Introduction to the Human Heart
The heart is a muscular organ about the size of your fist that pumps blood around your body. It beats approximately 100,000 times per day, pumping about 7,500 litres of blood! The heart is located in the thorax (chest), between your lungs and is protected by the ribcage.
Key Definitions:
- Cardiac muscle: A special type of muscle tissue found only in the heart that can contract without getting tired.
- Double circulatory system: A system where blood passes through the heart twice in one complete circuit around the body.
- Pulmonary circulation: The flow of blood between the heart and lungs.
- Systemic circulation: The flow of blood between the heart and the rest of the body.
Heart Structure
The heart is divided into four chambers - two upper chambers called atria (singular: atrium) and two lower chambers called ventricles. The right side of the heart pumps deoxygenated blood to the lungs, while the left side pumps oxygenated blood to the body.
❤๏ธ The Four Chambers
Right Atrium: Receives deoxygenated blood from the body via the vena cava.
Right Ventricle: Pumps deoxygenated blood to the lungs via the pulmonary artery.
Left Atrium: Receives oxygenated blood from the lungs via the pulmonary vein.
Left Ventricle: Pumps oxygenated blood to the body via the aorta.
👀 Identifying Features
The walls of the ventricles are thicker than the atria because they need to generate more pressure to pump blood further.
The left ventricle has the thickest walls because it needs to pump blood all the way around the body against higher pressure.
The right ventricle only needs to pump blood to the lungs, which are close by and have lower pressure.
Heart Valves
Valves in the heart ensure that blood flows in one direction only. They open and close due to pressure differences on either side.
🚨 Atrioventricular Valves
These valves sit between the atria and ventricles:
- Tricuspid valve: Between the right atrium and right ventricle.
- Bicuspid valve (mitral valve): Between the left atrium and left ventricle.
They prevent blood from flowing back into the atria when the ventricles contract.
🚨 Semilunar Valves
These valves are found at the exits of the ventricles:
- Pulmonary valve: Between the right ventricle and pulmonary artery.
- Aortic valve: Between the left ventricle and aorta.
They prevent blood from flowing back into the ventricles when they relax.
Blood Vessels Connected to the Heart
Several major blood vessels connect to the heart, bringing blood in or taking it away:
🔵 Veins to the Heart
Vena Cava: Returns deoxygenated blood from the body to the right atrium.
Pulmonary Veins: Carry oxygenated blood from the lungs to the left atrium.
🔴 Arteries from the Heart
Pulmonary Artery: Carries deoxygenated blood from the right ventricle to the lungs.
Aorta: Carries oxygenated blood from the left ventricle to the body.
💗 Coronary Vessels
Coronary Arteries: Supply the heart muscle itself with oxygen and nutrients.
Coronary Veins: Remove waste products from the heart muscle.
The Heart as a Double Pump
The heart functions as a double pump because it pumps blood through two separate circuits:
💧 Pulmonary Circulation
This is the shorter circuit where:
- The right side of the heart receives deoxygenated blood from the body
- It pumps this blood to the lungs via the pulmonary artery
- In the lungs, carbon dioxide is released and oxygen is picked up
- Oxygenated blood returns to the left side of the heart via the pulmonary veins
🌍 Systemic Circulation
This is the longer circuit where:
- The left side of the heart receives oxygenated blood from the lungs
- It pumps this blood to all parts of the body via the aorta
- Oxygen and nutrients are delivered to body tissues
- Deoxygenated blood returns to the right side of the heart via the vena cava
The Cardiac Cycle
The cardiac cycle refers to the sequence of events that occur during one heartbeat:
- Atrial systole: Both atria contract, pushing blood into the ventricles.
- Ventricular systole: Both ventricles contract, pushing blood out of the heart.
- Diastole: All chambers relax and the atria fill with blood again.
Case Study Focus: Coronary Heart Disease
Coronary heart disease occurs when the coronary arteries become narrowed by a build-up of fatty material (atheroma). This reduces the blood supply to the heart muscle, which can cause chest pain (angina) or a heart attack if a coronary artery becomes completely blocked.
Risk factors include smoking, high blood pressure, high cholesterol, obesity and lack of exercise. Understanding the heart's structure helps explain why blockages in these small but vital arteries can have such serious consequences.
Adaptations of the Heart Structure
The heart's structure is perfectly adapted to its function:
- The thick muscular walls of the ventricles generate the pressure needed to pump blood.
- The left ventricle has thicker walls than the right because it pumps against higher pressure.
- The valves ensure one-way flow, preventing wasteful backflow of blood.
- The heart has its own blood supply via the coronary arteries to provide oxygen for the hard-working cardiac muscle.
- The septum separates oxygenated and deoxygenated blood, maintaining the efficiency of the double circulatory system.
Examining the Heart
In a laboratory setting, you might examine a heart specimen (often a sheep or pig heart, which is similar to a human heart). Key features to identify include:
- The four chambers (right and left atria, right and left ventricles)
- The difference in wall thickness between chambers
- The major blood vessels (vena cava, pulmonary artery, pulmonary veins, aorta)
- The heart valves
- The coronary arteries on the surface of the heart
Did You Know? 💡
The "lub-dub" sound of your heartbeat is actually the sound of your heart valves closing! The "lub" is the atrioventricular valves closing and the "dub" is the semilunar valves closing.
Your heart will beat about 2.5 billion times in an average lifetime!