Circulation

CIrculatory System

1. CIRCULATION
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Circulatory System
Blood Vascular
System
Lymphatic
System
Blood
Heart
Blood Vessels
Lymph
Lymph vessels
Lymph nodes
Functions of circulatory system:
1. Transport of nutrientsfrom the digestive organs to different tissues.
2. Transport of waste productsfrom different tissues to the excretory organs.
3. Transport of respiratory gasesnamely, O
2from the respiratory organs to the tissues and
CO
2from the tissues to the respiratory organs for its removal.
4. Transport of hormonesfrom the site of origin (i.e. endocrine glands) to the tissues,
which they stimulate (i.e. target-organs).
5. Distribution of waterto the tissues to prevent their desiccation (drying).
6. Maintenance of temperatureby distributing heat uniformly all over the body.
7. Transport of electrolytesfor maintenance of homeostasis in the body.
8. Protection of the bodyas it contains W.B.C.s, which destroy microorganisms.
9. Besides these, the circulatory fluids help in the clinical diagnosisof variety of diseases

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Blood Vascular
Systems
Open Circulatory System Closed Circulatory System
1. Blood does notremain confined to
blood vessels.
2. Exchange of material takes place
between tissue cells and the blood
directly. There are no veins and
capillaries.
3. Blood of these animals does not contain
respiratory pigment.
4. Hemoglobinis dissolved in plasmaand
not in cells. Blood is colourlessand is
called haemolymph.
5. Blood pressure is low. Efficiency of
system is less.
6. Open blood vascular system is present
in leech, crab, prawn, lobster, cockroach,
spider, snail, bivalve and herdmania
1. Blood flows through closed blood vessels
and nevercomes in direct contactwith cells.
2. Blood flows through blood vessels like
arteries, veins and capillaries.
3. Exchangeof metabolic substances takes
place through the thin wall of capillaries.
4. Blood flows with highblood pressure and
shows high efficiency.
5. Closed blood vascular system is found in
earthworm, sepia and all vertebrates.

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Circulation in Humans
1.The heart (a muscular, contractile organ) pumps
the blood into arteries
2.They branch into smaller vessels called arterioles.
3.The arterioles further divide into many tiny, thin-
walled vessels called capillaries.
4.Nutrients, water, respiratory-gases, electrolytes,
hormones etc. are exchanged between blood and
surrounding tissue cells across the capillary wall.
5.The capillaries unite into small vessels called
venules.
6.The venulesjoin together to form bigger vessels
called,veinswhich finally returns the blood back
to the heart.
Advantages of closed circulatory system:
1.The blood flows faster in closed blood vessels
than in wide-open spaces and hence a sufficiently
high blood pressurecan be maintained (important
for brain, kidney etc.).
2.Due to the rapid flow of blood, the supply and
removal of gases and materials to and fro the
tissues by the blood is quickened.

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BLOOD
1.Blood is a fluid connective tissuederived from the mesoderm.
2.5-6 liters of blood which is 6% to 8% of body weight .
3.Study of blood is called Haematology
4.It is bright red, slightly alkaline (pH 7.4), salty, viscous fluid heavier than water
PLASMA:
1. 55%of blood, straw coloured, alkalinefluid.
2. 90%-92% waterand 8%-10% suspended and dissolved substances.
3. Plasma proteins (7%)
a) Fibrinogens-clotting or coagulation of blood.
b) Globulins-defence mechanisms of the body
c) Albumin-osmotic balance.
d) Factorsfor coagulation or clottingof blood are also present in the plasma in an inactive form.
Plasma without the clotting factors is called serum.
4. Other solutesare -nutrientslike glucose (0.1%),amino acids, fatty acids and glycerol;
-nitrogenous wastessuch as urea, uric acid, ammonia and creatinine;
-gaseslike oxygen, carbon dioxide nitrogen;
-regulatory substanceslike enzymes & hormones,
-immune components like antibodies;
-inorganic substanceslike HCO3 , Cl-, PO4 & SO4 of Na+ , K+, Ca++, Mg++ etc.
BLOODPlasma (55%)+Cells (45%)=

