The Heart and Blood Vessels

 

 

 

·      The individual cells/tissues that make up a large organism exchange substances with their immediate environment by diffusion, osmosis and active transport across their cell surface membrane.

·      The problem is that their immediate environment is made up of other cells/tissues of the organism and the fluid between cells.

·      The cells/tissues could quickly take up all the oxygen, glucose and other essential substances in this environment and excrete toxic concentrations of carbon dioxide and other waste substances (such as urea) into it.

·      This means that new supplies of essential substances have to be brought continuously to the immediate environment and toxic wastes have to be removed.

·      In large organisms, simple diffusion will not do this quickly enough.

·      Instead, large organisms have transport systems to carry substances to and from the immediate environment of the cells/tissues.

·      The transport systems use moving fluids to carry substances to and from the cells/tissues.

·      The fluids (such as blood and sap) are mainly water.

·      Substances are carried along with the water in solution, in suspension, or bound to some component of the fluid.

·      So, there is a mass flow of fluid/water, carrying substances to and from the immediate environment of the cells/tissues.

·      The transport systems are linked to specialised exchange surfaces, such as the lungs, small intestine, kidney, roots, or leaves.

·      The transport fluids carry substances to and from these exchange surfaces and the immediate environment of the cells/tissues of the rest of the organism.

·      At the exchange surfaces, the transport system will help to maintain concentration gradients.

 

·      Uptake of substances, such as oxygen, food molecules and water.

·      The transport system continuously carries useful substances away from the exchange surface:

·      this keeps the concentration of the substance lower on the organism side of the exchange surface than on the external environment side,

·      which maintains a concentration gradient across the exchange surface and uptake continues.


·      Excretion of substances, such as carbon dioxide and urea:

·      the transport system continuously carries excretory/waste substances to the exchange surface,

·      this keeps the concentration of the waste substance higher on the organism side of the exchange surface

·      which maintains a concentration gradient across the exchange surface and excretion continues.

 

You should be able to relate the structure of the mammalian heart to its functions.

 

 


·      The heart.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

·      The mammalian heart has two atria and two ventricles, with muscular walls.

·      The atria collect blood returning to the heart along veins.

·      The ventricles pump blood away from the heart along arteries.

·      The right atrium receives blood from all of the body, except the lungs.

·      The right ventricle pumps blood only to the lungs.

·      The left atrium receives blood from the lungs.

·      The left ventricle pumps blood to all of the body, except the lungs.

·      The left ventricle has more work to do than the right ventricle and so has a thicker muscular wall.

·      The left and right sides of the heart pump synchronously (both atria and then both ventricles together).

·      For blood to travel around the whole body it has to travel twice through the heart.

·      This is called double circulation.

·      Blood leaves the heart under high pressure, due to the pumping actions of the ventricles.

·      Blood returns to the heart with a very low pressure.

·      This is because the blood pressure is reduced as it flows through all the arteries, arterioles, capillaries, venules and veins of the circulatory system.

·      The coronary arteries carry blood to the heart muscle.

·      This muscle needs a very good blood supply, to bring in the oxygen and glucose that is needed for respiration and to get rid of waste carbon dioxide.

·      Respiration supplies the ATP that the muscle needs to contract.

 

What happens during a heartbeat - the cardiac cycle.

 

·      When the ventricles are contracting, the atria are filling with blood.

·      Blood can only flow from the atria into the ventricles when the pressure in the ventricles is lower than in the atria - along a pressure gradient.

·      The atria have thin muscle walls and can only generate a small amount of pressure.

·      After the ventricles have contracted, they relax, their walls recoil and the volume of the ventricles increases.

·      This lowers the pressure in the ventricles until it is below that in the atria.

·      The higher pressure in the atria pushes the atrio-ventricular valves open and blood flows into the ventricles.

·      The ventricles then contract and the atria relax.

·      To stop blood flowing back into the atria when the ventricles contract, the atrio-ventricular valves close.

