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The heart is a muscular pump that pumps blood through a large artery called the aorta and is located in a cavity called the mediastinum.
The heart is composed of four chambers: the right atrium, left atrium, right ventricle, and left ventricle.
The atrium is called atrium and the ventricle is called ventricle, and there is a fibrous septum that divides the heart into the right and left sides.
In the name of Allah, the Most Gracious, the Most Merciful. Hello guys, how are you? I hope you're well.
I'm Dr. Abdulrahman Al-Sami. I will be with you, God willing.
Through the Milafira platform. We will talk about the anatomy of the cardiovascular system.
The first lecture in the cardiovascular system. We talk about the heart.
And we talk about the cavity in which the heart is located. What is the cavity?
Yes, the cavity in which the heart is located, what is it called? It is said to be the cavity.
Between the directions, the directions, the directions follow the aorta, which is the largest part in the body, follows the atria which it divides by what? It follows the directions which are the thymus position where the immunity is located in front of the heart.
So it sends them to be covered by organs or covered by structures, and this
cavity is called the mediastinum. It is divided into parts.
I will talk about it in more detail later, not just as a word, but it is
the cavity between the two endotheliums, but there is a lot of detail. I am just currently
telling you that it is the cavity in which the heart is located.
Okay, now I want to talk about the heart itself, so I drew a quick sketch
to help you understand what the heart is. You find the heart is considered a
muscular pump. It pumps blood.
It pumps blood through this very large artery. It goes to this area above the ribs,
below the ribs, and behind the ribs. And we call it or or or or or or or or
what should it be called? Okay? Alright. So the heart is made
of chambers. I think there was something called the right atrium
and the left atrium, right? And I also had something below called what? The right
ventricle and the left ventricle. Okay, listen to this: it says I have
the atrium, we call it atrium. What do we call it? Atrium. So you find I have here the right atrium on this side and the left atrium.
No. The ventricle below, which pumps, we call it what? The ventricle. And you will find of course I have
here what? I have here and here what? Okay? So I have in
a fibrous septum as you can see. The black node I named.
This is the fibrous septum. It divides the or the ribs
like this, meaning the chamber in the ribs. So I have what? The heart is divided
into right and left. Right and left. Yes. The atrium what? The atrium receives blood from the body through the superior vena cava.
The inferior vena cava.
The right atrium receives blood from the body through the superior and inferior vena cava.
The blood in the right atrium is deoxygenated and is pumped to the right ventricle then to the pulmonary trunk which branches into the right and left pulmonary arteries.
The pulmonary artery carries blood to the lungs to be oxygenated, then the oxygenated blood returns to the left atrium via the pulmonary veins.
The pulmonary veins are usually four veins carrying oxygenated blood to the left atrium.
Blood comes to the right atrium and goes down to the right ventricle.
Blood from the organ.
The blood is deoxygenated.
Not full of oxygen.
Therefore, I must send it first through the pulmonary artery.
Which we call
the pulmonary trunk.
Okay, why didn't you call it the pulmonary artery?
Because it is still dividing into
right and left pulmonary arteries.
Pulmonary means pulmonary.
Initially, it was called the pulmonary trunk part.
The part then divides into right and left pulmonary arteries.
Okay.
It goes through this pulmonary artery.
Meaning the pulmonary artery goes to the lungs to be filled with oxygen.
And it returns again with oxygenated blood.
Oxygenated blood.
To the left atrium of the heart.
Through the pulmonary
veins.
Pulmonary veins.
Okay, what does pulmonary veins mean? It means veins that are pulmonary.
And these large veins are usually how many? No, there are not two.
There are two from the left lung and two from the right lung.
So the total will be how many? It will be 4 pulmonary veins carrying oxygenated blood to the left atrium of the heart.
Which then goes down to the left ventricle, and this left ventricle sends blood to the whole body through the aorta.
So this is a very quick overview of the heart. There are connections, of course, but I am just rushing to
give you the general idea.
Okay, alright.
So now I know the heart is made of four chambers. Now I want to say a fact.
Is the heart as you drew it present in the body?
The heart is not straight in the body; the right side of the heart is more visible from the front compared to the left side.
The anterior surface of the heart is called the anterior surface or sternocostal surface and faces the sternum and ribs.
