Anatomy & Physiology: The Unity of Form and Function, 7th Edition

Published by McGraw-Hill Education
ISBN 10: 0073403717
ISBN 13: 978-0-07340-371-7

Chapter 19 - Section 19.2 - Study Guide - Assess Your Learning Outcomes - Page 740: 10

Answer

The difference in coronary artery blood flow dynamics between the heart's relaxation phase (diastole) and contraction phase (systole) compared to other arteries in the body is due to the unique physiological demands of the heart muscle and its intricate relationship with the coronary circulation. This phenomenon is known as coronary perfusion. **Coronary Blood Flow During Diastole and Systole:** 1. **Diastole (Heart Relaxation):** - During diastole, when the heart is relaxed and chambers are filling with blood, the coronary arteries are not compressed by contracting heart muscle. - The majority of coronary blood flow occurs during diastole. This is because the relaxed heart muscle provides minimal resistance to blood flow through the coronary arteries. - During diastole, the coronary arteries are open and able to supply oxygen and nutrients to the myocardium. 2. **Systole (Heart Contraction):** - During systole, when the heart muscle is contracting to pump blood, the coronary arteries are partially compressed by the contracting myocardium. - This compression during systole temporarily restricts blood flow through the coronary arteries. - However, the heart's energy demands increase during systole due to the increased workload, so a lower level of blood flow is still necessary to support this demand. **Contrast with Arteries Elsewhere:** In the general arterial system throughout the body, arteries are relatively elastic and able to maintain blood flow even during systole. The muscular and elastic properties of arteries enable them to accommodate the changes in blood pressure caused by the heart's pumping action. They expand during systole and then recoil during diastole, which helps maintain relatively consistent blood flow. However, the coronary arteries are relatively less elastic and are more influenced by the heart's own contractions due to their close proximity to the myocardium. This unique relationship reflects the necessity to supply oxygen and nutrients to the heart muscle itself, which requires a delicate balance between compression during systole and sufficient blood flow during diastole. In summary, the coronary artery blood flow pattern is a result of the heart's special requirements for oxygen and nutrients, as well as the dynamic relationship between the heart's contraction and relaxation phases. This unique arrangement ensures that the heart muscle receives adequate perfusion despite the mechanical challenges posed by the heart's pumping action.

Work Step by Step

The difference in coronary artery blood flow dynamics between the heart's relaxation phase (diastole) and contraction phase (systole) compared to other arteries in the body is due to the unique physiological demands of the heart muscle and its intricate relationship with the coronary circulation. This phenomenon is known as coronary perfusion. **Coronary Blood Flow During Diastole and Systole:** 1. **Diastole (Heart Relaxation):** - During diastole, when the heart is relaxed and chambers are filling with blood, the coronary arteries are not compressed by contracting heart muscle. - The majority of coronary blood flow occurs during diastole. This is because the relaxed heart muscle provides minimal resistance to blood flow through the coronary arteries. - During diastole, the coronary arteries are open and able to supply oxygen and nutrients to the myocardium. 2. **Systole (Heart Contraction):** - During systole, when the heart muscle is contracting to pump blood, the coronary arteries are partially compressed by the contracting myocardium. - This compression during systole temporarily restricts blood flow through the coronary arteries. - However, the heart's energy demands increase during systole due to the increased workload, so a lower level of blood flow is still necessary to support this demand. **Contrast with Arteries Elsewhere:** In the general arterial system throughout the body, arteries are relatively elastic and able to maintain blood flow even during systole. The muscular and elastic properties of arteries enable them to accommodate the changes in blood pressure caused by the heart's pumping action. They expand during systole and then recoil during diastole, which helps maintain relatively consistent blood flow. However, the coronary arteries are relatively less elastic and are more influenced by the heart's own contractions due to their close proximity to the myocardium. This unique relationship reflects the necessity to supply oxygen and nutrients to the heart muscle itself, which requires a delicate balance between compression during systole and sufficient blood flow during diastole. In summary, the coronary artery blood flow pattern is a result of the heart's special requirements for oxygen and nutrients, as well as the dynamic relationship between the heart's contraction and relaxation phases. This unique arrangement ensures that the heart muscle receives adequate perfusion despite the mechanical challenges posed by the heart's pumping action.
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