Body Fluids And Circulation

Body Fluids And Circulation

You have learnt that all living cells have to be provided with nutrients, O2 and other essential substances. Also, the waste or harmful substances produced, have to be removed continuously for healthy functioning of tissues. It is therefore, essential to have efficient mechanisms for the movement of these substances to the cells and from the cells. Different groups of animals have evolved different methods for this transport. Simple organisms like sponges and coelenterates circulate water from their surroundings through their body cavities to facilitate the cells to exchange these substances. More complex organisms use special fluids within their bodies to transport such materials. Blood is the most commonly used body fluid by most of the higher organisms including humans for this purpose. Another body fluid, lymph, also helps in the transport of certain substances. In this chapter, you will learn about the composition and properties of blood and lymph (tissue fluid) and the mechanism of circulation of blood is also explained herein.

18.1 BLOOD

Blood is a special connective tissue consisting of a fluid matrix, plasma, and formed elements.

18.1.1 Plasma

Plasma is a straw coloured, viscous fluid constituting nearly 55 per cent of the blood. 90-92 per cent of plasma is water and proteins contribute 6-8 per cent of it. Fibrinogen, globulins and albumins are the major proteins. Fibrinogens are needed for clotting or coagulation of blood. Globulins primarly are involved in defense mechanisms of the body and the albumins help in osmotic balance. Plasma also contains small amounts of minerals like Na+, Ca++, Mg++, HCO3–, Cl–, etc. Glucose, amino acids, lipids, etc., are also present in the plasma as they are always in transit in the body. Factors for coagulation or clotting of blood are also present in the plasma in an inactive form. Plasma without the clotting factors is called serum.

18.1.2 Formed Elements

Erythrocytes, leucocytes and platelets are collectively called formed elements (Figure 18.1) and they constitute nearly 45 per cent of the blood.

Erythrocytes or red blood cells (RBC) are the most abundant of all the cells in blood. A healthy adult man has, on an average, 5 millions to 5.5 millions of RBCs mm–3 of blood. RBCs are formed in the red bone marrow in the adults. RBCs are devoid of nucleus in most of the mammals and are biconcave in shape. They have a red coloured, iron containing complex protein called haemoglobin, hence the colour and name of these cells. A healthy individual has 12-16 gms of haemoglobin in every 100 ml of blood. These molecules play a significant role in transport of respiratory gases. RBCs have an average life span of 120 days after which they are destroyed in the spleen (graveyard of RBCs).

Leucocytes are also known as white blood cells (WBC) as they are colourless due to the lack of haemoglobin. They are nucleated and are relatively lesser in number which averages 6000-8000 mm–3 of blood. Leucocytes are generally short lived. We have two main categories of WBCs - granulocytes and agranulocytes. Neutrophils, eosinophils and basophils are different types of granulocytes, while lymphocytes and monocytes are the agranulocytes. Neutrophils are the most abundant cells (60-65 per cent) of the total WBCs and basophils are the least (0.5-1 per cent) among them. Neutrophils and monocytes (6-8 per cent) are phagocytic cells which destroy foreign organisms entering the body. Basophils secrete histamine, serotonin, heparin, etc., and are involved in inflammatory reactions. Eosinophils (2-3 per cent) resist infections and are also associated with allergic reactions. Lymphocytes (20-25 per cent) are of two major types - ‘B’ and ‘T’ forms. Both B and T lymphocytes are responsible for immune responses of the body.

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Platelets also called thrombocytes, are cell fragments produced from megakaryocytes (special cells in the bone marrow). Blood normally contains 1,500,00-3,500,00 platelets mm–3. Platelets can release a variety of substances most of which are involved in the coagulation or clotting of blood. A reduction in their number can lead to clotting disorders which will lead to excessive loss of blood from the body.

18.1.3 Blood Groups

As you know, blood of human beings differ in certain aspects though it appears to be similar. Various types of grouping of blood has been done. Two such groupings - the ABO and Rh - are widely used all over the world.

18.1.3.1 ABO grouping

ABO grouping is based on the presence or absence of two surface antigens (chemicals that can induce immune response) on the RBCs namely A and B. Similarly, the plasma of different individuals contain two natural antibodies (proteins produced in response to antigens). The distribution of antigens and antibodies in the four groups of blood, A, B, AB and O are given in Table 18.1. You probably know that during blood transfusion, any blood cannot be used; the blood of a donor has to be carefully matched with the blood of a recipient before any blood transfusion to avoid severe problems of clumping (destruction of RBC). The donor’s compatibility is also shown in the Table 18.1.

