HEART
HEART
INTRO:
The heart is a cone shaped hollow muscular organ
LOCATION:
it is located in the mediastinum which is the space between the two lungs. It
lies obliquely, a little more to the left than the right, and presents a base
above, and an apex below.
The apex is about 9 cm to the left of the midline at the level of the 5th
intercostal space, i.e. a little below the nipple and slightly nearer the
midline. The base extends to the level of the 2nd rib.
WEIGHT:
250 – 310g
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THE
DIAGRAMATIC ILLUSTRATION OF THE HEART
ORGANS
IN RELATIONS:
Superiorly:
the aorta, superior vena cava, pulmonary artery and pulmonary veins
Inferiorly: the apex rests on the central
tendon of the diaphragm
Anteriorly:
the sternum, ribs and intercostal muscles.
Posteriorly:
the esophagus, trachea, left and right bronchus, descending aorta, inferior
vena cava and thoracic vertebrae
Laterally:
the two lungs
LAYERS
1. Pericardium
2. Myocardium
3. Endocardium
Ø THE PERICARDIUM
The
pericardium is the outermost layer and is made up of two sacs which are the
i.
Fibrous pericardium:
The fibrous pericardium is continuous with the tunica adventitia of the great
blood vessels above and is adherent to the diaphragm below.
ii.
Serous
pericardium: this layer is further divided into visceral and parietal layers.
In between these two layers is a potential space that contains serous membrane
which secretes serous fluid called pericardial fluid. Fluid helps to prevent
friction during contraction of the heart.
Ø MYOCARDIUM
The myocardium is composed of specialized cardiac muscle found
only in the heart. It is striated, like skeletal muscle, but is not under
voluntary control. Their cells are arranged in intercalated disc. So that when
impulse is initiated, it can spread throughout the myocardium and initiate
contraction.
Ø ENDOCARDIUM
This lines the chambers
and valves of the heart. It is a thin, smooth membrane to ensure smooth flow of
blood through the heart. It consists of flattened epithelial cells, and it is
continuous with the endothelium lining the blood vessels.
CHAMBERS OF THE HEART
The heart consists of 4 chambers which are:
Ø The right and left atrium.
Ø The right and left ventricles.
NOTE:
*The right side of the heart is separated from the left side by
the SEPTUM
*The atrium and the ventricles are separated by the atrio-ventricular
valves
*Blood in the left side of the heart is always oxygenated.
*Blood in the right side of the heart is always deoxygenated.
VALVES OF THE HEART
The heart has two type of valves which are the
Ø Semilunar Valve (the aortic
valve covering the Aorta and the pulmonary
valves covering the pulmonary trunk)
Ø Atrio-ventricular valves this are the right and left
atrio-ventricular valves which are found between the atria and the ventricles.
NOTE:
*The right atrio-ventricular valve is otherwise known as the Tricuspid valve
*The left atrio-ventricular valve is also known as the Bicuspid valve
*The left atrio-ventricular valve is also known as the Mitral Valve
BLOOD SUPPLY TO THE
HEART
Ø Arterial supply is by left and right coronary artery
Ø Venus drainage is by the coronary sinuses
NERVE SUPPLY
The Nerve supply of the heart is by the sympathetic and the
parasympathetic nervous system.
BLOOD FLOW
THROUGH THE HEART
There are 2 types of circulations in the heart. This are:
Ø The pulmonary circulation
Ø The systemic circulation
PULMONARY CIRCULATION
This is a type of circulation between the heart and the lungs in
order to get the blood oxygenated and to remove waste product like CO2
from the blood. In this study, we are going to describe this in steps.
STEP 1: blood enters the right atrium through the superior vena cava, the
inferior vena cava, and the coronary sinuses.
STEP 2: the right atrium contracts, the Tricuspid valve opens and pump
blood into the right ventricle.
STEP 3: the right ventricle contract, Tricuspid valve closes; the
pulmonary valve opens and pump blood into the pulmonary trunk.
STEP 4: the blood in the pulmonary trunk enters into the right and left pulmonary
artery. These arteries carry blood to the lungs for oxygenation.
STEP 5: After oxygenation, the blood is drained back to the heart by the
pulmonary veins which drains into the left atrium. This ends the pulmonary
circulation.


SYSTEMIC CIRCULATION
The systemic circulation starts by the contraction of the left
atrium forcing the Bicuspid valve to open and pump blood into the left ventricles.
As the left ventricles contract the Bicuspid valve closes, the aortic valve
opens and blood is pumped into the aorta. This circulates blood to every part
of the body systems, Hence the name systemic circulation.
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