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The intercostal nerves are part of the somatic nervous system, and arise from the anterior rami of the thoracic spinal nerves from T1 to T11. [1] [2] The intercostal nerves are distributed chiefly to the thoracic pleura and abdominal peritoneum, and differ from the anterior rami of the other spinal nerves in that each pursues an independent course without plexus formation.
The white ramus communicans (pl.: rami communicantes) from Latin ramus (branch) and communicans (communicating) is the preganglionic sympathetic outflow nerve tract from the spinal cord. Each of the thoracic, and the first and second lumbar nerves contribute a white ramus communicans to the adjoining sympathetic ganglion , unlike the gray rami ...
Cells of the ventricles contract nearly simultaneously. The action potentials of cardiac muscle are unusually sustained. This prevents premature relaxation, maintaining initial contraction until the entire myocardium has had time to depolarize and contract. Absence of tetany. After contracting, the heart must relax to fill up again.
These cells, unlike most other cells within the heart, can spontaneously produce action potentials. [5] These action potentials travel along the cell membrane (sarcolemma) , as impulses, passing from one cell to the next through channels, in structures known as gap junctions .
The cardiomyocytes make up the bulk (99%) of cells in the atria and ventricles. These contractile cells respond to impulses of action potential from the pacemaker cells and are responsible for the contractions that pump blood through the body. The pacemaker cells make up just (1% of cells) and form the conduction system of the heart.
The white rami communicantes exist only at the levels of the spinal cord where the intermediolateral cell column is present (T1-L2) and are responsible for carrying preganglionic nerve fibres from the spinal cord to the paravertebral ganglia. [citation needed]
Afferent nerve cell bodies bring information from the body to the brain and spinal cord, while efferent nerve cell bodies bring information from the brain and spinal cord to the rest of the body. The cell bodies create long sympathetic chains that are on either side of the spinal cord. They also form para- or pre-vertebral ganglia of gross anatomy.
The anterior divisions of the seventh, eighth, ninth, tenth, and eleventh thoracic intercostal nerves are continued anteriorly from the intercostal spaces into the abdominal wall; hence they are named thoraco-abdominal nerves (or thoracicoabdominal intercostal nerves).