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Learning Outcomes<br>Students should be able to:<br>- describe the structure and function of the heart in terms of muscular contraction and the working of<br>valves<br>- outline the cardiac cycle in terms of what happens during systole and diastole (histology of the<br>heart muscle, names of nerves and transmitter substances are not required)<br>- describe coronary heart disease in terms of the occlusion of coronary arteries and list the possible<br>causes, such as diet, stress and smoking, stating the possible preventative measures
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Lesson Objectives: • Double & single circulation • Structure of heart • Mode of action of heart
Double circulation in mammals Blood vessels Circulatory system Heart Blood The mammalian circulation plan Lung pulmonary circulation As blood passes through heart twice, this also known as double circulation systemic circulation All other parts of the body
The pulmonary circulation 3 The blood becomes oxygenated 1 Deoxygenated blood in right ventricle 2 The blood is pumped through pulmonary artery into lungs for gas exchange 4 The blood flows through pulmonary veins to left atrium The human circulatory system
The systemic circulation 3 O2and nutrients diffuse into cells while CO2 and wastes diffuse out 1 Oxygenated blood in left ventricle 2 The blood is pumped through aorta to all parts of the body except lungs 4 The blood flows through inferior/ superior vena cava to right atrium The human circulatory system
Single circulation Systemic circulation
Heart Click me!
External Structure of heart Heart consists of 4 chambers 2 atria (right atrium and left atrium) – smaller – on the upper part 2 ventricles – larger – below atria (plural) right atrium left atrium left ventricle right ventricle
Internal Structure of heart Heart consists of 4 chambers 2 atriums – smaller – on the upper part 2 ventricles – larger – below atriums right atrium left atrium left ventricle right ventricle
Atriums and ventricles are separated by valves to prevent backflow of blood semi-lunar valves tricuspid valve bicuspid valve Septum chordae tendineae holds valves in position and avoids them to turn inside-out prevents mixing of blood in both sides of the heart
Blood flow and blood vessels pulmonary artery to lung aorta from body to body from lung superior vena cava pulmonary veins inferior vena cava from body deoxygenated blood oxygenated blood
Circulation of blood around the body Arterial supply Venous return
External Structure of heart pulmonary vein aorta pulmonary artery coronary artery superior vena cava coronary vein inferior vena cava
Structure of heart Superior vena cava chordae tendineae aorta Pulmonary artery Right atrium Pulmonary valve Pulmonary vein Left atrium bicuspid valve tricuspid valve Left ventricle Inferior vena cava Right ventricle aortic valve Median septum
Activity: Label the following diagram of the heart in the worksheet provided
Label the external parts of the heart: 1. superior vena cava 2. aorta 3. pulmonary arteries 4. left atrium 5. right atrium 6. right ventricle 7. left ventricle 8. right coronary vein 9. right coronary artery 10. apex
Label the internal parts of the heart: 1. superior vena cava 2. right atrium 3. tricuspid valve 4. right ventricle 5. papillary muscle 6. aorta 7. pulmonary artery 8. left atrium 9. bicuspid valve 10. median septum
Mode of action right atrium left atrium Backflow prevented by tricuspid valve Backflow prevented by bicuspid valve contract simultaneously right ventricle left ventricle contract simultaneously aortic arch pulmonary arch (atria relaxes) (atria contracts)
Mode of action • closing of tricuspid & bicuspid ‘ valves produce loud ‘lub’ sound (ventricular contraction/systole) • closure of semilunar valves produce ’dub’ sound (ventricular relaxation/diastole) • one systole + one diastole = one heartbeat • atria and ventricle work alternately
Blood pressure • Force of blood exerted on blood vessel walls • Highest during ventricular systole, when blood is forced into arteries • Decreases during ventricular diastole • Varies in different parts of the body (arteries near heart → high; veins (far from heart → low) • Varies with individuals Normal person: systolic pressure = 120-140mm of mercury diastolic pressure = 75-90mm of mercury • Blood pressure is given as the systolic pressure being the first number than diastolic pressure being the second number e.g. 120/80 (120 over 80) • High blood pressure when blood pressure is 140/90 or higher
High blood pressure • High blood pressure when blood pressure is 140/90 or higher • May occur temporarily after heavy exercise or when a person is angry • Persistent high blood pressure (in middle- aged or elderly people) is a dangerous medical condition • Can be easily controlled if they see a doctor in time and follow the medical advice given
***Pressure changes in the heart (Refer to pg 161 Biology Textbook) Recall • one systole + one diastole = one heartbeat • atria and ventricle work alternately (ventricular systole + atrial diastole occur simultaneously and atrial systole + ventricular diastole occur simultaneously)
Increase in pressure due to blood flowing into the aorta when the ventricle contracts Pressure in the aorta rises due to backflow of blood in the aorta Pressure in the aorta follows that of the pressure in the ventricle (pressure is slightly lower) Increase in pressure due to blood flowing into the ventricle when the atrium contracts
For bicuspid valve to open, pressure in the left atrium must be high and vice versa ( D ) ‘O’ Level Bio P1 Nov 2008
Atrio-ventricular valve = bicuspid or tricupid valves Semi-lunar valve = valve in aorta Between W and X, ventricular pressure is increasing hence atrio ventricular valves would be closed and semi lunar valve would open as blood is pushed through the aorta ( B ) ‘O’ Level Bio P1 Nov 2006
0.6 s = one heartbeat 60/0.6 = 100 heartbeats per min ( C ) ‘O’ Level Bio P1 Nov 2006
Pulse (produced after every ventricular contraction) ventricular contraction blood is pumped into aortic arch blood is pumped into arteries increased pressure causes arteries dilate walls of arteries recoil Blood forced along in series of waves [Imagine a fireman’s hose]
Experiment to demonstrate the presence of valves in veins
Demonstrating the presence of valves Procedure: • Bandage the upper arm (valves in veins appear as small swellings) [see above] • Place 2 fingers at point Y • Using one finger push blood to point X • Blood flowed back to from X to b and no further
Coronary Heart Disease • Coronary arteries lie on the outside of the heart and carry blood to the muscles in the walls of the heart • Blood supply to the heart can be greatly reduced if the coronary arteries become blocked or narrowed 1) Angina (chest pains) Narrowing/ blocking of coronary arteries 2) Heart attack
Transverse sections of 2 arteries (cholesterol + polysaturated fats)
2) Heart Attack!!! Fatty substances (cholesterol and polysaturated fats) may be deposited on the inner surfaces of the coronary arteries (atherosclerosis); This narrows the lumen of these arteries + increases blood pressure; Such an affected artery develops rough inner surfaces, which increases the risk of a blood clot being trapped in the artery (thrombosis); If it occurs in the coronary arteries, the supply of blood and oxygen to the heart muscles may be completely cut off. The heart muscle cells may be damaged and die, triggering a heart attack. • • • •
Atheroma formation A thrombus is an aggregate of a network of fibrin, platelets, and blood elements trapped by the fibrin net
Factors that increase the risk of atherosclerosis and coronary heart disease 1. A diet rich in cholesterol and saturated animal fats 2. Emotional stress 3. Smoking
Preventive measures against coronary heart disease • Proper diet – rich in dietary fibres; substitute animal fats with polyunsaturated plant fats • Proper stress management • Avoid smoking - Nicotine increases blood pressure - CO increases risk of fatty deposits on inner surfaces of arteries • Regular physical exercise - strengthens the heart and maintains elasticity of arterial walls
Ballooning & Stent Insertion