Approximately the size of a person'sfist, the hollow, cone-shaped heart weighs less than a pound
Snugly enclosed within the inferior mediastinum, the medial cavity of the thorax, the heart is flanked on each side by the lungs
Its more pointed apex is directed toward the left hip and rests on the diaphragm, approximately at the level of the fifth intercostal space
Its broad posterosuperior aspect, or base, from which the great vessels of the body emerge, points toward the right shoulder and lies beneath the second rib
Pericardium
The heart is enclosed in a double-walled sac called the pericardium and is the outermost layer of the heart
The loosely fitting superficial part of this sac is referred to as the fibrous pericardium, which helps protect the heart and anchors it to surrounding structures such as the diaphragm and sternum
Deep to the fibrous pericardium is the slippery, two-layer serous pericardium, where its parietal layer lines the interior of the fibrous pericardium
Layers of the Heart
Epicardium
Myocardium
Endocardium
Epicardium
The epicardium or the visceral and outermost layer is actually a part of the heart wall
Myocardium
The myocardium consists of thickbundles of cardiac muscle twisted and whirled into ringlike arrangements and it is the layer that actuallycontracts
Endocardium
The endocardium is the innermostlayer of the heart and is a thin, glistening sheet of endothelium hat lines the heart chambers
Chambers of the Heart
Receiving chambers (atria)
Discharging chambers (ventricles)
Receivingchambers
The two superioratria are primarily the receiving chambers, they play a lighter role in the pumping activity of the heart
Dischargingchambers
The two inferior, thick-walled ventricles are the discharging chambers, or actualpumps of the heart wherein when they contract, blood is propelled out of the heart and into the circulation
Septum
The septum that divides the heart longitudinally is referred to as either the interventricular septum or the interatrial septum, depending on which chamber it separates
AssociatedGreatVessels
Superior and inferiorvenacava
Pulmonary arteries
Pulmonary veins
Aorta
Superior and inferior vena cava
The heart receives relatively oxygen-poor blood from the veins of the body through the large superior and inferior vena cava and pumps it through the pulmonary trunk
Pulmonary arteries
The pulmonary trunk splits into the right and left pulmonary arteries, which carry blood to the lungs, where oxygen is picked up and carbon dioxide is unloaded
Pulmonary veins
Oxygen-rich blood drains from the lungs and is returned to the left side of the heart through the four pulmonary veins
Aorta
Blood returned to the left side of the heart is pumped out of the heart into the aorta from which the systemic arteries branch to supply essentially all body tissues
Heart Valves
Atrioventricular valves
Semilunar valves
Atrioventricular valves
Atrioventricular or AV valves are located between the atrial and ventricular chambers on each side, and they prevent backflow into the atria when the ventricles contract
Bicuspid valve
The left AV valve- the bicuspid or mitral valve, consists of two flaps, or cusps, of endocardium
Tricuspid valve
The right AV valve, the tricuspid valve, has three flaps
Semilunar valves
The second set of valves, the semilunar valves, guard the bases of the two large arteries leaving the ventricular chambers, thus they are known as the pulmonary and aortic semilunar valves
Pulmonary semilunar valve
Lies between the right ventricle and the pulmonary artery and has three cusps
Aortic semilunar valve
Lies between the left ventricle and the aorta and has three cusps
Blood Vessels
Arteries
Arterioles
Veins
Arteries
As the heart beats, blood is propelled into large arteries leaving the heart
Arterioles
It then moves into successively smaller and smaller arteries and then into arterioles, which feed the capillary beds in the tissues
Veins
Capillary beds are drained by venules, which in turn empty into veins that finally empty into the great veins entering the heart
Tunics
Tunica intima
Tunica media
Tunica externa
Tunica intima
The tunica intima, which lines the lumen, or interior, of the vessels, is a thin layer of endothelium resting on a basement membrane and decreases friction as blood flows through the vessel lumen
Tunica media
The tunica media is the bulky middle coat which mostly consists of smooth muscle and elastic fibers that constrict or dilate, making the blood pressure increase or decrease
Tunica externa
The tunica externa is the outermost tunic composed largely of fibrous connective tissue, and its function is basically to support and protect the vessels
Major Arteries of SYSTEMIC CIRCULATION
Ascending Aorta
Aortic Arch
Thoracic Aorta
Abdominal Aorta
Coronary arteries
The only branches of the ascending aorta are the right and left coronary arteries, which serve the heart
Brachiocephalic trunk
The brachiocephalic trunk, the first branch off the aortic arch, splits into the right common carotid artery and right subclavian artery
Left common carotid artery
The left common carotid artery is the second branch off the aortic arch and it divides, forming the left internal carotid, which serves the brain, and the left external carotid, which serves the skin and muscles of the head and neck
Left subclavian artery
The third branch of the aortic arch, the left subclavian artery, gives off an important branch- the vertebral artery, which serves part of the brain
Axillaryartery
In the axilla, the subclavian artery becomes the axillary artery
Brachialartery
The subclavian artery continues into the arm as the brachial artery, which supplies the arm
Radialandulnararteries
At the elbow, the brachial artery splits to form the radial and ulnar arteries, which serve the forearm