The walls of the chambers of the heart are in three layers.
a. The chambers themselves are lined with a simple epithelium known as the endocardium.
b. Likewise, a simple epithelium surrounds the outside of the heart. It is known as the epicardium. The epicardium is the same as the visceral pericardium, which we shall discuss later.
c. By far the most important is the myocardium, the middle layer. It is made up of cardiac muscle tissue.
(2) The myocardium is thicker in the walls of the ventricles than the atria. This is because greater pressures are needed for the ventricles to perform their function. The wall of the left ventricle is especially thick, since it has to drive the blood throughout the body.
(3) The inner surfaces of the ventricular walls have ridges of muscle known as the trabeculae carneae, with spaces between them.
(4) When the musculature within a chamber wall contracts, the lumen (cavity) decreases in diameter. This is particularly true of the left ventricle. There is also a twisting or wringing action of the left ventricle that causes the apex of the heart to hit against the inner surface of the chest wall--the apex beat.
(5) The stroke volume is the amount of blood forced out of each ventricle in one contraction. The cardiac output is the volume of blood pumped out of the ventricles (RT into the lungs, LT into the systemic circulation) in one minute (expressed in liters per minute). These volumes will change according to the needs of the body.
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This ebook provides an introductory explanation of the workings of the human body, with an effort to draw connections between the body systems and explain their interdependencies. A framework for the book is homeostasis and how the body maintains balance within each system. This is intended as a first introduction to physiology for a college-level course.