kamrani   2008

          (Mediastinum)

                          




kamrani

          (Apex)




kamrani
kamrani





kamrani
kamrani

           (Epicardium)   -   
           (Myocardium)   –   
          (Endocardium)   -   




kamrani
- (Epicardium)    




               -(Myocardium)    



-
                 -

              - (Endocardium)   




    kamrani
kamrani
(Pericardium)

                                    
                    (Pericardium)
                                    
    CC         CC

                                    




     kamrani





kamrani
(Sternocostal)           
                 -       
                     -   




kamrani
kamrani
kamrani
(Heart Chambers)

                   –   


                       


                       
            CO2        


                       




  kamrani
kamrani
(Atria)       -

                    -   
                    -


                    -   




kamrani
(Ventricles)

                         -   
                             


                             




kamrani
kamrani
kamrani
kamrani
(Trabecular-Corneae)




                (Moderate Band)        


       (Papillary Muscle)              


                  (Chordae Tandinae)   




                       kamrani
kamrani
(Septum)      


              



              



              




    kamrani
Point of Maximum Impulse (P.M.I.)

                                    



       (P.M.I.)




         kamrani





          




kamrani


          




          




kamrani


          



          




kamrani
kamrani
(Atrioventricular V.)            




      – )Bicuspid       Mitral   


                  –(Tricuspid)   



        kamrani
(Semilunar Valves)

                     




   –(Pulmonic V.)    

     –(Aortic V.)    

                     


   kamrani
kamrani
kamrani

(Cardiac Hemodynamics)




       kamrani





kamrani





kamrani
kamrani
kamrani
kamrani





          


          



kamrani
Cardiac Reserve   




                                       



                 (Stork Volume)        
                               cc
                  Heart Rate )         


Cardiac Output   x     = 5040cc   


      kamrani
mmHg
                 mmHg


kamrani





kamrani

                 
                 
                 

                 
                 


                 
          mmHg

kamrani

       mmHg               


                          
                          
mmHg               mmHg


         kamrani





          




kamrani
kamrani
(Coronary
                            Arteries)


                                    

                                    



                                    

   Right Coronary Artery           .1
     Coronary Artery Left          .2


       kamrani
Right Marginal
                               Branch

 (Posterior Interventricular         -
                               Branch)


                                         -




                  kamrani
Crux

                        




                 Crux

kamrani
Right Dominant

                               -

AV                      Crux
     Right Dominant




      kamrani
kamrani

(LAD)                  -        
        (Circumflex)       -    
         Diagonalis         -   




        kamrani
-
Left Anterior Descending C.A.   Anteriror Interventricualr B.)




                                                                           

                         (Apex)

                                                                     LAD   




            kamrani
(Diagonalis)   -

                   




kamrani
- Circumflex   C.X.                -

                                           
(Left
                       Mariginal Artery)

                                           




            kamrani
Left Dominant

                               -     
                        Crux
        AV          Crux
             Apex
Left
                          Dominant



          kamrani





          




kamrani
kamrani
kamrani
circulation collateral


                         




    kamrani

     CO2   thebesion

                       




                       




                       




kamrani
kamrani
(Conduction System of the Heart)




                                   




                  kamrani
–(Rhythmicity)    
               –(Irritability)       

           –(Refractoriness)         
          –(Conductivity)            

                 –(Contractility)    
                –(Automatocity)      

                  –(Extansibility)   




kamrani
(Conduction System of the Heart)



                                   



                                   
                                   
                                   
                                   
                                   


                     kamrani
kamrani
KAMRANI
          kamrani
–(Sinoatrial Node)

                        


(Pacemaker)             




                        


                        




              kamrani
KAMRANI
          kamrani
-

                          S-A          
      (Internodal Conduction System)

                                       


                                       


     AVn                               




    kamrani
(Atrioventricular (A-V) Nole )


                                                     

                                      -
S-                                        A-V        
                                                An

          AV                AV   SA
                                                     
             .
          mm/s        AV                             


                  kamrani
(His Bundle)

    AV                AV                  



           (RBB(Right bundle branch)      


                 LBB(Left bundle branch   


                                          
                                          
-   AV




           kamrani
(Purkinje Fibers)
AV                         


                           



                           



                           
                    mm/s

         kamrani
KAMRANI
          kamrani
KAMRANI
          kamrani
KAMRANI
          kamrani
KAMRANI
          kamrani
(Cardiac Cycle)


                  


S-A               


                  




      kamrani
(Systole)

   -       –          


                      


                      




kamrani
(Diastole)

                       


                       
                       




kamrani
kamrani
kamrani
-




                                -


                                -             ml

-       mmHg
                                                       –
    -       mmHg
                -    mmHg
                               -              –
        -           dyne sec Cm

            -       gmM M Beat                     -

                                    kamrani
(Control of Heart Rate)




                                             
                                (Efferent)


                           (Afferent)



                 kamrani
-

                     

     S-A

               A-V




kamrani
-Ventricular (Vagus) Escape-

                                
 A-V                      S-A



                                




          kamrani
kamrani
kamrani
kamrani

Cardiac anatomy