1 00:00:02,957 --> 00:00:06,411 Okay let's talk about the arteries and the veins 2 00:00:06,411 --> 00:00:09,536 and I'm actually going to talk about the both of them 3 00:00:09,536 --> 00:00:11,980 and simultaneously because there are some interesting 4 00:00:11,980 --> 00:00:15,139 differences I want to point out between the two. You know that they're both vessels but 5 00:00:15,139 --> 00:00:20,185 there are some really important differences between how they work and what they do. 6 00:00:20,185 --> 00:00:24,305 So this is your heart and coming out of your heart is the aorta 7 00:00:24,305 --> 00:00:27,902 and before this video I have been drawing the aorta quite differently, 8 00:00:27,902 --> 00:00:32,985 kind of showing its branches and here I am showing it kind of stretched out. 9 00:00:32,985 --> 00:00:39,278 and I'll show a few of the branches but really the point of the drawing is not to make it anatomically correct, 10 00:00:39,278 --> 00:00:41,550 you can tell that definitely it's not anatomically correct, 11 00:00:41,550 --> 00:00:43,097 because that wouldn't make any sense at all, 12 00:00:43,097 --> 00:00:45,548 that blood going off to one side. 13 00:00:45,548 --> 00:00:48,815 But really, I want to show you a concept in this video. 14 00:00:48,815 --> 00:00:52,912 A few concepts, actually. So, here we have --let's say, the vein. 15 00:00:52,912 --> 00:00:56,212 And I'm gonna stretch that out as well, and let's imagine that 16 00:00:56,212 --> 00:01:00,760 all of the veins are dumping into this one final vein. 17 00:01:00,760 --> 00:01:02,780 It gets back to the --to the heart. 18 00:01:02,780 --> 00:01:07,774 So I'll draw the branches kind of coming in to the vein here and here. 19 00:01:07,774 --> 00:01:14,586 And we know that the arteries and the vein are trying to get blood out to the capillaries. 20 00:01:14,586 --> 00:01:19,302 So these show you what a zoomed in version may look like of the capillaries. 21 00:01:19,302 --> 00:01:25,518 So we've got --let's say, some capillaries, here and maybe some here and here. 22 00:01:25,518 --> 00:01:29,208 And you know of course in real life you don't have three such a capillary beds, 23 00:01:29,208 --> 00:01:33,487 which is what I'm drawing here, but really of thousands and thousands, right? 24 00:01:33,487 --> 00:01:36,298 And let's not to forget, you know, 25 00:01:36,298 --> 00:01:39,104 these capillaries are basically found in different parts in the body, 26 00:01:39,104 --> 00:01:43,215 so you might have --for example, a bone, and some capillaries in the bone, 27 00:01:43,215 --> 00:01:46,211 you may have this second capillary, may be, going to your face, 28 00:01:46,211 --> 00:01:49,191 let's say even specifically, your nose. 29 00:01:49,191 --> 00:01:54,138 And this third capillary bed, may be going down to your foot. 30 00:01:54,138 --> 00:01:58,013 So you have blood in your foot. 31 00:01:58,013 --> 00:02:02,616 So you have different parts of the body all getting capillaries and 32 00:02:02,616 --> 00:02:08,420 the blood is gonna start at the heart, go to the capillaries through the arteries, 33 00:02:08,420 --> 00:02:10,882 and then return through all those beds. 34 00:02:10,882 --> 00:02:12,213 And we've kind of lumped it together. 35 00:02:12,213 --> 00:02:18,726 And what I want to show you now is, that these very very simply is the systemic circulation. 36 00:02:18,726 --> 00:02:20,743 Systemic circulation. 37 00:02:20,743 --> 00:02:25,947 Now, of course you know that there is also the pulmonary circulation. 38 00:02:25,947 --> 00:02:27,215 So what is that look like? 39 00:02:27,215 --> 00:02:29,355 I mean to draw that here --pulmonary circulation. 40 00:02:29,355 --> 00:02:32,082 So pulmonary, you know, means lungs. 41 00:02:32,082 --> 00:02:40,894 And I've shown you previously, in another video, that there is blood going to these lungs. 