Lecture 8/9 - Cardio Flashcards

1
Q

circulation overview - low pressure, high pressure, capillary beds, lymphatic circulation, heart as a pump

A

high pressure
* arterial side
* well oxygenated blood
* rich in nutrients

low pressure
* venous side
* poorly oxygenated blood
* poor in nutrients
* waste products

  • heart acts as a pump arteries away from heart veins back to heart
  • capillary beds act as site of exchange between tissues & blood

lymphatic circulation tends to parallel blood vasculature

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2
Q

blood vessels overview - hollow tubes of what, what is the cavity lined with, what does the wall contain, what size vessels have more elaborate wall contents

A
  • blood vessels are hollow tubes of tissue, with blood flowing in the interior (lumen)
  • cavity lined with simple squamous epithelium: endothelium
  • wall contains varying amounts of smooth muscle, dense and loose connective tissue, including elastin sheets, organized into 3 layers
  • larger vessels have more elaborate wall contents than
    smaller vessels
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3
Q

components of blood vessel walls - names of three layers, there its predominant, major components, function, variability if thickness of each component

A

-Tunica Intima or Intima; predominates in microcirculation
- major components = endothelium, basal lamina, loose CT
- function = non thrombogenic
surface; interface with underlying tissue; signaling

-Tunica Media or Media; predominates in arteries
- major components = circumferential vascular smooth
muscle, CT with collagen & elastin
- function = smooths & regulates flow

-Tunica Adventitia or Adventitia;
predominates in veins
- major components = CT with collagen & elastin; sometimes
longitudinal smooth muscle; vasa vasorum
- function = resistance to maintain blood pressure; anchors
vessel in place

thickness of each component varies in characteristic fashion with blood vessel type

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4
Q

components of blood vessel walls - more details of each layer

A

Tunica Intima (Intima)
* inner layer of endothelium in contact with flowing blood
* supported by basement membrane and variable amount of loose CT

Tunica Media (Media)
* middle layer of primarily smooth muscle
* variable amount of collagen &
elastin

Tunica Adventitia (Adventitia)
* outer layer of dense irregular CT
* merges with surrounding CT to
anchor vessel in place

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5
Q

specializations - what is the name for vessels of the vessels, where is it found, what does it ensure

where are valves found and its function

A

vasa vasorum:
* ‘vessels of the vessels”
* found in media/adventitia of large arteries & veins
* ensures tissue of vessel wall
receives nutrients, etc.

valves:
* found in small-medium veins
* protrusions of intima that
prevent blood backflow

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6
Q

artery vs vein - more what in each, pressure

A
  • high pressure with pulsations
  • more muscle & elastin
  • valves, sometimes cardiac muscle, thoracic pressure
  • more fibrous CT
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7
Q

features of blood vessel walls - what happens when you go from larger to smaller vessels (arteries and veins), general differences

A

larger to smaller vessels (both
arteries and veins):
* lumen diameter decreases
* wall thickness decreases
* fewer layers of smooth muscle
* less elastic tissue & less connective tissue

in general:
* arteries have thicker walls for their diameter than veins
* smallest vessels lack complete coat of smooth muscle

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8
Q

elastic artery - specifics of the three layers, example of where its found

A
  • Intima: variable CT; endothelium; rare smooth muscle cells
  • Media: extensive smooth muscle, multiple elastin laminae; “internal elastic membrane” not obvious
  • Adventitia: mostly dense irregular CT; collagen rich

e.g. thoracic aorta and major initial branches

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9
Q

large muscular veins - specifics

A
  • Intima: endothelium; some smooth muscle
  • Media: some smooth muscle; cardiac muscle near heart; collagen & elastin
  • Adventitia: dense irregular CT, some elastin; longitudinal smooth muscle
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10
Q

muscular artery specifics and example

A
  • Intima: endothelium; prominent internal elastic membrane
  • Media: extensive smooth muscle, sparse elastin fibres; internal elastic membrane very obvious; external elastic membrane not obvious
  • Adventitia: dense irregular CT; collagen rich but more elastin

e.g. femoral artery

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11
Q

medium vein specifics and example

A
  • Intima: endothelium; some smooth muscle
  • Media: some smooth muscle; collagen
  • Adventitia: dense irregular CT; some elastin; some longitudinal
    smooth muscle

e.g. saphenous vein

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12
Q

small artery and vein

A
  • muscular arteries maintain
    similar appearance as they get
    smaller and smaller
  • small veins get thinner walled
    as they get smaller
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13
Q

microcirculation - 4 kinds we talk about and what they look like

A

arterioles:
* 100 - 10 μm in diameter
* 1-3 layers of smooth muscle
* sparse adventitia

capillaries:
* 4 - 10 μm in diameter
* no smooth muscle; occasional pericytes
* no real media or adventitia

postcapillary venules:
* 10 - 50 μm in diameter
* no smooth muscle (some pericytes)
* no real media or adventitia
muscular (large) venules:
* 50 - 100 μm in diameter
* 2+ layers smooth muscle
* some obvious adventitia

