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Heart Anatomy
Contents
Cardiac Chambers Cardiac Chambers
Structure of the Heart Structure of the Heart
Conduction System Conduction System
PericardiumPericardium
External morphology External morphology
Position Position
Vessels of the Heart Vessels of the Heart
• Lies within the pericardium in middle mediastinum
• Behind the body of sternum and coastal cartilages 2 to 6
• In front of thoracic vertebrae 5 to 8
• A third of it lies to the right of median plan and 2/3 to the left
Position of the heart
• one apex,
• one base,
• two surfaces
• three borders
• three grooves
External morphology
Atria
Auricles
PosteriorInterventricularSulcus
AnteriorInterventricularSulcus
Left Ventricle
Right Ventricle
• right atrium
• right ventricle
• left atrium
• left ventricle
Cardiac chambers
Chambers of the Heart
Right atrium
PectinateMuscle
Right ventricle
tricuspid valve
Left atrium
Trabeculaecarneae
Papillarymuscles
Left ventricle
mitral valve
Left ventricle
※ the papillary muscles(2 groups)
inflow and outflow tracts (divided by the ant.cusp of the bicuspid valves)
Heart ValvesHeart Valves
Bicuspid(mitral)valve
Aorticvalve
Pulmonaryvalve
Tricuspidvalve
Semilunar valve
Ventricle diastole
Ventricle systole
Tricuspid valve & mitral valve
tricuspid valve mitral valve
bicuspid
tricu
spid
Ventricle diastole Ventricle diastole or or systole ?systole ?
想一想…
Ventricle diastole Ventricle diastole or or systole ?systole ?
想一想…
the walls of the heart3 layers— endocardium *continue with the lining of th
e large blood vessels— myocardium *2 kinds: the ordinary cardiac
muscles the specially m.— epicardium
• Septum interatrial septum----Oval fossa interventricular septum----Membranous part
Structure of the heart
Structurethe walls of the heart3 layers—endocardium *continue with the lining of th
e large blood vessels—myocardium *2 kinds: the ordinary cardiac
muscles the specially m.— epicardium
• Septum interatrial septum----Oval fossa interventricular septum----Membranous part
Atria
Septum
Ventricles
Leftventricle
It is consists of the special cardiac muscles
5 parts: Sinoatrial node Atrioventricular node, Atrio-ventricular bundle Left and right branches Purkinje fibers.
Conduction System
— The sinoatrial node (SAN) *It is lies the junction between the right auricle and the sup.vena cava — The atrioventricular node (AVN) *It is lies in the lower portion of the interatrial septum just above the orifice of the coronary sinus — Purkinje fibers
Electrocardiogram
• The arteries
the left coronary a.
the right coronary a.• The veins of the heart
the coronary sinus
the ant. cardiac v.
the smallest v.
Vessels of Heart
Coronary arteries
left coronary a.
right coronary a.
The arteries
The left coronary a. arises from the left aortic sinus 2 branches: ant.interventricular br. and circumflex br. To supply the left atrium, left ventricle, the anterior surface of the rig
ht ventricle,anterior 2/3 of the interventricular septum,sometimes, supply the SAN and AVN.
The right coronary a. arise from the right aortic sinus and runs along the right portion of the c
oronary groove 2 branches: post interventricular branch post branch of the left venticle To supply right atrium, right ventriclepost. 1/3 of the interventricular s
eptum, the diaphragmatic surface of left ventricle,the SAN and AVN.
The arteries
CatheterCatheter
Coronary stent 冠状动脉支架
coronary artery bypass graft冠状动脉搭桥术
Heart transplant
Artificial Heart 人工心脏
The arteries
The coronary sinusIt lies in the post.portion of the coronary sulcus between the left atrium a
nd left ventricle.It opens into the right atrium.
It receives:the great cardiac v.,the middle cardiac v. and small cardiac v. The ant. cardiac v.
The smallest v.
Coronary sinus
CoronarySulcus
1. It comprises 2 sacs:
fibrous pericardium
serous pericardium:
parietal layer
visceral layer
2.The pericardial
cavity:
the transverse sinus
the oblique sinus
Pericardium
Pericardium
1. It comprises 2 sacs:
fibrous pericardium
serous pericardium:
parietal layer
visceral layer
2.The pericardial cavity:
the transverse sinus
the oblique sinus
Pericardium
1. It comprises 2 sacs:
fibrous pericardium
serous pericardium:
parietal layer
visceral layer
2.The pericardial cavity:
the transverse sinus
the oblique sinus
the transverse sinus the oblique sinus
思考题:
试述心的位置和体表投影 试述心的外形及心腔分部 心腔内面能观察到哪些结构? 使心腔血液定向流动的结构有哪些? 试述控制心跳节律的结构基础 试述心的血液供应