How the Heart Works

The heart and circulatory system make up the cardiovascular system. A heart works as a pump that pushes blood to the organs, tissues, and cells. Blood delivers oxygen and nutrients to every cell and removes the carbon dioxide and waste products made by those cells. Blood is carried from the heart to the rest of the body through a network of arteries, arterioles, and capillaries. Blood is returned to the heart through venules and veins. If all the vessels of this network in a body were laid end-to-end, they would extend for about 60,000 miles, which is far enough to circle the earth more than twice!

The heart weighs between 7 and 15 ounces and is a little larger than the size of an adult fist. By the end of a long life, a person's heart may have beaten (expanded and contracted) more than 3.5 billion times. In fact, each day, the average heart beats 100,000 times, pumping about 2,000 gallons of blood.

The heart is located between the lungs in the middle of the chest, behind and slightly to the left of the breastbone (sternum). A double-layered membrane called the pericardium surrounds the heart like a sack. The outer layer of the pericardium surrounds the roots of the heart's major blood vessels. It is attached by ligaments to the spinal column, diaphragm, and other parts of the body. The inner layer of the pericardium is attached to the heart muscle. A coating of fluid separates the two layers of membrane, letting the heart move as it beats, yet still be attached to your body.

Hearts have 4 chambers. The upper chambers are called the left and right atria, and the lower chambers are called the left and right ventricles. A wall of muscle called the septum separates the left and right atria and the left and right ventricles. The left ventricle is the largest and strongest chamber in the heart. Its half-inch thick chamber walls have enough force to push blood through the aortic valve and into the body.

The Heart Valves
Four types of valves regulate blood flow through the heart: 
The tricuspid valve regulates blood flow between the right atrium and right ventricle. The pulmonary valve controls blood flow from the right ventricle into the pulmonary arteries, which carry blood to the lungs to pick up oxygen. The mitral valve lets oxygen-rich blood from the lungs pass from the left atrium into the left ventricle.  The aortic valve opens the way for oxygen-rich blood to pass from the left ventricle into the aorta, the body's largest artery, where it is delivered to the rest of body body. 

The Conduction System
Electrical impulses from a heart muscle (the myocardium) cause it to contract. This electrical signal begins in the sinoatrial (SA) node, located at the top of the right atrium. The SA node is sometimes called the heart's "natural pacemaker." An electrical impulse from this natural pacemaker travels through the muscle fibers of the atria and ventricles, causing them to contract. Although the SA node sends electrical impulses at a certain rate, the heart rate may still change depending on physical demands, stress, or hormonal factors.

The Circulatory System
The one-way circulatory system carries blood to all parts of a body. This process of blood flow within the body is called circulation. Arteries carry oxygen-rich blood away from the heart, and veins carry oxygen-depleted blood back to the heart. Twenty major arteries make a path through body tissues, where they branch into smaller vessels called arterioles. Arterioles further branch into capillaries, the true deliverers of oxygen and nutrients to cells. Most capillaries are thinner than a hair. In fact, many are so tiny, only one blood cell can move through them at a time. Once the capillaries deliver oxygen and nutrients and pick up carbon dioxide and other waste, they move the blood back through wider vessels called venules. Venules eventually join to form veins, which deliver the blood back to the heart to pick up oxygen. 

 
Heart Services:
Aspects of Heart Care
Heart Disease Risk Factors
Patient Services
Heart Attack Risk Program (HARP)
How the Heart Works
Heart Healthy Dietary Guidelines
Diagnosis and Treatment Q&A's
 
Women and Heart Disease