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From the above mentioned table it is evident that group ‘O’ blood can be donated to persons with any other blood group and hence ‘O’ group individuals are called ‘universal donors’. Persons with ‘AB’ group can accept blood from persons with AB as well as the other groups of blood. Therefore, such persons are called ‘universal recipients’.

18.1.3.2 Rh grouping

Another antigen, the Rh antigen similar to one present in Rhesus monkeys (hence Rh), is also observed on the surface of RBCs of majority (nearly 80 per cent) of humans. Such individuals are called Rh positive (Rh+ve) and those in whom this antigen is absent are called Rh negative (Rh-ve). An Rh-ve person, if exposed to Rh+ve blood, will form specific antibodies against the Rh antigens. Therefore, Rh group should also be matched before transfusions. A special case of Rh incompatibility (mismatching) has been observed between the Rh-ve blood of a pregnant mother with Rh+ve blood of the foetus. Rh antigens of the foetus do not get exposed to the Rh-ve blood of the mother in the first pregnancy as the two bloods are well separated by the placenta. However, during the delivery of the first child, there is a possibility of exposure of the maternal blood to small amounts of the Rh+ve blood from the foetus. In such cases, the mother starts preparing antibodies against Rh antigen in her blood. In case of her subsequent pregnancies, the Rh antibodies from the mother (Rh-ve) can leak into the blood of the foetus (Rh+ve) and destroy the foetal RBCs. This could be fatal to the foetus or could cause severe anaemia and jaundice to the baby. This condition is called erythroblastosis foetalis. This can be avoided by administering anti-Rh antibodies to the mother immediately after the delivery of the first child.

18.1.4 Coagulation of Blood

You know that when you cut your finger or hurt yourself, your wound does not continue to bleed for a long time; usually the blood stops flowing after sometime. Do you know why? Blood exhibits coagulation or clotting in response to an injury or trauma. This is a mechanism to prevent excessive loss of blood from the body. You would have observed a dark reddish brown scum formed at the site of a cut or an injury over a period of time. It is a clot or coagulam formed mainly of a network of threads called fibrins in which dead and damaged formed elements of blood are trapped. Fibrins are formed by the conversion of inactive fibrinogens in the plasma by the enzyme thrombin. Thrombins, in turn are formed from another inactive substance present in the plasma called prothrombin. An enzyme complex, thrombokinase, is required for the above reaction. This complex is formed by a series of linked enzymic reactions (cascade process) involving a number of factors present in the plasma in an inactive state. An injury or a trauma stimulates the platelets in the blood to release certain factors which activate the mechanism of coagulation. Certain factors released by the tissues at the site of injury also can initiate coagulation. Calcium ions play a very important role in clotting.

18.2 LYMPH (TISSUE FLUID)

As the blood passes through the capillaries in tissues, some water along with many small water soluble substances move out into the spaces between the cells of tissues leaving the larger proteins and most of the formed elements in the blood vessels. This fluid released out is called the interstitial fluid or tissue fluid. It has the same mineral distribution as that in plasma. Exchange of nutrients, gases, etc., between the blood and the cells always occur through this fluid. An elaborate network of vessels called the lymphatic system collects this fluid and drains it back to the major veins. The fluid present in the lymphatic system is called the lymph. Lymph is a colourless fluid containing specialised lymphocytes which are responsible for the immune responses of the body. Lymph is also an important carrier for nutrients, hormones, etc. Fats are absorbed through lymph in the lacteals present in the intestinal villi.

18.3 CIRCULATORY PATHWAYS

The circulatory patterns are of two types - open or closed. Open circulatory system is present in arthropods and molluscs in which blood pumped by the heart passes through large vessels into open spaces or body cavities called sinuses. Annelids and chordates have a closed circulatory system in which the blood pumped by the heart is always circulated through a closed network of blood vessels. This pattern is considered to be more advantageous as the flow of fluid can be more precisely regulated.

