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10
The Systemic Circulation
79
Pharmacology
Undergraduate 1
12/02/2016

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Term
How are vessels arranged?
Definition
series or parallel
Term
Define a series circuit
Definition
an end to end connection; there is only one path via which blood can flow
Term
Define a parallel circuit
Definition
there are many paths via which blood can flow as there are many branches from the main circuit.
they are important
Term
What is an exceptino to the rule that 'all organs are in parallel with each other'?
Definition
the liver and the small intestine (they are in series with each other)

the superior mesenteric vein drains blood away from the small intestine and becomes the hepatic portal vein
Term
What does an artery carry?
Definition
blood away from the heart
most carry oxygenated blood
Term
Which arteries do not carry oxygenated blood?
Definition
pulmonary and umbilical
Term
What does a vein carry?
Definition
blood towards the heart
most veins carry deoxygenated blood
Term
Which veins do not carry deoxygenated blood?
Definition
pulmonary
umbilical
Term
Simply describe blood flow pathway
Definition
aorta -> arteries -> arterioles -> capillaries -> venules -> veins
Term
Which vessel has the largest total cross-sectional area? why is this strange?
Definition
capillaries
even though they have the smallest vessel, simply because they are so abundant
Term
Where is most of the blood located?
Definition
in the venous system (67%) because of their structure
Term
GIMME A FUN FACT
Definition
If all the blood vessels contained within a human body were attached end to end, they would span the circumference of the Earth TWICE.
Term
What does the microcirculation consist of?
Definition
arterioles, capillaries and venules
they can only be seen using a microscope
Term
What is the relationship between the velocity of blood flow and the total cross-sectional area? why is this important?
Definition
they are essentially mirror images
capillaries have the lowest velocity to allow for exchange of solutes
Term
Where is flow fastest and slowest?
Definition
F: aorta
S: capillaries
Term
What are the 3 distinct layers of a blood vessel wall?
Definition
1. tunica adventitia (tunica externa)
2. tunica media
3. tunica intima
Term
Describe the structure and function of tunica adventitia
Definition
- external layer
- made up of connective tissue (mainly collagen fibres)
- provides support for the blood vessel
Term
What other function does the connective tissue have?
Definition
it tethers the vessel to nearby organs and structures to hold them in place
Term
Describe the structure and function of tunica media
Definition
- middle layer
- consists of smooth muscle which allows the vessels to contract and relax to adjust the size of the lumen
- consists of elastin which provides the vessel with its elasticity, allow it to stretch and recoil

the ratio changes depending on the vessel in question
Term
Describe the structure and function of tunica intima
Definition
- innermost layer
- flattened squamous epithelial cells
- provides the first barrier to plasma leaving capillaries
Term
What is the arterial system made up of?
Definition
1. elastic arteries
2. muscular arteries
3. arterioles
Term
Describe the structure of elastic arteries
Definition
- largest arteries (mainly aorta and its major branches)
- large diameter (12.5mm) therefore low resistance which makes sense as the aorta is the first vessel the blood is pumped into
Term
Why are they called the elastic arteries?
Definition
tunica media contains large amounts of elastin relative to smooth muscle, this allows arteries to stretch and recoil, helping to withstand and smooth out large pressure fluctuations
Term
Give two examples of muscular arteries
Definition
these are the ones people are usually most common with eg the common carotid artery and the renal artery
Term
What is the function of muscular arteries?
Definition
deliver blood from the main blood supply (aorta) to specific organs, the reason why the names are recognisable as often they are named after the organs to which they are supplying blood
Term
Describe the structure of muscular arteries
Definition
- diameter in range 10mm-0.3mm
- thickest tunica media of all arteries
Term
Describe the smooth muscle to elastin ratio and what this means
Definition
- increased SM at the expense of elastin
- less distensible and are more active in vasoconstriction/vasodilation
- SM allows the muscular arteries to adjust the size of the lumen and have greater control of blood flow (aka distributing arteries)
Term
What is the role of arterioles?
