The Heart

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Chapter: HAP - Cardiovascular System

The branch of science that deals with the study of the normal structure, function, and diseases of the heart is called Cardiology. (Cardio = heart, logy = study)


THE HEART

The branch of science that deals with the study of the normal structure, function, and diseases of the heart is called Cardiology.
(Cardio = heart, logy = study)

The heart is the central organ of the cardiovascular system and acts as a powerful muscular pump that maintains continuous blood circulation.

 

ANATOMY OF HEART

The heart is a hollow, muscular organ located in the thoracic cavity.

Important anatomical features of the heart are:

  • It lies between the two lungs, slightly towards the left side
  • It is cone-shaped, with a broad base above and a pointed apex below
  • The size of the heart is approximately equal to the closed fist of the individual
  • Average dimensions:
    • Length: 12 cm
    • Width: 9 cm
    • Thickness: 6 cm
  • The apex is located about 9 cm to the left of the midline at the level of the fifth intercostal space
  • The base extends up to the level of the second rib
  • Average weight:
    • Adult female: 250 g
    • Adult male: 300 g
  • It rests on the diaphragm near the midline of the thoracic cavity

The heart is situated in the mediastinum, which is the central space in the thorax extending:

  • From sternum to vertebral column
  • From first rib to diaphragm
  • Between the two lungs

About two-thirds of the heart lies to the left of the midline.

 

Organs Associated with the Heart

DIRECTION

ASSOCIATED STRUCTURES

Inferiorly

Central tendon of diaphragm

Superiorly

Aorta, superior vena cava, pulmonary artery, pulmonary veins

Posteriorly

Oesophagus, trachea, bronchus, descending aorta, inferior vena cava, thoracic duct

Laterally

Lungs (left lung overlaps the heart)

Anteriorly

Sternum, ribs, costal cartilages, pleura

 

FUNCTIONS OF THE HEART

The heart functions as a muscular pump that maintains constant blood circulation.

The sequence of blood flow is as follows:

1.     Superior vena cava and inferior vena cava bring deoxygenated (venous) blood from the body to the right atrium

2.     The right atrium contracts, pushing blood into the right ventricle

3.     The right ventricle contracts, sending blood to the lungs through the pulmonary trunk

4.     In the lungs, blood becomes oxygenated

5.     Oxygenated blood returns to the left atrium through pulmonary veins

6.     The left atrium contracts, sending blood into the left ventricle

7.     The left ventricle contracts, pumping blood into the aorta, which supplies blood to the entire body

This continuous pumping action ensures proper circulation.

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