Human Anatomy and Histology · MU Plovdiv

4. Heart – microscopic, ultramicroscopic and functional characteristics of the heart wall. Nerve and blood supply.

Inside: 6 sections · 8 labelled pictures · 26 flashcards · 7 min

Topic 120 of 212 in the MU Plovdiv syllabus for Human Anatomy and Histology (Medicine, Years 1 and 2). The free AceMed note covers it in 6 sections, about 896 words (7 min of reading), with 26 flashcards.

In this note

  1. CARDIAC WALL
  2. Layers of the cardiac wall:
  3. CARDIAC SKELETON
  4. BLOOD SUPPLY OF THE HEART
  5. Coronary Artery:
  6. Cardiac Veins

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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