The Body at Work: A Treatise on the Principles of PhysiologyHill, Alex
Science
The Body at Work: A Treatise on the Principles of Physiology
Hill, Alex
Physiology
The heart is a hollow muscle, composed of minute contractile cells.
Each cell is a cylinder, about twice as long as it is broad, with an
oval nucleus in its centre. There is no impropriety in speaking of the
heart as a single muscle. Muscles which we can move at will, “voluntary
muscles,” consist of fibres, each from 1 inch to 2 inches long, and
of about the thickness of a piece of thread (Fig. 16). Every fibre is
surrounded by a membranous sheath, its sarcolemma, which completely
isolates it from the others. Each has its separate nerve-supply. A
voluntary muscle-fibre is a cell-complex. The single embryonic cell
which grew into the fibre underwent nuclear division until hundreds
of nuclei were formed, but its cell-substance was not divided into
territories appertaining to the several nuclei. In heart-muscle, on
the other hand, nuclear division has been followed by cell division;
but minute protoplasmic bridges are left between the cells. The whole
of the heart-substance is thus in structural continuity. The cells are
not invested with sarcolemma. As the result of this arrangement, an
impulse started in one part of the heart spreads over the whole, with
certain limitations as to the directions in which it is able to travel,
whereas in voluntary muscle a separate impulse must be delivered to
each fibre. The wave of contraction commences in the great veins, the
venæ cavæ and pulmonary veins, near their junction with the heart,
spreads from cell to cell throughout the auricles, and onwards down
the ventricles to the apex of the heart. The substance of the heart
has not, however, a homogeneous appearance. Its cells are collected
into fascicles, which lie in various planes and cross the axis of
the heart at various angles. In a boiled sheep’s heart it is easy to
separate one fascicle from another, and to distinguish the sheets into
which the fascicles are collected. The four valves of the heart lie in
almost the same plane. They are supported by a fibrous plate divided
into four rings (Fig. 11). Most of the fascicles are attached to this
plate, though some which encircle the auricles are independent of it.
With one or with both ends attached to the plate, fascicles loop over
the auricles. They run down the ventricles with a twist from right to
left. Those on the surface turn in at the apex of the heart, and run
up the inner surface of the ventricles. Some of them go to form the
free columns which are found on the inner surface of the ventricles,
pointing towards the valves—musculi papillares. The fibrous plate
which supports the valves cuts off almost all of the muscle which makes
the walls of the auricles from that which constitutes the ventricular
walls; but a thin sheet is continued from the inner surface of the
auricles down the interventricular septum. To a considerable extent the
walls of the two auricles and of the two ventricles are respectively
continuous, insuring synchronous contraction.
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