heart anatomy - 138.238.7.11138.238.7.11/ctr_excellence/bmp/doc/pbp-pdfs2013/week-1/4 - hear… ·...
TRANSCRIPT
Heart Anatomy
By: Collins Asadu-Bempah
• Size of a fist
• Cone Shaped
• Enclosed within mediastenum
• Covered in Pericardium
PERICARDIUM
• Double walled sac
2 Types
1) Fibrous Pericardium
Anchors heart to surrounding structures
Prevents overfilling of heart with blood
2) Serous Pericardium
-Parietal layer
-Visceral layer
• Paricardial Cavity - filled with serous fluid
-fluid allows heart to move in friction-free environment
*Pericarditis – inflammation of pericadium
-roughens the surfaces of serous membranes impedes heart movement
- in severe cases, large amounts of inflammatory fluids will leak into the pericardial cavity and compress the heart and limit its ability to pump blood. Known as a Cardiac Temponade
3 LAYERS OF THE HEART1) Epicardium – Superficial layer
- Visceral layer of serous pericardium
2) Myocardium – Middle, muscular layer
- Contractile layer of heart
3) Endocardium – Deeper layer
-Thin white sheet of endocardium
-lines heart chambers and valves
4 HEART CHAMBERS
2 Atria
2 Ventricles
*Interatrial Septum – a wall of tissue that divides the atria
*Interventricular Septum – divides the ventricles
ATRIA*Crista terminalis – separates anterior & posterior regions of right atrium*Fossa Ovalis – small depression located in right atrium. A remnant of the foramen ovale which is present during fetal development and allowed blood to flow from right atrium to left atrium• Blood enters right atrium via 3 veins
• Superior vena cava• Inferior vena cava• Coronary sinus
VENTRICLES
• Right Ventricle has larger anterior surface
• Left Ventricle has larger posteroinferior surface
• Left Ventricle is more muscular
• Trabecular Carneae - irregular ridges of muscle lining the inner surfaces of ventricles
• Chordae Tendineae – strong, fibrous strings attached to the valves of the heart
• Papillary Muscles – Anchor the chordae tendineae and keep them stretched
HEART VALVES
- Provide a unidirectional blood flow
- Made up of endocardium and connective tissue
- Attached to the chordae tendinae
• Tricuspid Valve
• Mitrial (bicuspid ) Valve
• Semilunar Valves
• Aortic Valves
Electrical System of the Heart- Composed of “autorhythmic” or self-excitable cells located at
distinct regions of the myocardium
• Sinoatrial Node (SA Node ) – located at right atrial wall
- the “pacemaker”
• Atrioventricular Node (AV Node)
• AV bundle
• Bundle Branches
• Purkinje Fibers
HEART PHYSIOLOGYCARDIAC CYCLE
*A 2 circuit system-Systemic -Pulmonary
*Deoxygenated blood enters the right atrium inferior and superior vena cava-Notice: AV valves are closed at this point because in atria not great
enough* SA node fires and causes atria contraction ( P-wave)* AV valves open due to increased pressure in atria and blood enters ventricles* There is a small delay before the electrical signal reaches the AV node; this allows enough time for ventricles to fill*AV node depolarizes and ventricular contraction
*Ventricular Systole- Isovolumetric contration-Ventricular Ejection
ISOVOLUMETRIC CONTRACTION
• All valves are closed
• Pressure in ventricles are great enough to cause AV valves to close but not great enough to cause SL and Aortic Valves to open
VENTRICULAR EJECTION
• Pressure is great enough to cause SL and Aortic valves to open and also to keep AV valves closed
• At this point the impulse has already reached the purkinjefibers and QRS complex is evident
ISOVOLUMETRIC RELAXATION
• Ventricles repolarizes ( T-wave) and cause the pressure to drop. The backflow of blood causes the SL and Aortic valves to close.
• AV valves remain closed because the pressure in the ventricles is not low enough to allow valves to open
sources
• http://classes.midlandstech.edu/carterp/Courses/bio211/chap18/chap18.html