Introduction
The circulatory system is comprised of: -the heart,
- veins,
-capillaries, -arteries,
-lymph vessels, -lymph glands,
which work together to supply the body tissues with
The cardiovascular system carries blood and
dissolved substances to and from different places in the body.
The Heart has the job of pumping these things around
the body.
The Heart pumps blood and substances around the body in tubes called blood vessels.
The Heart and blood vessels together make up the
cardiovascular System.
Functions of the circulatory system:
Distribute nutrients,
Transport and exchange oxygen and carbon dioxide,
Remove waste materials,
Prevent excessive bleeding,
Prevent infection, and
lungs head & arms
liver digestive system kidneys legs pulmonary artery aorta pulmonary vein main vein Left Right
How does this system work?
Lungs
Body cells
Our cardiovascular system is a double circulatory system. This means it has two parts parts.
the right side of the system
deals with
deoxygenated
blood.
the left side of the system
deals with
oxygenated
Anatomy of the Heart
The heart is a funnel-shaped, hollow, muscular organ that is responsible for pumping blood to all parts of the body.The heart is located near the center of the thoracic
cavity between the lungs and is contained in the pericardial sac.
Location of Heart in Chest
•
Oblique Position •
Apex = Left of Midline (5th ICS), Anterior to rest of heart •
Base (posterior surface) sits on vertebral column •
Superior Right = 3rd Costal Cartilage, 1” right midsternum •
Superior Left = 2nd Costal Cartilage, 1” left midsternum •
Inferior Right = 6th Costal Cartilage, 1” right midsternum •
The broad end, or base, of the heart is also supported by large arteries and veins.
The heart wall is made up of three layers.
•
Epicardium – outer layer of heart wall, which is also the inner layer of epicardial sac;•
Endocardium – inner layer that consists ofendothelial cells, which line the heart, covers the heart valves, and lines the blood vessels.
. Myocardium – middle layer composed of cardiac muscle. The cardiac muscle is an involuntary, striated muscle
In mammals and birds, the heart is divided into a right and left side and each side is divided into an atrium
and ventricle.
Therefore, the heart is said to have four chambers
The atrioventricular valves
(AV valve)
separate the atrium and ventricle on each side of the heart.The AV valves have flaps of tissues, called leaflets or
cusps, which open and close to ensure that the blood flows only in one direction and does not backflow into the
atriums.
The AV valve on the right side of the heart is called the
tricuspid valve because it has three leaflets (cusps).
The AV valve on the left side of the heart is called the
The pulmonary valve is located between the right ventricle and the pulmonary artery.
Larry M. Frolich, Ph.D.,Human Anatomy
Heart Innervation
• Heart receives visceral
motor innervation
– Sympathetic (speeds up)
– Parasympathetic (slows
The Heart
These are arteries. They carry blood away from the heart. This is a vein. It brings
blood from the body, except the lungs.
Coronary arteries, the hearts own blood supply
The heart has four chambers
2 atria
2 ventricles
Blood supply to heart wall
•
Rt and Lft Coronary Arteries
–
Branch from Ascending Aorta –
Have multiple branches along heart –
Sit in Coronary Sulcus –
Coronary Heart Disease
•
Cardiac Veins
–
Coronary Sinus (largest) –
Many branches feed into sinus –
A heart attack often involves a clot in the coronary arteries or their branches.
In this illustration,
a clot is shown in
the location of #1.
Area #2 shows the
portion of the
damaged heart that
is affected by the
The Heart
Left Ventricle Left Atrium Right Atrium Right Ventricle valveVein from Lungs Artery to Head and Body
Artery to Lungs
Vein from Head and Body
How does the Heart work?
blood from the body
blood from the lungs
The heart beat begins when the heart muscles relax and blood flows into the atria.
The atria then contract and the valves open to allow blood into the ventricles.
How does the Heart work?
How does the Heart work?
The valves close to stop blood flowing backwards.
The ventricles contract forcing the blood to leave the heart.
At the same time, the atria are
relaxing and once again filling with blood.
