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Heart
Details
System Circulatory
Identifiers
Latin cor
TA A12.1.00.001
Anatomical terminology
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In humans, other mammals, and birds, the heart is divided into four chambers: upper
left and right atria and lower left and right ventricles.[4][5] Commonly the right atrium
and ventricle are referred together as the right heart and their left counterparts as
the left heart.[6] Fish, in contrast, have two chambers, an atrium and a ventricle, while
reptiles have three chambers.[5] In a healthy heart blood flows one way through the
heart due to heart valves, which prevent backflow.[3] The heart is enclosed in a
protective sac, the pericardium, which also contains a small amount of fluid. The wall
of the heart is made up of three layers: epicardium, myocardium, and endocardium.[7]
The heart pumps blood with a rhythm determined by a group of pacemaking cells in
the sinoatrial node. These generate a current that causes contraction of the heart,
traveling through the atrioventricular node and along the conduction system of the
heart. The heart receives blood low in oxygen from the systemic circulation, which
enters the right atrium from the superior and inferior venae cavae and passes to the
right ventricle. From here it is pumped into the pulmonary circulation, through
the lungs where it receives oxygen and gives off carbon dioxide. Oxygenated blood
then returns to the left atrium, passes through the left ventricle and is pumped out
through the aorta to the systemic circulation−where the oxygen is used
and metabolized to carbon dioxide.[8] The heart beats at a resting rate close to 72
beats per minute.[9] Exercise temporarily increases the rate, but lowers resting heart
rate in the long term, and is good for heart health.[10]