All vertebrates possess a muscular chambered heart. Fishes have a 2-chambered heart with an atrium and a ventricle. Amphibians and the reptiles (except crocodiles) have a 3-chambered heart with two atria and a single ventricle, whereas crocodiles, birds and mammals possess a 4-chambered heart with two atria and two ventricles. In fishes the heart pumps out deoxygenated blood which is oxygenated by the gills and supplied to the body parts from where deoxygenated blood is returned to the heart (single circulation). In amphibians and reptiles, the left atrium receives oxygenated blood from the gills/lungs/skin and the right atrium gets the deoxygenated blood from other body parts. However, they get mixed up in the single ventricle which pumps out mixed blood (incomplete double circulation). In birds and mammals, oxygenated and deoxygenated blood received by the left and right atria respectively passes on to the ventricles of the same sides. The ventricles pump it out without any mixing up, i.e., two separate circulatory pathways are present in these organisms, hence, these animals have double circulation. Let us study the human circulatory system.

18.3.1 Human Circulatory System

Human circulatory system, also called the blood vascular system consists of a muscular chambered heart, a network of closed branching blood vessels and blood, the fluid which is circulated.

Heart, the mesodermally derived organ, is situated in the thoracic cavity, in between the two lungs, slightly tilted to the left. It has the size of a clenched fist. It is protected by a double walled membranous bag, pericardium, enclosing the pericardial fluid. Our heart has four chambers, two relatively small upper chambers called atria and two larger lower chambers called ventricles. A thin, muscular wall called the interatrial septum separates the right and the left atria, whereas a thick-walled, the inter-ventricular septum, separates the left and the right ventricles (Figure 18.2). The atrium and the ventricle of the same side are also separated by a thick fibrous tissue called the atrio-ventricular septum. However, each of these septa are provided with an opening through which the two chambers of the same side are connected. The opening between the right atrium and the right ventricle is guarded by a valve formed of three muscular flaps or cusps, the tricuspid valve, whereas a bicuspid or mitral valve guards the opening between the left atrium and the left ventricle. The openings of the right and the left ventricles into the pulmonary artery and the aorta respectively are provided with the semilunar valves. The valves in the heart allows the flow of blood only in one direction, i.e., from the atria to the ventricles and from the ventricles to the pulmonary artery or aorta. These valves prevent any backward flow.

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The entire heart is made of cardiac muscles. The walls of ventricles are much thicker than that of the atria. A specialised cardiac musculature called the nodal tissue is also distributed in the heart (Figure 18.2). A patch of this tissue is present in the right upper corner of the right atrium called the sino-atrial node (SAN). Another mass of this tissue is seen in the lower left corner of the right atrium close to the atrio-ventricular septum called the atrio-ventricular node (AVN). A bundle of nodal fibres, atrioventricular bundle (AV undle) continues from the AVN which passes through the atrio-ventricular septa to emerge on the top of the interventricular septum and mmediately divides into a right and left bundle. These branches give rise to minute fibres throughout the ventricular musculature of the respective sides and are called purkinje fibres. The nodal musculature has the ability to generate action potentials without any external stimuli, i.e., it is autoexcitable. However, the number of action potentials that could be generated in a minute vary at different parts of the nodal system. The SAN can generate the maximum number of action potentials, i.e., 70-75 min–1, and is responsible for initiating and maintaining the rhythmic contractile activity of the heart. Therefore, it is called the pacemaker. Our heart normally beats 70-75 times in a minute (average 72 beats min–1).

18.3.2 Cardiac Cycle

How does the heart function? Let us take a look. To begin with, all the four chambers of heart are in a relaxed state, i.e., they are in joint diastole. As the tricuspid and bicuspid valves are open, blood from the pulmonary veins and vena cava flows into the left and the right ventricle respectively through the left and right atria. The semilunar valves are closed at this stage. The SAN now generates an action potential which stimulates both the atria to undergo a simultaneous contraction - the atrial systole. This increases the flow of blood into the ventricles by about 30 per cent. The action potential is conducted to the ventricular side by the AVN and AV bundle from where the bundle of His transmits it through the entire ventricular musculature. This causes the ventricular muscles to contract, (ventricular systole), the atria undergoes relaxation (diastole), coinciding with the ventricular systole. Ventricular systole increases the ventricular pressure causing the closure of tricuspid and bicuspid valves due to attempted backflow of blood into the atria. As the ventricular pressure increases further, the semilunar valves guarding the pulmonary artery (right side) and the aorta (left side) are forced open, allowing the blood in the ventricles to flow through these vessels into the circulatory pathways. The ventricles now relax (ventricular diastole) and the ventricular pressure falls causing the closure of semilunar valves which prevents the backflow of blood into the ventricles. As the ventricular pressure declines further, the tricuspid and bicuspid valves are pushed open by the pressure in the atria exerted by the blood which was being emptied into them by the veins. The blood now once again moves freely to the ventricles. The ventricles and atria are now again in a relaxed (joint diastole) state, as earlier. Soon the SAN generates a new action potential and the events described above are repeated in that sequence and the process continues.

