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. 2022 Jan 21;14(1):e21474. doi: 10.7759/cureus.21474

Table 3. Endothelial surface likened to tennis courts in medical literature.

NO SOURCE ANALOGY AREA(m2) REFERENCE
1 Harrison's Principles of Internal Medicine (19th Ed) Endothelial cells line the surface of the entire circulatory tree, totalling 1–6 × 1013 cells, enough to cover a surface area equivalent to about six tennis courts.   24
2 Vascular Medicine: A Companion to Braunwald's Heart Disease The endothelium serves as the innermost lining of all blood vessels. It is the largest organ in the body weighing approximately 1.0 to 1.8 kilograms, containing approximately 1 x 1013 cells, and representing a surface area roughly equivalent to 6 to 8 tennis courts.   32
3 Physical Activity and Cardiovascular Disease Prevention The vascular endothelium of an average sized individual contains approximately 10,000,000,000,000 endothelial cells that weigh 1.5 kg and covers almost 700 m2, an area equivalent to six tennis courts 700 33
4 Body Renewal: The Lost Art of Self-Repair Stretched out, your endothelia might cover a tennis court   34
5 The Metabolic Syndrome In the adult human, it represents 1 per cent of body mass with a collective surface area of 350 m2 (Pries, Secomb and Gaehtgens, 2000), the equivalent of approximately one and a half tennis courts. 350 35
6 The Endothelium and Endothelin: Beyond Vascular Reactivity The vessel wall is 5 times the size of the heart in mass and 6 times the size of a tennis court in area.   36
7 Endothelial dysfunction: a comprehensive appraisal Although it is a monolayer that covers the inner surface of the entire vascular system, its total weight is more than a liver and has a mass equal to several hearts or, if it is extended, covers a various tennis courts surface area.   37
8 Does Endothelium Buffer Fat? The interface between ECs and plasma is between 4000 and 7000 m2, equivalent to the surface of >20 tennis courts. 4000-7000 38
9 Obesity and risk of vascular disease: importance of endothelium-dependent vasoconstriction Endothelial cells form the inner lining of arterial and venous blood vessels and lymphatic vessels which amount to approximately 1.5 kg in a person weighing 70 kg, covering an area ofapproximately four tennis courts   39
10 Textbook of Vascular Medicine The average capillary density in the body is 600 vessels/mm3 tissue with around 1000m2 surface area available for exchange of materials, which is equivalent to the surface area of almost four tennis courts. 1000 40
11 Endothelial Mechanotransduction, Redox Signaling and the Regulation of Vascular Inflammatory Pathways In an adult human, the surface area of the entire endothelium is 3,000 m2 which is equivalent to at least six tennis courts 3000 41
12 Holland-Frei Cancer Medicine An angiogenic focus appears as only a tiny fraction or a small “hot spot” of proliferating and migrating endothelial cells that arise from a monolayer of resting endothelium of approximately 1000 m2, an area the size of a tennis court. 1000 42