The posterior surface of the heart is called the posterior surface or base and is mainly composed of the left atrium.
Do I have the right atrium on the right and the left atrium on the left just like that?
Not that simple. This is your story. I see that I do not see the division you drew for me. The letter here.
This is actually about four. I don't see this part at all. I only see
this small part. This atrium is two atria. I see
what? Not symmetrical, not clear at all. If I look from the front like this, I won't see
but I will see what? I will see something called the atria of the what? Of the
No. Okay, I see all this in front of us. Look here, meaning from here
all of it. So if I look from the front, I will see the right part of the heart,
the right ventricle and the right atrium more than the left part.
Because the heart is a bit tilted. So you learn? So you learn
you will find that the right part is more visible from the front.
And the left part is visible but to a lesser degree. Okay?
So you want to say that I can look at the heart from the front?
Can we look at it from behind? Or no, we can't. We can look at it from here or
no, we don't see anything.
You see all this on the right.
All this is
the right ventricle only.
And this is the left ventricle.
You see all this
is the right atrium.
And this small area
I will name it. This is the only part that participates in forming this surface.
So this surface we call the anterior surface or.
What is the anterior surface opposite to? Look at this second drawing you drew for me.
Okay? Just the drawing. I will add something and then we will go back.
I will complete. What I want to say is that I have here a bone called what? We call it the sternum which I use.
The heart appears facing it. Facing what? Facing the sternum too, right? Or facing the sternum? Okay? And facing what?
Not visible in the drawing. So I call this surface.
I can call it. I can call it. And here I will see the right part more and I will see the left part also but
to a lesser degree. We see more of the right part. We see the atrium
larger. Yes, what we see is only larger. We see what? We see the left part to a lesser degree.
So I want to take something. This
is considered to be made of two parts, so two parts: the right ventricle and the left
and the third is the left. Not equal halves. No. You will find that the right ventricle
takes up a larger area and takes two-thirds of the surface.
Which barely is what? The length of the surface. Not two-thirds. Because
the heart is not flat. The right side is more visible than the left side.
Okay? No. Okay. Is there another surface in the heart? I now
saw the surface I used, the anterior surface from the front. You will also find that
there is something called what?
Okay, this is what? Okay, what do you see? I personally
see it says exactly. This is what we call the exposed part only. You know it has four openings.
One, two, three, four. So it has four veins. So it has what?
Four. So this is definitely what? It is. So I have
talked about two surfaces of the heart: an anterior surface called
the anterior surface and a posterior surface called the posterior surface. Okay? Alright. Are there surfaces
and here also related to the bones?
What else? A lot. Look here at the drawing.
The inferior surface.
Which rests on the diaphragm.
So there are surfaces in the heart related to the diaphragm.
The surface means the idea.
What? Three surfaces: anterior surface which we named, posterior surface,
And here also it is emphasized as the most appropriate for the boys.
What a lot. Behavior and here you see the diagram.
. The inferior surface.
That rests on the diaphragm.
. Meaning it has a surface that passes through the storage.
. It will not cross the diaphragm.
The surface means. The soul idea.
Yes? Three surfaces. Anterior surface which we named. Posterior surface.
What we called and was made only only. And the inferior surface that we called
Yeah, we called it that. Okay. I want to say something else. What? I have
There is a groove called the coronary groove or atrioventricular groove that surrounds the heart and separates the atria from the ventricles.
There is an interventricular groove that separates the right ventricle from the left ventricle anteriorly, and there is another groove posteriorly called the posterior interventricular groove.
What I said is that inside there is or there are septa dividing it primarily
What? This is yes, behind where? Okay? So from outside also we specify and say with it
That this is the difference between this and that, it tells you here. Between and you will find
That there is, I mean, it is like a passage. I even went down, excuse me like that. Okay? Good. This
What do we call it? We call it normally.
ventricular sulcus or groove
Because it is between the atrium and ventricular groove
We also call it coronary groove
Because it is like a wrap
Around the heart, a wrap up to here
As if a crown around it, so we call it coronary groove
Okay?
That we can call it atrium ventricular groove
Or we can call it coronary groove
Okay
Okay, is there a sulcus that separates between this right ventricle
And this left ventricle?
So yes
You see this sulcus where the blood vessels and water appendages are?
