Circulatory System

Circulatory System

Introduction

·       The circulatory system, also known as the cardiovascular system, is a complex network responsible for the transportation of blood, nutrients, gases, hormones, and waste products throughout the body.

·       It is essential for maintaining homeostasis, cellular respiration, immunity, and temperature regulation.

·       It consists of three main components:

1.     Blood – the fluid connective tissue.

2.     Heart – the muscular pump.

3.     Blood Vessels – the network of channels for blood distribution (arteries, veins, capillaries).

Blood

Composition of Blood

  1. Plasma (55%) – straw-colored fluid containing:
    • Water (90–92%)
    • Plasma proteins (7–8%)Albumin, Globulins, Fibrinogen.
    • Other solutes – electrolytes (Na⁺, K⁺, Cl⁻), nutrients (glucose, amino acids, lipids), hormones, waste products (urea, uric acid).
  2. Formed Elements (45%) – cellular components:
    • Erythrocytes (RBCs)
    • Leukocytes (WBCs)
    • Thrombocytes (Platelets)

Functions of Blood

  • Transport: O₂ from lungs to tissues, CO₂ from tissues to lungs, nutrients from GIT, hormones, waste products to kidneys/liver.
  • Regulation: Maintains pH, osmotic balance, body temperature, fluid distribution.
  • Protection: WBCs defend against infection, platelets aid in clotting, antibodies provide immunity.

Types of Blood Corpuscles

  1. Erythrocytes (RBCs):
    • Biconcave, non-nucleated cells in humans; life span ~120 days.
    • Contain hemoglobin (Hb) for O₂ and CO₂ transport.
    • Produced in red bone marrow (erythropoiesis stimulated by erythropoietin).
    • Count: ~5–5.5 million/µL in males, 4.5–5 million/µL in females.
  2. Leukocytes (WBCs):
    • Nucleated, colorless, defensive cells.
    • Normal count: 4,000–11,000/µL.
    • Types:
      • Granulocytes: Neutrophils (phagocytosis), Eosinophils (allergic response, parasitic defense), Basophils (histamine release).
      • Agranulocytes: Lymphocytes (B-cells – antibody production, T-cells – cell-mediated immunity), Monocytes (phagocytes).
  3. Thrombocytes (Platelets):
    • Small, irregular fragments without nuclei.
    • Normal count: 150,000–400,000/µL.
    • Essential for blood clotting and prevention of blood loss.

Blood Groups

  • Based on the presence of antigens (agglutinogens) on RBC membrane.
  1. ABO System:
    • A → Antigen A, Anti-B antibody.
    • B → Antigen B, Anti-A antibody.
    • AB → Antigens A & B, no antibody (universal recipient).
    • O → No antigen, both antibodies (universal donor).
  2. Rh Factor:
    • Rh⁺ (antigen present) or Rh⁻ (absent).
    • Clinical significance in hemolytic disease of the newborn (HDN) and transfusion reactions.

Coagulation of Blood

  • A protective mechanism to prevent excessive bleeding after injury.
  • Involves a cascade of clotting factors leading to the conversion of:
    • Prothrombin → Thrombin (by prothrombin activator & Ca²⁺).
    • Fibrinogen → Fibrin (by thrombin).
    • Fibrin forms a meshwork trapping blood cells, creating a clot.
  • Platelets release serotonin (vasoconstriction) and thromboplastin (clot initiation).
  • Normal clotting time: 3–8 minutes.

Heart

Structure

  • Muscular, hollow, four-chambered organ (~300 g).
  • Located in mediastinum between lungs.
  • Chambers:
    • Right atrium → receives deoxygenated blood from superior & inferior vena cava.
    • Right ventricle → pumps blood to lungs via pulmonary artery.
    • Left atrium → receives oxygenated blood from lungs via pulmonary veins.
    • Left ventricle → pumps blood to body via aorta (thickest wall).
  • Valves:
    • Atrioventricular (AV): Tricuspid (right), Bicuspid/Mitral (left).
    • Semilunar: Pulmonary, Aortic.
  • Heart wall layers: Endocardium, Myocardium, Epicardium.
  • Covered by pericardium (fibrous + serous).

Cardiac Cycle

  • Sequence of events in one heartbeat (~0.8 sec at 72 bpm).
  1. Atrial systole (0.1 sec): Atria contract, blood pushed to ventricles.
  2. Ventricular systole (0.3 sec): Ventricles contract, AV valves close (lub sound), blood ejected into arteries.
  3. Joint diastole (0.4 sec): Both atria & ventricles relax, blood flows in passively.

Heartbeat

  • Normal: ~70–72 beats/min at rest.
  • Controlled by SA node (pacemaker).
  • Sounds:
    • Lub (S1): Closure of AV valves.
    • Dub (S2): Closure of semilunar valves.

ECG (Electrocardiogram)

  • A graphic record of electrical activity of heart.
  • Waves:
    • P wave: Atrial depolarization.
    • QRS complex: Ventricular depolarization.
    • T wave: Ventricular repolarization.
  • Diagnostic tool for arrhythmias, MI, conduction defects.

Blood Pressure

  • Force exerted by blood against arterial walls.
  • Normal: 120/80 mmHg.
    • Systolic (120): Ventricular contraction.
    • Diastolic (80): Ventricular relaxation.
  • Hypertension: >140/90 mmHg.
  • Hypotension: <90/60 mmHg.

Pulse

  • Rhythmic expansion of arteries due to ventricular systole.
  • Normal rate: 70–72/min.
  • Common sites: radial artery, carotid artery, femoral artery.

Conducting System of Heart

  • Specialized auto-rhythmic fibers:
    1. SA node (pacemaker): Initiates impulse, controls heartbeat.
    2. AV node: Receives impulse, slight delay.
    3. Bundle of His: Conducts impulse to interventricular septum.
    4. Purkinje fibers: Spread impulse to ventricular walls, causing contraction.

Blood Vessels

  1. Arteries:
    • Thick-walled, elastic, carry blood away from heart (usually oxygenated except pulmonary artery).
    • Small arteries branch into arterioles.
  2. Capillaries:
    • Microscopic, one-cell-thick walls.
    • Exchange of gases, nutrients, and wastes between blood and tissues.
  3. Veins:
    • Thin-walled, less elastic, carry blood toward heart (usually deoxygenated except pulmonary veins).
    • Contain valves to prevent backflow.

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