The cycle then repeats itself.
blood from the heart gets around the body through blood vessels
There are 3 types of blood vessels
a.
ARTERY
b
.
VEIN
Walls of Arteries and Veins
• Tunica externa – Outermost layer –CT w/elastin and collagen – Strengthens, Anchors • Tunica media – Middle layer –
ARTERI
mempunyai 3 lapisan :
1. TUNICA ADVENTITIA/EXTERNA , MERUPAKAN LAPISAN TERLUAR , TERDIRI DARI JARINGAN IKAT FIBROUS DAN BERFUNGSI SEBAGAI LAPISAN PELINDUNG.
2. TUNICA MEDIA, TERDIRI DARI JARINGAN OTOT DAN ELASTIK, MERUPAKAN LAPISAN YANG KUAT; MEMBUAT PEMBULUH DARAH TETAP TERBUKA DAN KONTRAKSI JARINGAN
OTOTNYA MEMBERIKAN TEKANAN YANG TETAP TERHADAP ALIRAN DARAH.
ARTERI :
1. ARTERI BESAR
(ELASTIC ARTERY):
2. ARTERI SEDANG
(MUSCULAR
ARTERY):
VENA
• JUGA MEMPUNYAI 3 LAPISAN SEPERTI ARTERI • TUNICA MEDIA LEBIH TIPIS (JAR OTOT DAN
ELASTIK), SEHINGGA LEBIH MUDAH KEMPIS DAN KURANG ELASTIS DIBANDING DENGAN ARTERI • MEMPUNYAI KATUB YANG DISUSUN SEDEMIKIAN
RUPA SEHINGGA DARAH DARAH NORMAL HANYA MENGALIR KE COR DAN TIDAK SEBALIKNYA
The VEIN
Veins carry blood towards from the heart.
thin muscle and elastic fibres
veins have valves
which act to stop the blood from going in the wrong direction.
body muscles surround the veins so that when they contract to
Larry M. Frolich, Ph.D.,Human Anatomy
Artery/Vein differences
Arteries (aa.)
Veins (vv.)
Direction
of flow
Blood Away from
Heart
Blood to Heart
Pressure
Higher
Lower
Walls
THICKER: Tunica
media thicker than
tunica externa
THINNER: Tunica
externa thicker
than tunica media
Lumen
Smaller
Larger
KAPILER
• Ialah pembuluh darah yg sangat kecil tempat
arteriole berakhir dan venule mulai
• Makin kecil arteri ketiga lapisan diatas makin tak
jelas, sehingga ketika sampai di kapiler yang
sehalus rambut dindingnya tinggal 1 lapis saja yaitu
endothelium.
• Lapisan yang tipis ini memungkinkan pertukaran
bahan dengan sel, dimana bahan makanan dan O2
masuk ke dalam sel sedangkan CO2 dan sisa
Larry M. Frolich, Ph.D.,Human Anatomy
Capillaries
• Microscopic--one cell layer thick
• Network • Bathed in
extracellular matrix of areolar tissue
• Entire goal of C-V
The CAPILLARY
Capillaries link Arteries with Veins
the wall of a capillary is only one cell thick
they exchange materials between the blood and other body cells.
artery vein
capillaries
body cell
The CAPILLARY
AORTA
I. AORTA ASCENDENS : - A. CORONARIA
DEXTRA ET SINISTRA II. ARCUS AORTA
II. ARCUS AORTA :
1. A. BRACHIOCEPHALICA: a. A. SUBCLAVIA DEXTRA b. A. CAROTIS COMMUNIS
DEXTRA:
- A. CAROTIS INT. DEXTR. - A. CAROTIS EXT. DEXTR. 2. A. CAROTIS COMMUNIS
SINISTRA:
