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The heart is a muscular pump that keeps blood moving through the lungs and the rest of the body. Its four chambers, valves, and major vessels work together to deliver oxygen and nutrients while removing carbon dioxide and wastes. Understanding the heart helps explain pulse, blood pressure, exercise response, and many common medical conditions.

The cardiac cycle is the repeating pattern of filling and pumping that produces each heartbeat.

Blood moves through the heart in one direction because valves open and close in response to pressure differences. The right side sends oxygen-poor blood to the lungs, while the left side sends oxygen-rich blood to the body. During diastole, the chambers relax and fill with blood, and during systole, the ventricles contract to eject blood.

Electrical signals from the sinoatrial node coordinate these contractions so the heartbeat is timed and efficient.

Understanding Biology: The Heart and Cardiac Cycle

The heart works by creating pressure differences. Muscle contraction raises pressure inside a chamber, so blood moves toward an area with lower pressure. When a ventricle is relaxed, its pressure falls below the pressure in the atrium above it.

The valve between them opens and blood enters. As the ventricle contracts, its pressure rises sharply. That rise closes the inlet valve before blood can move backward.

When ventricular pressure becomes greater than the pressure in the artery leaving it, the outlet valve opens. This simple pressure rule explains every valve movement. Valves do not need muscles or nerves to open and shut.

One complete heartbeat has several closely timed stages. First, both atria fill while the ventricles are relaxing. Most blood enters the ventricles without an atrial squeeze.

Near the end of filling, the atria contract and add a small extra amount. This is more important when the heart beats quickly because there is less time for passive filling. The ventricles then contract.

At first, all four valves are closed for a brief moment. Pressure rises without a change in blood volume. Next, blood is pushed into the pulmonary artery and aorta.

After ejection, ventricular muscle relaxes. The outlet valves close, then pressure falls until the inlet valves can open again.

The timing comes from specialised heart cells that produce and carry electrical signals. A signal starts in the sinoatrial node, spreads across the atria, then pauses briefly at the atrioventricular node. This delay gives the ventricles time to fill before they contract.

The signal then travels through fast conducting fibres in the ventricular walls. Both ventricles squeeze from the lower part upward, which helps direct blood into the large arteries above them. An electrocardiogram, often called an ECG, records these electrical events from the skin.

It records the signal, not the force of the heartbeat. A regular electrical pattern does not always guarantee normal pumping, but it provides important clues about rhythm problems.

Stroke volume is the amount of blood ejected by one ventricle in one beat. Cardiac output equals heart rate times stroke volume. During exercise, muscles need more oxygen and release more carbon dioxide.

The heart responds by beating faster and pumping more blood per beat. Veins return extra blood from active muscles, which stretches the ventricles slightly and can strengthen their next contraction. Blood pressure is highest when ventricles eject blood and lower while they relax.

A pulse is the pressure wave that travels along an artery after the left ventricle contracts. It is not a packet of blood racing from the heart to the wrist.

When learning this topic, trace blood flow separately from electrical flow. They are connected but they are not the same process. Pay attention to the reason for each valve action by comparing pressures on its two sides.

Remember that the left ventricle has a thicker wall because it must push blood through the entire body, while the right ventricle only pushes blood to the nearby lungs. Heart murmurs can occur when blood flows through a narrowed valve or a valve that does not seal fully. Blocked coronary arteries are different because they reduce oxygen delivery to the heart muscle itself, which can weaken its pumping ability.

Key Facts

  • The heart has four chambers: right atrium, right ventricle, left atrium, and left ventricle.
  • Blood path: body -> venae cavae -> right atrium -> right ventricle -> pulmonary arteries -> lungs -> pulmonary veins -> left atrium -> left ventricle -> aorta -> body.
  • Diastole is the relaxation and filling phase of the cardiac cycle.
  • Systole is the contraction phase that pumps blood out of the ventricles.
  • Cardiac output = heart rate x stroke volume.
  • Average adult resting heart rate is about 60 to 100 beats per minute.

Vocabulary

Atrium
An atrium is an upper heart chamber that receives blood returning to the heart.
Ventricle
A ventricle is a lower heart chamber that pumps blood out of the heart.
Valve
A valve is a flap-like structure that prevents blood from flowing backward.
Cardiac cycle
The cardiac cycle is one complete sequence of heart relaxation, filling, contraction, and blood ejection.
Sinoatrial node
The sinoatrial node is a group of cells in the right atrium that starts the electrical signal for each heartbeat.

Common Mistakes to Avoid

  • Confusing arteries with oxygen-rich blood, because arteries are defined by carrying blood away from the heart, not by oxygen level. Pulmonary arteries carry oxygen-poor blood to the lungs.
  • Putting the left and right sides of the heart from the viewer's perspective, because anatomical left and right refer to the person's body. In a front-facing diagram, the heart's right side appears on the viewer's left.
  • Thinking valves actively pull blood forward, because valves do not pump. They open and close because pressure changes push blood in the correct direction.
  • Mixing up systole and diastole, because both happen during every heartbeat. Systole is contraction and ejection, while diastole is relaxation and filling.

Practice Questions

  1. 1 A student has a resting heart rate of 72 beats per minute and a stroke volume of 70 mL per beat. Calculate cardiac output in mL per minute and L per minute.
  2. 2 During one minute, the left ventricle pumps 5.6 L of blood. If the heart rate is 80 beats per minute, what is the stroke volume in mL per beat?
  3. 3 Explain why damage to the mitral valve could cause blood to leak backward into the left atrium during ventricular systole.