Introduction: The human heart consists of four chambers: The left side and the right side each have one atrium and one ventricle. Each of the upper chambers, the right atrium and the left atrium, acts as a receiving chamber and contracts to push blood into the lower chambers, the right ventricle and the left ventricle. The ventricles serve as the primary pumping chambers of the heart, propelling blood to the lungs or to the rest of the body. There are two distinct but linked circuits in the human circulation called the pulmonary and systemic circuits. Although both circuits transport blood and everything it carries, we can initially view the circuits from the point of view of gases. The pulmonary circuit transports blood to and from the lungs, where it picks up oxygen and delivers carbon dioxide for exhalation.
THE SYSTEMIC CIRCUIT: The
systemic circuit transports oxygenated blood to virtually all of the
tissues of the body and returns relatively deoxygenated blood and
carbon dioxide to the heart to be sent back to the pulmonary
circulation. The right ventricle pumps deoxygenated blood into the
pulmonary trunk, which leads toward the lungs and bifurcates into the
left and right pulmonary arteries. These vessels in turn branch many
times before reaching the pulmonary capillaries, where gas exchange
occurs: Carbon dioxide exits the blood and oxygen enters. The
pulmonary trunk arteries and their branches are the only arteries in
the post-natal body that carry relatively deoxygenated blood.
THE VENOUS SYSTEM: Highly
oxygenated blood returning from the pulmonary capillaries in the
lungs passes through a series of vessels that join together to form
the pulmonary veins, the only post-natal veins in the body that carry
highly oxygenated blood. The pulmonary veins conduct blood into the
left atrium, which pumps the blood into the left ventricle, which in
turn pumps oxygenated blood into the aorta and on to the many
branches of the systemic circuit. Eventually, these vessels will lead
to the systemic capillaries, where exchange with the tissue fluid and
cells of the body occurs. In this case, oxygen and nutrients exit the
systemic capillaries to be used by the cells in their metabolic
processes, and carbon dioxide and waste products will enter the
blood.
COMPOSTION OF OXYGEN IN THE SYSTEM: The
blood exiting the systemic capillaries is lower in oxygen
concentration than when it entered. The capillaries will ultimately
unite to form venules, joining to form ever-larger veins, eventually
flowing into the two major systemic veins, the superior vena cava and
the inferior vena cava, which return blood to the right atrium. The
blood in the superior and inferior venae cavae flows into the right
atrium, which pumps blood into the right ventricle. This process of
blood circulation continues as long as the individual remains alive.
Understanding the flow of blood through the pulmonary and systemic
circuits is critical to all health professions.
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