Definition
deliver blood to capillaries
Term
Describe the structure of arterioles
Definition
- diameters range 10-300micrometers
- tunica media is almost entirely smooth muscle
Term
How dose the structure of arterioles change as they get smaller?
Definition
larger ones may have all 3 layers however smaller one's tunica media may entirely be smooth muscle. Very small ones may not have any tunica adventitia
Term
What does arteriole diameter regulate? why is this important?
Definition
blood flow to capillaries
it is important that blood is slowed before it reaches the capillaries because they do not have as many protective measure to prevent rupturing under high pressures.
Term
Describe the structure of capillaries
Definition
- smallest blood vessel, diameter ranging from 6-10micrometers
- lumen is large enough for the passage of a single RBC
Term
What do capillaries lack?
Definition
Both the tunica adventitia and tunica media. They are simply tunica intima (squamous epithelium) surrounded (externally) by a basement membrane
Term
Name the two main types of capillaries
Definition
Continuous and fenestrated
Term
Is there a third type of capillary?
Definition
Yes, a sinusoidal capillary.
These are fenestrated capillaries with larger opening in the endothelium and are much rarer. Mainly found in bone marrow.
Term
Which is the most common capillary?
Definition
continuous
Term
Describe the structure of continuous capillaries
Definition
the endothelial cells provide an uninterrupted lining and only allow small molecules, like water and ions to diffuse through the tiny intracellular gaps of the tunica intima.

They are therefore able to staunchly regulate solute exchange
Term
Describe the structure of fenestrated capillaries
Definition
- they have pores (fenestrations) in the endothelial cells (60-80nm in diameter) to allow small molecules and limited amounts of protein to diffuse across
- more permeable to fluid and small solutes
Term
Where are fenestrated capillaries found?
Definition
where active absorption or filtrate formation occurs, such as in the kidney and small intestine
Term
What is a capillary bed comprised of?
Definition
1. true capillaries
2. metarteriole
3. pre-capillary sphincter
Term
What are true capillaries?
Definition
these are the actual exchange vessels. There are 10-100 true capillaries per capillary bed
Term
What is a metarteriole?
Definition
a 'vascular shunt' connecting the terminal arteriole with the postcapillary venule, which blood flows through to 'bypass' the true capillaries
Term
How is capillary flow regulated?
Definition
by a ring of smooth muscle fibres that wrap around the capillaries at the arteriole end called a pre-capillary sphincter
Term
Describe how the metareriole regulates the flow of blood through the capillary bed?
Definition
- prevents a sudden rush of uncontrolled blood flow going throughout the entire capillary bed and in doing so prevents the capillaries themselves from rupturing
Term
Describe how the pre-capillaryy sphincter regulates the flow of blood through the capillary bed?
Definition
If the sphincter contracts, the vessel will be constricted, narrowing the lumen. If the sphincter relaxes, the vessel with be released, widening the lumen.
Term
What are the 3 types of veins?
Definition
venules
veins
venae cavae
Term
When are venules formed?
Definition
when capillaries unite
Term
Describe the structure of a venule
Definition
- diameter 8-100micrometers
- walls of small venules consist solely of endothelium
- larger venules possess a sparse tunica media and tunica adventitia
Term
Describe the structure of a vein
Definition
- usually have 3 distinct tunica layers
Term
What are the two main differences between veins and arteries?
Definition
walls are thinner so lumens are larger than corresponding arteries
Term
Why are veins called 'capacitance vessels'?
Definition
they accommodate a large blood volume (65% of total) so have thin walls so they can stretch to do this
Term
Why are valves present in veins?
Definition
so they can work against gravity - they stop the blood from pooling in the feet - in circulating the blood back to the heart for reoxygenation
Term
What is systemic blood pressure?
