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ANATOMY OF THE HEART
POSITION OF THE HEART

The muscular pump
that is located between
lungs, slightly to the
left of the breastbone.
SIZE OF HEART

Slightly larger than a human fist.
Weight of between 200 to 425grams
Heart is beating approximately 100,000 times
everyday
Anatomy of the heart
Has 4 chambers
Upper chamber – called atria ( left and right)
Lower chamber – called ventricle (left and right)
All 4 chambers are separated by wall of muscle
known as the septum
Chamber of the heart
Wall of the heart

Pericardium – the outer layer – the thin serous
membrane comprising the outer surface of the
heart.
Myocardium – middle layer – muscular wall of the
heart. This thickest middle layer of the heart is
composed of cardiac muscle tissue
Endocardium – inner layer – smooth inner surface
of the heart chambers and the valves
RIGHT ATRIUM
Receives blood from the body via superior and
inferior vena cava.
Highly distensible chamber - accommodate the
VR and maintain a low pressure ( 0 – 3 mmHg)
The actual pressure depends upon the volume of
the blood within the right atrium.
Blood flows down into the right ventricle across
the tricuspid valve.
Right ventricle (RV)
 Is smaller because it only has to transmit blood
a short distance to the lungs.
The free wall is not as thick as the left ventricle
Blood flow out to the lungs via semilunar
pulmonic valve through the pulmonary artery
Left atrium (LA)
Blood returns to the heart from the lungs via 4
pulmonary veins that enter the LA
LA is highly compliant like a RA - LA pressure
is higher than RA (6 -10 mmHg)
Blood flows out into the LV across the mitral
valve.
Left Ventricle (LV)
Left ventricle (LV) is the largest chamber and
has a very thick muscular wall (it can generate
high pressures during contraction, as they have
to force blood flow through the aortic valve into
the body)
Blood from the LV is ejected across the aortic
valve into the aorta then to the rest of the body
and other organs.
How does blood travel through the heart?
SVC

RA

RV

PULMONARY ARTERY

LUNGS ( GAS EXCHANGE)
How does blood travel through the heart?

Lungs

Pulmonary Veins

 LA

 LV

Aorta   Organs        Rest of the body
Blood flow through the heart
Valves of the heart


Tricuspid valve
Pulmonary valve
Mitral valve
Aortic valve
Tricuspid valve
Also called atrioventricular or AV valves
Situated between the RA and RV
Has 3 leaflets with fibrous strands (chordae
tendineae) on their leaflets that attach to
papillary muscles located on the respective
ventricular walls
Prevents the backflow of blood from the RV
Mitral valve
Also called bicuspid valve
Between the LA and LV
Consist of 2 leaflets
Prevents the backflow of blood into LA from
the LV
Pulmonary valve
Situated between right ventricle and the
pulmonary artery that leads to the lungs
Has 3 leaflets
It prevents the backflow of blood into the right
ventricle from the pulmonary circulation
Aortic valve


Placed between the LV and the aorta
It consist of 3 semicicular leaflets.
Prevent backflow of blood from the aorta once
it has left the heart
The papillary muscles contract during
 ventricular contraction and generate tension
on the valve leaflets via the chordae tendineae
 to prevent the AV valves from bulging back
  into the atria and becoming incompetent
Blood supply to the heart
Heart muscle needs more oxygen than any organ
except the brain , therefore the heart must have
generous supply of blood
The flow of blood that supplies the heart tissue
itself is the coronary circulation
Blood is supplied to the heart by coronary artery
– left and right
Coronary artery
Right coronary artery
  Right marginal branch
– supply blood to the lateral wall of the RV
  Posterior interventricular artery
 -- within the posterior interventricular sulcus .
– supply blood to the ventricles posteriorly
  It also supply blood - 55% to SA node
                        - 90% to AV node
                        - a portion of Bundle of His
Left coronary artery
   Begins behind the left cusp of the aortic
   semilunar valve and devide into 2 branch
 1 – anterior interventricular branch which
   decends in the anterior interventricular sulcus (
   LAD).
   -- supply blood to the ventricles anteriorly
2 – a circumflex branch which continous in the
   coronary sulcus (LCx )
  -- supply blood to most of the posterior wall of
   the heart
Left Anterior Descending

Supply blood to :
  Anterior 2/3 of septum
 Right bundle branch
 Anterosuperior division of the left bundle
 Anterior wall of the left ventricle
Left circumflex
SA node (45%)
Posteroinferior division of left bundle ( a
portion)
Lateral wall of the LV
Conduction system of the heart


Consist of modified
cardiac muscle cells

2 nodes that play
fundamental parts in
this conduction
system
Conduction system
   Sino – atrial (SA) node
   – located in the posterior wall of right atrium
   – also known as the pacemaker
   -- a stimulus arising from the SAnode cause atrial
   to contract
( impulse from SA node travel to the AV node)
Conduction system
 Atrioventricular (AV ) node
-- found in the inferior part of the interatrial
 septum.
-- It acts as a relay station
Conduction system
Then impulse passes through bundle of His (
atrioventricular bundle) , it is located in the
interventricular septum and devides to form the right
and left bundle branches.
Impulse then generate through Purkinje fibres which
form the branching of right and left bundle branches at
the apex of the heart.
Its function is to stimulate the ventricles to contract
Conduction system of the heart
Thank you

