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Blood and Heart Heart Position Heart Layers Chambers of the Heart Heart Valves The Two Circulations Movie Marieb 18 Serous Pericardium Cardiac Muscles are Arranged in Bundles Fibrous Skeleton of the Heart Elastin and Collagen Support/Anchor Atria and Ventricles Valves and Blood Flow Papillary Muscles Pull on “Safety Lines” Chordae tendineae Papillary muscle contracts before ventricles The Two Circulations Pulmonary Systemic The Two Circulations Pulmonary- low volume, low resistance, low pressure Systemic- high volume, high resistance, high pressure The Cardiac Cycle Wiggers Diagram Cardiac Muscle drives the Cardiac Cycle Pacemaker Conducting Contracting Automaticity/Pacemaker Function of Heart Pacemaker Cells of the Heart Modified myocardium Intrinsic Firing Pattern Set heart rate Normal Heart Contractions and the SA Node Sinoatrial Node Intrinsic 100bpm Vagal Tone Internodal Pathway AV Node Atrioventricular node Intrinsic 50bpm Conduction very slow (Atria contract) Bundle of His/Atrioventricular Bundles Surrounded by fibrous skeleton Quick Splits R/L Branch Purkinje Fibers Very Fast Activate cardiac bundles in a fixed pattern Sinus Rhythm 1) SA sets the pace 1) 60-100bpm 1) Proper conduction pattern Timing in the Heart Conduction Velocities Atria 1m/sec AV node 0.01-0.05 m/sec His/Purkinje 2-4 m/sec