Académique Documents
Professionnel Documents
Culture Documents
TRANSPORT
SYSTEM
(2 HRS)
2
Learning outcomes
Transport System
• Consist of:-
Heart (the pump)
Vessel (arteries, veins & capillaries)
Blood
Double Circulation
Pulmonary circulation
• Heart pumps deoxygenated blood to the lungs
• After gaseous exchange occurs, oxygenated blood
from the lungs returns to the heart
Systemic circulation
• Heart pumps oxygenated blood to the whole body
• After gaseous exchange occurs, deoxygenated
blood from the whole body returns to the heart
7
Learning Outcomes : 8
Describe the structure of heart
Structure of Heart
Structure of Heart
Structure of Heart
• Has 4 chambers :
Right atrium Left atrium
Right ventricle Left ventricle
Structure of Heart
Pulmonary artery
Aorta
Superior Semilunar
vena cava valves
Pulmonary vein
Left atrium
Right atrium
Bicuspid
Tricuspid valve
valve
Septum
Inferior
vena cava Left ventricle
Right ventricle
Learning Outcomes : 12
Describe the structure of heart LECTURE
Structure of Heart
Learning Outcomes : 13
8.1 (a) Explain the initiation of heart beat LECTURE
Heartbeat
• Involves:
3 Bundle of His
4 Purkinje fibers
Learning Outcomes : 15
8.1 (a) Explain the initiation of heart beat LECTURE
SA Node
AV Node
Bundle
Purkinje
of His
fibers
Learning Outcomes : 16
8.1 (a) Explain the initiation of heart beat LECTURE
SA Node
AV Node
SA node
AV node
Bundle of His
Purkinje fibres
Introduction
Introduction
• Atrial systole
• Atrial diastole
• Ventricular systole
• Ventricular diastole
Learning Outcomes : 25
8.1 (b) Explain cardiac cycle TUTORIAL
Cardiac Cycle
• Includes 3 stages:
Atrial & ventricular diastole
(0.4 s)
Atrial systole, ventricular
diastole (0.1 s)
Atrial diastole, ventricular
systole (0.3 s)
Learning Outcomes : 26
8.1 (b) Explain cardiac cycle TUTORIAL
• Deoxygenated blood
enters the right atrium
via vena cava
• Causes the pressure of
the right atrium to
increase
• When the pressure is
higher than right
ventricle, tricuspid valve
opens
• Blood flows to the right
ventricle
Learning Outcomes : 27
8.1 (b) Explain cardiac cycle TUTORIAL
• Systole atrium
occurs, right
atrium contracts
• The remaining
blood in the
right atrium is
pumped to the
right ventricle
Learning Outcomes : 28
8.1 (b) Explain cardiac cycle TUTORIAL
• Right ventricle
contracts
• Pressure of the right
ventricle is higher
than the right atrium
• Tricuspid valve closes
to prevent blood in
the right ventricle
from returning to
the right atrium
Learning Outcomes : 29
8.1 (b) Explain cardiac cycle TUTORIAL
• Blood is pumped to
the lungs via
pulmonary artery
• In the lungs, carbon
dioxide from the
blood diffuses into
the alveoli
• Oxygen from the
alveoli diffuses into
the blood capillaries
Learning Outcomes : 30
8.1 (b) Explain cardiac cycle TUTORIAL
• Left atrium
contracts
• The remaining blood
in the left atrium is
pumped to the left
ventricle
Learning Outcomes : 33
8.1 (b) Explain cardiac cycle TUTORIAL
• Left ventricle
contracts
• Pressure of the left
ventricle increase
• Bicuspid valve closes to
prevent blood in the
left ventricle from
returning to the left
atrium
• Blood is pumped to the
whole body via aorta
Learning Outcomes : 34
8.1 (b) Explain cardiac cycle TUTORIAL
Heart sounds
2 sounds:
• 1st sound – lub
Closure of AV valves (trikuspid & bikuspid)
• 3 phase :
A. Atrial systole, ventricular diastole (0.1 s)
B. Atrial diastole, ventricular systole (0.3 s)
C. Atrial & ventricular diastole (0.4 s)
KEY :
• When heart chambers contract, pressure is ,
volume
• Movement of blood : from pressure to a
pressure
Learning Outcomes : 38
8.1 (b) Explain cardiac cycle TUTORIAL
A) Atrial systole,
Ventricular diastole
• Atrium contracts
• Blood from atrium is
pumped into ventricle
• Causes P ventricle to
Learning Outcomes : 39
8.1 (b) Explain cardiac cycle TUTORIAL
B) Atrial diastole
Ventricular systole
• Ventricle contracts, P
ventricle
• When P ventricle > P atrium,