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The Heart

  • 2. POSITION OF THE HEART The muscular pump that is located between lungs, slightly to the left of the breastbone.
  • 3. SIZE OF HEART Slightly larger than a human fist. Weight of between 200 to 425grams Heart is beating approximately 100,000 times everyday
  • 4. Anatomy of the heart Has 4 chambers Upper chamber – called atria ( left and right) Lower chamber – called ventricle (left and right) All 4 chambers are separated by wall of muscle known as the septum
  • 6. Wall of the heart Pericardium – the outer layer – the thin serous membrane comprising the outer surface of the heart. Myocardium – middle layer – muscular wall of the heart. This thickest middle layer of the heart is composed of cardiac muscle tissue Endocardium – inner layer – smooth inner surface of the heart chambers and the valves
  • 7.
  • 8. RIGHT ATRIUM Receives blood from the body via superior and inferior vena cava. Highly distensible chamber - accommodate the VR and maintain a low pressure ( 0 – 3 mmHg) The actual pressure depends upon the volume of the blood within the right atrium. Blood flows down into the right ventricle across the tricuspid valve.
  • 9. Right ventricle (RV) Is smaller because it only has to transmit blood a short distance to the lungs. The free wall is not as thick as the left ventricle Blood flow out to the lungs via semilunar pulmonic valve through the pulmonary artery
  • 10. Left atrium (LA) Blood returns to the heart from the lungs via 4 pulmonary veins that enter the LA LA is highly compliant like a RA - LA pressure is higher than RA (6 -10 mmHg) Blood flows out into the LV across the mitral valve.
  • 11. Left Ventricle (LV) Left ventricle (LV) is the largest chamber and has a very thick muscular wall (it can generate high pressures during contraction, as they have to force blood flow through the aortic valve into the body) Blood from the LV is ejected across the aortic valve into the aorta then to the rest of the body and other organs.
  • 12. How does blood travel through the heart? SVC RA RV PULMONARY ARTERY LUNGS ( GAS EXCHANGE)
  • 13. How does blood travel through the heart? Lungs Pulmonary Veins LA LV Aorta Organs Rest of the body
  • 14. Blood flow through the heart
  • 15. Valves of the heart Tricuspid valve Pulmonary valve Mitral valve Aortic valve
  • 16. Tricuspid valve Also called atrioventricular or AV valves Situated between the RA and RV Has 3 leaflets with fibrous strands (chordae tendineae) on their leaflets that attach to papillary muscles located on the respective ventricular walls Prevents the backflow of blood from the RV
  • 17. Mitral valve Also called bicuspid valve Between the LA and LV Consist of 2 leaflets Prevents the backflow of blood into LA from the LV
  • 18. Pulmonary valve Situated between right ventricle and the pulmonary artery that leads to the lungs Has 3 leaflets It prevents the backflow of blood into the right ventricle from the pulmonary circulation
  • 19. Aortic valve Placed between the LV and the aorta It consist of 3 semicicular leaflets. Prevent backflow of blood from the aorta once it has left the heart
  • 20. The papillary muscles contract during ventricular contraction and generate tension on the valve leaflets via the chordae tendineae to prevent the AV valves from bulging back into the atria and becoming incompetent
  • 21. Blood supply to the heart Heart muscle needs more oxygen than any organ except the brain , therefore the heart must have generous supply of blood The flow of blood that supplies the heart tissue itself is the coronary circulation Blood is supplied to the heart by coronary artery – left and right
  • 23. Right coronary artery Right marginal branch – supply blood to the lateral wall of the RV Posterior interventricular artery -- within the posterior interventricular sulcus . – supply blood to the ventricles posteriorly It also supply blood - 55% to SA node - 90% to AV node - a portion of Bundle of His
  • 24. Left coronary artery Begins behind the left cusp of the aortic semilunar valve and devide into 2 branch 1 – anterior interventricular branch which decends in the anterior interventricular sulcus ( LAD). -- supply blood to the ventricles anteriorly 2 – a circumflex branch which continous in the coronary sulcus (LCx ) -- supply blood to most of the posterior wall of the heart
  • 25. Left Anterior Descending Supply blood to : Anterior 2/3 of septum Right bundle branch Anterosuperior division of the left bundle Anterior wall of the left ventricle
  • 26. Left circumflex SA node (45%) Posteroinferior division of left bundle ( a portion) Lateral wall of the LV
  • 27.
  • 28. Conduction system of the heart Consist of modified cardiac muscle cells 2 nodes that play fundamental parts in this conduction system
  • 29. Conduction system Sino – atrial (SA) node – located in the posterior wall of right atrium – also known as the pacemaker -- a stimulus arising from the SAnode cause atrial to contract ( impulse from SA node travel to the AV node)
  • 30. Conduction system Atrioventricular (AV ) node -- found in the inferior part of the interatrial septum. -- It acts as a relay station
  • 31. Conduction system Then impulse passes through bundle of His ( atrioventricular bundle) , it is located in the interventricular septum and devides to form the right and left bundle branches. Impulse then generate through Purkinje fibres which form the branching of right and left bundle branches at the apex of the heart. Its function is to stimulate the ventricles to contract
  • 32. Conduction system of the heart
  • 33.