The heart and lungs work as one delivery system. Blood travels in two loops. In the pulmonary circuit, the right ventricle pumps oxygen-poor blood to the lungs. In the systemic circuit, the left ventricle pumps oxygen-rich blood through the aorta to the body, which is why the left ventricle has the thickest wall.
Arteries carry blood away from the heart, and veins carry it toward the heart, whatever its oxygen level. Capillaries have walls one cell thick, so oxygen, nutrients, and wastes diffuse across them easily.
Air moves through the trachea, bronchi, and bronchioles into about 300 million alveoli. Oxygen diffuses from the alveoli into the blood, and CO2 diffuses out, each moving down its concentration gradient. Each hemoglobin molecule in a red blood cell carries up to four O2 molecules. Most CO2 travels in plasma as bicarbonate ions. Your breathing rate is set mainly by CO2. When blood CO2 rises, blood pH drops, and the brainstem speeds up breathing.
Worked example. Cardiac output equals heart rate times stroke volume. If your heart pumps 70 times per minute and moves 70 mL each time, the output is 70×70=4900 mL/min, or about 4.9 L/min. During exercise, at 150 pumps per minute and 100 mL each, the output is 150×100=15,000 mL/min, about three times higher.
- Alveoli: Tiny air sacs in the lungs with thin walls and dense capillary networks where gas exchange happens.
- Hemoglobin: An iron-containing protein in red blood cells that binds and carries oxygen.
- Capillary: The smallest blood vessel, with a wall one cell thick, where materials pass between blood and tissues.
- Cardiac output: The volume of blood the heart pumps per minute, equal to heart rate times stroke volume.
Check yourself: Which vessel carries the most oxygen-rich blood, the pulmonary artery or the pulmonary vein? (Answer: The pulmonary vein, because it carries blood that just picked up oxygen in the lungs back to the left atrium. The pulmonary artery carries oxygen-poor blood away from the heart to the lungs.)