Structure of the heart (2.65)
Four chambers, divided into left and right by the septum:
- Right atrium ← receives deoxygenated blood from the vena cava
- Right ventricle → pumps blood to the lungs through the pulmonary artery
- Left atrium ← receives oxygenated blood from the pulmonary vein
- Left ventricle → pumps blood to the whole body through the aorta
Valves stop backflow so blood flows one way only:
- Atrioventricular valves (tricuspid on the right, bicuspid on the left) between atria and ventricles
- Semilunar valves at the base of the pulmonary artery and aorta
The heart muscle itself is supplied with oxygen and glucose by the coronary arteries.
How it functions:
- Atria fill with blood and contract, pushing blood into the ventricles.
- Ventricles contract; atrioventricular valves close (the 'lub'), semilunar valves open, blood is forced into the pulmonary artery and aorta.
- Ventricles relax; semilunar valves close (the 'dub') preventing backflow.
Why the left ventricle wall is thicker than the right: it must generate a higher pressure to pump blood all round the whole body, whereas the right ventricle only pumps to the lungs, which are close by and would be damaged by high pressure. This is a double circulation — blood passes through the heart twice for each circuit of the body.
Heart rate: exercise and adrenaline (2.66)
During exercise, muscles respire more, so they need more oxygen and glucose delivered and more carbon dioxide removed. Heart rate increases (and each beat is stronger), so blood flows faster and these substances are delivered/removed more quickly. Rising carbon dioxide levels in the blood are detected and the heart rate is increased in response.
Adrenaline is a hormone released by the adrenal glands when you are frightened, angry or excited. It is carried in the plasma to the heart, where it increases heart rate and the force of contraction, preparing the body for 'fight or flight' by delivering more oxygen and glucose to the muscles.
Coronary heart disease (2.67)
CHD occurs when the coronary arteries become narrowed by fatty deposits, reducing blood flow to the heart muscle, so it receives less oxygen and glucose.
Risk factors that increase the chance of developing CHD:
- diet high in saturated fat and cholesterol
- diet high in salt (raises blood pressure)
- smoking
- high blood pressure
- lack of exercise / obesity
- stress
- increasing age, being male, and genetic (inherited) factors
Blood vessels (2.68)
| Artery | Vein | Capillary |
|---|
| Direction | Carries blood away from the heart | Carries blood to the heart | Links arteries to veins in tissues |
| Pressure | High | Low | Falling |
| Wall | Thick, with muscle and elastic fibres — withstands and maintains high pressure; stretches and recoils | Thin wall, less muscle and elastic tissue | Wall is one cell thick |
| Lumen | Narrow | Wide — reduces resistance to blood flow | Very narrow (one red blood cell wide) |
| Valves | None (except leaving the heart) | Valves to prevent backflow of low-pressure blood | None |
| Function link | Carries blood at high pressure without bursting | Returns blood to heart; nearby muscles squeeze veins to help flow | Short diffusion distance and permeable wall, so oxygen and glucose diffuse out and carbon dioxide diffuses in; large surface area |
General structure of the circulation (2.69)
Learn the vessel names for each organ:
| Organ | Blood in | Blood out |
|---|
| Lungs | Pulmonary artery (deoxygenated) | Pulmonary vein (oxygenated) |
| Heart | Vena cava (to right atrium), pulmonary vein (to left atrium) | Pulmonary artery, aorta |
| Liver | Hepatic artery (oxygenated) and hepatic portal vein (from the intestines, rich in digested food) | Hepatic vein |
| Kidneys | Renal artery | Renal vein |
The pulmonary artery is the only artery carrying deoxygenated blood, and the pulmonary vein the only vein carrying oxygenated blood — arteries are defined by direction (away from the heart), not by oxygen.
What each organ removes:
- Lungs excrete carbon dioxide.
- Kidneys excrete urea (and excess water and salts) — made by the liver.
Examiner tip. Examiners report a common error: writing that carbon dioxide is excreted by the kidneys. It is not — the kidneys remove urea; carbon dioxide leaves at the lungs. Also, if asked to explain why the left ventricle wall is thicker, don't just describe it as thicker: link it to generating higher pressure to pump blood around the whole body.