NCERT Solutions for Class 11 Biology Chapter 15: Body Fluids and Circulation
Complete NCERT solutions for Class 11 Biology Chapter 15 Body Fluids and Circulation — all 14 exercise questions with detailed topper-style answers, every NCERT figure (15.1–15.4) redrawn as an original diagram with PDF page links, comparison tables, flow charts, exam tips and full chapter-at-a-glance revision notes.
Chapter at a glance — complete revision notes
All living cells need nutrients, O2 and other essential substances, and waste substances must be removed continuously. Simple organisms like sponges and coelenterates circulate water from the surroundings through their body cavities. More complex organisms use special body fluids — blood (the most commonly used) and lymph (tissue fluid) — to transport materials.
15.1 Blood
Blood is a special connective tissue consisting of a fluid matrix, plasma, and formed elements.
15.1.1 Plasma
- A straw-coloured, viscous fluid forming nearly 55% of blood; 90–92% water and 6–8% proteins.
- Major proteins: fibrinogen (clotting), globulins (defence mechanisms) and albumins (osmotic balance).
- Contains small amounts of minerals (Na+, Ca++, Mg++, HCO3−, Cl−); glucose, amino acids and lipids are always in transit; clotting factors are present in inactive form.
- Serum = plasma without the clotting factors.
15.1.2 Formed elements
Erythrocytes, leucocytes and platelets are collectively called formed elements and constitute nearly 45% of blood.
| Element | Count / abundance | Features | Function |
|---|---|---|---|
| Erythrocytes (RBC) | 5–5.5 million per mm3 in an adult man; most abundant | Formed in red bone marrow; no nucleus in most mammals; biconcave; contain haemoglobin (12–16 g per 100 mL blood); life span 120 days; destroyed in spleen (graveyard of RBCs) | Transport of respiratory gases |
| Leucocytes (WBC) | 6000–8000 per mm3 | Colourless, nucleated, generally short-lived | Defence |
| Platelets (thrombocytes) | 1,50,000–3,50,000 per mm3 | Cell fragments from megakaryocytes of bone marrow | Release substances for coagulation; deficiency causes excessive blood loss |
| WBC type | Class | Percentage of WBCs | Function |
|---|---|---|---|
| Neutrophils | Granulocyte | 60–65% (most abundant) | Phagocytic; destroy foreign organisms |
| Eosinophils | Granulocyte | 2–3% | Resist infections; associated with allergic reactions |
| Basophils | Granulocyte | 0.5–1% (least) | Secrete histamine, serotonin, heparin; inflammatory reactions |
| Lymphocytes (B and T) | Agranulocyte | 20–25% | Immune responses |
| Monocytes | Agranulocyte | 6–8% | Phagocytic |
15.1.3 Blood groups
ABO grouping is based on the presence or absence of two surface antigens, A and B, on RBCs; plasma contains the corresponding natural antibodies. Blood of the donor must be matched with that of the recipient to avoid clumping (destruction of RBCs).
| Blood group | Antigens on RBCs | Antibodies in plasma | Donor’s group |
|---|---|---|---|
| A | A | anti-B | A, O |
| B | B | anti-A | B, O |
| AB | A, B | nil | AB, A, B, O |
| O | nil | anti-A, B | O |
- Group O can be donated to persons with any blood group — universal donor.
- Group AB can accept blood from all groups — universal recipient.
- Rh grouping: the Rh antigen (similar to one in Rhesus monkeys) is present on RBCs of nearly 80% of humans (Rh+ve); absent in Rh−ve. An Rh−ve person exposed to Rh+ve blood forms antibodies, so Rh must be matched too.
- Erythroblastosis foetalis: an Rh−ve mother carrying an Rh+ve foetus is not affected in the first pregnancy as the placenta separates the bloods, but at delivery foetal blood may enter her circulation and she forms anti-Rh antibodies; in a later pregnancy these leak into the foetus and destroy its RBCs, causing severe anaemia and jaundice or death. Prevention: anti-Rh antibodies given to the mother immediately after the first delivery.
15.1.4 Coagulation of blood
- Blood clots in response to injury to prevent excessive blood loss; the clot (coagulum) is mainly a network of fibrin threads trapping dead and damaged formed elements.
- Fibrin is formed from inactive fibrinogen by the enzyme thrombin, itself formed from inactive prothrombin by the enzyme complex thrombokinase (formed by a cascade of linked enzymic reactions involving inactive plasma factors).
- Injury stimulates platelets to release factors; tissues at the injury site also release factors. Calcium ions play a very important role in clotting.
15.2 Lymph (tissue fluid)
- As blood passes through tissue capillaries, some water and small water-soluble substances move out into intercellular spaces, leaving larger proteins and most formed elements in the vessels. This fluid is interstitial (tissue) fluid, with the same mineral distribution as plasma; exchange between blood and cells occurs through it.
- The lymphatic system collects it and drains it into major veins; the fluid in the lymphatic system is lymph.
- Lymph is colourless, contains specialised lymphocytes (immune responses), and carries nutrients and hormones; fats are absorbed through lacteals in intestinal villi.