III. A. AORTA THORACALIS:
III.B. AORTA ABDOMINALIS
1. Aa. PHRENICA ABD. DEXTRA ET SINISTRA
2. A. COELIACA
3. Aa. SUPRARENALIS MEDIA DEXTRA ET SINISTRA
4. Aa. RENALIS DEXTRA ET SINISTRA
5. Aa. TESTICULARIS / OVARICA DEXT. ET SIN.
6. A. MESENTERICA SUP. 7. A. MESENTERICA INF. 8. Aa. LUMBALIS
III.B. AORTA ABDOMINALIS
1. Aa. PHRENICA ABD. DEXTRA ET SINISTRA
2. A. COELIACA
3. Aa. SUPRARENALIS MEDIA DEXTRA ET SINISTRA
4. Aa. RENALIS DEXTRA ET SINISTRA
5. Aa. TESTICULARIS / OVARICA DEXT. ET SIN.
6. A. MESENTERICA SUP. 7. A. MESENTERICA INF. 8. Aa. LUMBALIS
ARTERI UNTUK LEHER DAN KEPALA
1. A. CAROTIS EXTERNA 2. A. CAROTIS INTERNA 3. A. VERTEBRALIS
ARTERI UNTUK EXTREMITAS SUPERIOR
ARTERI UNTUK EXTREMITAS INFERIOR
• A. FEMORALIS • A. POPLITEA
• A. TIBIALIS ANTERIOR • A. TIBIALIS POSTERIOR • A. DORSALIS PEDIS
VENNAE BESAR
ATRIUM DEXTRM
I. V. CAVA SUPERIOR
V. AZYGOS Vv. BRACHIOCEPHALICA
DEXTRA ET SINISTRA
II. V. CAVA INFERIOR: 1. Vv. PHRENICA
INFERIOR
2. Vv. HEPATICA
3. Vv. SUPRARENALIS 4. Vv. RENALIS
5. V. TESTICULARIS/ OVARICA DEXTRA 6. Vv. LUMBALIS
VENNAE LEHER DAN KEPALA
VENNAE EXTREMITAS SUPERIOR
V. SUBCLAVIA
V. AXILLARIS
V. CEPHALICA--- V. BASILICA
VENNAE MANUS
VENNAE EXTREMITAS INFERIOR
V. ILIACA EXTERNA
V. FEMORALIS
V. POPLITEA V. SAPHENA MAGNA V. SAPHENA
PARVA
Functions of the lymphatic system:
• remove excess fluids from body tissues, • absorb fatty acid and transport fat to circulatory system, and
Blood fluid escapes through the thin-walled capillaries into spaces between body tissue cells.
The lymph vessels join to form larger ducts that pass through lymph nodes (or glands).
Lymph nodes filter foreign substances, such as bacteria and cancer cells, from the lymph before it is re-entered into the blood system through the larger veins.
Lymph nodes, which are scattered among the lymph vessels, act as the body’s first defense against
AREA LYMPHATIC LAIN
• STRUKTUR LAIN PADA SISTEM LYMPHATIC
SEBAGIAN BESAR TERDIRI DARI JARINGAN LYMPHE YANG SAMA DENGAN YANG TERDAPAT PADA
LYMPHONODI. • ANTARALAIN :
Lymph nodes produce the following cells:
• Lymphocytes – a type of white blood cell,
• Monocytes – a leukocyte that protects against blood-borne pathogens, and
Each lymph node has its own blood supply and venous drainage.
ALIRAN CAIRAN LYMPHE
• CAIRAN LYMPHE YANG BERASAL DARI LENGAN
KANAN, SISI KANAN KEPALA DAN LEHER,
DIALIRKAN KE DUCTUS LYMPHATICUS
DEXTER
YANG BERMUARA SUDUT PADA PERTEMUAN
ANTARA V. JUG INT DEXTRA DENGAN V.
SUBCLAV DEXTRA (ANGULUS VENOSUS
JUGULUM DEXTRA)
• CAIRAN LYMPHE DARIBAGIAN TUBUH YANG LAI
DIALIRKAN KE DUCTUS THORACICUS YANG
BERJALAN MULAI DARI CYSTERNA CHYLLI
(PADA CAVUM ABDOMEN DAN BERMUARA
PADA ANGULUS VENOSUS JUGULUM
When a specific location gets infected, the lymph nodes in that area will enlarge to fight the
infection.