Yes, we call it, we call it interventricular groove
Or sulcus
I am very helpful but if someone comes to challenge me and says
I see there is also a groove between the two ventricles from behind
So I want to differentiate between them, I say this is the anterior
There is a groove from the front
And there is also a groove from the front
I told you that I have
An arterial entrance
An arterial entrance made of how many chambers?
Made of 4 chambers
What do we call 4 chambers?
They are the septa inside the heart
So this means you do not know how to differentiate between the heart walls from outside
From the atrium. It separates just the left from the left, which is
The one around the whole heart. So I called it or what? Or a little crown
What a little crown of dignity. Okay. So where is another groove that says yes where
Also a groove between from the front so I called it anterior interventricular
Groove. And there is also one we will see later, we will see it will be from behind also
Of them. So we call it posterior interventricular groove. Good talk? Okay.
Okay. You told me again yes I want to tell you also something else. What is it?
The heart is covered by a membrane called the pericardium consisting of two layers: a sticky layer on the heart and a strong outer fibrous layer, with a cavity between them containing fluid that allows easy movement of the heart.
That my heart is not a bare base like that. It has
A jacket on it. It has a jacket on it. Okay. This jacket we call it
I will call it a nice name or what name should I call it? He says I
Call it the one around the heart. The pericardium.
But there is even a feature. What? That it is made of two layers. An adherent layer on
The heart. And a layer a little far. And between them you will find that there is or contains a thin layer of
Or easy that allows smooth sliding steps at a rate so the heart can
Contract and relax, can move, inflate and deflate. Okay? So why
Is it divided? The inner layer we call it. We call it visceral. And the outer layer
We call it parietal layer
Parietal layer
Meaning inside
And he says no I will not let you enjoy like this and say things are easy
Like this easy I want to make it harder for you more
Okay how to make it harder for me?
But there is still a third layer from outside completely
But this is
Fibrous and strong like that
Is
So I will call this and I will call these two what? I will call them
The second one like this I have from outside a strong fibrous layer
And it consists of two layers, first an adherent layer on the heart named and an outer layer named
And between them this cavity, this cavity contains a thin layer of
Allows the two layers to slide on each other so the heart can move, contract, relax, inflate and deflate very easily
Hello okay
This is the topic of the pericardium and the heart
Okay I still have something called the borders of the heart but what? Let's read first
And I will go back, yes let's go back and take this talk okay
I will tell you that I have the lecture from the beginning yes finished
Talking to you about what? Talking about the mediastinum
Meaning the word mediastinum means the cavity that was between two hearts
That I will still talk about with details
Okay? Okay
So let's take the record from the beginning and say the details that we have
And then we return to talk about the mediastinum in detail
It tells you that it is a fibro-serous sac
The sac is fibrous from outside and serous from inside
It encloses the heart
And the beginnings of the great vessels that come out of it
Coming out of it. For example, here you will find that its beginning is surrounded.
Its beginning is surrounded. The four and their endings are also surrounded.
So I have it surrounding the heart and also surrounding the great vessels. Which are the
Large vessels attached to the heart. Not. Okay. So that
Prevents me from having any excessive movements or contractions or extra sounds
On the heart. Okay? Okay? Also inside there was a layer
That can help the heart slide well? So it works for me as a pericardial container
Meaning what? It arranges or helps them to coordinate what? To slide on each other
Then. Okay? I feel that what? I feel that the heart can contract and relax
In every way. We said they are resistant from two parts outside and. This is originally how much resistance from
Coordination. An outer layer named and an adherent layer on the heart named. And between them
A layer or a stopping layer we call this what? It is there okay?
It tells you that there is something called and
Or black serous, I will tell you this now but after I talk
The heart has a pyramidal shape and has an apex located on the left, inferior, and anterior side, which is the most prominent point of the heart where the heart sounds can be heard.
The heart is located inside the thoracic cavity called the mediastinum and is surrounded by large blood vessels.
