Hemodynamics of Circulation

First MBBS Class Physiology theory class Hemodynamics of circulation

1. GENERAL PRINCIPLES OF CIRCULATION
Dr RaghuveerChoudhary
Associate Professor
Dept. of Physiology
Dr. S.N.MedicalCollege, Jodhpur
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PARTS OF THE CIRCULATORY SYSTEM
The circulatory system forms two circuits in
series with each other:-
-Systemic circulation(greater circulation)
-Pulmonary circulation(lesser circulation)

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5. General Pathway of Blood Flow
heart -> arteries -> arterioles -> capillaries -
> venules -> veins -> heart
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6. Arteries are strong, elastic
vessels adapted for carrying
blood away from the heart
under high pressure.
Three distinct layers:
Endothelium –Inner most
layer. Rich in elastic and
collagenous fibers. Called the
tunica interna.
Middle layer –Tunica media.
Smooth muscle fibers, thick
layer of elastic connective
tissue.
Outer layer –Tunica externa.
Attaches the artery to tissues.
Contains vasa vasorum that gives
Rise to capillaries
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7. TYPES OF ARTERIES
ELASTIC ARTERIES
(LARGE-SIZED)
MUSCULAR ARTERIES
(MEDIUM-SIZED)
RESISTANCE ARTERIES
(SMALL-SIZED)
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9. 21-9
ELASTIC ARTERIES
Largest-diameter arteries have lot of elastic
fibers in tunica media
Help propel blood onward despite ventricular
relaxation (stretch and recoil)
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10. Windkessel Effect
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12. In old age elasticity of these vessels is lost due to degenerative &
atherosclerotic changes. So SBP rises,DBP falls, Pulse Pressure Rises
resulting in defective perfusion in periphery
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13. 21-13
MUSCULAR ARTERIES
Medium-sized arteries with more muscle
than elastic fibers in tunica media
Capable of greater vasoconstriction and
vasodilation to adjust rate of flow
walls are relatively thick
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19. 21-19TYPES OF CAPILLARIES
Continuous capillaries
gaps between neighboring cells
muscle and lungs
Fenestrated capillaries
plasma membranes have many holes
kidneys, small intestine & endocrine
glands
Sinusoids
very large fenestrations
incomplete basement membrane
liver, bone marrow, & spleen
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20. Hydraulic conductivity of capillaries in
various parts of the body
(Ganong, Medical Physiology 2001)
Organ ConductivityType of Endothelium
Brain (except CVO) 3
Skin 100
Skeletal muscle 250 Continuous
Lungs 340
Heart 860
GIT (intestinal mucosae) 13,000
Fenestrated
Kidney (glomerulus)
Liver
Bone marrow
Endocrine glands Sinusoidal
Lymphoid tissue
(Marieb, Human Anatomy and Physiology)
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22. FLUID MOVEMENT IN THE CAPILLARY
Arteriole side: fluid moves
toward the tissues
Venous side: fluid reenters the
capillary
Overall: for every 1 liter of fluid
entering the tissues, only 0.85 l
reenter the capillary
The remaining 0.15 l is
reabsorbed as lymph by
lymphatic capillaries and
eventually returned back to
blood circulation
When this system fails: Edema
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23. CAUSES OF EDEMA
Increased hydrostatic
blood pressure
-heart failure (left or right),
-excess fluid in the blood
Decreased blood osmotic
pressure
Liver, kidney diseases,
malnutrition (kwashiorkor),
burn injuries
Increased interstitial
hydrostatic pressure
(lymphatic capillary
blockage)
-breast cancer surgery,
elephantiasis
Leaking capillary wall
-histamine release during
allergic reaction
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25. VEINS
Transport blood
under low pressure.
8x more distensible
than arteries
transport blood
towards the heart
carry deoxygenated
blood.
Great veins
no valves, thin and easily
distended
Venules
no valves, walls slightly
thicker than capillaries
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29. Windkessel vessels: large arteries
Resistance vessels: small arteries
Exchange vessels: formed by a
single layer of endothelial cells
Capacitance vessels: veins
Shunt vessels: Meta-arterioles
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32. SYSTEMIC CIRCULATION
Left Atrium 7-8/0
Left Ventricle 120/0
Aorta&largearteries 120/80
Arterioles 60
Capillaries 25
Venules&largeveins 10
Vena cava (SVC&IVC) 2

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33. PULMONARY CIRCULATION
Structure Pressure in mmHg
Right Atrium 4-6/0
Right Ventricle 25/0
Pulmonary arteries 25/8
Arterioles 10
Capillaries 6-8
Venules& larger branches 5
Pulmonary veins 2