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Red Blood Corpuscles / Erythrocytes
Structure:
-Circular, biconcave, non-nucleatedcells
-Diameter is 7.2 μmand thickness is 2-2.2 μm.
-count in adult males is 5.0 to 5.5 million per mm3
-in adult females is 4.5 to 5.0 million per mm3.
-life span of a single RBC is 100 to 120 days.
Characteristics:
-Formation of RBC's is called erythropoiesis.
-In foetus-yolk sac, kidney, spleen andliver.
-In adults -red bone marrow.
-Destroyed by spleen & liver.
-Iron containing complex protein called haemoglobin
-Hemoglobin has great affinity for oxygen and carbon-di-oxide.
-13 -18 mg/100 ml of blood in males
-11.5 -16.5 mg/100 ml of blood.
Function:
-transportof respiratory gases
-maintain blood pHas haemoglobinacts as a buffer.
-maintain the viscosityof blood

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Life Cycle of RBC

8. White Blood Corpuscles / Leucocytes
Structure:
Colourless, nucleated, amoeboid, phagocyticcells.
They can easily pass through the blood vessels.
This process is called diapedesis.
WBC count is 4000-11000 per cu mmand size is
about 8μ to 15μ.
Life span is3-4 days.
Leukemiais pathological increase in number and is
commonly called blood cancer.
Formation of WBCs is called leucopoiesis.
Leucocytes are produced in red bone marrow,
spleen, lymph nodes, tonsils, thymus, Payer's
patches

9. WBC -Granulocytes
NEUTROPHILS :
Stained by neutral stain, 60-65%of WBC’s
Nucleus is multi-lobed.
They are the chief phagocyticcells and engulf microorganisms.
BASOPHILS:
Basic stains, about 0.5%of total WBC.
twisted nucleus,non-phagocytic,release heparinin the blood stream
along with histamine and serotinin.
EOSINOPHILS (ACIDOPHILS):
stained by acidic stains (like eosin), about 2-3% of total WBC.
Nucleus is bi-lobed.
Non-phagocytic and their number increases during allergic conditions.
They show anti-histaminicproperty.
Increase of eosinophilsis known as eosinophilia
WBC -Agranulocytes
LYMPHOCYTES:
large rounded nucleus , about 20-30 %of total WBC's.
produce antibodiesand opsoninsto neutralize harmful effect of toxins
Two major types –‘B’and ‘T’forms.
Both B and T lymphocytes are responsible for immune responses in body
MONOCYTES :
largest, 6-8 %of the total WBC's.
kidney shaped nucleus.
At the site of infection, enlarge to become macrophagesand become
phagocytic and engulf microorganisms.

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THROMBOCYTES:
These are fragments of large cells
called megakaryocytes in the bone
marrow.
They are non-nucleated, round andbi-convex.
These are smallest elementsof blood of2.5μm to 5μm.
The average count is about 1.5-3.5 lakhs per cubic millimeter.
Decrease in the number of platelets is called thrombocytopenia
while; increase in number of platelets is called thrombocytosis.
They help in formation of clotover the injury. Thus, loss of
blood is prevented.
A reduction in their number can lead to clotting disorders which
will lead to excessive loss of blood from the body.
BLOOD PLATELETS (THROMBOCYTES)

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FUNCTIONS OF BLOOD
Distribution : supplies digested and absorbed food from alimentary canal to all parts.
Transport:It carries hormones , respiratory gases , nitrogenous wastes
Production of antibodies: Antibodies are produced in response to foreign substances thus
help in defense mechanism.
Thermoregulation:It distributes heat and helps in maintaining body temperature.
Prevention of water loss:It distributes adequate quantity of water to all cells and prevents
dehydration.
Protection:It prevents loss of blood by formation of blood clot.
Phagocytosis by neutrophils and monocytes, which engulf and digest bacteria. Thus, it gives
protection from pathogens.
Osmotic balance: The proteins and minerals in plasma exert osmotic pressure and regulate
blood pressure

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CLOTTING OF BLOOD
BLOOD CLOTTING OR COAGULATION:
-initiated by platelets.
-The injured cells release substances that
attract the platelets.
-They gatherat and stickto the injured
surfaceof the blood vessel.
-The mass of aggregated platelets alone may
physically pluga cut in a very small vessel.
-The contact of plateletswith the collagen
fibersexposed by the injury causes them to
disintegrate and release two substances:
serotoninand thromboplastin, which minimize
loss of blood from the injury in two ways.