This sequential event in the heart which is cyclically repeated is called the cardiac cycle and it consists of systole and diastole of both the atria and ventricles. As mentioned earlier, the heart beats 72 times per minute, i.e., that many cardiac cycles are performed per minute. From this it could be deduced that the duration of a cardiac cycle is 0.8 seconds. During a cardiac cycle, each ventricle pumps out approximately 70 mL of blood which is called the stroke volume. The stroke volume multiplied by the heart rate (no. of beats per min.) gives the cardiac output. Therefore, the cardiac output can be defined as the volume of blood pumped out by each ventricle per minute and averages 5000 mL or 5 litres in a healthy individual. The body has the ability to alter the stroke volume as well as the heart rate and thereby the cardiac output. For example, the cardiac output of an athlete will be much higher than that of an ordinary man. During each cardiac cycle two prominent sounds are produced which can be easily heard through a stethoscope. The first heart sound (lub) is associated with the closure of the tricuspid and bicuspid valves whereas the second heart sound (dub) is associated with the closure of the semilunar valves. These sounds are of clinical diagnostic significance.

18.3.3 Electrocardiograph (ECG)

You are probably familiar with this scene from a typical hospital television show: A patient is hooked up to a monitoring machine that shows voltage traces on a screen and makes the sound “… pip… pip… pip….. peeeeeeeeeeeeeeeeeeeeee” as the patient goes into cardiac arrest. This type of machine (electro-cardiograph) is used to obtain an electrocardiogram (ECG). ECG is a graphical representation of the electrical activity of the heart during a cardiac cycle. To obtain a standard ECG (as shown in the Figure 18.3), a patient is connected to the machine with three electrical leads (one to each wrist and to the left ankle) that continuously monitor the heart activity. For a detailed evaluation of the heart’s function, multiple leads are attached to the chest region. Here, we will talk only about a standard ECG. Each peak in the ECG is identified with a letter from P to T that corresponds to a specific Figure 18.3 lectrical activity of the heart.

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The P-wave represents the electrical excitation (or depolarisation) of the atria, which leads to the contraction of both the atria. The QRS complex represents the depolarisation of the ventricles, which initiates the ventricular contraction. The contraction starts shortly after Q and marks the beginning of the systole.

The T-wave represents the return of the ventricles from excited to normal state (repolarisation). The end of the T-wave marks the end of systole. Obviously, by counting the number of QRS complexes that occur in a given time period, one can determine the heart beat rate of an individual. Since the ECGs obtained from different individuals have roughly the same shape for a given lead configuration, any deviation from this shape indicates a possible abnormality or disease. Hence, it is of a great clinical significance.

18.4 DOUBLE CIRCULATION

The blood flows strictly by a fixed route through Blood Vessels—the arteries and veins. Basically, each artery and vein consists of three layers: an inner lining of squamous endothelium, the tunica intima, a middle layer of smooth muscle and elastic fibres, the tunica media, and an external layer of fibrous connective tissue with collagen fibres, the tunica externa. The tunica media is comparatively thin in the veins (Figure 18.4).

As mentioned earlier, the blood pumped by the right ventricle enters the pulmonary artery, whereas the left ventricle pumps blood into the aorta. The deoxygenated blood pumped into the pulmonary artery is passed on to the lungs from where the oxygenated blood is carried by the pulmonary veins into the left atrium. This pathway constitutes the pulmonary circulation. The oxygenated blood entering the aorta is carried by a network of arteries, arterioles and capillaries to the tissues from where the deoxygenated blood is collected by a system of venules, veins and vena cava and emptied into the right atrium. This is the systemic circulation (Figure 18.4). The systemic circulation provides nutrients, O2 and other essential substances to the tissues and takes CO2 and other harmful substances away for elimination. A unique vascular connection exists between the digestive tract and liver called hepatic portal system. The hepatic portal vein carries blood from intestine to the liver before it is delivered to the systemic circulation. A special coronary system of blood vessels is present in our body exclusively for the circulation of blood to and from the cardiac musculature.