42 00:02:40,894 --> 00:02:48,531 In a very low pressure system. So we talked previously about low pressure and high pressure system. 43 00:02:48,531 --> 00:02:51,636 And now I just remember that this is kind of how it gets there, 44 00:02:51,636 --> 00:02:55,854 you have deoxigenated blood, or the --the blood in the blue vessel, 45 00:02:55,854 --> 00:03:01,515 kind of going up like that, and this should be the pulmonary artery. 46 00:03:01,515 --> 00:03:04,881 Pulmonary artery. 47 00:03:04,881 --> 00:03:09,625 All right, {Art.} for artery. And we have the pulmonary vein, 48 00:03:09,625 --> 00:03:15,739 bringing that blood back to the heart with oxygen in it. 49 00:03:15,739 --> 00:03:20,014 Pulmonary vein. 50 00:03:20,014 --> 00:03:23,713 So that's your pulmonary circulation, so your pulmonary circulation in your systemic circulation. 51 00:03:23,713 --> 00:03:28,377 And I'll get back to why I drew the pulmonary artery in blue, 52 00:03:28,377 --> 00:03:31,613 and pulmonary vein in red, in just one second. 53 00:03:31,613 --> 00:03:33,331 Let's put that on the side for a momment. 54 00:03:33,331 --> 00:03:38,243 And let's get into exactly how to think about arteries and veins in general. 55 00:03:38,243 --> 00:03:44,317 So in general, I think of arteries as taking blood {AWAY} from the heart. 56 00:03:44,317 --> 00:03:49,533 That's the easiest and most clear way of figuring out what an artery is exactly. 57 00:03:49,533 --> 00:03:52,679 So, arteries are taking blood AWAY from the heart. 58 00:03:52,679 --> 00:03:55,811 So let me just draw a little arrow here. 59 00:03:55,811 --> 00:04:02,315 And veins are bringing blood {BACK}. And so this becomes our first point. 60 00:04:02,315 --> 00:04:06,652 Point number one, and this's the point of difference between the two of them, 61 00:04:06,652 --> 00:04:10,206 is the direction of flowing, and even if you see at pulmonary system, 62 00:04:10,206 --> 00:04:14,679 you can see that --that remains true, that the arteries are taking blood away, 63 00:04:14,679 --> 00:04:16,478 and the vein is bringin the blood back. 64 00:04:16,478 --> 00:04:22,670 Okay. Point number two. Now you see that the arteries are drawn in red, for the most part. 65 00:04:22,670 --> 00:04:28,237 And so usually arteries have oxygenated blood, that they're bringing out to the tissues. 66 00:04:28,237 --> 00:04:32,901 And then the veins carry the deoxygenated blood, that they bring back from the tissue. 67 00:04:32,901 --> 00:04:35,842 So point number two, is really about the colour. 68 00:04:35,842 --> 00:04:38,570 And so we write that in here. 69 00:04:38,570 --> 00:04:44,184 So this should be like a little red blood cell with hemoglobin in it. 70 00:04:44,184 --> 00:04:47,680 And this is a little red blood cells -- 71 00:04:47,680 --> 00:04:50,881 still called the red blood cell eventhough its colour is more blue, 72 00:04:50,881 --> 00:04:53,091 but it still got the hemoglobin in it, 73 00:04:53,091 --> 00:04:58,953 but the hemoglobin down here --down here, actually doesn't have any oxygen left, 74 00:04:58,953 --> 00:05:01,312 and so the colour looks quite different. 75 00:05:01,312 --> 00:05:08,948 So the colour of arterial blood is usually red, because of the fact that oxygen is bound to the hemoglobin. 76 00:05:08,948 --> 00:05:13,348 And less oxygen bound in the venous side, so that's why it turns blue. 77 00:05:13,348 --> 00:05:17,945 Now, I want to --just a little star there, because that's not always true. 78 00:05:17,945 --> 00:05:22,215 And you can see where clearly it's not true, it's over here. 79 00:05:22,215 --> 00:05:24,911 So I'd like to --let me star the pulmonary circulation, 80 00:05:24,911 --> 00:05:27,993 where you can see that the pulmonary artery and vein --I'll star that, 81 00:05:27,993 --> 00:05:32,724 that's just really emphasize the point, or actually the reverse of what I've just said, right. 