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Cardiac muscle (also called heart muscle or myocardium) is one of three types of vertebrate muscle tissues, the others being skeletal muscle and smooth muscle. It is an involuntary, striated muscle that constitutes the main tissue of the wall of the heart .
The heart is a muscular organ situated in the mediastinum.It consists of four chambers, four valves, two main arteries (the coronary arteries), and the conduction system. The left and right sides of the heart have different functions: the right side receives de-oxygenated blood through the superior and inferior venae cavae and pumps blood to the lungs through the pulmonary artery, and the left ...
The left coronary artery (LCA, also known as the left main coronary artery, or left main stem coronary artery) is a coronary artery that arises from the aorta above the left cusp of the aortic valve, and supplies blood to the left side of the heart muscle.
Cardiac muscle tissue has autorhythmicity, the unique ability to initiate a cardiac action potential at a fixed rate – spreading the impulse rapidly from cell to cell to trigger the contraction of the entire heart. This autorhythmicity is still modulated by the endocrine and nervous systems. [1]
Gap junctions connect the cytoplasms of neighboring cells electrically allowing cardiac action potentials to spread between cardiac cells by permitting the passage of ions between cells, producing depolarization of the heart muscle. [3] [2] All of these junctions work together as a single unit called the area composita. [2]
The atrioventricular node delays impulses by approximately 0.09s. This delay in the cardiac pulse is extremely important: It ensures that the atria have ejected their blood into the ventricles first before the ventricles contract. [9] This also protects the ventricles from excessively fast rate response to atrial arrhythmias (see below). [10]
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Myocardial perfusion imaging or scanning (also referred to as MPI or MPS) is a nuclear medicine procedure that illustrates the function of the heart muscle . [ 1 ] It evaluates many heart conditions, such as coronary artery disease (CAD), [ 2 ] hypertrophic cardiomyopathy and heart wall motion abnormalities.