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18.5 REGULATION OF CARDIAC ACTIVITY

Normal activities of the heart are regulated intrinsically, i.e., auto regulated by specialised muscles (nodal tissue), hence the heart is called myogenic. A special neural centre in the medulla oblangata can moderate the cardiac function through autonomic nervous system (ANS). Neural signals through the sympathetic nerves (part of ANS) can increase the rate of heart beat, the strength of ventricular contraction and thereby the cardiac output. On the other hand, parasympathetic neural signals (another component of ANS) decrease the rate of heart beat, speed of conduction of action potential and thereby the cardiac output. Adrenal medullary hormones can also increase the cardiac output.

18.6 DISORDERS OF CIRCULATORY SYSTEM

High Blood Pressure (Hypertension): Hypertension is the term for blood pressure that is higher than normal (120/80). In this measurement 120 mm Hg (millimetres of mercury pressure) is the systolic, or pumping, pressure and 80 mm Hg is the diastolic, or resting, pressure. If repeated checks of blood pressure of an individual is 140/90 (140 over 90) or higher, it shows hypertension. High blood pressure leads to heart diseases and also affects vital organs like brain and kidney.

Coronary Artery Disease (CAD): Coronary Artery Disease, often referred to as atherosclerosis, affects the vessels that supply blood to the heart muscle. It is caused by deposits of calcium, fat, cholesterol and fibrous tissues, which makes the lumen of arteries narrower.

Angina: It is also called ‘angina pectoris’. A symptom of acute chest pain appears when no enough oxygen is reaching the heart muscle. Angina can occur in men and women of any age but it is more common among the middle-aged and elderly. It occurs due to conditions that affect the blood flow.

Heart Failure: Heart failure means the state of heart when it is not pumping blood effectively enough to meet the needs of the body. It is sometimes called congestive heart failure because congestion of the lungs is one of the main symptoms of this disease. Heart failure is not the same as cardiac arrest (when the heart stops beating) or a heart attack (when the heart muscle is suddenly damaged by an inadequate blood supply).

Summary

Vertebrates circulate blood, a fluid connective tissue, in their body, to transport essential substances to the cells and to carry waste substances from there. Another fluid, lymph (tissue fluid) is also used for the transport of certain substances.

Blood comprises of a fluid matrix, plasma and formed elements. Red blood cells (RBCs, erythrocytes), white blood cells (WBCs, leucocytes) and platelets (thrombocytes) constitute the formed elements. Blood of humans are grouped into A, B, AB and O systems based on the presence or absence of two surface antigens, A, B on the RBCs. Another blood grouping is also done based on the presence or absence of another antigen called Rhesus factor (Rh) on the surface of RBCs. The spaces between cells in the tissues contain a fluid derived from blood called tissue fluid. This fluid called lymph is almost similar to blood except for the protein content and the formed elements.

All vertebrates and a few invertebrates have a closed circulatory system. Our circulatory system consists of a muscular pumping organ, heart, a network of vessels and a fluid, blood. Heart has two atria and two ventricles. Cardiac musculature is auto-excitable. Sino-atrial node (SAN) generates the maximum number of action protentials per minute (70-75/min) and therefore, it sets the pace of the activities of the heart. Hence it is called the Pacemaker. The action potential causes the atria and then the ventricles to undergo contraction (systole) followed by their relaxation (diastole). The systole forces the blood to move from the atria to the entricles

and to the pulmonary artery and the aorta. The cardiac cycle is formed by sequential events in the heart which is cyclically repeated and is called the cardiac cycle. A healthy person shows 72 such cycles per minute. About 70 mL of blood is pumped out by each ventricle during a cardiac cycle and it is called the stroke or beat volume. Volume of blood pumped out by each ventricle of heart per minute is called the cardiac output and it is equal to the product of stroke volume and heart rate (approx 5 litres). The electrical activity of the heart can be recorded from the body surface by using electrocardiograph and the recording is called electrocardiogram (ECG) which is of clinical importance.