·      The valves are closed by the rising pressure of the blood in the ventricles.

·      These one-way valves make sure that blood can only flow from the atria to the ventricles.

·      When the ventricles are filling, the pressure inside is much lower than the blood pressure in the arteries.

·      The semilunar valves are closed by the higher pressure in the artery and this prevents backflow of blood from the arteries into the ventricles.

·      As the ventricles contract, the pressure inside rises until it is greater than the pressure in the arteries.

·      The pressure difference then forces the semilunar valves open and blood flows into the arteries along the pressure gradient.

·      These one-way valves make sure that the blood can only flow from the ventricles into the arteries.

·      The whole cycle then repeats itself (about 70 times per minute).

·      The cardiac cycle is often presented in questions as graphs showing pressure changes in parts of the heart and aorta with time.

·      The graph shows changes in pressure in the left atrium, left ventricle and the aorta with time.

 

 

·     

 

 
At point A, the ventricle is contracting and the pressure inside it becomes greater than the pressure in the aorta.

·      The semilunar valve is then forced open, allowing blood to flow into the aorta.

·      At point B, the ventricle starts to relax and the pressure inside falls below the pressure in the aorta.

·      The semilunar valve is then forced closed, preventing back-flow of blood into the ventricle.

·      At point C, the pressure inside the relaxing ventricle falls below that of the atrium.

·      The atrio-ventricular valve then opens and allows blood to flow into the ventricle from the atrium.

·      At point D, the ventricle begins to contract again and the pressure inside rises above that in the atrium.

·      This causes the atrio-ventricular valve to close, preventing back-flow of blood from the ventricle into the atrium.

·      The points X and Y mark the start and end of one cardiac cycle. Note that the graph starts to repeat itself after Y.

·      The time between X and Y is 0.8 seconds (from the graph).

·      The number of beats per minute can be calculated as;

 

60 ¸ 0.8 = 75 beats per minute.

 

Note. It is very common for students to make errors in calculation and come up with silly answers; like 75,000 or 0.075 beats per minute!

 

·      Each heartbeat is started/initiated by the sino-atrial node (SAN).

·      This is a small patch of specialised heart/cardiac muscle cells.

·      At regular intervals (about 0.8 seconds) they start a wave of electrical activity, or impulses, which travel through the walls of the atria and cause them to contract.

·      The wave of electrical activity eventually reaches a second patch of specialised cells, the atrio-ventricular node (AVN).

·      After a brief time delay, this node sends out impulses along specialised muscle strands ( Bundle of His and Purkinje Fibres) to the walls of the ventricles and causes them to contract.

·      This sequence means that the atria contract first, followed by the ventricles.

·      The sino-atrial node is a built-in pacemaker, which means that the heart can beat without any input from the nervous system (it is a myogenic heart).

·      If the pacemaker fails, an artificial one (an electrode) can be attached to the surface of the heart.

·      This delivers regular bursts of electricity to the area of the sino-atrial node and causes contraction of the heart.

·      There are connections from the nervous system to the sino-atrial node. This allows the rate of output of the node to be accelerated or slowed down, depending upon the needs of the body. This is dealt with in more detail later in this section.

·      The sequence of beating of the atria and ventricles and the action of the heart valves ensures that blood can only flow in one direction through the heart and the body.

·      This is very important to the efficient functioning of the blood transport system.

Note. If you are asked about the events producing one heart beat, do NOT answer in terms of the medulla, chemoreceptors in the blood and responses to changes in blood chemistry.

 

You should be able to relate the structure of arteries, veins and capillaries to their functions.

 

·      Arteries carry blood under high pressure away from the heart.

·      Each time the heart beats the ventricles send a surge of blood along the arteries, pushing the blood forwards.

·      Each surge of blood puts pressure on the walls of the arteries as it travels along, causing the arterial wall to bulge slightly. (This is felt as a pulse where the artery is near to the surface of the body, e.g. at the wrist.)