15.3 Circulatory pathways
Open circulatory system (arthropods and molluscs): blood pumped by the heart passes through large vessels into open spaces or body cavities called sinuses. Closed circulatory system (annelids and chordates): blood is always circulated through a closed network of vessels; this is more advantageous as flow can be more precisely regulated.
| Vertebrate group | Heart | Circulation |
|---|---|---|
| Fishes | 2-chambered: one atrium + one ventricle | Single circulation: heart pumps deoxygenated blood to gills, oxygenated blood goes to body and deoxygenated returns |
| Amphibians and reptiles (except crocodiles) | 3-chambered: two atria + single ventricle | Incomplete double circulation: oxygenated and deoxygenated blood mix in the ventricle |
| Crocodiles, birds, mammals | 4-chambered: two atria + two ventricles | Double circulation: no mixing; two separate pathways |
15.3.1 Human circulatory system
- The blood vascular system = muscular chambered heart + closed network of branching blood vessels + blood.
- Heart: mesodermally derived; in the thoracic cavity between the two lungs, slightly tilted to the left; size of a clenched fist; enclosed in the double-walled pericardium with pericardial fluid.
- Four chambers: two small upper atria and two larger lower ventricles; separated by the inter-atrial septum (thin), inter-ventricular septum (thick) and atrio-ventricular septum (thick fibrous). Openings in the AV septum are guarded by the tricuspid valve (right, three flaps) and the bicuspid (mitral) valve (left); the openings of the ventricles into the pulmonary artery and aorta have semilunar valves. Valves allow flow in one direction only.
- Walls of ventricles are much thicker than those of atria. Nodal tissue (specialised cardiac musculature): SAN in the right upper corner of the right atrium; AVN in the lower left corner of the right atrium near the AV septum; AV bundle passes through the AV septum, emerges on top of the inter-ventricular septum and divides into right and left bundles giving rise to Purkinje fibres.
- Nodal tissue is auto-excitable; SAN generates the maximum action potentials (70–75 per minute) and is the pacemaker; the heart normally beats 70–75 times per minute (average 72).
15.3.2 Cardiac cycle
- All four chambers are in joint diastole; the tricuspid and bicuspid valves are open and blood flows from the pulmonary veins and vena cava through the atria into the ventricles; semilunar valves are closed.
- SAN generates an action potential: atrial systole increases the flow of blood into the ventricles by about 30%.
- The action potential reaches the ventricles through AVN, AV bundle and bundle of His: ventricular systole; atria relax. Rising ventricular pressure closes the tricuspid and bicuspid valves, then forces open the semilunar valves and blood enters the pulmonary artery and aorta.
- Ventricles relax (ventricular diastole), semilunar valves close, AV valves open and the cycle repeats. The duration of one cardiac cycle is 0.8 s (72 beats per minute).
- Stroke volume = about 70 mL per ventricle per beat; cardiac output = stroke volume × heart rate = about 5000 mL (5 L) per minute; it is much higher in an athlete.
- Heart sounds: first sound (lub) = closure of tricuspid and bicuspid valves; second sound (dub) = closure of semilunar valves.
Cardiac output = Stroke volume × Heart rate = 70 mL × 72 per min = about 5 L per min
15.3.3 Electrocardiogram (ECG)
- ECG is a graphical representation of the electrical activity of the heart during a cardiac cycle, recorded by an electrocardiograph with three leads (each wrist and left ankle) for a standard ECG.
- P-wave: depolarisation of the atria (leads to atrial contraction). QRS complex: depolarisation of the ventricles (ventricular contraction starts shortly after Q; beginning of systole). T-wave: repolarisation of the ventricles; end of the T-wave marks end of systole.
- Counting the QRS complexes per unit time gives the heart rate; deviations from the normal shape indicate abnormality, so ECG has great clinical significance.
15.4 Double circulation
- Each artery and vein has three layers: tunica intima (inner squamous endothelium), tunica media (smooth muscle and elastic fibres; comparatively thin in veins) and tunica externa (fibrous connective tissue with collagen).
- Pulmonary circulation: right ventricle → pulmonary artery (deoxygenated blood) → lungs → pulmonary veins (oxygenated) → left atrium.
- Systemic circulation: left ventricle → aorta (oxygenated) → arteries, arterioles, capillaries → tissues → venules, veins, vena cava → right atrium; supplies nutrients, O2 and removes CO2 and wastes.
- Hepatic portal system: hepatic portal vein carries blood from the intestine to the liver before it enters systemic circulation. Coronary system: vessels exclusively for blood supply to and from the cardiac musculature.
15.5 Regulation of cardiac activity
- The heart is myogenic: its normal activity is auto-regulated by nodal tissue.
- A neural centre in the medulla oblongata moderates cardiac function through the autonomic nervous system: sympathetic signals increase heart rate, strength of ventricular contraction and cardiac output; parasympathetic signals decrease heart rate, speed of conduction of action potential and cardiac output.
- Adrenal medullary hormones also increase cardiac output.
