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 Normal ECG Myocardial infarction ECG 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.