The circulatory system is centred on the HEART, a muscular organ that rhythmically pumps BLOOD around a complex network of BLOOD VESSELS extending to every part of the body. Blood carries the oxygen and nutrients needed to fuel the activities of the body’s tissues and organs, and it plays a vital role in removing the body’s waste products. An average-sized adult carries about 5 litres (9 pints) of blood.

PARTS OF THE SYSTEM All the output of blood from the left side of the heart goes into the aorta, the body’s largest artery. Other arteries branch from the aorta to supply blood to the head, limbs, and internal organs. The blood is drained from all these parts by veins into two large vessels, the inferior and superior venae cava, which deliver the blood back to the right side of the heart.

HEART The heart contracts tirelessly – more than 2.5 billion times over an average lifetime – to pump blood around the body. These contractions are triggered by electrical impulses that originate in a specialized area of heart tissue. The signals spread through the muscle in the wall of the heart via a network of conducting fibres. INSIDE THE HEART The heart has two upper chambers, called atria, and two lower chambers, called ventricles. Blood from the body arrives in the right atrium. This blood is low in oxygen, and is shown here in blue. The blood passes to the right ventricle, which pumps it to the lungs to pick up more oxygen. The left atrium receives oxygen-rich blood (red) back from the lungs. This passes to the left ventricle, which pumps it by way of the aorta to the body. HEART VALVES At the exit of each heart chamber lies a valve, which ensures the one-way flow of blood through the heart and into the circulation. These valves are made of flaps that open to allow blood to pass through but snap tightly shut to prevent backflow. The valves have three flaps, except for the valve between the left atrium and left ventricle, which has two.

BLOOD VESSELS If an adult’s blood vessels were laid end to end, they would stretch out over 100,000 km (62,500 miles). There are three main types of vessel. Arteries carry blood from the heart to the body’s tissues, while veins carry blood back from the tissues to the heart. Small arteries are called arterioles and small veins are referred to as venules. The third and smallest type of vessel, capillaries, form a network connecting the smallest arterioles with the smallest venules. TYPES OF BLOOD VESSEL Arteries have relatively thick elastic walls that enable them to withstand the high pressure of blood pumped from the heart. By the time the blood has been forced through capillaries and arrived in veins, its pressure has dropped, so veins have thinner walls.