated by neural, hormonal and intrinsic factors.

  • Be able to represent graphically heart rate response to varying intensities of workload and during recovery.

  • Describe and explain the distribution of cardiac output at rest and on exercise via the vascular shunt and vasomotor control centre

  • Describe how carbon dioxide and oxygen are carried in the blood

  • Describe the mechanisms of venous return

  • Describe the effects of a warm up and cool down on the vascular system.


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Cardiovascular and respiratory systems

  • Aerobic exercise uses oxygen to supply the energy needed

  • Three distinct systems work together to ensure oxygen is supplied to the working muscles during exercise

  • These are the heart, vascular (blood vessels) and respiratory systems.


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The Heart

  • The heart is a double pump – two separate pumps that work side by side

  • The right side pumps deoxygenated blood to the lungs

  • The left side pumps oxygenated blood to the rest of the body

  • The heart consists of four chambers –two upper atria and two lower ventricles

  • The atrio-ventricular valves separate the atria and ventricles

  • The semi-lunar valves are found in the pulmonary artery and aorta.

    Exercise 1Exercise 2Exercise 3


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Two phases systole – contraction phase (atrial and ventricular) – 0.3 secsdiastole – relaxation phase – 0.5 secs

DIASTOLE

atria fill with blood

pressure rises

atrioventricular valves open

blood passes by gravity into ventricles

semi lunar valves closed

SYSTOLE

Atrial systole

Atria contract

Forces remaining blood into ventricles

Ventricles remain relaxed

Ventricular systole

Ventricles contract at same time

Blood pressure increases

AV valves forced shut (so no backflow)

Semi-lunar valves forced open

Blood pushed into aorta and pulmonary artery

The cardiac cycleHow blood flows through the heart

Exercise 4


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The conduction system of the heartHow the cardiac cycle is controlled

  • Initial impulse begins in the right atrium – sinoatrial nodeSAN(pace maker)

  • Wave of contraction spreads through atria causing them to contract

  • Impulse passed to atrioventricular node AVN (lies between atria)

  • AVN sends impulse along muscle fibres between ventricles (Bundle of His)

  • Impulse conducted down septum to base of ventricles to Purkinje fibres

  • Causes ventricles to contract

Exercise 5http://www.quia.com/rd/30225.html?AP_rand=604219036

Exercise 6

Click here for a summary sheet(Exercise 7)


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Heart definitions

  • STROKE VOLUME- volume of blood ejected from the heart when the ventricles contract (at rest = 70 cm3)

  • HEART RATE – the number of (ventricle) contractions in one minute (at rest = 72bpm)

  • STROKE VOLUME – (Q) volume of blood ejected from the heart in one minute (at rest = 5Litres)

  • Q = HR X SV

Exercise 8


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Responding to exercise

  • As exercise begins the following sequence of events takes place in the heart

  • 1. Resting heart rate – about 72 for untrained but for trained can be as low as 60.

  • 2. Anticipatory rise – due tothe release of the hormone adrenalin. This acts on the SA node to increase heart rate.

  • 3. Rapid increase of HR – at start of exercise due to receptors: proprioreceptors detect increased movement; chemoreceptors detect increased CO2 and lactic acid and decreased O2. These stimulate the CCC which stimulates SA node to increase HR

  • 4. Continued but slower increase of HR – due tocontinued effect of receptors, increase in blood temp and increase in venous return.


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  • 5A Slight fall/ steady plateau – (aerobic sub maximal work) – due to oxygen supply meeting demand, baroreceptors slow HR to optimal via stimulation of para sympathetic nerves.

  • 5B Continued rise in heart rate – ( maximal aerobic work) – due to anaerobic work where supply is below demand and to increasing lactic acid levels.

  • 6Rapid fall in heart rate – as exercise stops due to decreased stimulation by receptors.

  • 7 Slower fall in heart rate towards resting levels- due to elevated HR to help repay oxygen debt and to remove by products of respiration such as lactic acid.

  • You should be able to show this information graphically

  • Make sure whether the question asks for maximal or sub maximal exercise – use either 5A or 5B

  • NB maximum heart rate is 220 minus age

Exercise 9


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Control of heart rate

  • Heart rate is regulated by the cardiac control centre found in the medulla oblongata of the brain.

  • The cardiac control centre is controlled by the autonomic nervous system.

  • This system consists of sensory and motor nerves from either the sympathetic or parasympathetic nervous system.

  • Sympathetic nerves increase heart rate and parasympathetic nerves decrease heart rate.

  • The cardiac control centre initiates either sympathetic or parasympathetic nerves to stimulate the sino-atrial node to increase or decrease heart rate.


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There are three main factors which affect the activity of the cardiac control centre. They are neural, hormonal and intrinsic.

  • Neural controlDuring exercise sensory receptors stimulate the cardiac control centre. These receptors include:- proprio-receptors which sense that movement has increased.chemoreceptors which sense changes in chemicals in the muscles and blood. These changes include increased levels of carbon dioxide and lactic acid and increased acidity in the blood. baroreceptors which are sensitive to stretch within within the blood vessel walls. These detect increased blood pressure. The cardiac control centre responds to this information by stimulating the sino-atrial node via the sympathetic cardiac accelerator nerve to increase heart rate.