We have a complete double circulation, i.e., two circulatory pathways, namely, pulmonary and systemic are present. The pulmonary circulation starts by the pumping of deoxygenated blood by the right ventricle which is carried to the lungs where it is oxygenated and returned to the left atrium. The systemic circulation starts with the pumping of oxygenated blood by the left ventricle to the aorta which is carried to all the body tissues and the deoxygenated blood from there is collected by the veins and returned to the right atrium. Though the heart is autoexcitable, its functions can be moderated by neural and hormonal mechanisms.

EXERCISES

1. Name the components of the formed elements in the blood and mention one major function of each of them.

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Answer

The component elements in the blood are:

(1) Erythrocytes:

They are the most abundant cells and contain the red pigment called haemoglobin. They carry oxygen to all parts of the body. Red blood cells are produced continuously in some parts of the body such as the marrow of long bones, ribs, etc. There are about 4 - 6 million RBCs per cubic millimetre of blood.

(2) Leukocytes

Leucocytes are colourless cells. These cells do not contain haemoglobin. They are the largest cells of the body and are divided into two main categories.

(a) Granulocytes

These leucocytes have granules in their cytoplasm and include neutrophils, eosinophils, and basophiles. Neutrophils are phagocytic cells that protect the body against various infecting agents. Eosinophils are associated with allergic reactions, while basophiles are involved in inflammatory responses.

(b) Agranulocytes

Lymphocytes and monocytes are agranulocytes. Lymphocytes generate immune responses against infecting agents, while monocytes are phagocytic in nature.

(3) Platelets

Platelets are small irregular bodies present in blood. They contain essential chemicals that help in clotting. The main function of platelets is to promote clotting.

2. What is the importance of plasma proteins?

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Answer

Plasma is the colourless fluid of blood which helps in the transport of food, $CO_2$, waste products, and salts. It constitutes about $55 %$ of blood. About $6.8 %$ of the plasma is constituted by proteins such as fibrinogens, globulins, and albumins.

Fibrinogen is a plasma glycoprotein synthesised by the liver. It plays a role in the clotting of blood.

Globulin is a major protein of the plasma. It protects the body against infecting agents.

Albumin is a major protein of the plasma. It helps in maintaining the fluid volume within the vascular space.

3. Match Column I with Column II :

Column I Column II
(a) Eosinophils (i) Coagulation
(b) RBC (ii) Universal Recipient
(c) AB Group (iii) Resist Infections
(d) Platelets (iv) Contraction of Heart
(e) Systole (v) Gas transport

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Answer

Column I Column II
(a) Eosinophils (iii) Resist infections
(b) RBC (v) Gas transport
(c) AB Group (ii) Universal Recipient
(d) Platelets (i) Coagulation
(e) Systole (iv) Contraction of heart
4. Why do we consider blood as a connective tissue?

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Answer

Connective tissues have cells scattered throughout an extra-cellular matrix. They connect different body systems. Blood is considered as a type of connective tissue because of two reasons.

(i) Like the other connective tissues, blood is mesodermal in origin.

(ii) It connects the body systems, transports oxygen and nutrients to all the parts of the body, and removes the waste products. Blood has an extra-cellular matrix called plasma, with red blood cells, white blood cells, and platelets floating in it.

5. What is the difference between lymph and blood?

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Answer

Lymph Blood
1. It is a colourless fluid that does not contain RBCs. 1. It is a red-coloured fluid that contains RBCs.
2. It contains plasma and lesser number of WBCs and platelets. 2. It contains plasma, RBCs, WBCs, and platelets.
3. It helps in body defence and is a part of the immune system. 3. It is associated with the circulation of oxygen and carbon dioxide.
4. Its plasma lacks proteins. 4. Its plasma has proteins, calcium, and phosphorus.
5. It transports nutrients from the tissue cells to the blood, through lymphatic vessels. 5. It transports nutrients and oxygen from one organ to another.
6. The flow of lymph is slow. 6. The flow of blood in the blood vessels is fast.
6. What is meant by double circulation? What is its significance?

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Answer

Double circulation is a process during which blood passes twice through the heart during one complete cycle. This type of circulation is found in amphibians, reptiles, birds, and mammals. However, it is more prominent in birds and mammals as in them the heart is completely divided into four chambers - the right atrium, the right ventricle, the left atrium, and the left ventricle.

