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Our sense organs 45

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The heart beats 70 times per minute, and pumps<br />

about 70 cm 3 of blood into the major circuit at<br />

each contraction. This means that the volume of<br />

blood pumped each minute is about 5 litres (70 x<br />

70 = 4,900 cm 3 ). This is equal to the total volume<br />

of blood in the body. When physically active the<br />

muscles require more blood, so that the pressure<br />

and the flow volume of the blood increases. The<br />

volume per minute can then be raised to 25 litres,<br />

meaning that the entire blood volume is pumped<br />

through the body five times per minute. This is<br />

achieved by a doubling of the stroke volume<br />

from 70 to 140 cm 3 and the rate increases to as<br />

many as 180 beats per minute (140 x 180 =<br />

25,200 cm 3 = 25 litres).<br />

The human heart is morphologically and functionally<br />

a masterpiece of its Creator. The focal<br />

point of circulation, it responds to every demand,<br />

even from the most distant corners of the body.<br />

The larger blood vessels, arteries and veins, are<br />

the main roads carrying the necessary volumes of<br />

blood, but the capillaries provide the actual nourishment.<br />

In this cleverly designed network, the<br />

arteries branch repeatedly and supply the entire<br />

capillary network with blood. These capillaries in<br />

turn combine to form larger and larger veins.<br />

The following table shows that 1,200 million capillaries,<br />

with a total length of 1,200 kilometres,<br />

must be supplied with blood.<br />

Cross-<br />

Total sectional<br />

Type of vessel Number length area Diameter<br />

(m) (cm 2 ) (mm)<br />

Aorta 1 0.4 0.8 10.0<br />

Large arteries 40 8 3 3.0<br />

Arterial branches 600 60 5 1.0<br />

Small art branches 1,800 18 5 0.6<br />

Arterioles 40,000,000 80,000 125 0.02<br />

Capillaries 1,200,000,000 1,200,000 600 0.008<br />

Venules 80,000,000 160,000 570 0.03<br />

Small vein branches 1,800 18 30 1.5<br />

Venous tributaries 600 60 27 2.4<br />

Large veins 40 8 11 6.0<br />

Vena cava (superior and inferior) 2 0.4 1.2 12.5<br />

Table 1: Numerical aspects of human blood vessels.<br />

54<br />

Blood pressure: The pressure against which the<br />

left ventricle must push the blood, is called the<br />

arterial blood pressure. The resulting pressure<br />

waves can be felt as pulses when one touches<br />

the skin over a superficial artery. Arterial pressure<br />

changes continually, varying between a maximum<br />

systolic pressure (full contraction of the<br />

left ventricle) and a diastolic minimum (when the<br />

aortic valve is open). The systolic pressure is normally<br />

about 120 mm (in the old mercury pressure,<br />

which equals 16 kPa 2 ), and the diastolic<br />

about 80 mm (= 10.7 kPa).<br />

The heart of a human embryo already starts<br />

beating at 25 days after conception. Its size is<br />

then only 2.5 mm, while the embryo as such<br />

measures 6 mm. The heart of an adult man<br />

weighs about 320 g and that of a woman 270 g.<br />

It is noteworthy that the strict separation of the<br />

left (arterial) and the right (veinous) sides of the<br />

heart only commences at birth. In the foetus<br />

both atria are connected by the foramen ovale 3 .<br />

The Latin word foetus means begotten; in medical<br />

terms it refers to the embryo at four months<br />

and later.<br />

Did you know that a near-instantaneous “change<br />

of heart” takes place directly after birth? The two<br />

halves of the heart of a foetus operate in parallel.<br />

Both atria and ventricles function together as a<br />

single hollow muscle, and the blood is oxygenated<br />

in the placenta. The lungs require very little<br />

blood, since they do not function, and they are<br />

2<br />

Pressure: The SI unit for pressure is the Pascal (Pa),<br />

named after the French mathematician and physicist<br />

Blaise Pascal (1623 – 1662). 1 Pa = 1 N/m 2 = 1 kg/(ms 2 ).<br />

The previously used unit for air pressure, millimetres<br />

of mercury (mm Hg), was defined as follows in 1954<br />

by the World Organisation for Metrology: “One mm<br />

Hg is the pressure exerted by a 1 mm column of mercury<br />

at a temperature of 0 °C and at a place where<br />

the gravitational acceleration is normal (9.80665<br />

m/s 2 ).” The conversion factors are: 1 mm Hg =<br />

133.332 Pa, 1 kPa = 1,000 Pa. In medicine, the old<br />

unit is used, for historical and practical reasons.<br />

3<br />

Foramen ovale (Latin foramen = hole): The orifice in<br />

the septum between the two atria of a foetus.

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