Structure and Functions of the Body: A Hand-Book of Anatomy and Physiology for Nurses and Others Desiring a Practical Knowledge of the SubjectFiske, Annette
Science
Structure and Functions of the Body: A Hand-Book of Anatomy and Physiology for Nurses and Others Desiring a Practical Knowledge of the Subject
Fiske, Annette
Human anatomy; Physiology
[Illustration: FIG. 40.--Left auricle and ventricle, opened and part of
their walls removed to show their cavities: 1, Right pulmonary vein cut
short; 1´, cavity of left auricle; 3, 3´, thick wall of left ventricle;
4, portion of same with papillary muscle attached; 5, the other
papillary muscles; 6, 6´, the segments of the mitral valve; 7, in aorta
is placed over the semilunar valves; 8, pulmonary artery; 10, aorta and
its branches. (Allen Thomson.)]
The heart itself is a hollow conical organ composed of cardiac muscle,
a combination of smooth and striated fibers found nowhere else in the
body. It lies obliquely, base up, between the lungs, suspended by the
great blood-vessels and with the apex directed downward, forward, and
to the left, the apex beat being normally felt in the fifth intercostal
space, one inch inside and two inches below the left nipple. In size
it varies in different people and is generally smaller in women than
in men. On the average it is five inches long, three and a half inches
broad, and two inches thick. A man’s heart usually weighs about eleven
ounces and that of a woman nine ounces. It never leaks except from
disease and such leakage is fatal.
_The Cavities._--The heart contains four cavities, two _auricles_ above
and two _ventricles_ below, with a longitudinal septum between the
auricle and ventricle on the right and those on the left. The posterior
surface is largely made up of the left ventricle and the anterior of
the right ventricle. The right auricle, which receives the blood from
the general circulation, has a capacity of about two fluid ounces and
is larger than the left, which receives the blood returning from the
lungs, though its walls are thinner. Of the ventricles the left is the
larger and its walls are about three times as thick as those of the
right, for it has to send the blood all over the body. All the cavities
are lined with smooth, transparent, serous membrane, the _endocardium_,
which is continuous with the intima of the great vessels.
[Illustration: FIG. 41.--Orifices of the heart, seen from above, both
the auricles and the great vessels being removed: _PA_, Pulmonary
artery and its semilunar valves; _Ao_, aorta and its valves; _RAV_,
tricuspid, and _LAV_, bicuspid valves; _mv_, segments of mitral valve;
_lv_, segment of tricuspid valve. (Huxley.)]
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