About the heart, the heart is a muscular organ
Hollow inside because it contains blood inside, its shape is somewhat like
It is harmonic in shape, the word harmonic means it has
An apex and a base. Yes, we said the base is from behind
And made by the left atrium. So what about the apex? It tells you the apex of the heart
Is located here. This is the most protruding part. And if you want to reach it
If I want to reach it from outside. Meaning a cardiologist wants to
Put the stethoscope on it because it is actually the most protruding part outward.
intercostal spaces intercostal spaces
This is the fourth and last
And here it is located in the fifth rib space
In the fifth here
Or here or here
Or here
It tells you take its source
And pull it from the midline
Which is in inches or inches, meaning three and a half inches. Pull
Like this three and a half inches or about nine centimeters from where you will find it
Here in the fifth. So again like this. This is a safe piece of information, meaning what? You must be generally, look you must memorize it not generally meaning
To exit the heart, exit the kidney, forget your name and do not go down what is present
I ask you your name, yes you tell me I don't remember it was my father's name, Salmania
I don't remember. So I tell you, tell me where is it? You tell me it is located in
Nine centimeters in front. Between it and nine centimeters. Pull a line nine centimeters
From the nipples you will find it here. Okay? Sir. This is what?
So the base that we said is from behind. Which we called
And it was related to the posterior surface and was related to the left atrium
Therefore I said that the heart is pyramidal in shape, it is like a pyramid
So you will find it inside the mediastinum cavity
It is inside the pericardium which all together is in the mediastinum
It tells you that this mediastinum is containing the great vessels
And you will find that the heart is connected to the great vessels
Otherwise, the other parts may be free inside the pericardium
Okay, there is something called surfaces of the heart
Have you heard before about what is called surfaces of the heart?
Yes, you told me there are 4 surfaces
Or 3 surfaces
There was the anterior surface
Which we called sternocostal surface
Because it was opposite the sternum
And the ribs or the shields
And this was what? It was anterior
There was the posterior which we called the base
Which was made by the left atrium
And below it was on what? On the base, we called it. I mean I had
Which was made by the lift atrium.
And there was below it resting on whom? Resting on our jaw we called it. I mean I had.
What? I had three or four of them. Come on, let's talk, what? Let's talk
about each one of them as I was talking about during the lecture.
First thing, this one, what would we call it? We used to call this one the base
facing forward and what? Also facing what? Facing up. And you will find
the right part of it was more visible than the left, right? So it
is made of the right atrium and two-thirds right atrium but the component is barely what? There is a strip
there is a strip, roughly, barely what? The length of the surface only. Okay?
Sir. The right atrium and the right ventricle that you will find are separated by what?
Between them we call it what? We also called it what? Coronary
Yes. Okay. So are they also separated? Yes, separated by aaaa
We just have to add two words first: the word anterior. So we call it
it, we call it, okay? Okay. So this one, this one we used to call it, it was
made of the left atrium, yes, yes, the atrium and
it was made only of the ventricles, of course, part of it just to adjust the length
and what made for me the length, of course, and both of them made you have a separation
by what? By the posterior interventricular groove. But what about this? Isn't
it still said that they are separated by the anterior interventricular groove?
And he told you, where is this from? From below
which is the length from behind, meaning
but what reduced the surface was the one that had
anterior interventricular groove.
What about the right atrium?
He told me that it opens into what? It opens into
the inferior vena cava and the superior vena cava.
So here is the surface that is from below.
So who opens into it from below?
Regarding the right atrium,
it also has a part of
the definitive surface,
although it is a small part, meaning.
What about the base of the heart?
Which is the base of the heart that we call the posterior surface.
And it was made only by the left atrium.
And I used to know that this left atrium
had inside it 4 pulmonary veins.
And it was made with a small part of the left atrium.
Have you heard before about
the apex of the heart?
It was a parameter, indeed.
It had a base and an apex.
Only. Okay. And it was looking at me like this. Like this, meaning where? Down? To the left
and forward. Right? So where is this apex? Forward. Okay. Where was its place?
You forget your name and don't forget it. That it is exactly where? Look
like this. Three and a half inches from the midline. Okay. What? Come on,
let's talk about the borders of the heart. And it is what? It is like a quarter or
a square shape. Two above, two below, from here and from here. Okay, I tell you what?
Because we still have left and still have also what? We still have, we were
barely understanding what we haven't talked about. So come on, let's talk
about them but in a detailed video so that why? To recall this information. And not
to come back and complete this in a detailed video. Up to here is the last part
of this video. Glory be to You, O Allah, and praise be to You. I bear witness that there is no god but You.
I ask Your forgiveness and repent to You. Goodbye.
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