Outline the control of the heart beat in terms of myogenic muscle contraction, the role of the pacemaker, nerves, the medulla of the brain, epinephrine (adrenaline)

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Outline the control of the heart beat in terms of myogenic muscle contraction, the role of the pacemaker, nerves, the medulla of the brain, epinephrine (adrenaline)

The human heart is a double circulatory system, which consists of the pulmonary circulation and the systemic circulation. In the pulmonary circulation, the heart pumps the deoxigenated blood from the heart through the pulmonary artery to the lungs and from there it pumps the oxigenated blood through the pulmonary vein back to the heart. In the systemic circulation, the oxigenated blood is pumped through the aorta to the body and back to the heart through the vena cava. To produce the necessary pressure to pump the blood through the body, the heart has to contract and squeeze the blood out of it. This is known as the cardiac cycle. The cardiac cycle has three phases: the atrial systole, the ventricular systole and the diastole. In the atrial systole the blood is squeezed from the contracting atria into the relaxing ventricles. In the ventricle systole the ventricles contract and pump the blood out of the heart whereas the atria relax and refill. In the diastole the whole heart is relaxed and it refills. The frequency of the cardiac cycle is called heart rate. A normal adult should have a heart rate of 70bpm when in rest.

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The heart has an own inherent rhythm, that means that the heart muscle, the cardiac muscle, contracts myogenic. This is an independent of external nervous stimulations rhythmic contraction of the cardiac muscle, which is unique for its branched interconnection. The whole contraction of the heart begins at the sinoatrial node, also called the pacemaker of the heart, which is a group of cardiac muscle cells in the wall of the right atrium near the superior vena cava. These cells contract without nevous stimulation. The sinoatrial node spontaneously sends out an electrical signal, which spreads out over the right atrium’s ...

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