Right Pulmonary Artery

Several major vessels enter and exit the heart. The arteries carry blood away from the heart while the veins bring blood to the heart. While memorizing the major vessels is unnecessary, having a basic picture of the major vessels is clinically important.

The main vessel feeding the right heart is the vena cava. The right atrium also receives venous blood from the coronary sinus, the main venous return of the heart’s blood supply.

Approximately 65% of blood volume is normally contained in the venous system. With increased energy demands, blood flow must increase. Sympathetic nervous system stimulation is responsible for the majority of the fluctuations in blood flow during exercise, with vasodilation and vasoconstriction occurring simultaneously to increase blood flow to the vital organs (i.e. brain, muscle).

The right ventricle ejects blood through the main branches of the left and right pulmonary arteries to the lungs. The left atrium receives its oxygen-rich blood supply via four main pulmonary veins. The left ventricle ejects blood into the aortic arch to the body. Within the arch, the coronary arteries branch off first followed by three main arteries that branch to the brain (carotids) and the upper thorax (subclavian artery).

Note that the lion’s share of blood volume is delivered to the muscles during exercise. During periods of cardiac ischemia, resting the muscles provide significant reductions to cardiac output demands – and cardiac oxygen demand – thus helping to minimize the extent of the ischemic episode.

Figure 1.6 Major Vessels

1. Six Second ECG Guidebook (2012), T Barill, p. 15-16

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