82 00:05:32,724 --> 00:05:36,693 Because the pulmonary artery is actually gonna carry deoxygenated blood, 83 00:05:36,693 --> 00:05:39,084 and the pulmonary vein is carrying oxygenated blood. 84 00:05:39,084 --> 00:05:41,305 So clearly that's the reverse of what I've just side. 85 00:05:41,305 --> 00:05:44,446 But that is one exception to the general rule, 86 00:05:44,446 --> 00:05:49,031 which is that arteries definitely look red, and veins generally look blue. 87 00:05:49,031 --> 00:05:52,513 Okay, so that --those are two points of difference between the arteries and veins. 88 00:05:52,513 --> 00:05:58,988 Let's keep going. So now you know, that arteries are high pressure, right. 89 00:05:58,988 --> 00:06:03,801 because the heart is pumping the blood out, and it's gonna be in a very very high pressure. 90 00:06:03,801 --> 00:06:09,519 And so I kind of think the arteries as being like a river, a fast flowing river. 91 00:06:09,519 --> 00:06:15,558 So you can think of this as fast flowing, high pressure. 92 00:06:15,558 --> 00:06:21,684 So that is the third difference. This is a high pressure system. 93 00:06:21,684 --> 00:06:23,712 Third difference, it's that it's high pressure system. 94 00:06:23,712 --> 00:06:29,235 In fact, maybe I'll even emphasize the point by writing the word very large: 95 00:06:29,235 --> 00:06:32,481 HIGH PRESSURE. 96 00:06:32,481 --> 00:06:39,412 And actually, the other thing we think about with these arteries is that there is not so much volume in the arteries. 97 00:06:39,412 --> 00:06:41,912 So if you actually look at --let's say, first time now, 98 00:06:41,927 --> 00:06:44,430 you should try figure out where all the blood was located, 99 00:06:44,430 --> 00:06:47,239 not too much of it is in the arteries. 100 00:06:47,239 --> 00:06:52,043 So it's very low volume system, right, its volume is very small. 101 00:06:52,043 --> 00:07:01,843 And the veins are the opposite. They're kind of a large volume-- system. 102 00:07:01,843 --> 00:07:04,006 And they have really kind of a low pressure. 103 00:07:04,006 --> 00:07:06,572 Alright, pressure is very small over here. 104 00:07:06,572 --> 00:07:09,403 And if you actually figure out what percent is where, 105 00:07:09,414 --> 00:07:13,983 in terms of the amount of blood, about 5% of the blood, at any point time, 106 00:07:13,983 --> 00:07:18,264 would be in the heart. And --let's say, about 5% would be in the capillaries. 107 00:07:18,264 --> 00:07:24,183 and then about 10% or so, would be in the lungs. 108 00:07:24,183 --> 00:07:29,071 So what we have to --now we're 5 and 5 is 10, 10 plus 10 is 20. 109 00:07:29,071 --> 00:07:36,072 And then we have another about 15% in the arteries. So about 15%. 110 00:07:36,072 --> 00:07:37,801 So that's actually not too much blood. 111 00:07:37,801 --> 00:07:46,245 And so the remaining --what is that, 65% of the blood, is actually in the vein, in any point of time. 112 00:07:46,245 --> 00:07:53,594 So that's remarkable, right. About two third of the blood in any point time is actually sitting in all the vein combined. 113 00:07:53,594 --> 00:07:56,618 And so the way I've drawn it, isn't really --not really a best way to draw it. 114 00:07:56,618 --> 00:08:02,780 I should really erase this. And really redraw this to make it much more accurate. 115 00:08:02,780 --> 00:08:08,993 It should look a lot more like this, right, like a big giant lake of blood. 116 00:08:08,993 --> 00:08:12,141 And so this is actually how to think about of the vein. 117 00:08:12,141 --> 00:08:16,841 It's actually very very low pressure but high volume system. 118 00:08:16,841 --> 00:08:23,111 So that may be the third point. I'll bring up on the blood side --or, on the vein side. 119 00:08:23,111 --> 00:08:29,520 it's that it's a high volume system. so, high volume. 