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14
Q

pericytes - what do they subsitute, function

A
  • substitute for smooth muscle
    in capillaries/ small venules
  • wrap around vessel tube;
    share basal lamina with endothelial cell
  • vessel stability, signaling
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15
Q

capillary wall structure - what layers are present, direction and function, what determines amount and exchange, three routes of exchange

A
  • basically only intima: endothelium & varying amounts of basal lamina; may be pericytes
  • sites of exchange between blood and tissue; bidirectional!
  • amount and type of exchange depends on type of vessel

Routes of exchange:
-‘between’ cells (cell-cell junctions)
-‘across’ cells (pinocytosis/transcytosis)
-‘through’ cells (fenestrations and gaps)

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16
Q

continuous vs fenestrated vs discontinuous/sinosoid capillaries - examples and function of each

A

-Continuous CNS
- examples = Muscle, Skin, Lung
- function = blood-brain barrier, metabolic exchange, gas exchange

-Fenestrated Endocrine glands
- examples = Gl tract, Kidney, glomerulus
- function = hormone secretion, nutrient absorption, blood filtration

-Discontinuous/Sinusoid Liver
- examples = Bone marrow, Spleen
- functions = particle exchange, hematopoiesis, red cell filtration

17
Q

continuous capillaries - what does the endothelium form, what do endocytic vescicles provide, holes, common capillary type in what

A

endothelium forms junctional
complexes with adjacent cells
* endocytotic vesicles provide
transcellular route for bulk transport
* no gaps or holes in the
endothelial layer
* common capillary type e.g. muscle, skin, lung

18
Q

blood brain barrier capillaries - involves in what, junctions, reduced what, what are features induced by, consequences

A
  • active transport & receptor-mediated endocytosis
  • very occlusive “tight” junctions; limited intercellular transport
  • reduced pinocytosis/transcytosis; no fenestrations

features induced by astrocyte/endothelial interactions?

consequences: highly regulated environment; challenge for
drug entry

19
Q

fenestrated capillaries - where are they normally found, what do they look like

A
  • disc-like pores in endothelial cells, often in patches
  • enhanced permeability to small to medium sized molecules (albumin)
  • kidney, endocrine glands, GI tract
20
Q

sinusoids - what kind of capillary are they, what is discontinuous, permeability, found where

A

Sinusoids
* sinusoidal capillaries; discontinuous capillaries
* very large fenestrations, gaps in cell-cell adhesion, discontinuous basal lamina: very permeable, even to cells
* liver, spleen, bone marrow

21
Q

heart wall - layer names

A

epicardium ~ tunica adventitia
(visceral pericardium)

myocardium ~ tunica media

endocardium ~ tunica intima

22
Q

heart wall layers - what is present in each, type of epithelium

A

1) Endocardium
* endothelium (simple squamous epithelium w/ basal lamina)
* connective tissue
* small blood vessels & nerve endings
* Purkinje fibres - modified cardiac muscle cells; conduct
signals to control contraction

2) Myocardium
* cardiac muscle cells and connective tissue

3) Epicardium
* simple squamous epithelium (= mesothelium = visceral
pericardium)
* connective tissue
* muscular arteries, arterioles and associated veins
* nerves & adipose tissue

23
Q

heart contraction - contractile regulation, what is it modulated by, how does action potential spread, how is it propagated, what does it ensure

A
  • heart has intrinsic contractile
    regulation: Sino Atrial (S-A)
    node (pacemaker) & Atrio-
    Ventricular (A-V) node
  • modulated by autonomic
    nervous system
  • action potential spreads rapidly
    through heart tissue via Purkinje
    fibre bundles
  • action potential propagated cell
    to cell via gap junctions in
    intercalated discs
  • ensures coordinated
    contraction
24
Q

purkinje fibers - what are they, function, location, what is stored and how does it stain, what is it predominant in

A
  • Purkinje fibres are bundles of
    modified cardiac myocytes
  • non-contractile; specialized for
    conduction
  • larger, fewer myofilaments,
    located at periphery of cell
  • large glycogen stores- pale
    staining in H & E
  • predominant in endocardium
25
Q

lymphatic capillaries - what do they have, gaps where, what is discontinuous, what are they efficient at, functions,

A
  • have endothelium, but molecular differences
  • large gaps between cells
    & poorly occlusive junctions
  • discontinuous basement
    membrane
  • particularly efficient at
    picking up tissue fluid, cells,
    macromolecular complexes
  • drainage of fluid through
    lymphatic organs
  • lymph eventually returned
    to blood circulation
26
Q

small lymphatic vessels - appearance, what are lacteals

A
  • irregular, thin walled
  • often collapsed and poorly visible unless edema
  • blind ended lymphatics in intestinal villi frequently prominent: lacteals
27
Q

large lymphatic vessels - wall thickness, where are valves present, function of largest lymphatics

A

-even sizable lymph vessels are
very thin walled
* valves are present in all but the
smallest lymphatic vessels to prevent backflow
* largest lymphatics have some
muscle/pumping?