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Chapter 23

Chapter 23

The Heart

The heart is a hollow muscular organ that pumps blood through the body. It is cone-shaped and weighs about 250 to 300 grams on average. The heart is …
The heart is located in the mediastinum and spans from the first rib to the diaphragm. It lies anterior to the vertebral column, posterior to the sternum, …
The heart wall has three layers—the epicardium, the myocardium, and the endocardium. The outermost layer, the epicardium, is the visceral layer of …
The heart has four chambers—the right atrium, right ventricle, left atrium, and left ventricle. Externally, the coronary sulcus separates the atria …
The heart valves open and close in response to the pressure gradients created by the contracting heart chambers. These valves regulate the blood flow by …
The pulmonary and systemic circuits work sequentially to move blood between the heart, lungs, and peripheral tissues. Pulmonary circulation transports …
The myocardium has its own network of blood vessels, separate from the systemic and pulmonary circuits, called the coronary circulation. The left and …
Autorhythmicity refers to the innate ability of the heart to initiate electrical signals and trigger muscle contractions. This intrinsic conduction system …
An electrocardiogram, abbreviated as ECG, or EKG, is a test that captures a record of the heart's electrical activity. It is performed by placing …
The cardiac cycle comprises the contraction, or systole, and relaxation, or diastole, during one heartbeat. During atrial systole, cardiac action …
The electrical signals recorded on an electrocardiogram or ECG occur before the mechanical processes of systole and diastole during the cardiac cycle. The …
Disturbances in the heart rhythm, or arrhythmia, can cause irregular heartbeats. If the heart rate falls below fifty beats per minute, it is called …
Heart sounds are mainly produced when valve closures cause turbulence in the blood. These are best heard at chest locations slightly away from the valves …
Cardiac output is the blood volume ejected from the ventricles into the blood vessels each minute. It is calculated by multiplying the stroke volume by …
The stroke volume, which is the volume of blood ejected by a ventricle with each heartbeat, is regulated by three factors: preload, contractility, and …
The brain's cardiovascular center activates the ANS based on inputs received from sensory receptors. For example, proprioceptors in muscles and joints …
Physical activity is beneficial for cardiovascular health. For example, the American Heart Association recommends moderate-intensity aerobic exercises, …
Congestive heart failure, or CHF, can reduce the heart’s pumping efficiency. In CHF, an increase in preload excessively stretches the myocardium, …
Development of the heart starts on the 18th or 19th day post-fertilization from a group of mesodermal cells called the cardiogenic area. By day 20, these …
A preload challenge (PC) is a clinical maneuver that, first, increases the cardiac filling (i.e., preload) and, second, calculates the change in cardiac …
Focused cardiac ultrasound (FoCUS) is a limited, clinician-performed application of echocardiography to add real-time information to patient care. These …
Endoscopic mitral valve surgery (EMS) has become a standard of care at specialized heart centers, further reducing surgical trauma compared to a …