Human Anatomy and Histology · MU Plovdiv

30. Cardiac wall (endocardium, myocardium, epicardium) – structure. Fibrous skeleton. Coordination of cardiac activities – the conducting system. Cardiac nerve supply. Blood supply of the heart. Pericardium.

Inside: 7 sections · 5 labelled pictures · 27 flashcards · 6 min

Topic 30 of 138 in the MU Plovdiv syllabus for Human Anatomy and Histology (Dental Medicine, Year 2). The free AceMed note covers it in 7 sections, about 805 words (6 min of reading), with 27 flashcards.

In this note

  1. CARDIAC WALL
  2. Layers of the cardiac wall:
  3. CARDIAC SKELETON
  4. CONDUCTING SYSTEM of the heart
  5. Sinus-atrial node(SA)
  6. Atrioventricular (AV) node:
  7. Atrioventricular Bundle (Bundle of His)

CARDIAC WALL

  • The cardiac wall or myocardium is the muscular tissue of the heart, responsible for contracting & pumping blood.

Layers of the cardiac wall:

1. Epicardium:

  • The outermost layer.
  • It is the visceral layer of the serous membrane.
  • Made of mesothelial cells, below them is a layer of adipose and connective tissue.
  • Nerves and blood vessels that supply the heart are found in the epicardium.
  • Function: provides a protective outer covering for the heart.

3. Endocardium:

  • Inner layer
  • Consists of endothelial cells ,which are simple squamous epithelial tissue layer and a thin layer of loose connective tissue.
  • lines the cavity and valves.
  • “pericardium”
  1. Serous pericardium
  2. Fibrous pericardium.

* The atria have relatively thin walls compared to the ventricles, because they primarly recieve blood rather than pumping it.

2. Myocardium:

  • Function:
  • conduct Action potential
  • contraction
  • The middle and thickest layer.
  • It is a muscular layer that enables heart layers
  • Made of cardiac muscle cells (cardimyocytes)
  • Have a single nucleus in the center of the cell, which helps to distinguish them from skeletal muscle cells that have multiple nuclei dispersed in the periphery of the cell.
  • The cardiomyocytes are connected with each other through the intercalated discs.

Atrial muscle

  • The atrial myocardium can be divided into:
  1. Superficial layer: Extends over both atria and thicker along its anterior compared to the posterior aspect.
  2. Deep layer: Contained looped fiber or annular fibers that passes to the artioventricul boundary also encircle the venous orifices.

Ventricular muscle:

  1. Subepicardial layer:
  • Runs horizontaly about the surface of the right atrium.
  • // longitudinally from the left atrium.
  • At the Apex both ventricle subepicardial muscle forms a vortex of the heart. They curve around and forms the inner subendocardi
  1. Middle- Present in left ventricle and interventricular septum.
  2. Subendocardium: Contributes to formation of the trabeculae carneae and papillary muscles.

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