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17: The Cardiovascular System - The Heart

  • Page ID
    61609
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    Chapter Objectives
    • Identify and describe the interior and exterior parts of the human heart
    • Describe the path of blood through the cardiac circuits
    • Describe the size, shape, and location of the heart
    • Compare cardiac muscle to skeletal and smooth muscle
    • Explain the cardiac conduction system
    • Describe the process and purpose of an electrocardiogram
    • Explain the cardiac cycle
    • Calculate cardiac output
    • Describe the effects of exercise on cardiac output and heart rate
    • Name the centers of the brain that control heart rate and describe their function
    • Identify other factors affecting heart rate
    • Describe fetal heart development

    In this chapter, you will explore the remarkable pump that propels the blood into the vessels. There is no single better word to describe the function of the heart other than “pump,” since its contraction develops the pressure that ejects blood into the major vessels: the aorta and pulmonary trunk. From these vessels, the blood is distributed to the remainder of the body. Although the connotation of the term “pump” suggests a mechanical device made of steel and plastic, the anatomical structure is a living, sophisticated muscle. As you read this chapter, try to keep these twin concepts in mind: pump and muscle.

    • 17.1: Prelude to The Heart
      Although the term “heart” is an English word, cardiac (heart-related) terminology can be traced back to the Latin term, “kardia.” Cardiology is the study of the heart, and cardiologists are the physicians who deal primarily with the heart.
    • 17.2: Heart Anatomy
      The vital importance of the heart is obvious. If one assumes an average rate of contraction of 75 contractions per minute, a human heart would contract approximately 108,000 times in one day, more than 39 million times in one year, and nearly 3 billion times during a 75-year lifespan. Each of the major pumping chambers of the heart ejects approximately 70 mL blood per contraction in a resting adult. This would be equal to 5.25 liters of fluid per minute and approximately 14,000 liters per day.
    • 17.3: Cardiac Muscle
      Recall that cardiac muscle shares a few characteristics with both skeletal muscle and smooth muscle, but it has some unique properties of its own. Not the least of these exceptional properties is its ability to initiate an electrical potential at a fixed rate that spreads rapidly from cell to cell to trigger the contractile mechanism. This property is known as autorhythmicity. Neither smooth nor skeletal muscle can do this. Heart rate is modulated by the endocrine and nervous systems.


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