15.6 Disorders of circulatory system
- Hypertension: BP higher than normal (120/80 mm Hg; 120 systolic, 80 diastolic). Repeated readings of 140/90 or higher indicate hypertension; it harms the heart, brain and kidney.
- Coronary artery disease (CAD) / atherosclerosis: narrowing of coronary arteries by deposits of calcium, fat, cholesterol and fibrous tissue.
- Angina (angina pectoris): acute chest pain when not enough oxygen reaches the heart muscle; more common in the middle-aged and elderly.
- Heart failure (congestive heart failure): the heart is not pumping blood effectively enough for the body’s needs, with lung congestion; it is not the same as cardiac arrest (heart stops beating) or heart attack (sudden damage to heart muscle due to inadequate blood supply).
Name the components of the formed elements in the blood and mention one major function of each of them.
Concept. Blood is a special connective tissue consisting of a fluid matrix, plasma (about 55% of the blood), and the cellular part called the formed elements (about 45%). The formed elements are erythrocytes (red blood cells, RBCs), leucocytes (white blood cells, WBCs) and platelets (thrombocytes). They are produced from the bone marrow and each type is specialised for a particular function.
- Erythrocytes (RBCs). They are the most abundant cells in blood: a healthy adult man has 5 to 5.5 million RBCs per mm3. RBCs are formed in the red bone marrow, are biconcave and, in most mammals, have no nucleus; they contain the red, iron-containing protein haemoglobin (12–16 g per 100 mL blood). Major function: transport of respiratory gases (O2 and some CO2). They live about 120 days and are destroyed in the spleen.
- Leucocytes (WBCs). Colourless because they lack haemoglobin, nucleated and fewer in number (6000–8000 per mm3). They are of two kinds: granulocytes (neutrophils, eosinophils, basophils) and agranulocytes (lymphocytes, monocytes). Major function: defence of the body. Specifically: neutrophils (60–65%) and monocytes (6–8%) are phagocytic cells that destroy foreign organisms; basophils (0.5–1%) secrete histamine, serotonin and heparin and take part in inflammatory reactions; eosinophils (2–3%) resist infections and are associated with allergic reactions; lymphocytes (20–25%, B and T forms) are responsible for the immune responses.
- Platelets (thrombocytes). Cell fragments produced from megakaryocytes (special cells of the bone marrow); 1,50,000–3,50,000 per mm3. Major function: coagulation (clotting) of blood — they release a variety of substances, most of which are involved in clotting. A reduction in their number leads to clotting disorders and excessive loss of blood.
| Formed element | Normal count | Origin | Major function |
|---|---|---|---|
| Erythrocytes (RBC) | 5–5.5 million/mm3 | Red bone marrow | Transport of O2 and CO2 (haemoglobin) |
| Leucocytes (WBC) | 6000–8000/mm3 | Bone marrow | Defence: phagocytosis and immune response |
| Platelets | 1,50,000–3,50,000/mm3 | Megakaryocytes of bone marrow | Blood clotting |
Extra depth. RBCs are enucleate in most mammals, which leaves more space for haemoglobin, and their biconcave shape increases the surface area for gas exchange. The WBC types are easily remembered in order of abundance: Neutrophils (60–65%) > Lymphocytes (20–25%) > Monocytes (6–8%) > Eosinophils (2–3%) > Basophils (0.5–1%) — the mnemonic “Never Let Monkeys Eat Bananas”.
Conclusion: The formed elements are erythrocytes (gas transport), leucocytes (defence and immunity) and platelets (blood clotting), together forming about 45% of blood.
What is the importance of plasma proteins?
Concept. Plasma is a straw-coloured, viscous fluid forming nearly 55% of blood. About 90–92% of plasma is water, and proteins contribute 6–8%. The major plasma proteins are fibrinogen, globulins and albumins. Though present in small quantity, they perform vital functions.
- Fibrinogen — blood clotting. Fibrinogen is needed for the coagulation of blood. When injury occurs, the inactive fibrinogen is converted by the enzyme thrombin into insoluble fibrin threads that form the clot and stop bleeding. Other clotting factors are also plasma proteins present in inactive form.
- Globulins — defence. Globulins are primarily involved in the defence mechanisms of the body; the antibodies (immunoglobulins) that act against foreign agents are globulins, giving protection against infections.
- Albumins — osmotic balance. Albumins help maintain the osmotic balance of blood: they keep water within the blood vessels and so help in maintaining blood volume and blood pressure. They also carry some substances.
- Transport and other roles. Plasma proteins also help carry certain substances in the blood and act as a reserve of amino acids (general physiology).
| Plasma protein | Importance |
|---|---|
| Fibrinogen | Clotting or coagulation of blood |
| Globulins | Defence mechanisms (antibodies) |
| Albumins | Osmotic balance |
| Clotting factors (inactive) | Cascade of coagulation reactions |
Extra depth. Plasma without the clotting factors is called serum. Plasma also carries minerals (Na+, Ca++, Mg++, HCO3−, Cl−) and glucose, amino acids and lipids that are always in transit. A low level of albumin disturbs osmotic balance and can cause tissue swelling (oedema).
