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Energy and the Human Body Background Material

Parts of the Heart

The heart is located in the chest (thoracic) cavity and is protected by the sternum and the rib cage. The heart is about the size of an adult fist and has a mass of approximately 300 g. The heart is suspended by the large blood vessels that are attached to it.

Heart, anterior view
Anterior view of the heart
From "Ultimate Visual Dictionary of Science," Stoddart 1998.

The heart is basically two pumps each complete in itself. The heart is composed of very special muscle tissue that is capable of contracting without an external stimulus (myogenic).

The continuous flow of blood is brought about by the rhythmic contraction and relaxation of heart muscles. The heart is a hollow cavity with muscular walls. A thick partition divides the heart into a right and left side.

When the muscular walls relax, both the right and left sides fill with blood. When the heart beats, the muscular walls contract and blood is squeezed into the two large arteries. These arteries are the aorta and the pulmonary artery.

Heart, interior view
Interior view of the heart
From "Ultimate Visual Dictionary of Science," Stoddart 1998.

The right side of the heart is responsible for collecting blood from the body and pumping it to the lungs.

The blood flows back from the head areas to the right side of the heart by way of a large vein called the superior vena cava.

It leads into the upper right-hand chamber, the right atrium of the heart. Blood from the trunk and legs enters this same chamber (right atrium) via another vein called the inferior vena cava. The atria are thin-walled chambers which lie above the ventricles. Their main function is to collect blood and pass it into the main contracting vessels, the ventricles.

The right ventricle has thicker, more muscular walls, and is larger than the right atrium. It is connected to the right atrium via the tricuspid valve which prevents blood from flowing back into the atrium when the ventricle contracts. When the right ventricle contracts, it squeezes the blood past the pulmonary semilunar valve into the pulmonary artery. This artery carries oxygen poor blood to the lungs where its load of carbon dioxide wastes is released and a fresh load of oxygen is absorbed by the red blood cells.

The oxygenated blood flows back to the heart through the two pulmonary veins. The pulmonary veins return blood to the heart and enter the left atrium. When the left atrium contracts, it squeezes blood past the bicuspid valve into the left ventricle. The left ventricle is the largest and most muscular chamber in the heart. When the left ventricle contracts, the oxygen-rich blood is forced past the aortic semilunar valve into the aorta - the largest artery in the body.

Heartbeat Sounds
If you listen to your heart through a stethoscope, you can hear the familiar heart sounds "lub-dub." The first sound (lub) is a low-pitched sound produced by the two A-V valves snapping shut as the ventricles contract. Then there is a shorter, louder, higher-pitched sound (dub) produced by the closing of the valves in the aorta and pulmonary artery.

This sound is caused as the ventricles start to relax and the blood in the major arteries tries to flow backwards into the ventricles. The two valves snap shut to prevent the blood from flowing backward.

Diastole Atrial systole Ventricular systole
Diastole
Blood returning from the body flows into the right atrium, and oxygen-rich blood flowing from the lungs flows into the left atrium.
Atrial systole
The right and left atria contract to push blood into the ventricles. The semilunar valves close to stop the blood flowing back into the heart.
Ventricular systole
The ventricles contract to push blood out of the heart through semilunar valves. The bicuspid and tricuspid valves close to prevent backflow.
From "Ultimate Visual Dictionary of Science," Stoddart 1998.

A normal heart valve opens when the pressure in front of it is greater than the pressure behind it. For example, the two atria start contracting simultaneously. As the contraction increases, the muscular walls put pressure on the blood contained in these chambers.

As soon as this pressure is greater than the pressure in the ventricles, the tricuspid and bicuspid valves are forced open and the blood can flow into the ventricles. As soon as the atria begin to relax and the pressure in them falls below that in the ventricles, the valves snap shut.

Similarly, when the ventricles contract and the pressure in them exceeds the pressure in the pulmonary artery and the aorta, the aortic and pulmonary semilunar valves open and the blood is forced into the arteries. As soon as the ventricles start to relax, the valves snap shut and prevent the blood in the arteries from flowing backward into the ventricles.

The normal heart sounds are an indication that all these valves are functioning properly.

The heart of a resting human adult pumps about five litres of blood every minute (this is approximately the total volume of blood in an adult human). During exercise, both the rate of contraction and the amount of blood pumped increase greatly.

This combination may increase the cardiac output four to seven times the resting level. Under such conditions, a single drop of blood may pass through the heart several times in one minute.

Factors Affecting Heart Rate

Cardiac output is the volume of blood pumped by the heart per minute. For an average sized adult (70 kg) at rest, this would be about five litres/min. During severe exercise, cardiac output can increase to over 30 L/min. The cardiac output is determined by the heart rate as well as the volume of blood pumped (stroke volume).

At rest, most of your muscles are inactive and your heart rate will be accordingly slow. When standing, muscles in the lower body, as well as the trunk and head, must work and the heart will beat even faster. If you run or exercise, the heart will automatically adjust to speed up in response to the increased activity.

  • Normally it is the amount of blood returning to the heart that regulates cardiac output; as you exercise, your muscles contract and squeeze blood back through the veins to the heart faster. During exercise, the ventricles increase in size and a stronger contraction is used to force the blood to the heart and throughout the body. Cardiac output is increased.

  • Temperature has a direct effect on heart rate, and one of the ways in which mammals regulate their internal temperature is by controlling peripheral blood circulation. Mammals are endothermic (warm-blooded) vertebrates; their internal temperature is kept within narrow limits by using heat generated by the body's own metabolic processes.

  • If left alone, the pacemaker of the heart would send out regular impulses causing the heart to beat at a constant rate. However, there are special chemical sensitive sensory receptors located in some of the major arteries of the body. Carbon dioxide is the waste product produced during strenuous activity such as mountain climbing. The high levels of CO2 stimulate these special receptors to send a signal to the brain. The brain, in turn, sends a signal to the pacemaker to increase the heart rate. The increased heart rate sends more blood to the lungs to get rid of the excess carbon dioxide. The effects of oxygen concentration on the heart and blood vessels are rapid. Oxygen deficiency in the cardiac tissue causes dilation of the coronary capillaries, thereby increasing blood flow and oxygen supply.

    At Altitude:
    Byron and the other members of the expedition will experience an increased heart rate as the trek into Basecamp. However, as they acclimatize, their resting heart should return to near normal levels.

    The cardiac output of Everest 2000 team members will increase but the stroke volume will likely decrease. The decrease in stroke volume is likely caused by the a decrease in plasma volume. The lower plasma volume is directly related to an increase in diuresis - the climbers urinate more at higher altitudes. Increased urine output has a tendency to lower the amount of water in the plasma.

    Pacemaker
    The heart is a double pump. Even though the heart is separated into a right and left side, both halves of the heart beat in unison to ensure the continuous flow of blood throughout the body. In the wall of the right atrium is a special bundle of tissue called the sinoatrial node (S-A node). The initiation of the heartbeat normally comes from the S-A node. The S-A node is often called the pacemaker.

    Its spontaneous rate can be accelerated and decelerated by nerve impulses from the brain. Each time the S-A node fires, a signal spreads across the two atria causing them to contract. The signal continues to a second mass of tissue called the atrio-ventricular node (A-V node). This mass of tissue sends the nervous impulse throughout the ventricles causing them to contract.

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