·      The arterial wall has to be able to resist this pressure, to avoid bursting and maintain a high blood pressure.

·      It also reacts by recoiling, to squeeze the blood and maintain its high pressure.

·      The structure of the wall allows it to give slightly without splitting and then to squeeze the blood.

·      There are three layers/tunics making up the wall of an artery.

 

 

 

 

 

 

 

 

 

 

 

 

 

 


·      Elastin fibres have elastic properties.

·      A layer of endothelial cells covers the inside of all blood vessels.

·      In a drawing the endothelial layer/tunica intima may be shown as highly folded. This folding increases the surface area, allowing for the expansion of the artery as each pulse passes by.

 

·      Veins carry blood under low pressure towards the heart.

·      The high blood pressure produced by the beating of the heart and carried by the arteries has been almost completely destroyed by resistance to flow in the smallest arterioles and capillaries.

·      The walls of veins have the same coats as the arteries but not in the same proportions.

 

 

 

 

 

 

 

 

 

 

 

 

 

 


 

·      The blood pressure in the veins is not enough on its own to lift blood from the lower body back to the heart.

·      As muscles in the legs and body contract, they press on the veins and squeeze the blood along them.

·      To make sure that the blood travels in one direction, towards the heart, the veins have one-way valves at regular intervals.

·      These are semi-lunar valves.

 

 

 

 

 

 

 

 

 

 

 


·      In A, blood is being pushed up the vein with enough pressure to open the semi-lunar valves in B.

·      In B, blood flows towards the heart.

·      In C, the blood tries to flow back down the vein and this causes the valves to close.

 

·      Capillaries are where exchange of substances takes place between the blood and the cells/tissues of the body.

·      The cells of the body have to be within a very short distance of a capillary, to allow for efficient movement of substances by diffusion.

·      This means that there are very large numbers of capillaries, giving a very large surface area for exchange with the cells/tissues.

·      The walls of the capillaries are only one cell thick (endothelial cell).

·      This gives a very short pathway for the exchange of substances with the cells/tissues.

 

You should understand the role of chemoreceptors, aortic and carotid bodies, the medulla and the sino-atrial node in the control of the cardiac cycle.

 

·      The amount of blood pumped by the heart increases and decreases depending upon the requirements of the body.

·      During exercise, the rate of respiration in the muscle tissues increases.

·      This increases the demand for oxygen and glucose and the need to get rid of waste carbon dioxide.

·      There will be a lowering of the concentrations of oxygen and glucose in the blood and an increase in the concentration of carbon dioxide.

·      Homeostatic mechanisms will try to return these concentrations to their normal values.

·      There will be an increase in ventilation of the lungs (section 3.3), more glucose will be released from reserves (section 3.5) and the rate of circulation of the blood will increase; to increase transport to and from the tissues.

·      To increase the rate of circulation, the heart rate increases,

·      the volume of blood pumped with each beat increases (the stroke volume)

·      and the strength of contraction of the cardiac muscles increases; leading to higher blood pressure.

·      After exercise, and when blood concentrations are back to normal, the heart has to return to its normal/resting state.

·      There are nervous and chemical mechanisms involved in the regulation of cardiac activity.

·      Nervous control of heart action is controlled by cardiovascular centres in the medulla of the brain. 

·      This is part of the autonomic nervous system, involved in the non-conscious control of body functions.

·      In the medulla there is a cardio-inhibitory centre (part of the parasympathetic nervous system) which can send nerve impulses to the sino-atrial node of the heart (via the vagus nerve).

·      When the nerve impulses reach the node, they cause the release of the neurotransmitter acetylcholine.

·      This slows down the generation of electrical impulses by the sino-atrial node and slows down the rate of the heartbeat.

·      It also reduces the stroke volume and strength of contraction of the cardiac muscle.

·      In the medulla there is also a cardio-acceleratory centre (part of the sympathetic nervous system) which can also send nerve impulses to the sino-atrial node.