Conclusion: Plasma proteins — fibrinogen for clotting, globulins for defence and albumins for osmotic balance — together support clotting, immunity and maintenance of blood volume.
Match Column I with Column II: (a) Eosinophils – (i) Coagulation; (b) RBC – (ii) Universal Recipient; (c) AB Group – (iii) Resist Infections; (d) Platelets – (iv) Contraction of Heart; (e) Systole – (v) Gas transport
Concept. Each item in Column I is a blood cell, blood group or phase of the cardiac cycle, and Column II lists its function or feature. The correct matches are explained below.
| Column I | Column II (correct match) | Reason |
|---|---|---|
| (a) Eosinophils | (iii) Resist infections | Eosinophils (2–3% of WBCs) resist infections and are associated with allergic reactions |
| (b) RBC | (v) Gas transport | RBCs contain haemoglobin which carries O2 and CO2 |
| (c) AB group | (ii) Universal recipient | AB blood has antigens A and B but no antibodies, so it can accept blood from all groups |
| (d) Platelets | (i) Coagulation | Platelets release factors involved in clotting of blood |
| (e) Systole | (iv) Contraction of heart | Systole is the contraction phase of the cardiac cycle |
Detailed explanation of each match
- (a) Eosinophils → (iii) Resist infections. Eosinophils are granulocytes making up 2–3% of the total WBCs. They resist infections and are also associated with allergic reactions.
- (b) RBC → (v) Gas transport. The red colour of RBCs is due to haemoglobin, an iron-containing complex protein; haemoglobin binds oxygen to form oxyhaemoglobin and also carries a part of CO2 as carbamino-haemoglobin.
- (c) AB group → (ii) Universal recipient. According to Table 15.1, group AB has antigens A and B on RBCs and no antibodies in plasma, so there is no clumping when it receives A, B, AB or O blood; hence AB individuals are called universal recipients. (Group O, with no antigens, is the universal donor.)
- (d) Platelets → (i) Coagulation. Platelets (thrombocytes) release a variety of substances, most of which are involved in the coagulation of blood; injury also stimulates platelets to release factors that activate the clotting mechanism.
- (e) Systole → (iv) Contraction of heart. Systole is the contraction of the atria (atrial systole) or ventricles (ventricular systole) that forces blood onward; diastole is relaxation.
Common errors. Do not match AB with “universal donor” (that is O) and do not match eosinophils with coagulation (that is platelets). Eosinophils and basophils are both granulocytes but have different roles.
Conclusion: Eosinophils resist infections, RBCs transport gases, AB group individuals are universal recipients, platelets help coagulation and systole is the contraction of the heart: (a)–(iii), (b)–(v), (c)–(ii), (d)–(i), (e)–(iv).
Why do we consider blood as a connective tissue?
Concept. Connective tissues are tissues that connect, support, transport and protect other tissues and organs. They have a characteristic structure: cells embedded in an extracellular matrix. The matrix may be solid (bone), semi-solid (cartilage), fibrous (tendon) or fluid. Blood fits into this framework and NCERT describes it as a special connective tissue consisting of a fluid matrix, plasma, and formed elements.
- It has a matrix. Plasma, the fluid matrix (about 55% of blood), is the non-living extracellular substance in which the cells are suspended. It contains water (90–92%), proteins (6–8%), minerals, glucose, amino acids and lipids.
- It has cells embedded in the matrix. The formed elements — RBCs, WBCs and platelets (about 45% of blood) — are the cells suspended in the plasma, as in all connective tissues.
- It is mesodermal in origin, like other connective tissues (general knowledge), and formed from bone-marrow cells.
- It connects different parts of the body. Blood links all organs and tissues by transporting nutrients, respiratory gases, hormones, and waste products between them — a connecting and distributing function, just as other connective tissues connect and support organs.
- It protects. Like other connective tissues it has protective functions: WBCs defend against pathogens, and platelets and clotting factors prevent loss of blood.
| Feature | Connective tissue in general | Blood |
|---|---|---|
| Cells | Fibroblasts, macrophages, etc. | RBCs, WBCs, platelets |
| Matrix | Solid, semi-solid, fibrous or fluid | Fluid — plasma |
| Function | Connection, support, transport, protection | Transport, defence, clotting |
Extra depth. Unlike other connective tissues the matrix of blood is fluid and has dissolved fibrinogen rather than fibres; the soluble fibrinogen is converted into insoluble fibrin threads during clotting. This is why blood is called a fluid connective tissue.
Conclusion: Blood is a connective tissue because it has living cells (formed elements) suspended in a non-living fluid matrix (plasma) and it connects, transports materials between and protects the other tissues of the body.
What is the difference between lymph and blood?
