Artery

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Section of an artery
Section of an artery
For other uses, see Artery (disambiguation).

Arteries are muscular blood vessels that carry blood away from the heart. They are contrasted with veins, which carry blood toward the heart.

The circulatory system is extremely important in sustaining life. Its proper functioning is responsible for the delivery of oxygen and nutrients to all cells, as well as the removal of carbon dioxide and waste products, maintenance of optimum pH, and the mobility of the elements, proteins and cells of the immune system. In developed countries, the two leading causes of death, myocardial infarction and stroke each may directly result from an arterial system that has been slowly and progressively compromised by years of deterioration. (See atherosclerosis).

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[edit] Description

The arterial system is the higher-pressure portion of the circulatory system. Arterial pressure varies between the peak pressure during heart contraction, called the systolic pressure, and the minimum, or diastolic pressure between contractions, when the heart rests between cycles. This pressure variation within the artery produces the pulse which is observable in any artery, and reflects heart activity. Blood Pressure causes the movement of the blood within the arteries.

[edit] Anatomy

Anatomy of the arterial wall
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Anatomy of the arterial wall

The outermost layer is known as the tunica adventitia or the adventitia, and is composed of connective tissue. Inside this layer is the tunica media, or media, which is made up of smooth muscle cells and elastic tissue. The innermost layer, which is in direct contact with the flow of blood is the tunica intima, commonly called the intima. This layer is made up of mainly endothelial cells. The hollow internal cavity in which the blood flows is called the lumen.

[edit] Types of arteries:

There are several types of arteries in the body:

[edit] Pulmonary arteries

The pulmonary arteries carry deoxygenated blood that has just returned from the body to the lungs, where carbon dioxide is exchanged for oxygen.

[edit] Systemic arteries

Systemic arteries deliver blood to the arterioles, and then to the capillaries, where nutrients and gases are exchanged.

[edit] The Aorta

The aorta is the root systemic artery. It receives blood directly from the left ventricle of the heart via the aortic valve. As the aorta branches, and these arteries branch in turn, they become successively smaller in diameter, down to the arteriole. The arterioles supply capillaries which in turn empty into venules.

[edit] Arterioles

Arterioles, the smallest of the true arteries, help regulate blood pressure and deliver blood to capillaries.

[edit] Arterioles and blood pressure

Arterioles have the greatest collective influence on both local blood flow and on overall blood pressure. They are the primary "adjustable nozzles" in the blood system, across which the greatest pressure drop occurs. The combination of heart output (cardiac output) and total peripheral resistance, which refers to the collective resistance of all of the body's arterioles, are the principal determinants of arterial blood pressure at any given moment.

[edit] Capillaries

Though not considered true arteries, the capillaries are where all of the important action happens in the circulatory system:

[edit] Functions of capillaries

Capillaries have no smooth muscle surrounding them and have a diameter less than that of a red blood cells; a red blood cell is typically 7 micrometers outside diameter, capillaries typically 5 micrometers inside diameter. The red blood cells must distort in order to pass through the capillaries.

This small diameter of the capillaries provide a relatively large surface area for the exchange of gases and nutrients.

[edit] What capillaries do:
  • In the lungs, carbon dioxide is exchanged for oxygen
  • In the tissues, oxygen and carbon dioxide and nutrients and wastes are exchanged
  • In the kidneys, wastes are released to be eliminated from the body
  • In the intestine, nutrients are picked up, and wastes released

[edit] Blood pressure

Systemic arterial pressures, are generated by the forceful contractions of the heart's left ventricle. (See blood pressure)

Healthy resting arterial pressures, are relatively low, mean systemic pressures typically being under 100 mmHg, about 1.8 lbf/in², above surrounding atmospheric pressure (about 760 mmHg or 14.7 lbf/in² at sea level).

To withstand and adapt to the pressures within, arteries are surrounded by varying thicknesses of smooth muscle which have extensive elastic and inelastic connective tissues.

The pulse pressure, i.e. Systolic vs. Diastolic difference, is determined primarily by the amount of blood ejected by each heart beat, stroke volume, versus the volume and elasticity of the major arteries.

Over time, elevated arterial blood sugar (see Diabetes Mellitus), lipoprotein cholesterol, and pressure, smoking, and other factors are all involved in damaging both the endothelium and walls of the arteries, resulting in atherosclerosis or Diabetes Mellitus.

[edit] History

Among the ancient Greeks, the arteries were considered to be "air holders" that were responsible for the transport of air to the tissues and were connected to the trachea. This theory presumably arose from the fact that the arteries are empty after death: the last beat of the heart pushes the blood through the capillaries and into the veins.

In medieval times, it was recognized that arteries carried a fluid, called "spiritual blood" or "vital spirits", considered to be different from the contents of the veins. This theory went back to Galen.

