Anatomi 3 - Cardiovascular System

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    Dr. I Gusti Ayu Widianti, M.Biomed

    ANATOMY DEPARTMENT

    UDAYANA UNIVERSITY

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    Scientist / ilmuwan:Lifelong study Internet internationalcommunication

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    Leading causes of death

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    Heart disease Malignant neoplasms

    Cerebrovascular diseases,

    Chronic obstructive pulmonary disease Pneumonia and influenza

    Accidents

    Diabetes mellitus Suicide, nephritis, chronic liver disease, etc

    etcNational Health Statistics, 1999

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    Major disorders

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    The heart: Coronary artery disease

    ischemic heart disease

    myocardial infarction

    The blood vessels: atherosclerosis

    hypertension

    varicose vein

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    GENETIC PREDISPOSITION

    EXCESSIVE CHOLESTEROL

    SEDENTARY LIFE

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    LARGE QUANTITIES OF CHOLESTEROL

    DEPOSITED BENEATH THE ENDOTHELIUM AT

    MANY POINTS IN ARTERIES

    INVADED BY FIBROUS TISSUE AND

    FREQUENTLY CALCIFIED

    NET RESULT IS DEVELOPMENT OF

    ATHEROSCLEROTIC PLAQUES

    BLOCK OR PARTIALLY BLOCK BLOOD FLOW

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    Weight reduction

    Dietary sodium

    Rich in vegetables & fruits

    Physical activities

    Stop smokingModeration alcohol

    consumption

    LIFE STYLE CHANGES

    http://images.google.co.id/imgres?imgurl=http://www.jeffhayes.com/art/images/salt_shaker.jpg&imgrefurl=http://dailypaintings.wordpress.com/2006/01/16/fresh-paint-salt-shaker/&h=500&w=384&sz=31&hl=en&start=9&usg=__-fciJPnVKmqVWOdx6FAbLCXZ-HU=&tbnid=gAmPE1elToIXPM:&tbnh=130&tbnw=100&prev=/images%3Fq%3Dsalt%26gbv%3D2%26hl%3Den%26safe%3Dvss%26sa%3DG
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    Circulatory System

    1.Cardiovascular system

    The heart (cor) System of blood vessel

    2. System of lymphatics

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    The site of exchange

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    Capillary Capillary

    Cell

    Arteriole Venule

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    Stroke volume: 70 ml

    5 liter/minute

    7,200 liters/day

    216,000 liters/month

    2,628,000 liters/year

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    Two major components:

    The heart and system of blood vessels

    Major functions: Transport of oxygen and nutrients

    Transport of CO2and waste products

    Two major divisions

    Major or systemic circulation

    Lesser or pulmonary circulation

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    Oxygenated blood(O2 & nutrients)

    Deoxygenated blood(CO2 & waste products)

    Systemic circulation

    Pulmonary

    circulationOxygenated bloodDeoxygenated blood

    RV LA

    RA LV

    RA=right atrium, LA=left atrium, RV=right ventricle, LV=leftventricle

    Lungs

    Heart

    Whole body

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    Heart

    Veins Arteries

    15mmHgVenules

    Arterioles 60 mmHg

    Capillaries35 mmHg

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    Circulation

    Venules=very small veins; arterioles=very small arteries

    Aorta120mmHg

    Vena cava

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    OVERVIEW OF THE CARDIOVASCULAR SYSTEM

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    PULMONARY

    CIRCULATION

    SYSTEMIC

    CIRCULATION

    VALVE

    VEIN

    LYMPH NODE

    LYMPH

    CAPILLARIES

    HEART

    THORACICUS

    DUCT

    CAPILLARIES

    ARTERIES

    LYMPH NODE

    LYMPH

    CAPILLARIES

    20 l / day

    BLOOD

    7200 l

    /day

    LYMPH

    BLOOD

    CAPILLARIES

    3 l / day

    17 l /day

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    The Heart

    A four-chamber, powerful, muscular pump

    Divided into two halves: left heart & rightheart.

    Left heart: left atrium & left ventricleReceives oxygenated blood (arterial

    blood) from the lungsDistributes it to the whole body.

    Right heart: right atrium & right ventricleReceives deoxygenated blood (venous

    blood) from the whole body, sends it to thelungs.

    The walls of the left ventricle is the thickest.

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    Boundaries:left and right pleural cavities,diaphragm,anterior and posterior leaves of fibrouspericardium, and

    superior aspect of the left and right pulmonaryarteries

    Contents:Heart and pericardium

    Roots of the great vesselsArch of azygos veinMain bronchi

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    Double-walled fibroserous sac, encloses the

    heart and the roots of its great vessels

    Pericardial cavity:

    The potential space between the opposing

    layers of the parietal and visceral of serous

    pericardium

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    The wall consist of three layers:

    Epicardium

    Myocardium

    Endocardium

    The fibrous skeleton of the heart

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    A special system for generating rhytmicalelectrical impuls to cause rhytmical contractionof the heart muscle and conducting theseimpulses rapidly through the heart

    Allow all portions of the ventricles to contractsimultaneously which essential for mosteffective pressure generation in the ventricularchamber

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    A-V node (atrioventricularnode)

    Conduction through the atrial wall

    Sinoatrial node (sinus node)

    A-V bundle (bundle of His)

    Right & left branches

    Purkinje fibers

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    PACE-MAKER

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    A GROUP OF CELLS AS S-A NODE THAT SERVES

    TO ESTABLISH AND MAINTAINING ARHYTHMIC ACTIVITY

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    Number of heart beats per minute Classification of heart rate

    Normal heart rate; 60 100/minute

    Bradycardia: 60 beats per minuteTachycardia: 100 beats per minute

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    THE FUNCTIONS OF LYMPHATICS

    DRAINAGE OF TISSUE FLUID, COLLECTION OF

    LYMPH PLASMA AND TRANSPORT OF LYMPH

    TO THE VENOUS SYSTEM

    ABSORPTION AND TRANSPORT OF FAT FROM

    THE INTESTINE.

    FORMATION OF A DEFENCE MECHANISM

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    Right lymphatic duct (ductus lymphaticusdexter):The right halves of head, neck and thorax,and the right upper limb

    The thoracic duct (ductus lymphaticussinister):The remainder of the body

    Both duct eventually open into the

    corresponding subclavian veins (venousangles)

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    Lymphatic plexuses (lymphatic capillary)

    Lymphatics vessels

    Lymph nodes

    Lymphocytes Lymphoid tissue

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    Vascularization of head

    and neck.

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