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CLOTTING OF BLOOD
Vasocontraction:
Serotonincauses the blood vessels at the site of
bleeding to contract.
Clot Formation:
Thromboplastin, a lipoprotein,
helps in clot formation

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CLOTTING OF BLOOD

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BLOOD GROUPS
ABO Blood Groups:
-Karl Landsteiner (1900) recognized four types of blood groups in human beings
(commonly known as ABO blood groups).
-The ABO blood groups are determined by the gene Ihaving three alleles(I
A
, I
B
, and I
O
)
-In human beings, there are present two antigens Aand B produced by I
A
and I
B
alleles
respectively.
-These antigens are always present on the surface of red blood cells.
-Also are present two antibodiesin the plasma aand b

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Rh (Rhesus) System:
Human blood possesses another factor antigen D i.e. Rh factor.
Accordingly, human blood can be categorized into two groups: Rh-positiveand Rh-negative.
Those human beings who had this antigenwere termed as Rh-positive (Rh+), (80% of the
population)
The persons, in whom Rh antigen was absent, were designated as Rh-negative (Rh-), (20%
of the population)
It is thought that Rh+ is a dominantcharacter over Rh-which is recessive
ERYTHROBLASTOSIS
FOETALIS
(HaemolyticDisease of
Newborn)

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DOUBLE CIRCULATION
Systemic Circulation:
-The oxygenated blood from the left ventricle of
the heart is sent to the different parts of the
body (except the lungs) via the aortaand its
branches.
-At the same time deoxygenated blood is collected
from all the parts of the body via veins and is
brought back to the right-auricle by the superior
and inferior vena-cavas.
-The blood is carried from the heart to the organs
and back to the heart.
Pulmonary Circulation:
-Deoxygenated blood from the right ventricle is
carried to the lungs via the pulmonary arteries.
-Oxygenation of the blood takes place in the lungs
and oxygenated blood is returned from the lungs
to the left auricle through pulmonary veins.
-Thus blood is carried from the heart to the lungs
and back to the heart.

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HUMAN HEART EXTERNAL STRUCTURE OF THE HEART
Position:
1.Hollow, muscular, conical, pumping-organ
2.situated in the mid-ventralside of the body in
the thoracic cavity between the lungs and
behind the sternum in a space called
mediastinum.
3.Lies slantinga little to the left.
4.The apex (narrow end) is towards the front and
left resting on the diaphragm and base (broad-
end) is directed upwards.
Shape & Size:
1.It is conical in shape and approximately of the
size of one's own-fist.
2.It measures about 12 cm in length, 9 cm in
breadth. It weighs about 300 gramsin males
and 250 gramsin females

20. EXTERNAL STRUCTURE OF THE HEARTHUMAN HEART
Bony Protection: sternumventrally,
vertebral columndorsally
rib cageon the sides
Immediate protection:
By double walled membrane called pericardium.
1. The Fibrous-Pericardium: outer, tough, fibrous
connective tissuecovering.
2. The Serous-Pericardium: inner , double-layered,
vascularized covering around the heart.
A. The Parietal layer:outer,
B. The Visceral layer: inner in contact with the
heart and is called the epicardium.
In between the parietal and visceral folds of pericardium,
there is a fluid present called pericardial fluid(about 50
ml).
Functions:
1. Acts as a shock absorberand protects the heart from
mechanical-shocks.
2. Prevents frictionbetween the two-pericardial
membranes.
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EXTERNAL STRUCTURE OF THE HEARTHUMAN HEART

