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8.3 The Heart ⬇

CONTENTS
8.3.1 Structure of the Heart

8.3.2 The Walls of the Heart

8.3.3 The Cardiac Cycle

8.3.4 Heart Action

8.3.1 STRUCTURE OF THE HEART


Mammalian Heart Structure
Heart structure
The human heart has a mass of around 300g and is roughly the size of a closed fist

The heart is a hollow, muscular organ located in the chest cavity

It is protected in the chest cavity by the pericardium, a tough and fibrous sac

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8.3 The Heart ⬇

The human heart has four chambers and is separated into two halves by the septum

The heart is divided into four chambers. The two top chambers are atria and the bottom two
chambers are ventricles
The left and right sides of the heart are separated by a wall of muscular tissue, called the
septum. The portion of the septum which separates the left and right atria is called the
interatrial septum, while the portion of the septum which separates the left and right
ventricles is called the interventricular septum

The septum is very important for ensuring blood doesn’t mix between the left and right sides
of the heart

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8.3 The Heart ⬇

Valves in the heart


Valves in the heart:
Open when the pressure of blood behind them is greater than the pressure in front of
them

Close when the pressure of blood in front of them is greater than the pressure behind
them

Valves are important for keeping blood flowing forward in the right direction and stopping it
flowing backwards. They are also important for maintaining the correct pressure in the
chambers of the heart

The right atrium and right ventricle are separated by the atrioventricular valve, which is
otherwise known as the tricuspid valve

The right ventricle and the pulmonary artery are separated by the pulmonary valve

The left atrium and left ventricle are separated by the mitral valve, which is otherwise known
as the bicuspid valve

The left ventricle and aorta are separated by the aortic valve

There are two blood vessels bringing blood to the heart; the vena cava and pulmonary
vein

There are two blood vessels taking blood away from the heart; the pulmonary artery and
aorta

Coronary arteries
The heart is a muscle and so requires its own blood supply for aerobic respiration

The heart receives blood through arteries on its surface, called coronary arteries

It’s important that these arteries remain clear of plaques, as this could lead to angina or a
heart attack (myocardial infarction)

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8.3 The Heart ⬇

The coronary arteries cover the outside of the heart, supplying it with oxygenated blood

Exam Tip

When looking at the heart, remember the right side of the heart will appear on the page as
being on the left. This is because the heart is labelled as if it were in your body and flipped
around.

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8.3 The Heart ⬇

8.3.2 THE WALLS OF THE HEART


The Walls of the Heart

The muscular walls of the atria are thinner than those of the ventricles

When the atria contract, the thin muscular walls do not generate much pressure, but enough
to force blood down into the ventricles, through the atrioventricular valves

In contrast, the walls of the ventricles are thicker and more muscular

Following contraction of the atria, the ventricles contract and squeeze blood inwards,
increasing its pressure and pushing it out of the heart through right and left semilunar valves

Left & right ventricle


The muscle of the left ventricle is significantly thicker than the right ventricle
This is because the blood leaving the right ventricle travels less distance than blood leaving
the left ventricle

The blood pumped out from the right ventricle travels to the lungs, whereas blood
leaving the left ventricle has to travel to the rest of the body to deliver oxygen for respiration.

To reach the rest of the body, the blood leaving the left ventricle must be under high
pressure

This is generated by the contraction of the muscular walls of the left ventricle

The right ventricle generates less pressure from the contraction of its thinner walls, as
blood only has to reach the lungs

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8.3 The Heart ⬇

Worked Example

A graph showing pressures changes in the heart is shown below

Explain the differences in pressure between left atrium and ventricle in the graph

The walls of the left atrium are thin, so the pressure generated by their contraction is low.
Low pressure is sufficient because blood is forced only a short distance; from the left atrium
down to the left ventricle. The muscular walls of the left ventricle are much thicker and
generate much higher pressure, as shown on the graph. This is because much more pressure
is generated when this thick muscle contracts and squeezes blood with enough force to reach
the rest of the body.

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8.3 The Heart ⬇

8.3.3 THE CARDIAC CYCLE


The Cardiac Cycle

The contraction of the heart is called systole, while the relaxation of the heart is called
diastole

Atrial systole is the period when the atria are contracting and ventricular systole is when the
ventricles are contracting

Atrial systole happens around 0.13 seconds after ventricular systole

During ventricular systole, blood is forced out of the pulmonary artery (to the lungs) and
aorta (to the rest of the body)

One systole and diastole makes a heartbeat and lasts around 0.8 seconds in humans. This is
the cardiac cycle

Pressure changes
During systole and diastole, heart valves open and close as a result of pressure changes

Valves are an important mechanism to stop blood flowing backwards

During diastole, the heart is relaxing


The atrioventricular valves open and the semilunar valves are closed

During systole, the heart contracts and pushes blood out of the heart
During this time, the atrioventricular valves are closed and the semilunar valves are
open

Pressure Changes in the Heart Table

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8.3 The Heart ⬇

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8.3 The Heart ⬇

8.3.4 HEART ACTION


Heart Action: Initiation & Control

Control of the basic heartbeat is myogenic, which means the heart will beat without any
external stimulus

This intrinsic rhythm means the heart beats at around 60 times per minute

The sinoatrial node (SAN) is a group of cells in the wall of the right atrium. The SAN
initiates a wave of depolarisation that causes the atria to contract

The Annulus fibrosus is a region of non-conducting tissue which prevents the depolarisation
spreading straight to the ventricles
Instead, the depolarisation is carried to the atrioventricular node (AVN)

This is a region of conducting tissue between atria and ventricles

After a slight delay, the AVN is stimulated and passes the stimulation along the bundle of
His
This delay means that the ventricles contract after the atria

The bundle of His is a collection of conducting tissue in the septum (middle) of the heart.
The bundle of His divides into two conducting fibres, called Purkyne tissue, and carries the
wave of excitation along them

The Purkyne fibres spread around the ventricles and initiate the depolarization of the
ventricles from the apex (bottom) of the heart

This makes the ventricles contract and blood is forced out of the pulmonary artery and
aorta

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8.3 The Heart ⬇

Stages in the cardiac cycle table

The wave of depolarisation spreads across the heart in a coordinated manner

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8.3 The Heart ⬇

Worked Example

Explain the roles of the sinoatrial node, the atrioventricular node and the
Purkyne fibres in a heartbeat.

The Sinoatrial node sends out a wave of excitation and this spreads across both atria, causing atrial
systole. Non-conducting tissue called the Annulus fibrosus prevents the excitation from spreading to
the ventricles and so this ensures that atria and ventricles don’t contract at the same time. The
Atrioventricular node then sends the wave of excitation to the ventricles after a short delay of
around 0.1 – 0.2 seconds, ensuring that the atria have time to empty their blood into the ventricles.
The Purkyne fibres conduct the excitation down the septum of the heart and to the apex, before the
excitation is carried upwards in the walls of the ventricles. This means that during ventricular
systole, the blood contracts from its base and blood is pushed upwards and outwards.

Exam Tip

Remember that the heart is myogenic, which means that the heart will generate a heartbeat
by itself and without any other stimulation. Instead, the electrical activity of the heart
regulates the heart rate.

Exam Question: Easy

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8.3 The Heart ⬇

Exam Question: Medium

Exam Question: Hard

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8.3 The Heart ⬇

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