🫀 Cardiovascular System
AACCVV — Arteries · Arterioles · Capillaries · Capillaries · Venules · Veins
Blood Vessel Types (AACCVV) — Five blood vessel types — structure matches function at every level
A
Arteries — high-pressure delivery
Thick-walled and elastic (large arteries) or muscular (medium arteries), carrying blood AWAY from the heart under high pressure. The aorta is the most elastic, stretching during systole and recoiling during diastole — known as the Windkessel effect.
A
Arterioles — the resistance vessels
Small arteries with abundant smooth muscle, serving as the primary resistance vessels that regulate blood flow into capillary beds. Their vasodilation and vasoconstriction are controlled by sympathetic tone, local metabolites, and hormones.
C
Capillaries — the site of exchange
A single layer of endothelium plus a basement membrane — this is where ALL exchange of oxygen, carbon dioxide, nutrients, and waste actually happens. Capillaries come in continuous, fenestrated, and sinusoidal types, each suited to different exchange needs.
VV
Venules and veins — collection and return
Venules collect blood from capillaries. Veins are thin-walled with a large lumen and contain valves, carrying blood TOWARD the heart under low pressure. Veins hold about 64% of total blood volume, acting as capacitance (storage) vessels — the skeletal muscle pump and respiratory pump both help push blood back toward the heart.
1
Blood leaves the heart through the aorta (an elastic artery), which stretches during systole and recoils during diastole to help maintain steady flow — the Windkessel effect.
2
As blood moves into smaller arterioles, these vessels adjust their diameter (via smooth muscle) to control how much blood flows into the capillary beds they supply.
3
In the capillaries, the thin single-cell-layer walls allow oxygen, nutrients, carbon dioxide, and waste to exchange freely with surrounding tissue — this is the only point in the entire circulatory system where such exchange occurs.
4
Blood then collects into venules and finally veins, which — thanks to their valves and the assistance of the skeletal muscle pump during movement — return blood back to the heart despite the very low pressure remaining at this point in the circuit.

Exams test whether you can match each vessel type to its structural features and functional role, and specifically whether you know that capillaries are the sole site of exchange and that veins act as capacitance vessels holding the majority of blood volume.

The most common trap is assuming arteries always carry oxygenated blood and veins always carry deoxygenated blood — this is only true in the systemic circuit; in the pulmonary circuit, the pulmonary arteries carry deoxygenated blood and the pulmonary veins carry oxygenated blood. The defining feature of arteries and veins is direction relative to the heart, not oxygen content.

1. What are the five vessel types in order from the heart outward and back?
Arteries, arterioles, capillaries, venules, veins.
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2. What is the Windkessel effect?
The elastic stretching and recoiling of large arteries (like the aorta) during systole and diastole, helping maintain steady blood flow.
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3. Which vessel type is the primary site of resistance regulation?
Arterioles.
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4. Where does all exchange of gases, nutrients, and waste occur in the circulatory system?
Capillaries.
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5. What percentage of total blood volume do veins hold, and what role does this give them?
About 64%; this makes them capacitance (storage) vessels.
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