AV valve close
• Ventricle continues to
contract, blood remains
within ventricle
• When P ventricle > P atrium,
semilunar valve opens
Learning Outcomes : 40
8.1 (b) Explain cardiac cycle TUTORIAL
B) Atrial diastole
Ventricular systole
• Atrium starts to
relax, P atrium
• Blood from the lungs
flows to the left
atrium
• Blood filling causes P
atrium to
Learning Outcomes : 41
8.1 (b) Explain cardiac cycle TUTORIAL
Electrocardiogram (ECG)
Electrocardiogram (ECG)
R R
Voltage
T T
P P
Q Q
S S
Time
Learning Outcomes : 44
8.1 (c) Explain Electrocardiogram (ECG) TUTORIAL
Normal ECG
• 3 waves
R
1) P-wave
T 2) QRS complex
P
3) T-wave
Q
S
Learning Outcomes : 45
8.1 (c) Explain Electrocardiogram (ECG) TUTORIAL
Normal ECG
1) P-wave R
• Small wave
• Represents the electrical
activity when impulse spread T
from SAN to both atria P
• That causes atria to contract
Q
2) QRS complex S
• Large wave
• Represents the electrical activity when impulse
spread to both ventricles
• That causes ventricles to contract
Learning Outcomes : 46
8.1 (c) Explain Electrocardiogram (ECG) TUTORIAL
Normal ECG
3) T-wave
R
• Small wave
• Represents the electrical
activity when ventricles
T
starts to recover P
(repolarization)
• At the end of ventricles
Q
contraction S
Learning Outcomes : 47
8.1 (c) Explain Electrocardiogram (ECG) TUTORIAL
Normal ECG
T
P
Q
S
0.2 0.4 0.6 0.8
Learning Outcomes : 48
8.1 (c) Explain Electrocardiogram (ECG) TUTORIAL
Normal ECG
Learning Outcomes : 49
8.1 (c) Explain Electrocardiogram (ECG) TUTORIAL
Normal ECG
Learning Outcomes : 50
8.1 (d) Explain the factors affecting heartbeat TUTORIAL
Heartbeat
• Initiate heartbeat
Receptor
Control Center
Effector (heart)
Learning Outcomes : 54
8.1 (d) Explain the factors affecting heartbeat TUTORIAL
• Receptor:
1) Chemoreceptor
Function : detect changes of pCO2, pO2 & pH
Location : as in respiratory (medulla, carotid
body & aortic body)
Learning Outcomes : 55
8.1 (d) Explain the factors affecting heartbeat TUTORIAL
Condition:
pH
pH , pCO2
Chemoreceptor
send impulse • Chemoreceptor send
impulse to the CAC
CAC • CAC send impulse to SAN
Send impulse to SAN via sympathetic nerve
via sympathetic nerve
• Release norepinephrine
Heartbeat (noradrenaline)
• Heartbeat
Learning Outcomes : 57
8.1 (d) Explain the factors affecting heartbeat TUTORIAL
Condition:
pH
pH , pCO2
Chemoreceptor
send impulse • Chemoreceptor send
impulse to the CIC
CIC • CIC send impulse to SAN
Send impulse to SAN via vagus (parasympathetic)
via vagus nerve
nerve
Heartbeat • Releases acetylcholine
• Heartbeat
Learning Outcomes : 58
8.1 (d) Explain the factors affecting heartbeat TUTORIAL
Condition:
Blood temperature
Blood temperature
Hypothalamus send
impulse • Hypothalamus send impulse
to the CAC
CAC • CAC send impulse to SAN
Send impulse to SAN via sympathetic nerve
via sympathetic nerve
• Release norepinephrine
Heartbeat (noradrenaline)
• Heartbeat
Learning Outcomes : 60
8.1 (d) Explain the factors affecting heartbeat TUTORIAL
Condition:
Body temperature
Body temperature
Hypothalamus send
impulse • Hypothalamus send impulse
to the CIC
CIC • CIC send impulse to SAN
Send impulse to SAN via vagus (parasympathetic)
via vagus nerve
nerve
Heartbeat • Releases acetylcholine
• Heartbeat
61
Learning outcomes
8.1 Mammalian heart & its regulation (1)
8.2 Human lymphatic system (½)
a) Describe the pathway of lymph from tissue
to blood circulatory system
b) Describe the transport of lipids from small
intestine into blood stream
Lymphatic System
• A second circulatory system
• Has branched but dead end capillaries
• Consist of : Lymphatic vessels
Lymph (fluid)
• Triglyceride combine
with cholesterol coated
with special protein
forming small globules
(a.k.a chylomicrons) in
Golgi body
• Secretory vesicle
containing chylomicrons
leaves via exocytosis &
enter lacteal (& move to
thoracic duct)
Learning Outcomes : 74
8.2 (b) Describe the transport of lipids TUTORIAL