Isnin, 21 April 2014

The Heart

1. The heart is a chambered muscular organ that pumps blood received from the veins into the arteries, there by maintaining the flow of blood through the entire circulatory system.


2.     The heart is surrounded by membrane called PericardiumIts functions 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.












Location of the heart.
The heart is located in the thoracic cavity between the to pleural cavities that surround the lungs.



The Heart Chambers 
Right and left side act as separate pumps four chambers;
 1. two atrium (right and left)
 2. two ventricles (right and left)











Right atrium ;-
Receives deoxygenated blood from the inferior vena cava below and from the superior vena cava above.
• Receives the coronary sinus in its lower part.• The upper end of the atrium projects to the left of the superior vena cava as the right auricle.



The sulcus terminalis is a vertical groove on the outer surface of the atrium. This groove corresponds internally to the crista terminalis .Above the coronary sinus the interatrial septum forms the posterior wall. The depression in the septum the fossa ovalis are presents the site of the foramen ovale.
The sulcus terminalis is a vertical groove on the outer surface of the atrium. This groove corresponds internally to the crista terminalis .Above the coronary sinus the interatrial septum forms the posterior wall. The depression in the septum the fossa ovalis are presents the site of the foramen ovale.

                                                                           






 Left atrium
Receives oxygenated blood from four pulmonary veins which drain posteriorly.The cavity is smooth walled except for the atrial appendage.On the septal surface a depression marks the fossa ovalis.
The mitral (bicuspid) valve guards the passage of blood from the left atrium to the left ventricle.








Right ventricles 
Receives blood from the right atrium through the tricuspid valve .
The edges of the valve cusps are attached to chordae tendineae which are, in turn, attached below to papillary muscles.
The wall of the right ventricle is thicker than that of the atria but not as thick as that of the left ventricle.
The wall contains a mass of muscular bundles known as trabeculae carneae.The infundibulum is the smooth walled outflow tract of the right ventricle.
The pulmonary valve is situated at the top of the infundibulum.
It is composed of three semilunar cusps.
Blood flows through the valve and into the pulmonary arteries via the pulmonary trunk to be oxygenated in the lungs.

                                                                          



Left ventricles
The 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.
Trabeculae carneae project from the wall with papillary muscles attached to the mitral valve cusp edges by way of chordae tendineae.
The vestibule is a smooth walled part of the left ventricle which is located below the aortic valve .





Function of the heart
Major function of the heart are:-

a)   Generating blood pressure.
Contractions of the heart generate blood pressure, which is required to force blood through the blood vessels.

b)  Routing blood
The heart separates the pulmonary and systemic circulations, which ensures the flow of oxygen rich blood to tissues.

c)  Ensuring one-way blood flow
The valves of the heart ensure a one-way flow of blood through the heart and blood vessels.

d)  Regulating blood supply 

Changes in the rate and force of heart contraction match blood flow to the changing metabolic needs of the tissues during rest, exercise, and change in the body position.





Circulatory system

 HEART: atrium, ventricles
• BLOOD VESSELS: aorta, arteries, arterioles, capillaries, veinules, veins 

Pulmonary circulation 
The heart is actually two pumps in one. The right side of the heart pumps blood to the back to the left side of the heart through vessels 
  • right ventricle to lungs to left atrium. 

Systemic circulation
the left side of the heart pumps blood to all other tissues of the body and back to the right side of the heart through vessels
  • left ventricle to aorta to organs and tissues to right atrium



Main functions of blood flow
• to deliver oxygen and nutrients to the cells
• to remove cellular wastes and carbon dioxide
• to maintain organs at a constant temperature and pH  



Heart attack
•Heart attack happened when the fat block the blood from flow in the blood cell by atherosclerosis or blood vessel was blocked by the fat

Atherosclerosis is the process that fat and cholesterol are collected and combine together in the blood vessel and block the blood from flow to the heart.                  




Factors of the heart
1.Smoking
2.Cigarette smoking



3. Higher fat level
4. No more exercise

5. Alcohol
6. Blood pressure
7. Diabetes

Symptom
       I.       Breathless 
      II.      Chest pain 
     III.      Unconscious 
     IV.     Sweaty although cold weather 
      V.     Panic


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