Definition
the blood pressure throughout the arteries, veins and capillaries
Term
What drives blood through vessels?
Definition
pressure
blood flows down a pressure gradient, from an area of higher pressure, to an area of lower pressure
Term
Where is the greatest pressure?
Definition
the closer to the exiting pump (LV of heart)
Term
On a systemic blood pressure graph, why are two numbers given?
Definition
the pressure in the aorta is pulsatile, it changes from systole to diastole
Term
What is the role of the elastic arteries in this sense?
Definition
to smooth the blood flow so that by the time it has reached the arterioles, it is no longer pulsatile, it is constant
Term
Where is the steepest drop in pressure in the systemic circulation?
Definition
the arterioles
this is because they provide the greatest resistance to blood flow, reducing the pressure.
Term
What two things does arterial blood pressure reflect?
Definition
1. the distensibility of the elastic arteries near the heart
2. the volume of blood being forced into these arteries
Term
What cause pulsatile flow?
Definition
the volume of blood being forced into the arteries varies during the cardiac cycle, therefore so does the arterial blood pressure
Term
What is systolic pressure due to?
Definition
the volume of blood ejected during systole (stretching of the aorta)
120mmHg
BPs
Term
What is diastolic pressure due to?
Definition
the volume of blood ejected during diastole (recoiling of the aorta)
80mmHg
BPd
Term
What is pulse pressure?
Definition
BPs-BPd
typically 40mmHg
Term
Why must capillary pressure be low?
Definition
otherwise the fragile capillary walls will rupture because the capillaries don't have the tunica adventitia and tunica media
Term
What does capillary pressure regulate?
Definition
the extent of filtration
Term
Give the arteriole and venule end capillary blood pressure values
Definition
A: 40mmHg
V: 20mmHg
Term
What is the main difference between venous and arterial pressure?
Definition
- venous pressure is steady and does not change significantly during the cardiac cycle.
- pressure gradient over the whole venous system is about 20mmHg (as compared to 60mmHg for arterial)
Term
What is the main issue with venous pressure?
Definition
too low to ensure blood is returned to the heart at the same rate as the heart is attempting to pump blood into arterial systemic system.
Term
What are the factors influencing venous return?
Definition
1. the respiratory pump
2. the skeletal muscle pump
Term
How does the skeletal muscle pump work?
Definition
- when skeletal muscles contract, they compress the deep veins and propel blood towards the heart
- valves distal to the point of compression prevent back flow of blood
Term
Why is the skeletal pump so necessary?
Definition
the veins have to work against gravity and at low pressure (the pressure in the right atrium when blood reaches the heart is almost zero) not a good mix when you need blood to go back to the heart for reoxygenation
Term
What pressure does inspiration increase?
Definition
inspiration increases abdominal pressure and compresses the abdominal veins - this forces blood towards the heart as valves prevent backflow
Term
What pressure does inspiration decrease?
Definition
inspiration decreases thoracic pressure therefore thoracic veins expand, further aiding movement of blood towards right atrium
Term
How does inspiration affect the pressure gradient?
Definition
pressure gradient between thoracic and abdominal cavity increases, driving blood flow to the heart
Term
What prevents backflow?
Definition
venous valves
Term
What is sphygmomanometry?
Definition
used to indirectly measure systemic arterial blood pressure
Term
How does sphygmomanometry measure blood pressure?
Definition
1. surround the arm with a distensible cuff to compress the arm
2. pressure in the cuff exceeds pressure in the artery is squeezed shut
3. when pressure drops, turbulent flow in compressed artery makes audible vibrations (Korotkoff sounds)
Term
How is capillary blood flow essentially non-pulsatile?
Definition
pulsatile pressure is progressively damped by the elasticity of the arterial walls and the frictional resistance of the small arteries and arterioles.
Term
What does the % of blood pumped to any of the vascular beds depend on?
Definition
the state of the individual (eg. rest/exercise)
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