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35. Vessel % of blood
volume
Systemic 84 %
Arteries 13 %
Arteriole 1-2 %
Capillary 5 %
Veins 64 %
(54 %)
Pulmonary/Heart 16 %
Lungs 9 %
Heart 7 %
BLOOD DISTRIBUTION
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36. Pressure
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43. BLOOD FLOW, VELOCITY,
AND PRESSURE
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45. POISEUILLE-HAGENEQATION
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46. BLOOD FLOW
Hagen-Poisseuille Law
TM
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50. Poiseuille'sLaw
The biggest surprise in the application of Poiseuille'slawto fluid flow is the dramatic effect of changing the radius.
A decrease in radius has an equally dramatic effect, as shown in blood flow examples.
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52. Blood Flow Examples
Suppose you have an emergency requirement for a five-fold increase in blood volume flowrate
(like being chased by a big dog)? How does your body supply it?
According to Poiseuille'slaw, a five-fold increase in blood pressure would be required if
the increase were supplied by blood pressure alone!
But the body has a much more potent method for increasing volume flowratein the
vasodilationof the small vessels called arterioles.
Since the smaller vessels provide most of the resistance to flow, the arterioles in their
position just prior to the capillaries can provide a major controlling influence on the
volume flowrate. This system of small vessels can constrict flow to one part of the body
while enhancing the flow to another to meet changing demands for oxygen and nutrient
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54. Blood Flow Examples
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57. LAMINAR
FLOW
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58. TURBULENT
FLOW
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59. BLOOD FLOW PATTERNS
But how do we know
which way a fluid will flow?
We use an Engineering Trick:
Dimensionless Numbers
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60. REYNOLD’S NUMBER
Invented by an Engineer:
Predicts Laminar flow versus Turbulent flow
Low Number means Laminar Flow
High Number means Turbulent Flow
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61. REYNOLD’S NUMBER
Reynold’s Number is:
The ratio of Inertial forces to Viscous forces
Reynold’s Number = vpL/u
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62. REYNOLD’S NUMBER
Reynold’s Number = vpL/u
p is the weight-density of the fluid
u is the dynamic viscosity of the fluid
v is the velocity of the fluid flow
L the Characteristic Length
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64. INTRINSIC REGULATION OF BLOOD FLOW
(AUTOREGULATION)
Maintains fairly constant blood flow despite BP
variation
Myogenic control mechanismsoccur in some
tissues because vascular smooth muscle
contracts when stretched & relaxes when not
stretched
E.g. decreased arterial pressure causes cerebral
vessels to dilate & vice versa
14-39
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65. INTRINSIC REGULATION OF BLOOD FLOW
(AUTOREGULATION) CONTINUED
Metabolic control mechanismmatches
blood flow to local tissue needs
Low O
2or pH or high CO
2, adenosine, or
K
+
from high metabolism cause
vasodilation which increases blood flow (=
active hyperemia)
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69. Wall Tension
Pascal's principlerequires that the pressureis everywhere the same inside the balloon at equilibrium. But examination
immediately reveals that there are great differences in wall tension on different parts of the balloon. The variation is
described by Laplace's Law.
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70. LaPlace's Law
The larger the vessel radius, the larger the wall tension required to withstand a given
internal fluid pressure.
For a given vessel radius and internal pressure, a spherical vessel will have half the
wall tension of a cylindrical vessel.
Why does the wall tension increase with radius?
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71. Why does wall tension increase with radius?
If the upward part of the fluid pressure remains the same,
then the downward component of the wall tension must
remain the same. But if the curvature is less, then the total
tension must be greater in order to get that same downward
component of tension.
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72. Tension in Arterial Walls
The tension in the walls of arteries and veins in the human body is a classic
example of LaPlace's law. This geometrical law applied to a tube or pipe
says that for a given internal fluid pressure, the wall tension will be
proportional to the radius of the vessel.
The implication of this law for the large arteries, which have comparable
blood pressures, is that the larger arteries must have stronger walls since an
artery of twice the radius must be able to withstand twice the wall tension.
Arteries are reinforced by fibrous bands to strengthen them against the risks
of an aneurysm. The tiny capillariesrely on their small size.
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73. Capillary Walls
The walls of the capillaries of the human circulatory system
are so thin as to appear transparent under a microscope,
yet they withstand a pressure up to about half of the full
blood pressure. LaPlace's lawgives insight into how they
are able to withstand such pressures: their small size
implies that the wall tension for a given internal pressure is
much smaller than that of the larger arteries.
Given a peak blood pressure of about 120 mmHg at the
left ventricle, the pressure at the beginning of the capillary
system may be on the order of 50 mmHg.The large radii
of the large arteries imply that for pressures in that range
they must have strong walls to withstand the large
resulting wall tension. The larger arteries provide much
less resistance to flow than the smaller vessels according
to Poiseuille's law, and thus the drop in pressure across
them is only about half the total drop. The capillaries offer
large resistances to flow,but don’t required much strength
in their walls
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