What is the heart?
A double pump where both sides have different jobs.
Right side- pumps blood from tissues, shoots blood to lungs and gets rid of CO2
Left side- receives oxygenated blood from lungs and pumps to body tissues via systemic circuit.
Facts:
- half a kg, size of a first
- superior surface of diaphragm, sits on top of it
- Mediastinum, two thirds of the heart are to the left of midsternal line
- in front (anterior) to vertebral column, posterior (behind) sternum
- has 3 layers
Pericardium
The outer layer of the heart
- double walled
- fibro-serous sac
- 2 types:
Myocardium
This is where most of the mass of the heart is.
- The inner wall, and is highly branched, has bundle branches.
- Supports the great vessels
- has connective tissue wrappings of these bundles
- spreads electric current
Endocardium
Gross anatomy of the heart
First, blood comes in from the inferior/superior vena cava. This blood is deoxygenated blood, and vena cava is a vein because blood comes INTO the heart.
Then, blood goes to the right atrium, which is the receiving chamber. This is where blood pools and makes the tricuspid valve open. Then the blood goes to the ventricle, where it contracts and sends blood out.
After coming back through left pulmonary veins, and into the receiving left atrium. Again, blood pools and passes the bicuspid valve to go to the ventricle. Then it goes to the aorta to be sent to the rest of the body which needs oxygenated blood.
The reason why the left side of the heart is more heavy than the right side is because the left side has to send blood to all of the body while the right side only sends blood to lungs.
Heart valves
Atrioventricular valves (AV)
- tricuspid and bicuspid (mitral) valves
- Goes from atria to ventricles
- Acts like a trap door
- first, the blood has to pool in the atrium while the valves are closed, and when the atrium eventually pools and pressures the valves, they open. Blood goes to ventricles where they contract and cuspids hold the blood in place
Semilunar valves (SL)
- Pulmonary and aortic valves
- both operate in the same way
- when blood comes in, the valves trap them, and when going out, they easily open
What can go wrong with valves?
Since valves are there to insure the direction of the blood to go down properly, they are at a lot of stress, so problems can happen
Incompetent valve
When the blood goes through the valve and then out, the valves don’t close, so the blood goes back to the atrium. The heart will keep pumping the same blood again and again
Valvular stenosis
Why is the sound of the heart important?
Systemic circuit
Pulmonary circuit
Starts from the superior and inferior vena cava. Then goes to atrium and pools/pressures valves to open. Then go to ventricle and them to pulmonary artery. This is because the blood must go to be oxygenated
Which of the following is true of the atria
A) They don’t contract
B) The two atria contract in sequence
C) The right atria receives blood from the lungs
D) They are receiving chambers
E) None of the above
F) All of the above
D) They are receiving chambers
They do contract, and the right atria receives deoxygenated blood from the body. The whole heart contracts at once, but the atria contracts a couple milliseconds before ventricle in order to pour all blood out.
Properties of cardiac muscle
Coronary arteries
The arteries that feed the myocardium of heart muscle with oxygen to allow contractions.
Anastomosis
- connection or opening between two structures that normally diverge or branch. Can provide backup routes for blood flow if a vessel is blocked.
Heart attack:
- there are blockages either in one place or many in different arteries that doesn’t allow them to feed the muscle with oxygen so it can’t contract
Coronary veins
Carry deoxygenated blood away from the heart muscle and return it to the right atrium of the heart.
- this is the third place where blood from the interior muscle comes back to the heart to get oxygenated again.
- coronary sinus
Myocells
Two types:
1. contractile cells
- most of the heart
- generating motile forces through the interaction of actin and myosin proteins, which enables movement and mechanical function in various tissues
- in atria and ventricles
- receive electrical impulses from the conducting system, which triggers their contraction in a coordinated and rhythmic manner to ensure efficient blood propulsion.
Which of the following statements is false:
A) The apex of the heart points down and to the left
B) Cardiac tissue is rich in mitochondria
C) Pacemaker cells are concentrated in the AV node
D) Blood enters the heart at the left atrium
C) Pacemaker cells are concentrated in the AV node
They are in the SA node
True or false: Mature red blood cells are actively transcribing genes
False. Mature red blood cells have no nucleus so they don’t transcribe genes
True or false: Oxygenated blood flows into the left atrium
True. Oxygenated blood comes from the lungs and into the left atrium for it to be sent to the rest of the body.
True or false: Heart sounds are associated with value opening.
False, heart sounds are associated with valves closing. Lub sound from AV valves and Dub sound from SL valves
Smooth muscle
Involuntary, non-striated muscle found in walls of hollow organs like the stomach and blood vessels.
GI tract
The gastrointestinal tract; the passage that runs from the mouth to the anus, where digestion and absorption occur.
Filaments
Thin, threadlike protein structures (actin and myosin) that help muscles contract.