The movement of blood in an organism is divided into two parts:

(i) Systemic circulation

(ii) Pulmonary circulation

Systemic circulation involves the movement of oxygenated blood from the left ventricle of the heart to the aorta. It is then carried by blood through a network of arteries, arterioles, and capillaries to the tissues. From the tissues, the deoxygenated blood is collected by the venules, veins, and vena cava, and is emptied into the left auricle.

Pulmonary circulation involves the movement of deoxygenated blood from the right ventricle to the pulmonary artery, which then carries blood to the lungs for oxygenation. From the lungs, the oxygenated blood is carried by the pulmonary veins into the left atrium.

Hence, in double circulation, blood has to pass alternately through the lungs and the tissues.

Significance of double circulation:

Theseparation of oxygenated and deoxygenated blood allows a more efficient supply of oxygen to the body cells. Blood is circulated to the body tissues through systemic circulation and to the lungs through pulmonary circulation.

7. Write the differences between :

(a) Blood and Lymph

(b) Open and Closed system of circulation

(c) Systole and Diastole

(d) P-wave and T-wave

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Answer

(a) Blood and lymph

Blood Lymph
1. Blood is a red-coloured fluid that contains RBCs. 1. Lymph is a colourless fluid that lacks RBCs.
2. It contains plasma, RBCs, WBCs, and platelets. It also contains proteins. 2. It contains plasma and lesser number of WBCs and platelets. It lacks proteins.
3. Blood transports nutrients and oxygen from one organ to another. 3. Lymph plays a role in the defensive system of the body. It is a part of the immune system.

(b) Open and closed systems of circulation

Open system of circulation Closed system of circulation
1. In this system, blood is pumped by the heart, through large vessels, into body cavities called sinuses. 1. In this system, blood is pumped by the heart, through a closed network of vessels.
2. The body tissues are in direct contact with blood. 2. The body tissues are not in direct contact with blood.
3. Blood flows at low pressure. Hence, it is a slower and less efficient system of circulation. 3. Blood flows at high pressure. Hence, it is a faster and more efficient system of circulation.
4. The flow of blood is not regulated through the tissues and organs. 4. The flow of blood can be regulated by valves.
5. This system is present in arthropods and molluscs. 5. This system is present in annelids, echinoderms, and vertebrates.

(c) Systole and diastole

Systole Diastole
1. It is the contraction of the heart chambers to drive blood into the aorta and the pulmonary artery. 1. It is the relaxation of the heart chambers between two contractions. During diastole, the chambers are filled with blood.
2. Systole decreases the volume of the heart chambers and forces the blood out of them. 2. Diastole brings the heart chambers back into their original sizes to receive more blood.

(d) P-wave and T-wave

P-wave T-wave
1. In an electrocardiogram (ECG), the P-wave indicates the activation of the SA node. 1. In an electrocardiogram (ECG), the T- wave represents ventricular relaxation.
2. During this phase, the impulse of contraction is generated by the SA node, causing atrial depolarisation. 2. During this phase, the ventricles relax and return to their normal state.
3. It is of atrial origin. 3. It is of ventricular origin.
8. Describe the evolutionary change in the pattern of heart among the vertebrates.

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Answer

All vertebrates possess a heart - a hollow muscular organ composed of cardiac muscle fibres. The function of the heart is to pump oxygen to all parts of the body. The evolution of the heart is based on the separation of oxygenated blood from deoxygenated blood for efficient oxygen transport.

In fishes, the heart was like a hollow tube. This evolved into the four-chambered heart in mammals.

Piscean heart

Fish has only two chambers in its heart - one auricle and one ventricle. Since both the auricle and the ventricle remain undivided, only deoxygenated blood passes through it. The deoxygenated blood enters the gills for oxygenation from the ventricle. It has additional chambers such as sinus venosus and conus arteriosus.

Amphibian heart

Amphibians, such as frogs, have three-chambered hearts, with two auricles and one ventricle. The auricle is divided into a right and a left chamber by an inter-auricular septum, while the ventricle remains undivided.