·      In this case the neurotransmitter released is noradrenaline and this speeds up the activity of the node, thus increasing the rate of heartbeat.

·      It also increases the stroke volume and strength of contraction of the heart muscle.

·      The hormone, adrenaline, is very similar in structure to noradrenaline and also causes the heart to speed-up.

·      Adrenaline is released as part of the ‘fight or flight’ reaction to danger.

·      The activities of the cardio-inhibitory and acceleratory centres are governed by nerve impulses from receptors in the aortic and carotid bodies.

·      These are specialised areas in the walls of the aorta and carotid arteries, containing stretch receptors and chemoreceptors.

·      If heart rate and blood pressure increase, the aorta and carotid arteries expand slightly.

·      The stretch receptors detect this stimulus and send nerve impulses to the medulla, which acts as the co-ordinating centre.

·      Some nerve impulses go to the cardio-inhibitory centre, causing it to send nerve impulses that slow the heart (the effector) and thus lower blood pressure (the response).

·      Some nerve impulses go to the acceleratory centre and inhibit its action.

·      As blood pressure falls, the stretch receptors produce fewer nerve impulses and the inhibitory effect on the heart reduces.

·      This is an example of negative feedback.

·      If blood pressure falls below normal, the stretch receptors send nerve impulses that inhibit the cardio-inhibitory centre and stimulate the acceleratory centre.

·      As a result, the heart speeds-up and blood pressure rises until negative feedback reduces the stimulatory effect.

·      The actions of the cardio-inhibitory and acceleratory centres will tend to return blood pressure and heart activity to some normal levels.

·      This is an example of an homeostatic mechanism.

·      During exercise, the muscles in the limbs squeeze the veins harder and increase the flow of blood back to the heart.

·      This increases the filling of the heart chambers; a greater volume of blood enters for each beat/the stroke volume increases.

·      The heart responds by beating more strongly, which increases blood pressure. (You may have been taught about this as Starling’s law.)

·      Exercise also leads to more oxygen leaving the blood and more carbon dioxide entering.

·      The chemoreceptors in the aortic and carotid bodies detect these stimuli and send nerve impulses to centres in the medulla which increase the rate of ventilation. (See section 3.3)

·      This increase in ventilation causes an increase in the heart rate.

 

Common Mistakes

 

Not being able to say what mass flow is.

Not understanding how the sequence of events in one heart beat relate to sequences of pressure changes and valve openings and closings. This leads to great difficulties when trying to interpret graphs/charts which show pressure changes in the heart, for example. Study the examples in the text and sample questions carefully!

Not appreciating the importance of one-way flow in the vascular system and how this is achieved. This would include the sequence in which the heart chambers contract, controlled by the SAN, the one-way valves in the heart and large veins and the constant pushing forward of blood by the heart.

Mixing up the SAN and AVN. (The AVN is not even on the syllabus!)

Not understanding the role of the medulla in controlling heart rate. In particular, not being able to explain the homeostatic function of this control and the role of negative feedback. Which is why these aspects are discussed in some detail in the notes.

Candidates often fail to answer questions as set. If asked about the control of heart rate, they talk about the SAN and the events in the heart, when they should be talking about the medulla, its receptors and nervous connections to the SAN. On the other hand, when asked about the events of one heartbeat, they talk about the medulla!


Practice Questions

 

1

The diagrams show two stages in the cardiac cycle of the heart. Diagram A shows the ventricles filling and diagram B shows blood being pumped out along the main arteries.

 

a)

On diagram A use a guideline and the letter X to identify a ventricle. (1 mark)

 

b)

Describe three pieces of evidence which demonstrate that the ventricles are emptying in diagram B. (3 marks)

(4 lines were allowed for the answer.)

 

c)

Name the part of the heart which initiates the heart beat. (1 mark)

Northern Examinations and Assessment Board Feb.‘96. Question 1.

 

2.

The drawing shows the pathways for the conduction of electrical impulses during the cardiac cycle.