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EXTERNAL STRUCTURE OF THE HEARTHUMAN HEART

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Chambers:
The human-heart is four chambered, made up of 2 atria and 2 ventricles.
In between the atria and ventricles, there is a transverse groove called the coronary sulcus.
The two ventricles are separated by anterior and posterior inter-ventricular-sulci.
Atria:
They are the upperchambers of the heart.
They are thin-walled and small-chambered.
They form the baseof the heart.
Each atrium has a main cavityand an appendage called an auricle
The atria receive blood from the organs to the heart i.e. receiving-chambers.
Right-atriumreceives deoxygenated bloodfrom the two major veins:
Superior vena cava, which brings blood from the head region.
Inferior-vena-cava, which brings blood from the body region(except from the lungs and heart
itself)
Left-atriumreceives oxygenated bloodfrom the lungs through the four pulmonary veins, two from each lung opening
dorsally in the left atrium.
Ventricles:
They are the lowerchambers of the heart.
They arc thick-walled and large-chambered.
The leftventricle is biggerthan the right ventricle and forms the apexof the heart.
The ventricles push the blood from the heart to the organs i.e. distributing chambers.
Right-Ventriclepumps the blood (deoxygenated) into the pulmonary-aortato be carried to the lungs.
Left-Ventriclepumps the blood (oxygenated) into the systemic-aortato be distributed all over the body.

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Blood-supply of the heart :
Blood vessels are present on the surface of the
ventricles i.e. the coronary arteries and veins.
1.Two coronary arteriesarise from the base of the
aortai.e. the left and right coronary arteries, which
supply oxygenatedblood to the muscles of the heart
(seen on ventral-side).
2. The coronary veinscollect deoxygenatedblood
from the heart muscles, and collect to form the main
coronary vein called coronary sinusand opens into the
right atrium(seen on the dorsal-side)
Embryonic Connection:
The pulmonary trunkand systemic aortaare connected
by ligamentumarteriosum(It is the remnant of ductus
arteriosusa blood vessel, which used to bypass the
blood to the heart in foetus, as the lungs are not
functioning till the child is born.)
After birth once the lungs start functioning, it starts to
close and is completely closed by second month)that
represents remnant of embryonic connection between
the two blood vessels.

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INTERNAL STRUCTURE OF THE HEARTHUMAN HEART

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INTERNAL STRUCTURE OF THE HEARTHUMAN HEART

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INTERNAL STRUCTURE OF THE HEARTHUMAN HEART
THE ATRIA:
upper, thin-walled, small chambers.
separated from each other by inter-atrial septum.
The inter atrial septumshows a shallow saucer shaped depression in the lower part
called as fossa ovalis, which is the remnant of the opening foramen ovaleof the foetal
stage when the lungs were not functioning.
Right-Atrium:
openings for the three major-veins:
Superior vena cavabringing deoxygenated blood from the head-region.
Inferior-vena-cavabringing deoxygenated blood from the body-region, guarded by
rudimentary valve of the inferior vena cava (Eustachian valve).
Coronary sinus, the major coronary vein bringing deoxygenated blood from the heart
muscles guarded by the valve of the coronary sinus (Thebesianvalve).
Left-Atrium:
This left upper chamber shows 4 openings,
two for the right and two for the left pulmonary veins.

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THE VENTRICLES:
lower, thick-walled and large chambers.
The left ventricle is larger than the right ventricle.
Also, the walls of the left ventricle are thicker than those of the right ventricle. The left
ventricle also forms the apex of the heart.
Both the ventricles are separated from each other by the vertical partition called inter-
ventricular-septum.
The inner surface of both the ventricles is thrown into muscular ridgescalled trabeculae-
carnae.
Some particular types of these ridges are pillar like and are called papillary-muscles. They
are threeand tworespectively in the rightand leftventricles.
Right-Ventricle:
A pulmonary-trunkarises anteriorly from the right ventricle, and divides into the rightand
left pulmonary arteriescarrying deoxygenated blood from it to respective lungs.
Left ventricle:
A systemic-aortaarises anteriorly from the left-ventricle carrying oxygenated blood from it
to all the parts of the body.
INTERNAL STRUCTURE OF THE HEARTHUMAN HEART

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INTERNAL STRUCTURE OF THE HEARTHUMAN HEART
Atrio-Ventricular (A-V Valves):
The right atrio-ventricular-apertureis guarded by three
thin leaf -like cusps (flaps) called as the tricuspid valve.
The left atrio-ventricular-aperture is guarded by two
thin leaf-like cusps (flaps) called as the bicuspid
valve(mitral valve).
Each valve is connected by delicate cords (chordae-
tendinae)to one papillary-muscle each of the
ventricles, which prevent the opening of the valves into
the atria.
Semilunar-valves:
The opening of the systemic aorta into the left ventricle
is guarded by three somewhat half-moon shaped cusps
(flaps) which is called as the aortic-semilunar-valve.
Similarly the opening of the pulmonary aorta into the
right ventricle is guarded by the pulmonary-semilunar-
valve. TRICUSPID VALVE