Additional chambers such as sinus venosus and conus arteriosus are also present. The oxygenated blood from the lungs enters the left auricle and simultaneously, the deoxygenated blood from the body enters the right auricle. Both these auricles empty into the ventricle, wherein the oxygenated and deoxygenated blood get mixed to some extent.

Reptilian heart

Reptiles have incomplete four-chambered hearts, except for crocodiles, alligators, and gharials. They have only one accessory chamber called sinus venosus. The reptilian heart also shows mixed blood circulation.

Avian and mammalian hearts

They have two pairs of chambers for separating oxygenated and deoxygenated bloods. The heart is divided into four chambers. The upper two chambers are called atria and the lower two chambers are called ventricles. The chambers are separated by a muscular wall that prevents the mixing of the blood rich in oxygen with the blood rich in carbon dioxide.

9. Why do we call our heart myogenic?

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Answer

Inthe human heart, contraction is initiated by a special modified heart muscle known as sinoatrial node. It is located in the right atrium. The SA node has the inherent power of generating a wave of contraction and controlling the heart beat. Hence, it is known as the pacemaker. Since the heart beat is initiated by the SA node and the impulse of contraction originates in the heart itself, the human heart is termed myogenic. The hearts of vertebrates and molluscs are also myogenic.

10. Sino-atrial node is called the pacemaker of our heart. Why?

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Answer

The sino-atrial (SA) node is a specialised bundle of neurons located in the upper part of the right atrium of the heart. The cardiac impulse originating from the SA node triggers a sequence of electrical events in the heart, thereby controlling the sequence of muscle contraction that pumps blood out of the heart. Since the SA node initiates and maintains the rhythmicity of the heart, it is known as the natural pacemaker of the human body.

11. What is the significance of atrio-ventricular node and atrio-ventricular bundle in the functioning of heart?

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Answer

The atrioventricular (AV) node is present in the right atrium, near the base of the inter-auricular septum that separates the right auricle from the ventricle. It gives rise to the bundle of His that conducts the cardiac impulses from the auricles to the ventricles. As the bundle of His passes the ventricle along the inter-ventricular septum, it divides into two branches - the right ventricle and the left ventricle.

The end branches of this conducting system then forms a network of Purkinje fibres that penetrate into the myocardium. The auricular contraction initiated by the wave of excitation from the sino-atrial node (SA node) stimulates the atrio-ventricular node, thereby leading to the contraction of ventricles through the bundle of His and Purkinje fibres. Hence, the atrio-ventricular node and the atrioventricular bundle play a role in the contraction of ventricles.

12. Define a cardiac cycle and the cardiac output.

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Answer

Cardiac cycle is defined as the complete cycle of events in the heart from the beginning of one heart beat to the beginning of the next. It comprises three stages - atrial systole, ventricular systole, and complete cardiac diastole.

Cardiac output is defined as the amount of blood pumped out by the ventricles in a minute.

13. Explain heart sounds.

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Answer

Heart sounds are noises generated by the closing and opening of the heart valves. In a healthy individual, there are two normal heart sounds called luband dub. Lub is the first heart sound. It is associated with the closure of the tricuspid and bicuspid valves at the beginning of systole. The second heart sound dubis associated with the closure of the semilunar valves at the beginning of diastole.

These sounds provide important information about the condition and working of the heart.

14. Draw a standard ECG and explain the different segments in it.

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Answer

Electrocardiogram is a graphical representation of the cardiac cycle produced by an electrograph.

The diagrammatic representation of a standard ECG is shown below.

A typical human electrocardiogram has five waves- $P, Q, R, S$, and $T$. The $P, R$, and $T$-waves are above the base line and are known as positive waves. The $Q$ and $S$-waves are below the base line and are known as negative waves. The P-wave is of atrial origin, while the Q, R, S, and T-waves are of ventricular origin.

(a) The P-wave indicates atrial depolarisation. During this wave, the impulse of contraction is generated by the SA node. The PQ-wave represents atrial contraction.

(b) The QR-wave is preceded by ventricular contraction. It represents the spread of the impulse of contraction from the AV node to the wall of the ventricle. It leads to ventricular depolarisation.

(c) The RS-wave represents ventricular contraction of about $0.3 sec$.

(d) The ST-wave represents ventricular relaxation of about $0.4 sec$. During this phase, the ventricles relax and return to their normal state.

(e) The T-wave represents ventricular relaxation.