Concept. As blood passes through the capillaries, some water along with small water-soluble substances moves out into the spaces between cells, leaving the larger proteins and most formed elements behind. This fluid is the interstitial or tissue fluid, collected by the lymphatic system and drained into major veins; the fluid within the lymphatic system is lymph. Thus lymph is derived from blood and is similar to it, but differs in important respects.
| Point | Blood | Lymph |
|---|---|---|
| Colour | Red (due to haemoglobin in RBCs) | Colourless |
| Fluid matrix | Plasma | Lymph plasma (like tissue fluid) |
| RBCs | Present (5–5.5 million per mm3) | Absent |
| WBCs | All types (granulocytes and agranulocytes) | Mainly specialised lymphocytes |
| Platelets | Present | Absent / practically absent |
| Proteins | Rich in plasma proteins | Fewer, smaller proteins (larger proteins remain in blood) |
| Vessels | Arteries, veins, capillaries | Lymphatic vessels (lymph capillaries, vessels, nodes) |
| Function | Transport of O2, CO2, nutrients, hormones; defence; clotting | Immune responses; transport of nutrients and hormones; fat absorption via lacteals; returns tissue fluid to veins |
| Flow | Circulates in a closed system with the heart pumping | Flows slowly and one-way from tissues towards veins |
Extra depth. Lymph is important for the immune system because it contains specialised lymphocytes. In the intestinal villi the lymphatic capillaries called lacteals absorb fats, which is why lymph after a fatty meal appears milky (general knowledge). Lymph returns the fluid that leaks from blood back to the circulation; without this drainage tissues would swell.
Conclusion: Lymph is a colourless fluid derived from blood plasma that lacks RBCs and platelets and has fewer proteins but contains lymphocytes, whereas blood is a red fluid with RBCs, WBCs, platelets and abundant plasma proteins.
What is meant by double circulation? What is its significance?
Concept. In birds and mammals the oxygenated blood received by the left atrium and the deoxygenated blood received by the right atrium pass on to the ventricles of the same sides. The ventricles pump the blood out without any mixing, so two separate circulatory pathways are present. Such a pattern, where blood passes through the heart twice in one complete round of the body, is called double circulation.
Meaning of double circulation. It consists of two circuits:
- Pulmonary circulation: the right ventricle pumps deoxygenated blood into the pulmonary artery; it goes to the lungs, where it is oxygenated, and returns by the pulmonary veins to the left atrium.
- Systemic circulation: the left ventricle pumps oxygenated blood into the aorta; it is carried by arteries, arterioles and capillaries to the tissues, and the deoxygenated blood is collected by venules, veins and vena cava and emptied into the right atrium. The systemic circulation provides nutrients, O2 and other essential substances to tissues and takes CO2 and other harmful substances away for elimination.
Two special pathways. The hepatic portal system is a unique vascular connection between the digestive tract and the liver: the hepatic portal vein carries blood from the intestine to the liver before it is delivered to the systemic circulation. The coronary system of vessels is present exclusively for blood supply to and from the cardiac musculature.
Significance of double circulation
- Complete separation of oxygenated and deoxygenated blood. The blood going to the tissues is fully oxygenated, so the tissues receive the maximum oxygen supply; the deoxygenated blood is sent only to the lungs.
- Efficient delivery of oxygen to the body. This supports the high metabolic rate needed by warm-blooded (endothermic) animals such as birds and mammals.
- Higher pressure in the systemic circuit. Because the blood passes through the heart a second time, the left ventricle can raise its pressure and drive blood to all body tissues, while the pulmonary circuit works at lower pressure (general physiology).
- Precise regulation. A closed system allows the flow of blood to be more precisely regulated, as NCERT notes for closed circulation.
| Pattern | Animals | Mixing of blood |
|---|---|---|
| Single circulation | Fishes | Heart contains deoxygenated blood only |
| Incomplete double circulation | Amphibians, reptiles (except crocodiles) | Mixed in the single ventricle |
| Complete double circulation | Crocodiles, birds, mammals | No mixing |
Conclusion: Double circulation is the passage of blood twice through the heart in one complete cycle, via the pulmonary and systemic circuits; its significance is the complete separation of oxygenated and deoxygenated blood, giving efficient oxygen supply to the tissues.
Write the differences between: (a) Blood and Lymph (b) Open and Closed system of circulation (c) Systole and Diastole (d) P-wave and T-wave
Concept. These four pairs deal with body fluids (blood vs lymph), circulatory patterns in animals, phases of the heartbeat, and waves of the electrocardiogram. A good answer gives the definition of each member and the points of contrast in a table.