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CARDIAC CYCLE
•The blood is kept in a constant circulation
through blood vessels by the pumping
action or beating of the heart throughout
life.
•The rhythmic contractionof the heart is
called systolefollowed by its dilatationis
called diastole.
•One complete systole and diastole of the
heart makes one heartbeat orcardiac-
cycle.
•During each heartbeat, the chambers of
the heart contract and relax in a specific
sequence and are repeated in a cyclic
manner.
These movements take place in a definite 3 phases:
Phase I:Atrial-systole(simultaneous contraction of
both the atria) lasting about 0.1 sec.
Phase II:Ventricular systole(simultaneous
contraction of both the ventricles) lasting about0.3
sec.
Phase III:Joint-diastole(simultaneous relaxation of
both, the 2 atria and the 2 ventricles) lasting about
0.4 sec.

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CARDIAC CYCLE
Phase I:
Both the atria simultaneously contract(the
ventricles are still relaxing).
As a result of which the A-V valves completely
openand both the ventriclesget filled with
blood(flow increases by 30 %).
The atrial musclescontract and constrictthe
openingsof the vena-cavasand pulmonary
veins and prevent the backflow of blood into
these vessels.

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CARDIAC CYCLE
Phase II:
It is followed immediately by the ventricular systole
(contraction), while the atria start relaxing.
The bicuspidand tricuspid valvesnow closesharply
to prevent the backflow of blood into the atria.
Their closure produces the first heart sound (lubb)a
fairly loud sound.
Due to the increased pressure in the ventricles, the
bloodtries to push both the A-V valves in the
upwarddirection.
The papillary musclescontract and there is a pulling
of the cusps by the stretched chordae-tendinaein
the downward direction.

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CARDIAC CYCLE
Due to these opposite actions, the opening of
the valves into the atria is prevented. Thus the
backflow of blood into the atria is prevented.
The semilunar valvesnow openas the
pressure in the ventricles increases and the
deoxygenated blood from the rightventricle
enters the pulmonary arteryand goes to the
lungs while the oxygenated blood from the left
ventricle enters the aortaand goes to all the
parts of the body.
.

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Phase III (joint-diastole):
The ventricles relax now.
As the ventricular pressure decreases the semilunar
valves closeto prevent the backflow of blood from
the vessels into the ventricles.
Their closure produces the second heart sound
(dubb).
The atria are already relaxingat this point (hence
joint-diastole) and receiving blood from the vena-
cavasand pulmonary veins. The pressureof blood in
the atria keeps on increasing.
The ventriclesare relaxing as 'closed chambers'(i.e.
without any blood in them and all the valves closed)
and hence the pressurein the ventricles decreases
rapidly. Thus the pressure in the atria rises more
than in the ventricles.
Hence the A-V valves slightly openand blood
tricklesfrom the atria into the ventricles again and a
new cycle is repeated.

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CONDUCTING SYSTEM OF THE HEARTHUMAN HEART

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CONDUCTING SYSTEM OF THE HEARTHUMAN HEART

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NERVOUS CONTROL OF HEARTHUMAN HEART

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ELECTROCARDIOGRAM (ECG)HUMAN HEART

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ELECTROCARDIOGRAM (ECG)HUMAN HEART
The ECG is a composite record of action
potentials produced byallthe heart muscle
fibers during each heartbeat
1.In clinical practice, electrodes are positioned
on the arms and legs (limb leads) and at six
positions on the chest (chest leads) to
record the ECG.
2.The electrocardiograph amplifies the
heart’s electrical signals and produces 12
different tracingsfrom different
combinations of limb and chest leads.
3.Each limb and chest electrode records
slightly different electrical activity because
of the difference in its position relative to
the heart.
4.By comparing these records with one
another and with normal records, it is
possible to determine
(a) if the conducting pathway is abnormal,
(b) if the heart is enlarged,
(c) if certain regions of the heart damaged
(d) the cause of chest pain.

