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Chapter 23

The Heart

Overview of the Heart
Overview of the Heart
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 ...
Location and Orientation of the Heart
Location and Orientation of the Heart
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, ...
Layers of the Heart Wall
Layers of the Heart Wall
The heart wall has three layers—the epicardium, the myocardium, and the endocardium. The outermost layer, the epicardium, is the visceral layer of ...
Chambers of the Heart
Chambers of the Heart
The heart has four chambers—the right atrium, right ventricle, left atrium, and left ventricle. Externally, the coronary sulcus separates the atria ...
Heart Valves
Heart Valves
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 ...
Overview of Systemic and Pulmonary Circulation
Overview of Systemic and Pulmonary Circulation
The pulmonary and systemic circuits work sequentially to move blood between the heart, lungs, and peripheral tissues. Pulmonary circulation transports ...
Coronary Circulation
Coronary Circulation
The myocardium has its own network of blood vessels, separate from the systemic and pulmonary circuits, called the coronary circulation. The left and ...
Conduction System of the Heart
Conduction System of the Heart
Autorhythmicity refers to the innate ability of the heart to initiate electrical signals and trigger muscle contractions. This intrinsic conduction system ...
Electrocardiogram
Electrocardiogram
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 ...
Cardiac Cycle
Cardiac Cycle
The cardiac cycle comprises the contraction, or systole, and relaxation, or diastole, during one heartbeat. During atrial systole, cardiac action ...
Correlation between ECG and Cardiac Cycle
Correlation between ECG and Cardiac Cycle
The electrical signals recorded on an electrocardiogram or ECG occur before the mechanical processes of systole and diastole during the cardiac cycle. The ...
Disturbances in Heart Rhythm
Disturbances in Heart Rhythm
Disturbances in the heart rhythm, or arrhythmia, can cause irregular heartbeats. If the heart rate falls below fifty beats per minute, it is called ...
Heart Sounds
Heart Sounds
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 ...
Cardiac Output and Stroke Volume
Cardiac Output and Stroke Volume
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 ...
Regulation of Stroke Volume
Regulation of Stroke Volume
The stroke volume, which is the volume of blood ejected by a ventricle with each heartbeat, is regulated by three factors: preload, contractility, and ...
Regulation of Heart Rates
Regulation of Heart Rates
The brain's cardiovascular center activates the ANS based on inputs received from sensory receptors. For example, proprioceptors in muscles and joints ...
Exercise and Cardiac Output
Exercise and Cardiac Output
Physical activity is beneficial for cardiovascular health. For example, the American Heart Association recommends moderate-intensity aerobic exercises, ...
Imbalances in Cardiac Output
Imbalances in Cardiac Output
Congestive heart failure, or CHF, can reduce the heart's pumping efficiency. In CHF, an increase in preload excessively stretches the myocardium, ...
Development of the Heart
Development of the Heart
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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