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Lectr Heart and Blood Vessels Mt

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    HEART AND BLOOD

    VESSELS

    Maya Tejasari

    HISTOLOGY DEPARTMENT

    BANDUNG ISLAMIC UNIVERSITY

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    I. GENERAL FEATURES

    Circulatory system

    A. General Function

    Transport and homeostatic distribution of

    oxygen, nutrients, wastes, body fluids

    and solutes and immune system

    component.

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    B. The two systems

    1. The cardiovascular system

    Closed system

    Pump

    Four components : heart, arteries,

    veins, capillary

    Blood vessels contribute to homeostasis by providing

    the structures for the blood flow to and from the heart,

    and the exchange of nutrients and wastes in tissues.

    They also play important role in adjusting the velocity

    and volume of blood flow

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    2. The lymphatic vascular system

    Moves only one direction

    Lacks separate pump

    Three types :

    Lymphatic capillaries

    Lymphatic vessels

    Lymphatic ducts

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    C. Walls of the blood and lymphatic

    vessels

    1. Tunica intimae

    Innermost layer

    Endothelium and subendothelial layer

    Internal elastic lamina (artery)

    2. Tunica media

    Middle layer

    Vascular smooth muscle fibers

    Arteries thicker, external elasticlamina

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    3. Tunica adventitia

    Outermost layer

    Connective tissue, Collagen and elastic fibers

    In veins adventitia is the thickest layer

    Vasa vasarum

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    Walls of the blood vessels

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    A. ARTERIES

    Three types :

    a. Large elastic arteries, conducting arteries

    exp : Aorta, pulmonary arteries, common carotidarteries, large lumen

    T. intimae

    - endothelium cells

    - subendothelial : elastic fibers, collagen, smooth

    muscle cells.

    Internal elastic lamina

    II. BLOOD VESSELS

    Classified according to type and size

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    T. Media

    - concentric fenestrated elastic lamellae- some collagen fibers and smooth muscle cells

    Poorly defined external elastic lamina

    T. Adventitia :

    - Scattered collagen fibers

    - Small elastic fibers

    - Vasa vasorum

    - Small lymphatic

    - Nerve fibers

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    ELASTIC ARTERY

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    b. Medium (Muscular) arteries

    Medium sized, distributing arteries

    Relatively thick wall

    More smooth muscle(40 layers)

    Fewer elastic fiber in t.media

    Example a brachialis, a mesenteric superior

    T. intima

    - Endothelium

    - Subendothelial connective tissue

    Internal elastic lamina : prominent

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    T. media :

    - Thick

    - Circularly smooth muscle layer

    - Elastic and reticular fibers

    External elastic lamina

    T. Adventitia

    - relatively thin (smaller) than t. media

    - Collagen fibers

    - Elastic fibers

    - Vasa vasorum

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    Photomicrograph

    of a section of

    muscular artery

    stained by

    Weigerts method

    for elastic

    structures

    Internal

    Elastic

    Laminamedia

    Adventitia

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    Muscular artery(transverse section)

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    MUSCULAR ARTERY

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    Arterioles / resistance vessels

    10 - 100 m

    T. intimae

    - Endothelium

    - Lack subendothelial connective tissue

    - Membrane elastica interna (smaller arteriole)

    T. Media : 1-5 layer, smooth muscles

    T. adventitia, very thin : collagen fibers

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    Metarteriole

    Small branches of arteriole Precapillary sphincters

    T. Intimae :

    Internal elastic membrane -

    T. Media : single layer smooth muscle

    10 100 capillaries capillary bed

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    The distal end of a metarteriole has no smooth muscle

    fibers, which empties into a venule, is called thoroughfare

    channel

    Blood flows intermittently through a capillary bed due

    to alternating contraction and relaxation of the smooth

    muscle of metarterioles and the precapillary sphincters

    is called vasomotion

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    Simplified schematic diagram of the vessels of the blood vascular system.

    Schematic cross sections of the various types of vessels are also shown.

    Compare the relative thickness of the 3 tunics in the cross-sections : intima

    (white, media (heavy stipple) and adventitia (light stipple).

