The heart is a hollow muscular organ located in the thorax between the lungs. It has 4 chambers - 2 atria that receive blood and 2 ventricles that pump blood out of the heart. The right side receives deoxygenated blood from the body and pumps it to the lungs, while the left side receives oxygenated blood from the lungs and pumps it out to the body. The heart is surrounded by a membrane called the pericardium which restricts its movement and acts as a lubricated sac. It has 4 valves that ensure one-way blood flow through the heart chambers. The heart is supplied by the left and right coronary arteries and its venous drainage occurs through the coronary sinus into the right atrium.
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Heart Anatomy
1. HEART ANATOMYJesús A. Custodio MarroquínBy:Dr Mohammed FaezMedical Student VI Cycle – USAT University– Chiclayo – PeruMedical English1Jesús A. Custodio Marroquín
2. HEARTA hollow muscular organ.Located in thoraxbetween 2 lungs.4 Chambers.4 Valves.2 Atriums & 2 Ventricles.2 separatepumps (R&L sides)Rightsidereceivesbloodfromthebody and sendsittothelungs (pulmonary)Leftsidereceivesbloodfromlungs and sendsittothebody (systemic)2Jesús A. Custodio Marroquín
4. HEARTThe heart is surrounded by membrane called Pericardium.4Jesús A. Custodio Marroquín
5. The PericardiumThe pericardium is a fibroserous sac that encloses the heart and the roots of the great vessels.The pericardium lies within the middle mediastinum.5Jesús A. Custodio Marroquín
6. The PericardiumIts function is to restrict excessive movements of the heart as a whole and to serve as a lubricated container in which the different parts of the heart can contract.6Jesús A. Custodio Marroquín
7. Heart WallEndocardiumdeepest layer of the heartsmooth lining to reduce friction of bloodflowMyocardiummiddle layer of the heartlocation of muscle fibers responsible for pumpingPericardiumouter protective layercomposed of :visceral pericardiumparicardial cavityparietal pericardium7Jesús A. Custodio Marroquín
19. propel blood to Pulmonary Trunk (right ventricle), Aorta (left ventricle) 13Jesús A. Custodio Marroquín
20. The Right Atrium• Receives deoxygenated blood from the inferior vena cava below and from the superior vena cava above.14Jesús A. Custodio Marroquín
21. The Right VentricleReceives blood from the right atrium through the tricuspid valve .15Jesús A. Custodio Marroquín
22. The Left AtriumReceives oxygenated blood from four pulmonary veins which drain posteriorly.16Jesús A. Custodio Marroquín
23. The Left AtriumThe mitral (bicuspid) valve guards the passage of blood from the left atrium to the left ventricle.17Jesús A. Custodio Marroquín
24. The Left VentricleThe wall of the left ventricle is thicker than the right ventricle but the structure is similar. The thick wall is necessary to pump oxygenated blood at high pressure through the systemic circulation. 18Jesús A. Custodio Marroquín
25. The Heart ValvesHeart valves ensure unidirectional blood flow through the heartComposed of an endocardium with a connective tissue core.Two major typesAtrioventricular valvesSemilunar valves19Jesús A. Custodio Marroquín
27. Atrioventricular (AV) ValvesAtrioventricular (AV) valves lie between the atria and the ventriclesR-AV valve = tricuspid valveL-AV valve = bicuspid or mitral valveAV valves prevent backflow of blood into the atria when ventricles contract21Jesús A. Custodio Marroquín
28. Semilunar Heart ValvesSemilunar valves prevent backflow of blood into the ventriclesAortic semilunar valve lies between the left ventricle and the aorta Pulmonary semilunar valve lies between the right ventricle and pulmonary trunkHeart sounds (“lub-dup”) due to valves closing“Lub” - closing of atrioventricular valves“Dub”- closing of semilunar valves22Jesús A. Custodio Marroquín
30. The Heart ValvesAtrioventricular valves Semilunar valvesRight AV (Tricuspid)separates the right atrium from the right ventricle. Prevents backflow into atrium.Left AV (Bicuspid)separates the left atrium from the left ventricle. Prevents backflow into atrium.Pulmonary valveseparates the right ventricle from the pulmonary arteries. Prevents backflow after ventricular contraction.Aortic valveseparates the left ventricle from the aorta. Prevents backflow after ventricular contraction .24Jesús A. Custodio Marroquín
31. The Heart ValvesPulmonarysemilunar valveRight AV(tricuspid)valveAorticsemilunar valveChordaitendineaePapillarymuscleLeft AV(bicuspid)valve25Jesús A. Custodio Marroquín
32. Arterial Supply of the HeartThe arterial supply of the heart is provided by the right and left coronary arteries, which arise from the ascending aorta immediately above the aortic valve.26Jesús A. Custodio Marroquín
33. Right coronary arteryBranchesRight marginal arteries (acute marginal artery)Posterior interventricular artery. (in post. IV sulcus)Sinoatrial nodal artery.Atrioventricular nodal artery.27Jesús A. Custodio Marroquín
34. Left coronary arteryBranchesLeft anterior descending (LAD) or anterior interventricular artery. (lies in anterior IV sulcus)Septal branches.Diagonal branchesLeft marginal artery. (Obtuse marginal artery)Left circumflex artery.28Jesús A. Custodio Marroquín
36. Venous Drainage of the HeartMost blood from the heart wall drains into the right atrium through the coronary sinus ,which lies in the posterior part of the atrioventricular groove .It is a continuation of the great cardiac vein. It opens into the right atrium to the left of the inferior vena cava30Jesús A. Custodio Marroquín
38. Nerve Supply of the HeartThe heart is innervated by sympathetic and parasympathetic fibers of the autonomic nervous system via the cardiac plexuses situated below the arch of the aorta.32Jesús A. Custodio Marroquín