Arteriosclerosis and Hypertension, with Chapters on Blood Pressure: 3rd Edition. — John Shaqi
Arteriosclerosis and Hypertension, with Chapters on Blood Pressure: 3rd Edition.Warfield, Louis M. (Louis Marshall)
Science
Arteriosclerosis and Hypertension, with Chapters on Blood Pressure: 3rd Edition.
Warfield, Louis M. (Louis Marshall)
Arteries -- Diseases; Blood pressure
The large arteries differ from those of medium size mainly in the fact
that there is no sharp line of demarcation between the intima and the
media. There is also much more elastic tissue distributed in firm
bundles throughout the media, and there are fewer muscle fibers, giving
a more compact appearance to the artery as seen in cross section. The
predominance of elastic tissue permits of great distention by the blood
forced into the artery at every heartbeat, the caliber of the tube being
less markedly under the control of the vasomotor nerves than is the case
in the small arteries, where the muscle tissue is relatively more
developed. The adventitia of the large arteries is strong and firm, and
is made up of interlacing fibroelastic tissue, of which some of the
bundles are arranged longitudinally.
Veins
The walls of the veins are thinner than those of the arteries; they
contain much less elastic and muscular tissue, and are, therefore, more
flaccid and less contractile. Many veins, particularly those of the
extremities, are provided with cup-like valves opening toward the heart.
These valves, when closed, prevent the return of the blood to the
periphery and distribute the static pressure of the blood column. The
bulgings caused by the valves may be seen in the superficial veins of
the arm and leg. There are no valves in the veins of the neck, where
there is no necessity for such a protective mechanism, gravity sufficing
to drain the venous blood from the cranial cavity.
Capillaries
These are endothelial tubes in the substance of the organs, the tissue
of the organ giving them the necessary support. They are the final
subdivisions of the blood vessels, and the vast capillary area offers
the greatest amount of resistance to the blood flow, thus serving to
slow the blood stream and allowing time for nutritive substances or
waste products to pass from and to the blood. Usually the capillaries
are arranged in the form of a network, the channels in any one tissue
being of nearly uniform size, and the closeness of the mesh depending
upon the organ.
As far back as 1865, Stricker observed contraction of the capillaries.
This observation was apparently forgotten until revived again by Krogh
recently. The latter finds that the capillaries are formed of cells
which are arranged in strands encircling the vessel. The capillaries are
rarely longer than 1 mm., and, according to Krogh, are capable of
enormous dilatation.
The rate of flow through any capillary area is very inconstant, and the
usual explanation has been that the capillaries were endothelial tubes
the blood flow of which was dependent upon the contraction or dilatation
of the terminal arterioles. The actual fact that in an observed
capillary area some capillaries are empty renders the above explanation
untenable. The color of a tissue depends upon the state of filling of
the capillaries with blood.
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