Heart - Revision Doc [06Nov'10]

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    Heart The Heart is a muscular organ that lies in the thoracic cavity

    behind the septum.

    Operates continually and tirelessly throughout a life of anorganism.

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    Structure of the Heart

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    Structure of the Heart The Atrium has thin walls and its elastic and thus it stretches

    as it collects blood. It pumps blood to the ventricles.

    Ventricles has a much thicker muscular walls. It pumps

    blood either to lungs or to the rest of the body.

    Both Atria contracts together and both ventricles contract

    together.

    The left atrioventricular (bicuspid) values, is present in the

    left side of the heart has two flaps of fibrous tissue.

    The right atrioventricular (tricuspid) valves, present in theright side of the heart has three flaps.

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    Structure of the Heart The aorta is connected to the left ventricle and carries

    oxygenated blood to all parts of the body except the lungs

    The venacava is connected to the right atrium and brings

    deoxygenated blood back from the tissues of the body.

    The Pulmonary artery carries blood from the right ventricles

    to the lungs

    The pulmonary vein carries blood from the left ventricles to

    the rest of the body.

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    Supplying the Heart MuscleThe heart muscle is supplied by its own blood vessels, called the

    coronary arteries, which branch off the aorta shortly after it leaves

    the heart. Blockage of these arteries, e.g. by a blood clot, leads to

    myocardial infarction, also known as heart attack, this is because

    an area of the heart muscle is kept away from something needed,

    i.e. oxygen and so dies.

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    The Cardiac Cycle Relaxation of the heart (diastole) - blood enters the atria

    from the pulmonary artery and the vena cava. As the atria

    fills the pressure in the atrioventricular valves are forced

    open allowing the blood to pass into the ventricles. The

    muscular walls of both atria and ventricles are relaxed at this

    stage.

    Contraction of the atria (atrial systole) The muscle of the

    atrial walls contract, forcing the remaining blood that they

    contain (around 20% of the total blood in the heart) into the

    ventricles

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    The Cardiac Cycle Contraction of the ventricles (ventricular systole) After a

    short delay to allow the ventricles to fill with blood, their

    walls contract simultaneously.

    This increases blood pressure within them forcing shutting

    the atrioventricular valves and preventing the back flow of

    blood into the atria.

    With the atrioventricular valves closed, the pressure rises

    further, forcing opening the semi lunar valves and pushing

    blood into the pulmonary artery and aorta.

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    Cardiac output Is the volume of blood pumped by one ventricle of the heart

    in one minute. It is usually measured in dmmin and

    depends upon two factors:

    The heart rate (the rate at which the heart beats)

    The stroke volume (volume of blood pumped out at each

    beat)

    Cardiac Output = heart rate x stroke volume

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    Control of Heart Beat Mynogenic is also known as the cardiac muscle, i.e. its

    contraction is initiated from within the muscle itself, rather

    than by nervous impulses from outside (neurogenic), as in the

    case of other muscles.

    Within the walls of the right atrium of the heart is a distinct

    group of cells known as the sinoatrial node (SAN). It is from

    here that the initial stimulus for contraction originates. Has a

    basic rhythm of stimulation that determines the beat of the

    heart aka pacemaker.

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