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Dr. Jawad
Introduction to CVS
ANATOMY
The position of the heart in the mediastinum is as such that >2/3 of its mass to
the left of the midline
The long axis oriented towards the apex
The base of this triangle formed by the plane of the AV groove.
Thymus related anteriorly & oesophagus posteriorly
Coronary circulation
The LMCA & RCA arises from Lt & Rt coronary sinuses,just distal to the
aortic valve.
The LMCA with in 2.5 cm divided into LAD&LCX
The LAD supply supply ant.part of the LV,apex & septum .
The LCX supply the posteroinferior surfuce of left ventrivle
The RCA supply right atrium& ventricle & inferoposterior part of left
ventricle
The venous drainage of the heart follows the coronary circulation & drain through the
coronary sinus into the right atrium.
The sympathetic fibers supply the heart through the adrenergic nerve fibers.
The parasympathetic supply mediated through the vagus nerve which is the
dominant effect ar resting condition.
1
Physiology
2
JVP
Prepared by:
Rand Aras Najeeb