TH1.H1.1 Histology of Heart and Blood Vessel Walls

Histology of Heart and Blood Vessel Walls:

  • The heart and the blood vessels all have the same basic plan, they are all tubes
  • Each tube is specialised to perform functions additional to simply providing a channel through which blood will flow
  • The heart develops from a tube during embryogenesis
  • The walls of the tube have 3 layers
  • The innermost layer consists primarily of an epithelium
  • This lines the tubes and provides the barrier which separates the lumen of the tube from the exterior environment
  • Its luminal surface prevents the blood clotting but if the epithelial lining is breached then clotting of the blood will occur
  • The epithelial layer is specialised to allow the passage across it of gasses, proteins and cells in a selective manner dependent on the location within the body
  • The middle layer is primarily muscle
  • In the heart it is cardiac muscle
  • The co-ordinated contractions of the cardiac muscle in the heart wall generate a pumping mechanism for driving the blood around the blood vessels
  • In the blood vessels there is smooth muscle
  • Contraction of this muscle will change the diameter of the blood vessel and control the distribution of blood to the different regions of the body
  • Muscle contraction is under the control of the autonomic nervous system
  • The outer layer is connective tissue
  • Generally, this is responsible for binding the tubes to surrounding structures