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Chapter 23

The Heart

Обзор сердца
Обзор сердца
The heart is a hollow muscular organ that pumps blood through the body. It is cone-shaped and weighs about 250 to 300 grams on average. The heart is ...
Расположение и ориентация сердца
Расположение и ориентация сердца
The heart is located in the mediastinum and spans from the first rib to the diaphragm. It lies anterior to the vertebral column, posterior to the sternum, ...
Слои стены сердца
Слои стены сердца
The heart wall has three layers—the epicardium, the myocardium, and the endocardium. The outermost layer, the epicardium, is the visceral layer of ...
Камеры Сердца
Камеры Сердца
The heart has four chambers—the right atrium, right ventricle, left atrium, and left ventricle. Externally, the coronary sulcus separates the atria ...
Сердечные клапаны
Сердечные клапаны
The heart valves open and close in response to the pressure gradients created by the contracting heart chambers. These valves regulate the blood flow by ...
Обзор системного и легочного кровообращения
Обзор системного и легочного кровообращения
The pulmonary and systemic circuits work sequentially to move blood between the heart, lungs, and peripheral tissues. Pulmonary circulation transports ...
Коронарное кровообращение
Коронарное кровообращение
The myocardium has its own network of blood vessels, separate from the systemic and pulmonary circuits, called the coronary circulation. The left and ...
Проводящая система сердца
Проводящая система сердца
Autorhythmicity refers to the innate ability of the heart to initiate electrical signals and trigger muscle contractions. This intrinsic conduction system ...
Электрокардиограмма
Электрокардиограмма
An electrocardiogram, abbreviated as ECG, or EKG, is a test that captures a record of the heart's electrical activity. It is performed by placing ...
Сердечный цикл
Сердечный цикл
The cardiac cycle comprises the contraction, or systole, and relaxation, or diastole, during one heartbeat. During atrial systole, cardiac action ...
Корреляция между ЭКГ и сердечным циклом
Корреляция между ЭКГ и сердечным циклом
The electrical signals recorded on an electrocardiogram or ECG occur before the mechanical processes of systole and diastole during the cardiac cycle. The ...
Нарушения сердечного ритма
Нарушения сердечного ритма
Disturbances in the heart rhythm, or arrhythmia, can cause irregular heartbeats. If the heart rate falls below fifty beats per minute, it is called ...
Сердечные звуки
Сердечные звуки
Heart sounds are mainly produced when valve closures cause turbulence in the blood. These are best heard at chest locations slightly away from the valves ...
Сердечный выброс и ударный объем
Сердечный выброс и ударный объем
Cardiac output is the blood volume ejected from the ventricles into the blood vessels each minute. It is calculated by multiplying the stroke volume by ...
Регулирование объема удара
Регулирование объема удара
The stroke volume, which is the volume of blood ejected by a ventricle with each heartbeat, is regulated by three factors: preload, contractility, and ...
Регуляция частоты сердечных сокращений
Регуляция частоты сердечных сокращений
The brain's cardiovascular center activates the ANS based on inputs received from sensory receptors. For example, proprioceptors in muscles and joints ...
Физические упражнения и сердечный выброс
Физические упражнения и сердечный выброс
Physical activity is beneficial for cardiovascular health. For example, the American Heart Association recommends moderate-intensity aerobic exercises, ...
Дисбаланс сердечного выброса
Дисбаланс сердечного выброса
Congestive heart failure, or CHF, can reduce the heart's pumping efficiency. In CHF, an increase in preload excessively stretches the myocardium, ...
Развитие сердца
Развитие сердца
Development of the heart starts on the 18th or 19th day post-fertilization from a group of mesodermal cells called the cardiogenic area. By day 20, these ...
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