(a) Blood and lymph
| Point | Blood | Lymph |
|---|---|---|
| Colour | Red | Colourless |
| RBCs | Present | Absent |
| Platelets | Present | Absent |
| WBCs | All types | Mostly lymphocytes |
| Proteins | More plasma proteins | Fewer proteins (larger proteins stay in blood) |
| Circulates in | Blood vessels, pumped by the heart | Lymphatic system, drains into major veins |
| Main role | Transport of gases, nutrients; defence; clotting | Immune response; nutrient and hormone carrier; fat absorption |
(b) Open and closed circulatory system
| Point | Open circulatory system | Closed circulatory system |
|---|---|---|
| Blood flow | Blood pumped by the heart enters large vessels and then open spaces or body cavities called sinuses | Blood is always circulated through a closed network of blood vessels |
| Contact with tissues | Blood bathes tissues directly | Blood does not leave vessels; exchange through capillaries |
| Regulation | Less precise | More precise regulation of flow, hence advantageous |
| Examples | Arthropods and molluscs | Annelids and chordates (all vertebrates) |
(c) Systole and diastole
| Point | Systole | Diastole |
|---|---|---|
| Meaning | Contraction of the heart chambers | Relaxation of the heart chambers |
| Pressure in chamber | Increases | Decreases |
| Blood movement | Blood is forced out of the chamber (atria to ventricles; ventricles to pulmonary artery and aorta) | Chambers fill with blood |
| Valves | Atrioventricular valves close in ventricular systole; semilunar valves open | Semilunar valves close; AV valves open |
| Heart sound | Associated with the first sound (lub) | Closure of semilunar valves gives the second sound (dub) |
| ECG | Starts after the Q wave and ends with the end of the T wave | Follows the T wave |
(d) P-wave and T-wave
| Point | P-wave | T-wave |
|---|---|---|
| Represents | Electrical excitation (depolarisation) of the atria | Return of the ventricles from excited to normal state (repolarisation) |
| Followed by | Contraction of both atria | End of ventricular systole |
| Position in ECG | First wave of the cycle (before QRS) | Last wave (after QRS) |
| Size | Small | Larger, dome-shaped |
Extra depth. Remember the links: ventricular systole begins just after Q and ends at the end of the T wave; the QRS complex (not mentioned in this question) lies between P and T and represents ventricular depolarisation.
Conclusion: Blood is a red fluid with RBCs and platelets while lymph is colourless; open circulation uses sinuses while closed circulation uses vessels; systole is contraction and diastole is relaxation; and the P-wave marks atrial depolarisation while the T-wave marks ventricular repolarisation.
Describe the evolutionary change in the pattern of heart among the vertebrates.
Concept. All vertebrates possess a muscular chambered heart, but the number of chambers and the degree of separation of oxygenated and deoxygenated blood increase from fishes to mammals. This gradual change is an evolutionary adaptation to life on land and to higher metabolic needs.
- Fishes: 2-chambered heart (one atrium and one ventricle). The heart pumps out deoxygenated blood, which is oxygenated by the gills and supplied to the body parts, from where the deoxygenated blood returns to the heart. Blood passes through the heart only once in a complete circuit — single circulation.
- Amphibians and reptiles (except crocodiles): 3-chambered heart (two atria and a single ventricle). The left atrium receives oxygenated blood from the gills/lungs/skin and the right atrium receives deoxygenated blood from the other body parts, but the two get mixed in the single ventricle, which pumps out mixed blood — incomplete double circulation.
- Crocodiles, birds and mammals: 4-chambered heart (two atria and two ventricles). Oxygenated and deoxygenated blood received by the left and right atria pass to the ventricles of the same sides and are pumped out without mixing; two separate pathways exist — double circulation.
| Group | Chambers | Blood in heart | Circulation |
|---|---|---|---|
| Fishes | 2 (1 atrium + 1 ventricle) | Deoxygenated only | Single |
| Amphibians, reptiles (except crocodiles) | 3 (2 atria + 1 ventricle) | Mixed in ventricle | Incomplete double |
| Crocodiles, birds, mammals | 4 (2 atria + 2 ventricles) | Fully separated | Complete double |
Extra depth. The trend shows increasing efficiency of oxygen delivery: separation of the two kinds of blood gives the tissues maximum oxygen, which supports the high metabolic rate of warm-blooded birds and mammals. In fishes the gills take away much of the pressure so the blood flow to the body is slower.
Conclusion: In vertebrates the heart evolved from a 2-chambered single-circulation heart in fishes through a 3-chambered incomplete double circulation in amphibians and reptiles to a 4-chambered heart with complete double circulation in crocodiles, birds and mammals.
Why do we call our heart myogenic?
Concept. The word myogenic means “originating in muscle” (myo = muscle, genic = origin). A heart is myogenic if the impulses that start the heartbeat arise within the cardiac muscle itself and not from nerves, whereas a neurogenic heart (as in some invertebrates) depends on nerve impulses.
- Normal activities of the heart are regulated intrinsically — auto-regulated — by specialised cardiac muscles called the nodal tissue, distributed in the heart (SAN, AVN, AV bundle and Purkinje fibres).
- The nodal musculature is auto-excitable. It has the ability to generate action potentials without any external stimuli.
- The SAN (pacemaker) generates the maximum number of action potentials (70–75 per minute) and initiates and maintains the rhythmic contractile activity of the heart; the impulse spreads through the atria, AVN, AV bundle, bundle of His and Purkinje fibres to the ventricles.
- Nerves only modify, they do not initiate. A neural centre in the medulla oblongata can moderate cardiac function through the autonomic nervous system (sympathetic nerves increase and parasympathetic nerves decrease the heart rate), and adrenal medullary hormones can increase the cardiac output, but the heartbeat itself continues even if these are removed.
| Feature | Myogenic heart (human) | Neurogenic heart |
|---|---|---|
| Origin of impulse | In the nodal (muscle) tissue (SAN) | In a nerve ganglion |
| Regulation | Intrinsic; modified by ANS and hormones | Depends on nerves |
| Examples | Vertebrates | Some arthropods (general knowledge) |
Extra depth. This is why a heart removed from the body can continue to beat for some time, and why a transplanted heart works although its nerves are cut.