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ELECTROCARDIOGRAM (ECG)HUMAN HEART

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ELECTROCARDIOGRAM (ECG)HUMAN HEART

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ELECTROCARDIOGRAM (ECG)HUMAN HEART
In reading an ECG, the size of the waves can provide clues to abnormalities.
1.Larger P waves indicate enlargement of an atrium;
2.an enlarged Q wave may indicate a myocardial infarction;
3.enlarged R wave generally indicates enlarged ventricles.
4.The T wave is flatter than normal when the heart muscle is receiving insufficient oxygen—as, for
example, in coronary artery disease.
5.The T wave may be elevated in hyperkalemia (high blood K level).
Analysis of an ECG also involves measuring the time spans between waves, which are called intervals or
segments.
1.TheP-Q interval is the time from the beginning of the P wave to the beginning of the QRS complex. It
represents the conduction time from the beginning of atrial excitation to the beginning of ventricular
excitation. Put another way, the P-Q interval is the time required for the action potential to travel
through the atria, atrioventricular node, and the remaining fibers of the conduction system. As the
action potential is forced to detour around scar tissue caused by disorders such as coronary artery
disease and rheumatic fever, the P-Q interval lengthens.
2.The S-T segment, which begins at the end of the S wave and ends at the beginning of the T wave,
represents the time when the ventricular contractile fibers are depolarized during the plateau phase of
the action potential. The S-T segment is elevated (above the baseline) in acute myocardial infarction
and depressed (below the baseline) when the heart muscle receives insufficient oxygen.
3.The Q-T interval extends from the start of the QRS complex to the end of the T wave. It is the time from
the beginning of ventricular depolarization to the end of ventricular repolarization. The Q-T interval
may be lengthened by myocardial damage, myocardial ischemia (decreased blood flow), or
conduction abnormalities.

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STRUCTURE OF ARTEY & VEIN

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BLOOD PRESSURE
Definition:
It is defined as ‘the lateral pressure exerted by a column of blood against the wall of artery’.
Measurement:
It is usually measured as the blood pressure in the artery of the elbow region, by an
mercury filled instrument called sphygmomanometer(sphygmos= pulse, manometer =
device to measure pressure).
Hence measurements are in units of mm of Hg.
Systolic pressure : 120 mm Hg
Diastolic pressure : 80 mm Hg

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FACTORS AFFECTING BLOOD PRESSURE
BLOOD
PRESSURE
Total blood volume
Cardiac output
Viscosity of blood
Physiological factors
Neuro–endocrine
Peripheral resistance
Venous return
Elasticity of arteries

48. HYPERTENSION: (I.E. HIGH BLOOD PRESSURE):
Systolic pressure > 140 mm of Hg & Diastolic pressure > 90 mm of Hg
Causes:
-Hereditary.
-High intake of salt.
-Excessive smoking.
-Physical or emotional stress.
-Obesity (excessively fat) leading to fatty deposits in inner walls of arteries in the old age
(atherosclerosis) causing loss of elasticity of arteries. (i.e. arteriosclerosis).
-Kidney diseases (increases secretion of renin, epinephrine or aldosterone).
Symptoms:
-Throbbing headache.
-Sweating.
-Palpitations of the heart.
-Dizziness.
-Exhaustion.
Complications:
-Heart attack (i.e. myocardial infarction).
-Stroke (cerebrovascular accidents) leading to paralysis.
-Kidney-failure (nephritis).
-Rupturing of blood vessels of the eyes (causing blindness).
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HIGH BLOOD PRESSURE (Hypertension)

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HYPOTENSION: (I.E. LOW BLOOD PRESSURE):
-Systolic pressure < 110 mm of Hg
-Diastolic pressure < 60 mm of Hg
Causes:
-Chronic anemia.
-Disorder of nerves (neuropathy).
-Disorder of hormones (hypothyroidism).
-Disease like tuberculosis and cancer.
Complications:
-Giddiness.
-Syncope (i.e. temporary loss of consciousness)
LOW BLOOD PRESSURE (Hypotension)

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CARDIOVASCULAR DISORDERS
CORONARY ARTERY DISEASE (CAD):
-Coronary Artery Disease, often referred to as
atherosclerosis, causes narrowingof coronary
arteriesso that the blood flowto the heart is
reduced.
-This results in coronary heart disease, a
condition in which the heart muscle is
damagedbecause of an inadequate amount
blood and thus oxygen due to obstruction of
its blood supply. Depending on the degree of
obstruction, symptoms may be mild chest pain
(angina pectoris) or heart attack (myocardial
infarction).
-Atherosclerosis refers to the deposition of
substances in the lining of arteries. Deposits of
calcium, fat, cholesteroland fibrous tissues
cause it, which makes the lumen of arteries
narrower. This results in the formation of an
atherosclerotic plaquethat decreases the size
of the arterial lumen.

