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Myocardiu The middle and thickest of the heart’s three layers (my/o means muscle, cardi
means heart, and -um is a singular noun ending).
m
Also known as myocardial muscle, this consists of specialized cardiac muscle
tissue that is capable of the constant contraction and relaxation of this muscle
that creates the pumping movement that is necessary to maintain the flow of
blood throughout the body.
Endocardiu Consists of epithelial tissue, is the inner lining of the heart (endo- means
m within, cardi means heart, and -um is a singular noun ending). This is the
surface that comes into direct contact with the blood as it is being pumped
through the heart.
The Chambers of the Heart
The atria are the two upper chambers of the heart, and these chambers are
divided by interatrial septum. (A septum is a wall that separates two
chambers.)
The atria are the receiving chambers, and all blood enters the heart
through these chambers. The singular form of atria is atrium.
The ventricles are the two lower chambers of the heart, and these
chambers are divided by the interventricular septum.
The walls of the ventricles are thicker than those of the atria because the
ventricles must pump blood throughout the entire body.
The Valves of the Heart
• The flow of blood through the heart is controlled by four valves as described in this section.
• If any of these valves is not working correctly, blood cannot flow properly through the heart and cannot be pumped effectively to all
parts of the body
Tricuspid valve
• Controls the opening between the right atrium and the right ventricle.
• The term tricuspid means having three points, and this describes the shape of this
valve.
Pulmonary semilunar valve
• Is located between the right ventricle and the pulmonary artery.
• This valve is shaped like a half-moon.
Mitral valve
• Is located between the left atrium and left ventricle.
• Mitral means shaped like a hat.
• This valve is also known as the bicuspid valve because bicuspid means having two
points, which describes the shape of this valve.
4) Oxygenated blood
flows out of the left
ventricle and into arterial
circulation.
The Heartbeat
Ability to pump blood effectively throughout
the body.
The rate and regularity of the heartbeat is
determined by electrical impulses from
nerves that stimulate the myocardium of
the chambers of the heart.
Also known as the conduction system,
these electrical impulses are controlled by
the sinoatrial (SA) node, atrioventricular
(AV) node, and the bundle of His
Electrical Waves
The activities of the electrical conduction system of the
heart can be visualized as wave movements on a monitor or
an electrocardiogram.
The term sinus rhythm refers to the normal beating of the
heart.
P wave
Is due to the stimulation (contraction) of the atria.
QRS complex
Shows the stimulation (contraction) of the ventricles. The
atria relax as the ventricles contract.
T wave
Is the recovery (relaxation) of the ventricles.
The Blood Vessels
There are three types of blood vessels: arteries, capillaries, and veins
Arteries
• Large blood vessels that carry blood away from the heart to all regions of the body.
• This structure makes the arteries are muscular and elastic so they can expand and
contract with the pumping beat of the heart.
• Arterial blood is bright red in color because it is oxygen rich.
Arterioles
• The smaller, thinner branches of arteries that deliver blood to the capillaries.
Capillaries
Veins
Venules
• This occurs because the left side of the heart • This occurs because the right side of the heart
is unable to efficiently pump oxygen-rich is unable to efficiently pump blood
blood from the lungs to the rest of the body. throughout the rest of the body.
• The increase in pressure in the veins of the • Due to the pressure of gravity, this edema, or
lungs results in localized fluid accumulation. swelling, is first noticeable in the feet and
legs.
Inflammation of the
Pericarditis pericardium.
Causes an accumulation of fluid within the pericardial
sac that restricts the beating of the heart, reducing the
ability of the heart to pump blood throughout the body.
Palpitation: is a
Bradycardia: is an Tachycardia: is an pounding or racing
abnormally slow resting abnormally rapid resting heartbeat with or
heart rate. heart rate. without irregularity in
rhythm.
Atrial and Ventricular
Fibrillations
Fibrillation:
• Describes a rapid and uncontrolled heartbeat.
Atrial fibrillation:
• Occurs when the normal rhythmic contractions of the atria are replaced by rapid,
irregular twitching of the muscular heart wall.
Paroxysmal supraventricular tachycardia:
• Is an episode that beginsand ends abruptly during which there are very rapid and
regular heartbeats that originate in the atrium or in the AV node.
Ventricular fibrillation:
• Consists of rapid, irregular, and useless contractions of the ventricles.
Ventricular tachycardia:
• Is a very rapid heartbeat that begins within the ventricles
Thromboses and Embolisms
Thrombosis Embolism
• An embolism is the sudden • A thrombosis is the abnormal
blockage of a blood vessel by an condition of having a thrombus.
embolus. • A thrombus is a blood clot
• An embolus is a foreign object, attached to the interior wall of an
such as a blood clot, a quantity of artery or vein.
air or gas, or a bit of tissue or
tumor that is circulating in the
blood.
Blood Disorders
Blood dyscrasia: Is any pathologic condition of the cellular elements of the blood.
Leukopenia: Is a decrease in the number of disease-fighting white blood cells circulating in the blood .
Polycythemia: Is an abnormal increase in the number of red cells in the blood due to excess production of these cells by the bone marrow.
Septicemia: Is often associated with severe infections caused by the presence of bacteria in the blood.
Thrombocytopenia: Is a condition in which there is an abnormally small number of platelets circulating in the blood.
leukocytes found in bloodforming tissues, other Megaloblastic anemia: Is a blood disorder characterized by anemia
in which the red blood cells are larger than normal.
organs, and in the circulating blood. Pernicious anemia: is caused by a lack of the protein intrinsic factor
that helps the body absorb vitamin B12 from the gastrointestinal tract.
Thalassemia: is an inherited blood disorder that causes mild or
severe anemia due to reduced hemoglobin and fewer red blood cells
than normal.
Blood Pressure
Hypertension Hypotension
• Commonly known as high blood • Is lower-than-normal arterial blood
pressure, is the elevation of arterial pressure.
blood pressure to a level that is likely • Symptoms can include dizziness, light-
to cause damage to the cardiovascular
headedness, or fainting.
system.
• Orthostatic hypotension: also known as
• Types: essential hypertension,
postural hypotension, is low blood
secondary hypertension, malignant
pressure that occurs upon standing up.
hypertension