In my quest to find a suitable diagram for the heart, this is what I found:
Definitely use your textbook as a guide on this. It only takes a google search to realise the ridiculous number of variations of diagrams for the heart and different annotations.
The heart contains two atria, two ventricles, the septa, AV-valves (tricuspid and bicuspid), chordae tendinae and papillary muscles. Septa describe the dividing walls between the right and left atria and ventricles respectively.
The chordae tendinae a.k.a. heart strings, are attached to the papillary muscles which prevent the walls collapsing onto themselves during heart contraction.
You need to be able to sketch a heart and label the main veins, valves, arteries and aorta, and the ventricles and atria.
There are two types of circulation going on via the heart: pulmonary circulation and systemic circulation. Pulmonary circulation is a short-distance route between the heart and the lungs, where deoxygenated blood is taken to be replenished with oxygen. Although normally veins take blood away, and arteries take blood to, in the case of pulmonary circulation things are the opposite way around. The pulmonary vein brings freshly oxygenated blood into the heart – left atrium -, while the pulmonary artery takes deoxygented blood back from the right ventricle into the lungs.
Here’s a quick nifty video that shows what happens as the bigger picture…
The advantages of double circulation in mammals as opposed to single circulation (such as in bony fish) include the option to have a higher blood pressure and splitting oxygenated and deoxygenated blood. As blood gets oxygenated in the lungs, the diffusion process takes time, which has the blood at lower pressure. On the other hand, the already oxygenated blood can be pumped around the body at higher pressure, allowing for bigger organisms and increased metabolic activity. Splitting deoxygenated blood from oxygenated blood is key to this.
The atrioventricular valves and semilunar valves play an important role in ensuring proper heart function. The former ensure no blood flows back into the atria from the ventricles, while the latter ensure no blood flows from the ventricles into the atria.
Electrical impulses cause heart muscle contraction which creates an increased pressure of blood, resulting in it being pushed in a certain direction, with the valves opening in its way. The sequence of events in heart contraction is this:
1. Both atria contract – atrial systole
2. Both ventricles contract – ventricular systole
3. All chambers relax – diastole
The heart muscle contracts without brain stimulation – the brain only controls the speed. Electrical impulses start in the sino-atrial node in the right atrium, travels down to the atrio-ventricular node, which then spreads it across the Purkyne (a.k.a. Purkinje) fibres, which results in the left ventricle contracting.
Cardiac output = heart rate x stroke volume
Heart rate is measured in beats per minute, while stroke volume is measured in cm3 or ml.
Make sure you can interpret graphs showing the sequence of atria and ventricles contracting followed by diastole.
Control of heart rate
There are just 2 scenarios involved here. Either the heart rate must be increased or decreased.
1. The heart rate must go up because the blood pressure is low, there’s a shortage of oxygen, an excess of CO2 or the pH is too low – some of these go together e.g. O2, CO2 and pH interaction during exercise, stress, etc.
The hormone that increases heart rate is noradrenaline. This can be released by the brain’s medulla via the sympathetic neurons when baroreceptors which sense low blood pressure or chemoreceptors which sense excess or a lack of certain chemicals send signals via sensory neurons.
Noradrenaline then binds to the heart’s sino-atrial node which results in increased contractions.
2. The heart rate must go down because the blood pressure is high, there’s excess O2, low CO2 or the pH is too high
The sensing process is identical – baroreceptors and chemoreceptors do their jobs. The only difference? Of course, the released product must be different – the medulla orders acetylcholine instead of noradrenaline, and this signal follows the parasympathetic pathway.
Acetylcholine makes the SA node slow contractions.
Interpreting heart function data
Heart function data can come in many forms including ECG (electrocardiogram) traces and pressure changes. The aim of collecting this data is to monitor the activity of the heart and identify any issues pertaining to the circulatory system.
ECG traces are electrical changes recorded at the skin level using electrodes. Heart beats are recorded, including the stages between them to visualise full cardiac cycle patterns over time.
The largest signal is given by the ventricular systole, with other smaller signals given by the surrounding heart cycle events. The different signals have wave terms, such as the P wave and the T wave. The spacing and duration of the signals can indicate the speed of the heart beats and their regularity, which can be used to asses various pathologies such as rapid heart rate, tachycardia, slow heart rate, bradichardya or various irregular patterns of heart beat, arrythmia.
Pressure changes in the heart are similarly representative of the different parts of the heart cycle. Just like the top ECG signal, the largest pressure increase is that of the ventricular systole, coinciding with the pressure increase in the aorta which is the vessel that carries the oxygenated blood around the body as a result of ventricular systole.
Investigating heart health using angiography
Angiography is a special X-ray technique that uses detection chemicals injected through a blood vessel alongside a catheter (thin bendy tube) in order to create a visual representation of blood flow through arteries or veins.
It can be used to investigate the circulation around the heart, brain, lungs or kidneys, and identify its efficiency. Blockages such as those caused by blood clots can be investigated.
As such, angiography is useful in detecting heart concerns that may lead to a heart attack (when blood supply is cut to parts of the heart) e.g. atherosclerosis, aneurysm and coronary heart disease.
Stenosis refers to a narrowing of a blood vessel (pictured).