Binary vascular system

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A scan taken by Kate Stewart reveals both the Doctor's hearts. (TV: The Power of Three)

A binary vascular system was a type of circulatory system in which the blood vessels lead to two hearts.

Chen-7, also known as the 1 Day Plague, only affected species with binary vascular systems, such as Apalapucians and Gallifreyans. (TV: The Girl Who Waited)

Baris, a fan of the Tenth Doctor, had a second heart fitted to resemble him more. (PROSE: The Doctor Trap)

Species with a Binary Vascular System

In general, binary vascular systems were not common amongst humanoids.

Benefits

The full implications of a binary vascular system were unclear. However, the Dulcian Rago once told Jamie McCrimmon that beings with single hearts were physically weaker than those with two hearts. (TV: The Dominators)

Similarly, when Henry van Statten performed an invasive scan of the Ninth Doctor, he marvelled at the design and enthusiastically announced he was going to patent it. Given van Statten's obsession with superior technology, this suggested that two hearts were, literally, better than one. (TV: Dalek)

A Gallifreyan could survive with only one heart, should the other be punctured, destroyed, or temporarily stop beating, though he or she would be weakened greatly (PROSE: Managra, TV: The Shakespeare Code, The Power of Three) On one occasion, the Doctor's second heart was extracted from his chest and implanted in Sabbath, leaving the Doctor no longer able to process drugs and deprived of his respiratory bypass system while otherwise capable of operating at a human level. At the same time, the heart that Sabbath had stolen endowed Sabbath with the ability to penetrate 'deep time' (Travelling further away from his homeworld than should be possible), simultaneously creating a link between the Doctor and Sabbath that meant that the Doctor would survive grievous wounds as his heart was still beating in Sabbath- until Sabbath tore the heart out, its death allowing the Doctor to grow a new one (PROSE: The Adventuress of Henrietta Street, PROSE: Hope, PROSE: Camera Obscura). However, if the original heart was repeatedly damaged, even after having a regeneration, it would seem the secondary heart would not be able to sustain a Gallifreyan for long; the person in question would die. A defibrillator could be used to get both hearts working again, in this case. (TV: The Power of Three)

A Gallifreyan in cardiac arrest would need CPR on both hearts. Otherwise, it would prove ineffective. (TV: Smith and Jones)

A binary vascular system provided some level of protection from attack, in that single-hearted humanoids failed to aim correctly when attempting a close-range attack. The Fifth Doctor, for instance, was once stabbed in the chest, but survived because his human attacker aimed for the spot where the human heart would be. Because the Doctor's two hearts were in a slightly different location, the attack was ineffectual. (AUDIO: Son of the Dragon) Even when stabbed in one heart, the second heart would allow the subject to survive the injury, although he would require aid to heal the damaged heart (PROSE: Managra).

Cybermen from Pete's World could detect a binary vascular system, prompting them to take the subject Gallifreyan for further analysis, which at least delayed cyber-conversion. (TV: The Age of Steel)

Hearts and regeneration

A Time Lord's regenerative process was intimately linked to their hearts. Some accounts held that Time Lords had only one heart until they regenerated for the first time. (PROSE: The Man in the Velvet Mask) Equally, regeneration could be completely stopped — and the Time Lord therefore killed — if both hearts were pierced or shot simultaneously. Andred and Serena were both killed in this manner (AUDIO: Imperiatrix, PROSE: World Game), while Cavis was permanently killed after she was decapitated in her first incarnation by her enemy stabbing her mid-regeneration in both her original heart and the place where the second one would grow (PROSE: The Shadows of Avalon).