120 00:08:29,520 --> 00:08:33,041 Now, we've talked about the direction of flow, 121 00:08:33,041 --> 00:08:36,484 we've talked about the fact that one side carries more oxygen than the other, 122 00:08:36,484 --> 00:08:41,893 and we've also talked about the fact that arteries are high pressure-low volume system. 123 00:08:41,893 --> 00:08:45,513 And the veins are high volume-low pressure system. 124 00:08:45,513 --> 00:08:47,094 So what are some other differences? 125 00:08:47,094 --> 00:08:54,334 So, one other difference is that in the arteries, you actually don't have any valves. 126 00:08:54,334 --> 00:09:00,586 Now --I don't know how to label that to make it super clear, but let me just find some sort open spot here, 127 00:09:00,586 --> 00:09:03,684 and write number four, there're no valves in the arterial system, 128 00:09:03,684 --> 00:09:07,572 whereas on the venous side, you actually do have valves. 129 00:09:07,572 --> 00:09:15,997 You have these valves come together --we make it very clear, but making the two sides touch. 130 00:09:15,997 --> 00:09:18,372 And the blood kind of goes through like that. 131 00:09:18,372 --> 00:09:24,144 So you have these valves keep the blood going in the right direction. 132 00:09:24,144 --> 00:09:27,612 So that would be the fourth point of difference between the two. 133 00:09:27,612 --> 00:09:30,645 So you have these valves. And you might get confused, because you think, 134 00:09:30,645 --> 00:09:32,422 "well, doesn't the heart also have valves?" 135 00:09:32,422 --> 00:09:34,586 And it does, the heart also has valves. 136 00:09:34,586 --> 00:09:40,173 But the veins have a different type of valves, and that's actually keep the blood flowing in the right direction. 137 00:09:40,173 --> 00:09:43,127 You can imagine that you probably don't even need that on the arterial side, 138 00:09:43,127 --> 00:09:47,217 because the pressures are so high, that the blood is forced to go one way. 139 00:09:47,217 --> 00:09:50,593 Or, it's in the vein, because it's kind of a giant lake. 140 00:09:50,593 --> 00:09:54,249 Water can kind of swirl around and around and around, 141 00:09:54,249 --> 00:09:58,257 and so it's helpful to have valves keeping going in the right direction. 142 00:09:58,257 --> 00:10:00,157 So that's the fourth point of difference. 143 00:10:00,157 --> 00:10:03,998 So now think about of the fact that you might have, a break in the arterial system. 144 00:10:03,998 --> 00:10:11,456 So let's say that you have an accident, and you cut an artery --or, a big artery, let's say. 145 00:10:11,456 --> 00:10:13,219 What would it look like? So if you have a break right here, 146 00:10:13,219 --> 00:10:18,449 you would actually have like a fountain of blood, coming out, right there. 147 00:10:18,449 --> 00:10:24,572 Because it's under such high pressure, it's gonna spew up, right. 148 00:10:24,572 --> 00:10:27,993 And so this is basically what it looks like when you actually cut your artery, 149 00:10:27,993 --> 00:10:32,160 again, because of the fact that it's under such high pressure. 150 00:10:32,160 --> 00:10:37,914 And on the venous side, on the vein side, if you have a break. It looks really different. 151 00:10:37,914 --> 00:10:40,344 Because you have --let's say your break is right here, 152 00:10:40,344 --> 00:10:45,243 you'd actually get a kind of --a pool of blood, just locally, before it clots off. 153 00:10:45,243 --> 00:10:51,963 Because again, you have a very low pressure. So it's just gonna kind of quietly pool and, 154 00:10:51,963 --> 00:10:54,798 you might get a bruise right there. 155 00:10:54,798 --> 00:10:57,600 But it's really won't look like a fountain of blood. 156 00:10:57,600 --> 00:11:00,740 And that's actually another final point of difference which, 157 00:11:00,740 --> 00:11:04,167 really gets back to the high pressure system on the arterial side, 158 00:11:04,167 --> 00:11:08,381 and the high volume-low pressure system on the venous side. 159 00:11:08,381 --> 00:11:09,965 ~o0o~