Conclusion: The human heart is myogenic because its rhythmic contractions are initiated and regulated by its own auto-excitable nodal tissue (SAN, AVN, bundle) and not by nerves, which only moderate its rate.
Sino-atrial node is called the pacemaker of our heart. Why?
Concept. A pacemaker is a structure that sets the pace (rate and rhythm) of a rhythmic activity. In the heart, the nodal tissue is a patch of specialised cardiac musculature that can generate action potentials without any external stimulus (auto-excitability). The nodal system has several parts — SAN, AVN, AV bundle and Purkinje fibres — and the number of action potentials each part can generate per minute is different.
- Location. The sino-atrial node (SAN) is a patch of nodal tissue in the right upper corner of the right atrium.
- Highest rate of impulse generation. Of all the parts of the nodal system, the SAN generates the maximum number of action potentials, i.e. 70–75 per minute; the other parts discharge at slower rates (general physiology).
- It initiates the heartbeat. Because the SAN fires first and fastest, its impulse spreads over both atria, causing atrial systole, and then reaches the AVN, AV bundle, bundle of His and Purkinje fibres, forcing the ventricles to contract. The slower parts are always “reset” by the SAN before they can fire on their own.
- It maintains the rhythm. The SAN is responsible for initiating and maintaining the rhythmic contractile activity of the heart; therefore the heart normally beats 70–75 times per minute (average 72).
| Part of nodal system | Location | Role |
|---|---|---|
| SAN | Right upper corner of right atrium | Pacemaker: 70–75 impulses/min |
| AVN | Lower left corner of right atrium near AV septum | Conducts impulse to ventricles |
| AV bundle and bundle of His | Through AV septum to inter-ventricular septum | Carries impulse to the ventricles |
| Purkinje fibres | Throughout ventricular muscle | Spread impulse for ventricular contraction |
Extra depth. If the SAN fails, other nodal regions can take over at a lower rate, and an artificial pacemaker may be implanted to set the pace. Sympathetic nerves increase and parasympathetic nerves decrease the SAN’s rate, which is how the nervous system changes the heart rate.
Conclusion: The SAN is called the pacemaker because it is the part of the auto-excitable nodal tissue that generates the maximum number of action potentials (70–75/min), thereby initiating and setting the rhythm of the heartbeat.
What is the significance of atrio-ventricular node and atrio-ventricular bundle in the functioning of heart?
Concept. The atria and ventricles of the heart are separated by a thick fibrous atrio-ventricular septum, which does not conduct the action potential. The only path through which excitation can pass from the atria to the ventricles is therefore the specialised nodal tissue: the AVN, the AV bundle and its branches.
- Position. The atrio-ventricular node (AVN) is a mass of nodal tissue in the lower left corner of the right atrium close to the atrio-ventricular septum. The AV bundle (bundle of His) continues from the AVN, passes through the AV septa and emerges on the top of the inter-ventricular septum, where it divides into a right and a left bundle.
- Transmission of the impulse to the ventricles. After the SAN generates an action potential and the atria contract, the action potential is conducted to the ventricular side by the AVN and AV bundle; the bundle of His then transmits it through the entire ventricular musculature (via Purkinje fibres), causing ventricular systole.
- Co-ordination between atria and ventricles. The conduction through AVN introduces a short delay, so the ventricles contract only after the atria have contracted and filled them (atrial systole increases ventricular filling by about 30%).
- Synchronous contraction of the ventricles. The branches of the bundle and the Purkinje fibres distribute the impulse quickly to all parts of the ventricular muscle so that both ventricles contract together.
- Without them the impulse would not reach the ventricles and the atria and ventricles would beat independently (heart block).
| Structure | Significance |
|---|---|
| AVN | Receives impulse from SAN and passes it to the AV bundle (introducing a delay) |
| AV bundle (bundle of His) | Only conducting link through the AV septum to the ventricles |
| Right and left bundles | Carry impulse down the inter-ventricular septum |
| Purkinje fibres | Spread impulse through ventricular muscle for synchronous contraction |
Conclusion: The AVN and AV bundle form the only conducting pathway from atria to ventricles; by passing the SAN’s impulse to the ventricular muscle through the bundle branches and Purkinje fibres, they co-ordinate atrial and ventricular systole.
Define a cardiac cycle and the cardiac output.
Concept. The heart works as a pump, and each beat consists of a regular series of electrical and mechanical events. These repeat cyclically about 72 times a minute.
Cardiac cycle. The sequential events in the heart which are cyclically repeated are called the cardiac cycle. It consists of the systole and diastole of both the atria and ventricles.
- Joint diastole: all four chambers are relaxed; the tricuspid and bicuspid valves are open and blood flows from the pulmonary veins and vena cava into the ventricles; semilunar valves are closed.
- Atrial systole: the SAN generates an action potential and both atria contract together, increasing the flow of blood into the ventricles by about 30%.
