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14.2: Heart Anatomy

  • Page ID
    125450
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    The heart is located in the mediastinum of the thoracic cavity. The apex rests on the diaphragm and points to the left. The great blood vessels are attached to the base of the heart.

    The heart is enclosed in a double membrane sac called the pericardium. The outer fibrous layer protects and anchors the heart to the surrounding structures while the inner serous layer is smooth and covers the surface of the heart as the epicardium.

    The heart wall is composed of three layers: epicardium, myocardium, and endocardium. The epicardium is the second layer of the serous pericardium and most often infiltrated with fat. The myocardium or the cardiac muscle is the thickest portion of the heart wall. The endocardium, the inner most layer, lines the heart chamber which is made of simple squamous epithelium (also called endothelium).

    Illustration of the heart wall, labeled with parietal pericardium, visceral pericardium, myocardium, endocardium, and pericardial cavity.
    Figure \(\PageIndex{1}\) Layers of the Heart: The heart wall also consists of three layers. The pericardial membrane and the heart wall share the epicardium. (Caption from OpenStax) (Image credit: "Heart Wall" by Jennifer Lange is licensed under CC BY-NC-SA 4.0, modification of original by Blausen.com staff (2014).)

    The heart has four chambers. The smaller superior chambers are called atria and two larger inferior chambers are called ventricles. The chambers are separated by thick cardiac muscle walls called the interatrial septum and interventricular septum which separate the atria and ventricles, respectively. Between the atria and ventricles, the one-way atrioventricular (AV) valves prevent the back flow of blood. The AV valves are anchored to the papillary muscles of the ventricular wall by cords called chordae tendineae. Between the ventricles and the great vessels, the semilunar valves also serve as one-way valves to prevent back flow.

    The heart functions as a double pump to deliver and receive the blood through the great vessels. The right side of the heart pumps blood into pulmonary circulation where blood picks up oxygen in the lungs and unloads carbon dioxide into the lungs to be exhaled. The left side of the heart pumps blood into systemic circulation where blood delivers oxygen and nutrients to tissues then returns carbon dioxide back to the right side of the heart. Besides the pulmonary and systemic circulations, the heart has its own coronary circulation to serve the tissues of the heart itself.

    Diagram illustrating the pulmonary and systemic circuits of blood flow, color-coded to show oxygen-rich and oxygen-poor blood.
    Figure \(\PageIndex{2}\) Cardiovascular System Circuits: The arrows indicate the direction of blood flow, and the colors show the relative levels of oxygen concentration. (Caption from OpenStax) (Image and caption Credit: "Systemic and Pulmonary Circuits" by Jennifer Lange is licensed under CC BY-NC-SA 4.0, modification of original by Open Learning Initiative.)

    Observe the following structures on the heart model during your instructor's demonstration.

    1. Apex
    2. Base
    3. Right atrium
    4. Left atrium
    5. Interatrial septum
    6. Right ventricle
    7. Left ventricle
    8. Interventricular septum
    9. Right atrioventricular valve – tricuspid valve
    10. Left atrioventricular valve – bicuspid (mitral) valve
    11. Right pulmonary semilunar valve
    12. Left aortic semilunar valve
    13. Papillary muscle
    14. Chordae tendineae
    15. Superior vena cava
    16. Inferior vena cava
    17. Pulmonary trunk
    18. Pulmonary arteries
    19. Pulmonary veins
    20. Aorta

    This page titled 14.2: Heart Anatomy is shared under a CC BY-NC-SA 4.0 license and was authored, remixed, and/or curated by .