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Biology 212 Anatomy & Physiology I Dr. Thompson Heart Heart: Mass: Located in center of thorax (mediastinum) Anterior to Posterior to Superior to Surrounded by All vessels, nerves, etc. enter or leave superior end ("base") Layers of Heart: (Outer Surface) (Inner Surface) Thin, connective tissue Thick, cardiac muscle Thin, connective tissue Simple squamous epithelium lines inner surface, next to blood Myocardium: Cardiac Muscle Heart surrounded by double-layered pericardium Heart surrounded by double-layered pericardium Heart Heart Anterior View Posterior View Valves of the Heart: Cardiac myocytes spontaneously depolarize: Na+ constantly leaks into the cells, Thereafter: contraction similar to what we discussed for skeletal muscle: Cardiac myocytes spontaneously depolarize: Na+ constantly leaks into the cells, decreasing the voltage until threshold voltage is reached Thereafter: contraction similar to what we discussed for skeletal muscle: Action potential moves along sarcolemma and into the cell through transverse tubules Sarcoplasmic reticulum Actin binding sites uncovered, Contraction of the heart (or any one of its chambers) is Relaxation of the heart (or any one of its chambers) is One systole followed by one diastole is one Flow of blood through the heart is controlled entirely by changes in pressure. Blood always flows along its pressure gradient, from the area of higher pressure to an area of lower pressure. Flow of blood through the heart is controlled Blood always flows along its pressure gradient,. Assume the chambers of the heart and vessels have the following pressures: Left ventricle = 115 mm Hg Right ventricle = 5 mm Hg Pulmonary trunk = 22 mm Hg Superior vena cava = 2 mm Hg Inferior vena cava = 2 mm Hg Left atrium = 20 mm Hg Right atrium = 10 mm Hg Aorta = 125 mm Hg Which valves of the heart will be open? Which valves of the heart will be closed? Terms to know: Heart rate: Stroke volume: Cardiac Output: Cardiac Index: Given the following information: a) Dr. Thompson's total blood volume is 5.8 liters b) His heart ejects 75 ml of blood per contraction c) His kidneys produce 320 ml of urine per hour d) All of his wisdom teeth have been removed e) His heart contracts 70 times per minute f) His systolic blood pressure is 130 mmHg g) His diastolic blood pressure is 80 mmHg h) The pressure in his left ventricle changes between 1 mmHg and 133 mmHg during each cardiac cycle Calculate his Heart Rate Stroke Volume Cardiac Output Therefore: You can regulate your cardiac output, and therefore your cardiac index, by: a) Increasing or decreasing your heart rate b) Increasing or decreasing your stroke volume Therefore: You can regulate your cardiac output, and therefore your cardiac index, by: a) b) In fact: Your ventricles modify both heart rate and stroke volume on a beat-by-beat basis. This depends on how much the cardiac muscle cells are stretched during the preceding diastole, which itself depends on the volume of blood in the chamber = Frank-Starling Law of Cardiac Contraction