The human cardiovascular system comprises the blood,
the heart, and a dual-circuit system of blood vessls
that serve as conduits between the heart, the lungs,
and the peripheral tissues of the body. The respiratory
system and renal system are intricately interrelated
to cardiovascular function; it is generally held that
these systems must be understood in relation to each
other, if they are to be understood at all.The blood
consists of a yellow fluid called 'plasma,' in which
are suspended erythrocytes leukocytes . Blood is the
medium by which oxygen and nutrients are delivered to
the peripheral tissues of the body, and by which carbon
dioxide and other metabolic wastes are removed. Furthermore,
the blood is a chief delivery mechanism for the endocrine
and immune systems. The blood also serves as a chemical
buffer, maintaining the body's overall pH within a desirable
range.
The heart is the muscular organ which pumps the blood
via its inherent contractile activity. The heart can
be viewed as two separate pumps--the right-sided pump
serving the pulmonary circulation and the left-sided
pump serving the systemic circulation Simply stated,
each side of the heart has a receiving portion ad a
pumping portionThe vascular system is made up of arteries,
veis, and capillaries. Arteries are blood vessels that
carry blood away from the heart. Veins are blood vessels
that return blood o the heart. Capillaries are the smallest
blood vessels, and are the locus of nutrient and gas
exchange between the blood plasma and the peripheral
tissues of the The cardiac cycle and cardiovascular
circuitry
The cardiac cycle is classically divided into seven discrete phases,
but will be radically simplified here. For a more detailed description,
please refer to the cardiac cycle.
The cardiac cycle consists of alternating periods
of relaxed filling and active ejection of blood. These actions are
attributable to the inherent contractile activity of the heart which
is, after all, made of specialized muscle fibers. Cardiac contractio
is coordinated by a specialized pacemaker-and-conduction system
see te heart for more details. During the diastolic phase of the
cardiac cycle, the ventriles are filling with blood. During the
systolic phase, the rightand left ventricles are contacting, forcing
their collecte blood into the pulmonary and systemic circuits, respectively.
Although it is a gross oversimplification, the atria can be hought
of acontinually filling.The pulmonary and systemic circuits are
routes-in-sequence. Blood is pumped from the right heart to the
lungs, returns to the left heart, then is pumped to the periphery,
then returns to the right heart to eginthe sequence anew. This enables
a perpetual cycle of oxgenation, systemic delivery, metabolic deoxygenation,
nd return.he primary purpose of the pulmonary circulation is to
oxygenate the blood. Deoxygenated blood returning from the periphral
tissues of the body collects in the right atrium of the heart, fills
the right ventricle during diastole, and iejected into the pulmonary
arteries duing systole. These arteries carry the blood to the lungs,
where it passes through a capillary network close to air-filled
alveoli. This enables the release of carbon dioxide and the uptake
of oxygen from the air.
The now oxygenated blood returns to the left atrium
via the pulmonary vein, fills the left ventricle during diastole,
and is ejected into the aorta, the major artery which suplies blood
to the body via its numerous brnches. This is the starting point
for the systemic circulation, which consists of the intricate network
of arteries, arterioles, capillary beds, venules, and veins that
service the peripheral tissues of the body whih include the brain
and other organs, the skeletal muscles, etc.The major functions
of the renal system are to filter metabolic wastes from the blood
passing through the peripheral circulation and to mediate systemic
blood pressure via the renin-angiotensin-II-aldosterone sysem. Compromise
of renal function, as occurs in widely-varying conditions, inherently
disposes the patient to toxic states and/or cardiovascular pathologies.
The circulatory system is often subdivided into various
functional circuitsSplanchnic circulation
Also called visceral circulation, the splanchnic circulation
is the part of the systemic circulation that supplies
the digestive organs. The major arteries of the splanchnic
circulation branch directly off the aorta and include
the celiac artery superior mesenteric artery,
Portal circulationThere are two exceptions to the system
of double circulation.The deoxygenated blood from the
capillaries of the gastrointestinal tract drains into
the portal vein which, instead o going directly back
to the heart, leads to th liver. This allows the liver
to take up the nutrients that were extracted by the
intestines from food. The liver also neutralizes some
toxins taken up by the intestines. Blood from the liver
drains via the hepatic veins into the inferior vena
cava and then the right side of the heart.There is also
a small portal flow from the hypothalamus to the anterior
pituitary gla
Fetal circulationThe circulatory system of the fetus is different,
as the fetus does not use its anatomical changes, including closure
of the ductus arteriosus and foramen ovale. See also: coronary circulation.
mechanism used to transfer some component of a fluid
from one flowing current of fluid to another across a permeable
barrier between them. It is used extensively in biological systems
for a wide variety of purposes (it is also a key concept in chemical
engineering thermodynamics). For example, fish use countercurrent
exchange in their gills to transfer oxygen from the surrounding
water into their blood, and birds use a countercurrent heat exchanger
between blood vessels in their legs to keep heat concentrated within
their bodies.
Countercurrent exchangeThe diagram to the right presents
a generic representation of a countercurrent exchange
system, with two parallel tubes containing fluid separated
by a permeable barrier. The substance to be exchanged,
whose concentration is represented by the darkness of
the orange shading, transfers across the barrier in
the direction from greater concentration to lesser concentration.
With the two flos moving in opposite directions, the
countercurrent exchage system is able to maintain a
constant cocentration gradient between the two flows
over their entire length, and can result in almost all
of the substance being transferred.Concurrent exchangeContrasting
with the countercurrent exchange system is the concurrent
exchange system, in which the two fluid flows are in
the same direction. As the diagram to the left shows,
a concurrent exchange system is only capable of moving
half of the substance across from one flow to the other,
no matter how long the exchanger is.
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