HEART



COR



Atrium
Ventriculus
Septum interatriale
Septum interventriculare

COR
Atrium dextrum
- vena cava sup. et inf.
Ventriculus dexter
- truncus pulmonalis

Atrium sinistrum
vv. pulmonales dextrae et
 sinistrae
Ventriculus sinister
- aorta

Basis, apex
Facies sternocostalis et diaphragmatica
Margo dexter (acutus) et sinister (obtusus, facies pulmonalis)
Sulcus coronarius, sulcus interventricularis ant. et post.
Auricula dextra et sinistra

ATRIUM DEXTRUM

Septum interatriale –
 fossa ovalis – limbus fossae ovalis
Ostium v. cavae sup.
Ostium v. cavae inf. –
 valvula v. cavae inf.
Ostium sinus coronarii –
 valvula sinus coronarii
Sinus venarum cavarum
Torus intervenosus
Crista terminalis
Auricula dextra –
 musculi pectinati
Valva tricuspidalis

VENTRICULUS DEXTER
Pars trabecularis - trabeculae carneae
Ostium atrioventriculare dextrum, valva tricuspidalis
– cuspis ant., septalis, post.
Musculi papillares (anterior, posterior, septales)
Trabecula septomarginalis
Chordae tendineae

VENTRICULUS DEXTER
Pars glabra – conus arteriosus, crista supraventricularis
Ostium trunci pulmonalis – valva trunci pulmonalis –
 valvula semilunaris ant., dx., sin. – lunula, nodulus, sinus

ATRIUM SINISTRUM
Ostia venarum pulmonalium
Auricula sinistra
Musculi pectinati
Septum interatriale –
 fossa ovalis – falx septi

VENTRICULUS SINISTER
Ostium atrioventriculare sin.– valva bicuspidalis (mitralis) –
cuspis ant. et post. – m. papillaris ant. et post. – chordae
tendineae
Ostium aortae – valva aortae – valvula semilunaris dx., sin.
et post. – lunula, nodulus, sinus aortae dx. et sin. – arteriae
coronariae, bulbus aortae

SYSTOLE
DIASTOLE


























Endocardium, myocardium, pericardium
SKELETON OF THE HEART
Anulus fibrosus dexter, sinister, aorticus, trunci pulmonalis
Trigonum fibrosum dextrum et sinistrum
Pars membranacea septi cordis

MYOCARDIUM
Fasciculus interauricularis horizontalis et verticalis
Fasciculus terminalis, intervenosus, limbicus sup. et inf.
mm. pectinati
Vortex cordis

CONDUCTING SYSTEM
Nodus sinuatrialis
Nodus atrioventricularis
Fasciculus atrioventricularis (His) – crus dextrum et sinistrum
Rami subendocardiales - Purkinje fibers

infmi normalECG2 Normal 180px-ECGcolor
Normal ECG
Myocardial infarction
ECG

pacemaker
Artificial pacemaker


PERICARDIUM FIBROSUM
-   basis
-   cupula
-   pars sternalis,
-   partes laterales
-   pars dorsalis
Ligg. pericardiacophrenica
Ligg. sternopericardiaca
A. et v. pericardiacophrenica
N. phrenicus

PERICARDIUM SEROSUM
- lamina parietalis
- lamina visceralis (epicardium)
- cavum pericardii – liquor pericardii

Vagina serosa arteriarum – sinus transversus pericardii
Porta venarum – sinus obliquus pericardii





 A. coronaria cordis dx. - rr. atriales dx.
                                         - rr. ventriculares dx.
                                         - r. marginalis dx.
                                         - r. coni arteriosi
                                         - r. nodi sinuatrialis
                                         - r. nodi atrioventricularis
                                         - r. interventricularis post.
 A. coronaria cordis sin. - r. interventricularis ant.
                                          - r. circumflexus

Dominance of RCA
                  67%


Dominance of LCA
              15%
Codominance
          18%

Venae cordis
1. Sinus coronarius cordis
    a) v. cordis magna
    b) v. cordis media
    c) v. cordis parva
    d) v. obliqua atrii sinistri
    e) v. posterior ventriculi sinistri
2. Vv. cordis anteriores
3. Vv. cordis minimae

Lymphatics:
Truncus lymphaticus
 anterior sinister –
 truncus lymph. post. –
 nodus lymph. retroaorticus
Truncus lymph. ant. dx. –
 nodus lymph. praeaorticus
Nerves:
Plexus cardiacus spf.
 (ganglion cardiacum)
Plexus cardiacus prof.
Plexus coronarius dx. et sin.
Nn. cardiaci (symp.)
– accelerantes
Rr. cardiaci (parasymp.)
 – retardantes

Sites of auscultation:



Heart shadow:
1.V. brachiocephalica dx.            5.  Arcus aortae
2.V. cava sup.                             6.  Truncus pulmonalis
3.Atrium dx.                                 7.  Auricula sin.
4.V. cava inf.                               8.   Ventriculus sin.

Distantia
mediodextra
Distantia
mediosinistra
Transverse
line = DMd+DMs
Length
Gradient
Area

Coronary angiography – left coronary artery
Right anterior oblique projection
Left anterior oblique projection

Coronary angiography – right coronary artery
Left anterior oblique projection


Illustrations were copied from:
Atlas der Anatomie des Menschen/Sobotta.
Putz,R., und Pabst,R. 20. Auflage. München:
Urban & Schwarzenberg, 1993
Netter: Interactive Atlas of Human Anatomy.
Windows Version 2.0
Čihák R: Anatomie 2 (Splanchnologia). Avicenum,
zdravotnické nakladatelství, Praha, 1988.