Body 101 · Level Two · Lesson 9 · ages 11 to 12

The Heart, Blood and Lungs In Depth

Our heart beats about 100,000 times a day and pumps about 7,000 liters of blood in a single day, through blood vessels that would stretch for tens of thousands of kilometers if you lined them up end to end. This chapter looks at how blood travels in loops, how the heart makes its own electricity, where the lungs swap gases, and why you cannot just mix blood groups.

A textbook-style front cutaway of the human heart: the right-side chambers in blue on the left of the picture, the left-side chambers in red on the right, valves with tendon cords on both sides, blue great veins entering the right atrium, the blue pulmonary artery leaving the right ventricle and splitting in two, and the red aorta arching over the top.
1 · CircuitsTwo loops in one heart

Blood travels in two circles

The human heart is not one pump. It is two pumps joined together. The right side sends blood to the lungs to pick up oxygen. The left side sends oxygen-rich blood out to feed the whole body. Press the button to follow one drop of blood.

Lungs Body RARVLALV Left side → whole bodyRight side → lungs
Press to start
Why is the left side thicker? The muscle of the left ventricle is about three times thicker than the right ventricle, because it has to push blood around the whole body. The right side only sends blood to the lungs, which are close by and have much lower resistance.
A translucent blue human heart seen from the front with its conduction system glowing gold inside: a bright node at the top of the right atrium, fibres spreading across the atria, a second node at the junction with the ventricles, and a bundle running down the septum that branches through both ventricle walls.
2 · ElectricityThe heart has its own pacemaker

The heart beats on its own, without waiting for orders from the brain

In the wall of the right atrium there is a special group of cells called the SA node, and it works as the pacemaker. It fires electrical signals by itself in a steady rhythm. The signal spreads through the whole heart and makes the muscle squeeze in the correct order. An ECG machine is simply reading that signal from the skin.

Heart rate 75 bpm

A cutaway of an artery with a thick layered wall in red and gold, disc-shaped red blood cells streaming through the channel, and a pressure pulse bulging the wall outward as it travels along the vessel.
3 · PressureThe top number and the bottom number

So what exactly is blood pressure?

Blood pressure is the force of blood pushing on the walls of the arteries. The top number is the moment the heart squeezes. The bottom number is the moment the heart relaxes between beats. Tap through and see what makes the numbers change.

Try different situations

Approximate blood pressure
110/70
Pulse
80

Children and adults are not the same. Normal values for a child aged 11 to 12 are a little lower than for an adult, and they also depend on height. That is why doctors use charts based on age and height, instead of using 120 over 80 for everyone.

Why is high blood pressure dangerous over the long run?

Pressure that stays high all the time damages the walls of the blood vessels bit by bit, so fatty plaque sticks to them more easily, and it makes the heart work so hard that its wall grows abnormally thick. The end of that road is stroke, heart disease and failing kidneys.

The scary part is that high blood pressure usually has no symptoms at all. Many people only find out once something has already gone wrong. That is why measuring blood pressure regularly matters, instead of waiting for a headache before you check.

What children can do starting today is eat less salt, exercise regularly, sleep enough, and never smoke. All of these really do lower the long-term risk.

A close-up of a cluster of lung alveoli, translucent round sacs hanging like a bunch of grapes from a bronchiole, wrapped in a net of red and blue capillaries; golden arrows show oxygen entering the blood and pale blue arrows show carbon dioxide leaving it.
4 · LungsWhere the gases cross the line

Tiny air sacs, enormous surface

The two lungs hold about 300 million alveoli. If you unfolded all of their walls you would get an area of about 70 square meters, bigger than an ordinary bedroom, and all of it is packed inside our chest. The wall of an alveolus is so thin that oxygen spreads straight through into the capillaries. Press the button to watch the gas exchange.

AlveolusCapillary Air in and out

Gas exchange

Press to watch

Oxygen is more concentrated in the alveolus than in blood that has just come back from the body, so it spreads into the blood by itself. Carbon dioxide is more concentrated in the blood than in the alveolus, so it spreads out. There is no pump at all. It only uses the difference in concentration.

300
million alveoli in the two lungs
70
square meters of gas exchange surface
0.5
micrometers, the thickness of the wall the gases must cross

One hemoglobin molecule in a red blood cell can hold 4 oxygen molecules, and a single red blood cell contains about 270 million hemoglobin molecules. That is why blood can carry many dozens of times more oxygen than plain water could dissolve.

A test tube of centrifuged blood standing in a rack: clear yellow plasma on top, a thin white layer in the middle and dark red packed cells at the bottom. Magnifying circles beside it show a biconcave red blood cell, a lumpy round white blood cell and a small platelet fragment.
5 · BloodParts and blood groups

What is inside one drop of blood?

Blood is not just an ordinary red liquid. It is a liquid tissue with several kinds of cells floating in it. Tap them one at a time.

Blood group table: who can give to whom

Tap a cell in the table to see the reason. The rows are the donor, the columns are the recipient. Green means compatible.

Group O negative is the universal donor for red blood cells, and group AB positive is the universal recipient.

Why is the wrong blood group dangerous?The surface of a red blood cell carries the proteins of its group. If you are given blood from a group your body does not recognize, antibodies grab those red blood cells until they clump together and burst. That causes kidney failure and can kill within minutes. This is why a hospital has to check the blood group and run a compatibility test before every single transfusion.
Review12 questions

Test yourself

Correct 0 of 12

Fancy a game on this lesson?

Every question from this lesson is in the Body 101 arena. Race the clock, duel someone at home, play as a team, beat the bosses, or practise with no timer at all.