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  • Hormonal control the cardiac control centre. They are

  • Before and during exercise adrenalin is released in the blood.

  • This stimulates the sino-atrial node to increase heart rate.

  • Intrinsic control

  • During exercise temperature increases which increases the speed of nerve impulses which in turn increases heart rate.

  • Venous return increases heart rate which directly increases EDV and therefore stroke volume (Starlings Law).

Exercise 10


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Blood vessels the cardiac control centre. They are

  • There are three main groups of blood vessels.

  • Arteries and arterioles- transport oxygenated blood away from the heart.

  • Capillaries – bring blood to the tissues where oxygen and carbon dioxide are exchanged.

  • Veins and venules – transport deoxygenated blood back towards the heart.


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Blood vessel structure the cardiac control centre. They are

  • Blood vessels have three layers except capillaries which are single walled.

  • Arteries and arterioles have middle layer of smooth muscle which allows them to vasodilate (widen) and vasoconstrict (narrow).

  • Arterioles have precapillary sphincters at the entry to the capillary. These control blood flow.

  • Capillaries are one cell thick to allow efficient gaseous exchange.

  • Venules and veins have thinner muscular walls. The can vasodilate and vasoconstrict. They also have valves to prevent the backflow of blood.


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Venous return the cardiac control centre. They are

  • Starlings Law of the Heart states that stroke volume is dependent on venous return.

  • At rest the amount of blood returning to the heart (venous return) is enough to supply the demands of the body.

  • On exercise this is not enough so venous return must be increased. This happens in the following ways.


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Click on the links to complete the exercises the cardiac control centre. They are

  • Exercise 11 summary sheet

  • Exercise 12 matching exercise

  • Exercise 13 crossword

  • Exercise 14 cloze exercise


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VASCULAR SHUNT the cardiac control centre. They are

  • At rest only a small % of the blood supply is supplied to the muscles (15%).

  • The rest supplies the bodies organs.

  • Changes during exercise –

  • Increased cardiac output is supplied to the muscles (80-85%).

  • Less blood is supplied to the body organs.

  • Blood supply to the brain is maintained.

  • During light exercise increased supply to the skin reduces temperature.

  • The process of redistributing blood supply is called the vascular shunt mechanism.

  • Skeletal muscle arterioles and pre-capillary sphincters vasodilate increasing blood supply to muscles.

  • Organ arterioles and pre-capillary sphincters vasoconstrict decreasing blood supply to organs.


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VASCULAR SHUNT MECHANISMS the cardiac control centre. They are

ORGANS

MUSCLES

INCREASED STIMULATION OF SYMPATHETIC NERVES

DECREASED STIMULATION OF SYMPATHETIC NERVES

VASODILATION OF PRE CAPILLARY SPHICTERS AND ARTERIOLES

VASOCONSTRICTION OF ARTERIOLES & PRE CAPILLARY SPHINCTERS

DECREASED BLOOD FLOW (Q) TO CAPILLARIES OR NON ESSENTIAL ORGANS

INCREASED BLOOD FLOW (Q) TO CAPILLARIES OR WORKING MUSCLES


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CONTROL OF THE VASCULAR SHUNT MECHANISM the cardiac control centre. They are

  • This is controlled by the vasomotor controlcentre found in the medulla oblongata of the brain.

  • Chemoreceptors and baroreceptors stimulate the VCC.

  • VCC stimulates the sympathetic nervous system which control blood vessel lumen diameter of organs and muscles.


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Click on the links to complete the exercises the cardiac control centre. They are

  • Exercise 15 Cloze exercise

  • Exercise 16 work sheet

  • Exercise 17 Summary sheet


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Oxygen and carbon dioxide transport the cardiac control centre. They are

Oxygen is transported in two ways:

  • 97% is carried in the red blood cells bound to haemoglobin as oxyhaemoglobin.

  • 3% is carried dissolved in the plasma.

    Carbon dioxide is transported in three ways:

  • 70% combined with water within the red blood cells as carbonic acid.

  • 23% combined with haemoglobin as carbaminohaemoglobin.

  • 7% dissolved in the plasma.


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Warm up the cardiac control centre. They are

  • Warm up – effects on vascular system

  • Gradual increase in blood flow brings more oxygen to working muscles

  • An increase in temperature produces

  • An increase in the rate transport of enzymes needed for the energy systems.

  • A decrease in the viscosity of the blood which improves blood flow

  • An increase in oxygen dissociating from oxyhaemoglobin

  • A warm up delays the onset of blood lactic acid


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Cool down the cardiac control centre. They are

  • An active cool down keeps respiratory and muscle pumps working which prevents blood pooling in the veins and maintains venous return.

  • Capillaries remain dilated which means more oxygenated blood reaches the muscles which results in more lactic acid and carbon dioxide being removed.

Exercise 18


Click on the links for some revision games l.jpg
Click on the links for some revision games the cardiac control centre. They are

  • http://www.quia.com/rr/89411.html

  • http://www.quia.com/mc/470408.html

  • Just a minute


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