    Capillary bed

    Muscularartery

    Arteriole Metarteriole

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    1. Venules :

    T. Intimae, endothelium

    T. Media and adventitia very thin Contractile Pericytes

    2. Small and medium sized

    V. saphena, hepatic portal

    T. Intimae : endothelium + subendothellial

    connective tissue, valves +

    Internal elastic membrane -

    T. Media :

    - thin smooth muscle cells and elastic fibers

    T. adventitia, relatively thick

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    3. Large Vein

    e.g. superior and inferior venaecavae

    T. Intimae :

    - Endothelium and subendothelial connective tissue- Valve + (2 semilunar folds of the tunica intima that

    project into the lumen)

    T. Media : smooth muscle, reticular fibers, collagen, elastic

    fibers

    T. Adventitia :

    - Thickest

    - Prominent bundles of smooth muscle + collagen fibers

    - Vasa vasorum

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    WALL OF LARGE VEIN

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    Simplified schematic diagram of the vessels of the blood vascular system.

    Schematic cross sections of the various types of vessels are also shown.

    Compare the relative thickness of the 3 tunics in the cross-sections : intima

    (white, media (heavy stipple) and adventitia (light stipple).

    Capillary bed

    Muscularartery

    Arteriole Metarteriole

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    C. BLOOD CAPILLARIES

    79 m

    Single layer endothelial cells with bulging nuclei

    Basal lamina

    Contractile Pericytes/mesenchymall cell

    At the junction of a capillary, there is a ring of

    smooth muscle (precapillary sphincter)

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    Capillaries

    E : Endothelial cells

    P : Pericytes

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    TYPES OF CAPILLARIES

    a. Continuous capillaries

    Smooth nonporous

    Junctional complexes

    Muscles, the brain and peripheral nerves

    b. Fenestrated capillaries

    Fenestrae : +

    Two types : - unobstructed pores

    - Pores + , thin diaphragm

    Kidneys : intestines, endocrine glands

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    c. Sinusoidal capillaries (discontinuous)

    Wide lumens

    Follow a tortuous path

    Gaps between endothelial cells

    Fenestration ++

    Phagocytic cells

    Discontinuous basal lamina

    Liver, spleen, bone marrow

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    2a

    1

    b

    3Fenestrated

    Continuous

    Discontinuous

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    Capillaries are known as exchangevessels

    The flow of blood from arterioles tovenules through capillaries is calledmicrocirculation (< 0.1 mm)

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    CONNECTIONS BETWEEN SMALL ARTERIES AND VEINS

    1. Capillaries

    2. Arteriovenous anastomoses

    3. Glomus

    4. Portal system

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    A. Chambers

    Two atria Two ventricles

    B. Tunics, walls of the heart

    1. Endocardium

    Endothelium

    Subendothelial connective tissue

    Subendocardium Purkinje fibers

    2. Myocardium: cardiac muscles3. Epicardium

    Visceral pericardiumSingle layer squamous

    Subepicardial con. Tissuevessels, nerves,

    adipose

    III. HEART

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    HEART

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    CARDIAC MUSCLE&PURKINJE

    FIBERS

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    Cardiac valve

    The cardiac valvescentralcore of dense fibrous connectivetissue (containing both collagenand elastic fibers), lined on both

    sides by endothelial layers.

    The bases of the valves areattached to the annuli fibrosi ofthe fibrous skeleton.

    Th d ti t

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    The conducting system

    Sinoatrial node (pacemaker node)

    Modified cardiac muscle cells that fusiform, smaller than atrial

    muscle cells, and has fewer myofibrils

    Atrioventicular (AV) node

    modified cardiac muscle cells that fusiform, smaller than atrial

    muscle cells, and has fewer myofibrils. Their cytoplasmic

    projections branch in various directions, forming a network.

    Atrioventicular (AV) bundle (of his) : bundle ofspecialized conducting cardiac fibers, located in theinterventricular septum

    Purkinje fibersModified cardiac muscle cells, have one or two central nuclei,and their cytoplasm is rich in mitochondria and glucogen. aftertraveling in the subendocardic layer, they penetrate theventricle and become intramyocardic.

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    Superior vena cava

    Sinoatrial node

    Atrioventricular node

    Bundle of His

    Right bundle branch

    Purkinje system

    Posterior fascicle

    Anterior fascicle

    Left bundle branch

    Aorta

    Diagram of the heart, showing the impulse-

    generating and conducting system

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    Blood supply

    Coronary artery

    Lymphatic supply

    Lymphatic capillaries in myocardium

    Innervations

    Myelinated and unmyelinatedautonomic motor fiber

    Sympathetic increases heart rate

    Parasympathetic decreases

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