William Harvey described and popularized the modern concept of the circulatory system and the roles of arteries and veins in the 17th century.

[edit] See also

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Cardiovascular system
Blood  |  Heart → Aorta → Arteries → Arterioles → Capillaries → Venules → Veins → Vena cava → Heart → Pulmonary arteries → Lungs → Pulmonary veins → Heart
Arteries of head and neckedit

EXTERNAL CAROTID: Anterior: superior thyroid - superior laryngeal - lingual (sublingual)

facial: cervical branches (ascending palatine - tonsillar - submental) - facial branches (inferior labial - superior labial - lateral nasal - angular)

Posterior and ascending: occipital - posterior auricular - stylomastoid - ascending pharyngeal (meningeal branches)
Terminal: superficial temporal - transverse facial - middle temporal (zygomaticoörbital) - parietal branch
maxillary - 1st part: anterior tympanic - deep auricular - middle meningeal - superior tympanic - accessory meningeal - inferior alveolar - lingual
2nd part: deep temporal - masseteric - buccinator - posterior superior alveolar
3rd part: infraorbital - descending palatine - artery of the pterygoid canal - sphenopalatine | (Gray's s144)

INTERNAL CAROTID: cervical portion - petrous portion - cavernous portion
ophthalmic - orbital group: lacrimal - supra-orbital - posterior ethmoidal - anterior ethmoidal - medial palpebral - supratrochlear - dorsal nasal
ocular group: central retinal - ciliary
cerebral portion: anterior cerebral - anterior communicating - middle cerebral - posterior communicating - anterior choroidal - circle of Willis | (Gray's s146 - Gray's s147)

SUBCLAVIAN: vertebral: meningeal branches - posterior spinal - anterior spinal - posterior inferior cerebellar - basilar (internal auditory - anterior inferior cerebellar - superior cerebellar - posterior cerebral)
thyrocervical trunk: inferior thyroid - inferior laryngeal - ascending cervical - suprascapular - transverse cervical - dorsal scapular
internal thoracic: musculophrenic - anterior intercostal - pericardiacophrenic - superior epigastric
costocervical trunk: highest intercostal, deep cervical | (Gray's s148)

Arteries of upper limbsedit

AXILLARY: superior thoracic - thoracoacromial - lateral thoracic - subscapular (circumflex scapular - thoracodorsal) - anterior humeral circumflex - posterior humeral circumflex | (Gray's s149)

BRACHIAL: profunda brachii (radial collateral, medial collateral) - superior ulnar collateral - inferior ulnar collateral | (Gray's s150)

RADIAL: deep palmar arch - radial recurrent - superficial palmar arch - dorsal carpal - dorsal carpal network - dorsal metacarpal - princeps pollicis - radial of index finger - volar metacarpal | (Gray's s151)

ULNAR: anterior ulnar recurrent - posterior ulnar recurrent - common interosseous - volar interosseous - posterior interosseous - interosseous recurrent - common volar digital | (Gray's s152)

Arteries of thorax, abdomen, and pelvis edit

pulmonary - aorta - ascending aorta
right coronary (sinuatrial nodal, atrioventricular nodal, atrial, right marginal, posterior interventricular)
left coronary (anterior interventricular, left circumflex, left marginal)
aortic arch - brachiocephalic - thyreoidea ima - common carotid | (Gray's s141-Gray's s143)

DESCENDING AORTA / THORACIC AORTA: bronchial - esophageal - posterior intercostal - subcostal | (Gray's s153)

ABDOMINAL AORTA: Anterior - celiac: left gastric

splenic: pancreatic branches (arteria pancreatica magna) - short gastric - left gastro-omental

common hepatic: proper hepatic (cystic), right gastric, gastroduodenal (right gastro-omental, superior pancreaticoduodenal)

superior mesenteric: inferior pancreaticoduodenal - intestinal - ileocolic (appendicular) - right colic - middle colic

inferior mesenteric: left colic - sigmoid - superior rectal

Posterior - Visceral: middle suprarenal - renal (inferior suprarenal) - testicular/ovarian - Parietal: inferior phrenic (superior suprarenal) - lumbar - median sacral

Terminal branches: common iliac - marginal - internal iliac | (Gray's s154)

INTERNAL ILIAC: Anterior: umbilical (superior vesical, to ductus deferens) - inferior vesical - middle rectal - uterine (azygos of the vagina) - vaginal - obturator
internal pudendal: (inferior rectal, perineal, artery of the urethral bulb, urethral, deep artery of the penis, dorsal artery of the penis)
inferior gluteal (accompanying of ischiadic nerve, crucial anastomosis)
Posterior: iliolumbar - lateral sacral - superior gluteal | (Gray's s155)

EXTERNAL ILIAC: inferior epigastric (cremasteric) - deep circumflex iliac | (Gray's s156)