Anatomy and Physiology of Heart

Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 2

Anatomy and Physiology of Heart

Structure :
The heart is a four chambered hollow muscular organ normally the approximate size of fist. It
lies within the thorax in the mediastinal space that separates the right and left pleural cavities.
The heart is composed of three layers : a thin inner lining ,the endocardium; a layer of muscle
,the myocardium; and a fibrous outer layer , the epicardium. The heart is surrounded by the
pericardium, a fibroserous sac. The inner layer of the pericardium is in contact with the
epicardium, and the outer layer is in contact with the mediastinum. A small amount of
pericardial fluid lubricates the space between the pericardial layers and prevent friction
between the surfaces as the heart contracts.

The heart is divided vertically by the septum. This creates a right and left atrium
and a right and left ventricle. The thickness of the wall of each chamber is different. The atrial
myocardium is thinner than that of ventricles, and the left ventricular wall is 2 to 3 times thicker
than the right ventricular wall. The thickness of the left ventricle is necessary to generate the
force needed to pump the blood into the systemic circulation.

Blood Flow Through the Heart :


The right atrium receives venous blood from the inferior and superior venae
cavae and the coronary sinus. The blood then passes through the tricuspid valve into the right
ventricle. With each contraction, the right ventricle pumps blood through the pulmonic valve
into the pulmonary artery and to the lungs.

Blood flows from the lungs to the left atrium by way of pulmonary veins. It then
passes through the mitral valve and into the left ventricle .As the heart contracts, blood is
ejected through the aortic valve into the aorta and thus enters the high pressure systemic
circulation.

Cardiac Valves :
The four valves of the heart serve to keep blood flowing in forward direction .The cusps
of the mitral and tricuspid valves are attached to thin strands of fibrous tissue termed chordate
tendineae. Chordae are anchored in the papillary muscles of the ventricles . This support
system prevents the eversion of the leaflets into the atria during ventricular contraction. The
pulmonic and aortic valves prevent blood from regurgitating into the ventricles at the end of
each ventricular contraction.
Blood Supply to the Myocardium :
The myocardium has its own blood supply, the coronary circulation . Blood flow
into the two major coronary arteries occur primarily during diastole . The left coronary artery
arises from the aorta and divides into two main branches : the left anterior descending artery
and left circumflex artery . These arteries supply the left atrium ,the left ventricle , the
interventricular septum ,and a portion of the right ventricle. The right coronary artery also
arises from the aorta ,and its branches supply the right atrium, the right ventricle and a portion
of the posterior wall of the left ventricle. In 90% of people, the atrioventricular node and
bundle of His, part of the cardiac conduction system ,receive blood supply from the right
coronary artery . For this reason , obstruction of this artery often causes serious defects in
cardiac conduction .

You might also like