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ANGINA:
-It is also called ‘angina pectoris’.
-A symptom of acute chest painappears,
when not enough oxygenis reaching the
heart muscle because of a reduction in
blood supply to cardiac muscle due to
narrowed and hardened coronary arteries
(arteriosclerosis).
-It is characterized by heaviness and severe
pain in the chest. The pain can also be
referred to the neck, lower jaw, left arm
and left shoulder.
-Angina pectoris often occurs during exer-
tion, when the heart demands more oxygen
and narrowed blood vessels cannot supply.
-It disappearswith rest.
-Angina can occur in men and women of any
age but it is more common among the
middle-agedand elders
CARDIOVASCULAR DISORDERS

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HEART FAILURE:
-Heart failure is the result of progressive weakening
of heart muscles and hence not able to pump
blood effectivelyenough to meet the needs of the
body.
Causes :
-Hypertensionincreases the load on the heart, can
produce significant enlargement of the heart
(cardiomegaly), and can finally result in heart
failure.
-Advanced age, malnutrition, chronic infections,
toxins, severe anaemiaor hyperthyroidism can
cause degeneration of heart muscle, resulting in
heart failure.
-It is sometimes called congestive cardiac failure
(c.c.f)because congestion of the lungsis one of the
main symptoms of this disease.
-Heart failure is not the same as cardiac arrest
(when the heart stops beating due to a defect in the
electrical conducting systemof the heart) or a
heart attack(when the heart muscle is suddenly
damaged by an inadequate blood supply, due to
blocks in the coronary artery
CARDIOVASCULAR DISORDERS

53. dr.aarif
LYMPHATIC SYSYTEM

54. dr.aarif
LYMPHATIC SYSYTEM
Lymph:
-It is a colourless, extracellular, extra-vascular, liquid connectivetissue.
-As the blood passes through the capillaries in tissues, some water with many small
water soluble substances move out, in between the cells of tissues leaving the larger
proteins and most of the cells (RBCs) in the blood vessels.
-The tissue fluid that bathes the cells is called lymph. It is collected in lymphatic
capillaries.
-Lymph is blood minus RBCs, platelets and some plasma proteins.It contains carbon
dioxide and metabolic wastes.

55. dr.aarif
LYMPHATIC SYSYTEM
Lymphatic capillaries :
-These are thin walled vessels present in all the tissue spaces.
-They are interwoven with the blood capillaries, but are not connected with them.
-They are blind at one end and are wider than blood capillaries. Each is lined by
endothelium of thin and flat cells.

56. dr.aarif
LYMPHATIC SYSYTEM
Lymphatic vessels:
-Lymphatic capillaries unite to form larger tubescalled lymphatic vessels. These have
thinner walls and numerous valves to prevent backflow.
-The two main lymph vessels are -thoracic or left lymphaticduct and right lymphatic
duct.
-The thoracic ductis the main collecting duct of the lymphatic system. It receives lymph
from left side of the head, neck, chest, left upper extremity and entire body below the
ribs. The lymphatic vessel coming from the intestinal villi contains absorbed fats. Hence
they are milky in appearance and are called lacteals (L. lactis-milk).
-The right lymphatic ductdrains lymph from the upper right side of the body.

57. dr.aarif
LYMPHATIC SYSYTEM
Lymph nodes:
-These are small, oval or bean shaped bodies placed in the course of lymphatic
vessels.
-Lymph nodes are scattered throughout the body but are maximum in neck. armpit
and groin.
-They act as filters,as macrophages of lymph nodes remove bacteria, foreign material
and cell debris.
-They also produce lymphocytesand antibodies.