Chambers of the Heart

The chambers of the heart are the main drivers within an intricate pathway, delivering blood to the lungs for gas exchange and enriching the body’s cells with oxygen. The contracting and relaxing chambers facilitate varying pressure gradients that drive a resting cardiac output of five litres of blood per minute.

As the ventricles contract, the pressure in the ventricles overcomes the pressure of the aorta or pulmonary arteries, resulting in the valves opening and blood ejection. Similarly, as the ventricles relax and open, the resulting falling pressure created within the ventricles draws blood from the atria. Essentially, blood is sucked into the ventricle. In a healthy heart, approximately 65-85% of ventricular blood volume is provided during early diastole. Atrial diastole tops off the remaining 15-35% (atrial kick).

The heart consists of 4 chambers – 2 atria and 2 ventricles. The smaller atria are about 1/3 the size and volume of the ventricles. The left ventricle is the largest chamber of the heart, with about 3 times more muscle mass than the right ventricle. Both ventricles share a similar volume capacity. Due to the predominant size of the left ventricle, it is not surprising that 70% of all myocardial infarctions occur within the left ventricle.

Heart valves ensure the forward flow of blood by closing off any back end routes. The atria do not share this advantage. The absence of valves between the venous system and the atria means that a small amount of blood is ejected back into the venous system with atrial contraction. With certain cardiac rhythms (i.e. 3rd degree AV Block, ventricular tachycardia and junctional rhythms), the timing of atrial contraction coincides with ventricular contraction and the closure of the AV valves (tricuspid and bicuspid). As a result, the atrial contraction delivers blood primarily back into the venous system causing the jugular veins to pulsate. The pulsations along the jugular veins are called canon A waves. This finding is sometimes useful when attempting to identify various challenging rhythms.

Discussions of the heart often refer to two hearts – a right and a left heart. Structurally, this is due to a thick layer of connective tissue called the septum that separates the left and right heart. Functionally, the right heart pumps deoxygenated blood to the lungs while the left heart pumps oxygenated blood to the body. When either the left or right side of the heart is unable to pump an adequate volume of blood, heart failure ensues that causes both decreased output and a backward volume buildup.

Chambers and Layers of the Heart

The Chambers and Layers are:

  1. Superior Vena Cava
  2. Right Atrium
  3. Left Atrium
  4. Right Ventricle
  5. Left Ventricle
  6. Septum
  7. Myocardium
  8. Endocardium
  9. Epicardium

1. Six Second ECG Guidebook (2012), T Barill, p. 193

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