 

a)

i)

Name the structure labelled X. (1 mark)

 

 

ii)

In the wall of which chamber of the heart is structure X located? (1 mark)

 

 

iii)

Describe the role of structure X in the control of the cardiac cycle. (2 marks)


 

 

b)

The table shows the pressures in the left atrium, left ventricle and aorta during a single cardiac cycle.

 

Stage

Pressure/kPa

 

 

 

Left atrium

Left ventricle

Aorta

 

 

1

0.5

0.4

10.6

 

 

2

1.2

0.7

10.6

 

 

3

0.3

6.7

10.6

 

 

4

0.4

17.3

16.0

 

 

5

0.8

8.0

12.0

 

 

 

 

Give the number of one stage when

 

 

i)

blood flows into the aorta,

 

 

ii)

the valve between the atrium and the ventricle (bicuspid valve) is open,

 

 

iii)

the bicuspid and aortic valves are closed.

(3 marks)

Northern Examinations and Assessment Board March.‘98. Question 5.

 

3.

The bar chart shows the relative thickness of parts of the walls of two blood vessels, A and B. One of these blood vessels was an artery, the other was a vein.

 

 

a)

Explain why the thickness of the endothelium is the same for both blood vessels. (1 mark)

 

b)

Which blood vessel is the artery? Explain the reasons for your answer. (2 marks)

 

c)

Explain how the structure of veins ensures the flow of blood in one direction only. (2 marks)

Northern Examinations and Assessment Board June‘96. Question 7.


 

4.

The graph shows the changes in pressure which take place in the left side of the heart.

 

 

 

a)

Use the graph to calculate the heart rate in beats per minute. Show your working. (1 mark)

 

b)

i)

Explain, in terms of pressure, why the valve between the left ventricle and the aorta opens at time T. (1 mark)

 

 

ii)

For how long is the valve between the left atrium and the left ventricle closed?

Explain how you arrived at your answer. (2 marks)

 

c)

i)

How would you expect the pressure in the right ventricle to differ from that in the left ventricle? (1 mark)

 

 

ii)

Explain what causes this difference in pressure. (1 mark)

Northern Examinations and Assessment Board Feb.‘97. Question 3.


Model Answers

 

1.

a)

 

 

 

 

b)

In B,

The valves between the atria and ventricles are closed;

the aortic/pulmonary/artery valve is open;

the volume of the ventricles is smaller;

the ventricle walls appear thicker;

(any 3 points)

 

 

c)

The sino-atrial node;

 

2.

a)

i)

The sino-atrial node;

 

 

ii)

The right atrium;

 

 

iii)

The sino-atrial node is the pacemaker of the heart;

which sends out electrical impulses;

that cause contraction of the heart muscles;

 

b)

i)

4

 

 

ii)

1 or 2

 

 

iii)

3 or 5

 

3.

a)

All blood vessels are lined with a single layer of (endothelial) cells;

 

b)

Vessel A because,

it has thicker muscle than B;

it has thicker elastic tissue;

and thicker walls when the parts are added together;

(any 2 points)

 

c)

There are valves in the veins;

which prevent backflow;

Note. You could use a diagram here!


 

4.

a)

Look at the start of the chart, at time 0. Look along the chart until the pattern starts        to repeat, which happens at 0.8 seconds. This is the time for one cardiac cycle, one heart beat.

Beats per minute = 60 ¸ 0.8 = 75 beats per minute;

 

b)

i)

The valve opens because the pressure in the ventricle is higher than in the aorta;

 

 

ii)

This valve stays closed as long as the pressure in the ventricle is higher than in the atrium;

On the chart, the pressure in the ventricle rises above that in the atrium at 0.13 seconds and falls below that in the atrium at 0.4 seconds, so the valve stays shut for

0.4 - 0.13 = 0.27seconds;

 

 

c)

i)

The pressure in the right ventricle would be lower;

 

 

ii)

The wall of the right ventricle is thinner (and so does not generate as much force);