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The cardiovascular system is made up of the
{bodycardioheart} heart and all of the blood and
lymphatic vessels in the body. The heart acts as a pump to drive the
blood; a complex fluid made up of digested food materials,
respiratory gasses (oxygen being carried in, carbon dioxide being
carried out), and protective and regulatory chemicals through the
approximately 60,000 miles of vessels in the body. In order to
perform all of it’s necessary functions, the heart constantly works
interactively with the:
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Lungs and
respiratory system-monitoring oxygen/carbon dioxide balance.
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Urinary tract-
monitoring fluid levels.
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Digestive system-
delivering digested nutrients.
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Endocrine system-
delivering hormones.
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Skin-
blood flow to the skin determines heat loss from the body,
allowing the control of body temperature.
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All tissues- removal of excess hydrogen
ions, maintenance of proper levels of calcium, magnesium, and
potassium ion levels in the tissues.
To truly appreciate health a person must
consider the health and nutritional status of each organ, the
interactive relationship between all of the organs and attempt to
see the parts of the body working together as a complete system.
When our defense systems
weaken, blood can also act as transport for disease-causing entities
such as viruses, bacteria, parasites, and their toxins. The
circulatory system has immune defense cells (white blood cells) and
the lymphatic system that act as a waste removal system and defense
mechanism against these and other foreign invaders.
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Anatomy of the Circulatory System |
The circulatory system consists of the
Systemic Circulation (which comprises blood supply to the entire
body except the lungs) and the Pulmonary Circulation (which is
circulation to the lungs for removal of carbon dioxide, other gases,
and volatile compounds.)
The
systemic circulation begins at the left side of the heart where the
left atrium receives blood which has just returned from the
pulmonary circulation, and is rich in oxygen. The blood is received
from the left atrium into the left ventricle, which then pumps it
out through the body's main artery, the aorta. Other arteries then
branch off the aorta and carry blood all over the body, finally
branching into small arterioles which feed the capillaries which
feed the tissues, by allowing oxygen and nutrients to pass through
their thin walls. Likewise, deoxygenated blood and waste products
enter the capillaries which combine to form venules, which join to
form veins, which dump into the inferior and superior vena cavas.
The vena cavas empty into the right atrium. The right ventricle
receives the blood from the right atrium and then pumps it through
the pulmonary artery to the lungs, finally reaching the alveoli
where carbon dioxide is released and oxygen enters, to be finally
returned via the pulmonary veins to the left atrium.
Within the systemic circulation, there is a
bypass to the liver called the portal circulation. Capillaries
carrying nutrient-rich blood from the stomach, spleen, and
intestines, join to form venules (small veins) which meet to form
veins. These then merge into the portal vein which conveys the blood
to the liver. Nutrients pass from the capillaries into the liver
cells for processing and storage, or reentry into the general
circulation. The liver produces plasma proteins, and cholesterol. It
also takes up glucose, stores it as glycogen, and converts it as
need back to glucose for energy. The liver also regulates the level
of amino acids in the blood by converting any excess into glucose,
proteins, other amino acids, or urea (which is passed to the
kidneys). Along with the kidneys, the liver acts to clear the blood
of drugs and toxins, by altering their chemical structure, and
excreting them into the bile, which leaves via the hepatic duct to
the gallbladder. Merging with the portal blood, is oxygen rich blood
conveyed from the left ventricle (about one quarter of the hearts
output) via the hepatic artery, which forms many branches in the
liver to feed its cells.
The role of the
central control mechanisms
is to regulate the body's global functions. Maintaining blood flow
against gravity when we get up suddenly, for example, involves such
regulation. Heat control is another example. Blood flow is a most
effective way to move heat. Channeling extra blood into muscles, the
heart, and other tissues involved in emergency activity, is another
example of global functioning. The main central control reflecting
the level of activity and mobilization in the body as a whole is the
autonomic nervous system, comprised of the parasympathetic and
sympathetic pathways. In general, the sympathetic nervous system
heightens activity in the body - quickening the heart beat and
breathing rate as if it were preparing the body for a fight or
flight response. The parasympathetic system has the opposite effect.
(see the Autonomic Nervous System article) While the body is at
rest, the parasympathetic system essentially lets the tissues'
metabolic demands set the pace of circulation. When the body is
mobilized or active, the sympathetic nervous system can shut down
metabolism and shift the resulting surplus blood supply to zones
necessary for immediate action and survival, the muscles, heart and
brain. This sympathetic response of shifting blood supply, along
with the accompanying mechanisms of dilated bronchi, accelerated
heart rate, inhibition of the metabolic process, etc., is known as
the "stress response." The "stress" response is of particular
concern with cardiovascular diseases. The problem is that, unlike
our forebears, our stress responses are not accompanied by physical
exertion and movement which dissipates the energy and accompanying
neurotransmitters and hormones. It is actually counter productive
and harmful to distort metabolic functions so that blood levels of
sugars and cholesterol are increased and to stimulate the heart beat
and increase blood pressure if they cannot be diffused through
physical exercise. However, in today's society with much of our
stress taken sitting down, a wind-up stagnation of energy occurs
without much hope of healthful dissipation. Add to this, the
over-consumption of food (especially empty calories and low quality
fats), alcohol and tobacco, and much of the circulatory problems
effecting the sedentary over-stressed human can be explained.
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The Results of Inadequate Maintenance |
High cholesterol levels (through
undissipated stress and over-consumption) lead to fatty infiltration
of the artery walls and, in time, to arteriosclerosis. This, with
persistent constriction of blood vessels in the sedentary stress
response and associated increase in the quantity of body fluids, is
most likely to cause
elevated blood pressure. This in turn creates an extra workload
on the heart, and coupled with sympathetic stimulation, can produce
arrhythmias. Arteriosclerosis of the heart's own blood supply, the
coronary arteries, can produce angina and coronary heart attacks.
Changes in blood chemistry and the blood-vessel lining resulting
from the elevated cholesterol and
homocysteine
levels,
free radicals and oxidants, coupled with undissipated stress
responses and arteriosclerosis can produce spontaneous blood
clotting,
thromboses and
embolisms.
Persistent heart strain,
high
blood pressure, and fluid retention can lead to
heart
failure. Additionally,
smoking
constricts the blood vessels, raises blood pressure, reduces
available oxygen, and exacerbates all of the above. A detailed of
many cardiovascular conditions can be found
here.
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