HEMATIC SYSTEM Blood and Blood Vessels Introduction Good Cardiovascular health is important in maintaining overall health and wellness. Cardiovascular Health is a new section, which will teach you how your heart and cardiovascular system work when healthy, and what happens when diseased. We will also explore disease prevention, therapeutic drug treatment, minimally invasive surgical procedures and open surgical procedures for treating diseases, which affect the heart and cardiovascular system. The main role of the cardiovascular system in the body is to transport oxygen to all tissues in the body and for removing, from these same tissues, metabolic waste products. The system itself consists of the blood, the medium for exchanging oxygen, nutrients and waste products throughout the body, the blood vessels, the pipes through which the blood flows and the heart, the pump which forces blood to flow through the blood vessels. First, Lets take a closer look at the components of blood. Components of Blood Health conscious individuals should be especially concerned with maintaining a healthy cardiovascular system. While the heart, which is a powerful automatic pump, is the cardiovascular component we think of most often, the blood and the blood vessels are also vital to maintaining good health. The average adult has between 5 to 6 liters of blood or blood volume. The blood carries oxygen and essential nutrients to all of the living cells in the body, and also carries waste products to systems that eliminate them. Most of the blood is made up of a watery, protein-laden fluid called plasma. A little less than half of this blood volume is composed of red and white blood cells, and other solid elements called platelets. Platelets are responsible for coagulation of blood at the point of an injury to a blood vessel. Without platelets, our blood would not be able to clot and hemorrhaging or uncontrolled bleeding would result. Hemophilia is a genetic condition, which results in individuals with no ability to clot. Also called bleeders, these individuals must periodically administer a clotting factor to their blood to prevent the constant bleeding, which occurs. How Blood Clots Let’s examine how platelets work to form clots. Here's a cut section of a small artery. The traffic going by includes red blood cells carrying oxygen; platelets, which come from white blood cell fragments; and clotting factors, which help the blood to clot. When a blood vessel becomes damaged, as shown here, the blood cells and plasma begin oozing out into the surrounding tissue. This begins the clotting process. Platelets immediately begin to adhere to the cut edges of the artery; they release chemicals to attract even more platelets. Eventually a platelet plug is formed, and the external bleeding stops. Inside, the clotting factors take a much more active role by creating a cascade of clotting activity. The clotting factors cause strands of blood-borne material, called fibrin, to stick together and seal the inside of the wound. Eventually, the cut blood vessel heals, and the blood clot dissolves after several days. While platelets play an important role in clotting, red blood cells carry on the important job of carrying oxygen and other nutrients to all the tissues of the body and carrying waste products to the organs, which remove them from the body. How Red Blood Cells Carry Oxygen Red blood cells are the oxygen carriers. As they travel away from the heart, they traverse smaller and smaller arteries, finally arriving at the collections of microscopic blood vessels known as capillaries. Here, they exchange nutrients and oxygen for cellular waste products. The waste products are eventually eliminated from the blood stream through the urinary and respiratory systems. The exchange of oxygen and nutrients between the red blood cells and the surrounding tissues occurs through a process called diffusion. In diffusion, when capillaries contain a high concentration of oxygen and nutrients, while the surrounding tissues contain a lower concentration, Oxygen and nutrients leave the capillaries and enter the tissues. Conversely, when body tissues contain high concentrations of carbon dioxide and metabolic waste, while the capillaries contain a lower concentration, the waste products diffuse from the tissues into the capillaries and from there are carried by the venous system back toward the heart. Blood Pressure The red blood cells transport oxygen and waste products by flowing through the blood vessels. What causes blood to flow through the vessels is blood pressure. Just as water flows through pipes from areas of greater pressure to lesser, so too the blood flows through the body from areas of higher pressure to areas of lower pressure. Blood pressure is measured both as the heart contracts, which is called systole, and as it relaxes, which is called diastole. A systolic blood pressure of 120 millimeters of mercury is considered right in the middle of the range of normal blood pressures, as is a diastolic pressure of eighty. In common terms, this normal measurement would be stated as "120 over 80". Normal blood pressure is important for proper blood flow to the body's organs and tissues. Each heartbeat forces blood to the rest of the body. The force of the blood on the walls of the arteries is called blood pressure. Blood pressure moves from high pressure near the heart to low pressure away from the heart. Blood pressure depends on many factors, including the amount of blood pumped by the heart. The diameter of the arteries through which blood is pumped is also an important factor. Generally, blood pressure is higher when more blood is pumped by the heart, and the diameter of an artery is narrow. Systolic pressure is measured when the heart ventricles contract. Diastolic pressure is measured when the heart ventricles relax. Stressful situations can result in a temporary increase in blood pressure. If an individual were to have a consistent blood pressure reading of 140 over 90, he would be evaluated for having high blood pressure. If left untreated, high blood pressure can damage important organs, such as the brain and kidneys as well as lead to a stroke.