- Ventricular systole: the impulse passes via AVN, AV bundle and bundle of His to the ventricles; the ventricles contract, the atria relax, the tricuspid and bicuspid valves close and the semilunar valves open to eject blood into the pulmonary artery and aorta.
- Ventricular diastole: ventricles relax, pressure falls, semilunar valves close and the atrioventricular valves open again — return to joint diastole.
A healthy heart beats 72 times per minute, so the duration of a cardiac cycle is 0.8 s (60/72).
Cardiac output. The volume of blood pumped out by each ventricle per minute is the cardiac output. During each cardiac cycle each ventricle pumps out about 70 mL of blood, the stroke volume (beat volume).
Cardiac output = Stroke volume × Heart rate
= 70 mL × 72 per minute = about 5040 mL ≈ 5 litres per minute
| Term | Definition | Normal value |
|---|---|---|
| Cardiac cycle | Sequential events of systole and diastole of atria and ventricles, repeated cyclically | Lasts 0.8 s |
| Heart rate | Number of cardiac cycles per minute | 72 per minute |
| Stroke volume | Blood pumped by each ventricle per beat | About 70 mL |
| Cardiac output | Blood pumped by each ventricle per minute = stroke volume × heart rate | About 5000 mL (5 L) |
Extra depth. The body can alter both the stroke volume and the heart rate and thereby the cardiac output; for example, the cardiac output of an athlete is much higher than that of an ordinary man, because the athlete’s heart pumps a larger stroke volume. During exercise sympathetic stimulation and adrenal hormones raise the cardiac output.
Conclusion: The cardiac cycle is the cyclically repeated sequence of systole and diastole of atria and ventricles (0.8 s, 72 per minute), and cardiac output is the volume of blood pumped by each ventricle per minute, equal to stroke volume (70 mL) × heart rate (72) ≈ 5 litres.
Explain heart sounds.
Concept. During each cardiac cycle two prominent sounds are produced which can easily be heard through a stethoscope. They arise from the vibrations set up in the blood and heart walls when the valves of the heart close, and they are not caused by the opening of valves or the flow of blood alone.
- First heart sound (“lub”). It is associated with the closure of the tricuspid and bicuspid valves (the atrio-ventricular valves) at the start of ventricular systole, when the rising ventricular pressure attempts to push blood back into the atria. It is relatively longer and louder (general physiology).
- Second heart sound (“dub”). It is associated with the closure of the semilunar valves guarding the pulmonary artery and aorta at the end of ventricular systole, when the ventricles relax and the pressure in them falls. It is shorter and sharper.
| Sound | Name | Cause | Phase of cardiac cycle |
|---|---|---|---|
| First | Lub | Closure of tricuspid and bicuspid valves | Beginning of ventricular systole |
| Second | Dub | Closure of semilunar valves | Beginning of ventricular diastole |
Clinical significance. NCERT states that these sounds are of clinical diagnostic significance. Abnormal sounds called murmurs, extra sounds or changes in their intensity indicate defective or leaking valves and other heart disorders.
Conclusion: The two heart sounds heard through a stethoscope are the first sound (lub) caused by closure of the tricuspid and bicuspid valves and the second sound (dub) caused by closure of the semilunar valves; both have clinical diagnostic significance.
Draw a standard ECG and explain the different segments in it.
Concept. An electrocardiogram (ECG) is a graphical representation of the electrical activity of the heart during a cardiac cycle. It is obtained with an electrocardiograph. For a standard ECG the patient is connected to the machine with three electrical leads (one to each wrist and one to the left ankle) that continuously monitor the heart’s activity; for a detailed evaluation multiple leads are attached to the chest region.
Explanation of the segments — each peak in the ECG is identified with a letter from P to T that corresponds to a specific electrical activity of the heart:
- P-wave: represents the electrical excitation (depolarisation) of the atria, which leads to the contraction of both the atria (atrial systole).
- QRS complex: represents the depolarisation of the ventricles, which initiates the ventricular contraction. The contraction starts shortly after Q and marks the beginning of the systole.
- T-wave: represents the return of the ventricles from excited to normal state (repolarisation). The end of the T-wave marks the end of systole.
| Wave | Electrical event | Mechanical event |
|---|---|---|
| P | Depolarisation of atria | Atrial contraction (systole) |
| QRS | Depolarisation of ventricles | Beginning of ventricular systole |
| T | Repolarisation of ventricles | End of systole; ventricular relaxation (diastole) |
Uses of ECG. By counting the number of QRS complexes in a given period one can determine the heart rate. Since the ECGs of different individuals have roughly the same shape for a given lead configuration, any deviation from this shape indicates a possible abnormality or disease, so the ECG is of great clinical significance.
Extra depth. The atria also repolarise, but this is hidden by the large QRS complex and not seen separately on a standard ECG (general knowledge). A faster heartbeat shortens the distance between successive R peaks.
Conclusion: A standard ECG records the heart’s electrical activity: the P-wave shows atrial depolarisation, the QRS complex ventricular depolarisation (start of systole) and the T-wave ventricular repolarisation (end of systole), and deviations from the normal shape reveal cardiac abnormalities.