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Ventricle (heart)

life science Maturity 9-11 Next article →

The ventricles are two large chambers located at the bottom of the heart. They serve as the primary pumps of the cardiovascular system. Their main job is to collect blood from the atria and expel it toward the lungs or the rest of the body. Because they must move blood against significant resistance, ventricles have much thicker walls than the atria. In a human heart, these two chambers work together within a double circulatory system. This system ensures that oxygen-rich blood and oxygen-poor blood stay separate as they move through the body.

Gray internal structure of heart
Gray internal structure of heart

The function of the ventricles occurs in a repeating two-step cycle. The first phase is called diastole, which is the period when the ventricles relax. During diastole, the chambers expand to fill with blood flowing from the adjacent atria. The second phase is called systole, the period of contraction. During systole, the ventricular muscles squeeze forcefully to pump the blood out. The left ventricle receives oxygenated blood from the left atrium via the mitral valve. It then pumps this blood through the aortic valve into the aorta. Simultaneously, the right ventricle receives deoxygenated blood from the right atrium via the tricuspid valve. It pushes this blood through the pulmonary valve into the pulmonary artery to reach the lungs.

The two ventricles have distinct structures and roles. The left ventricle is longer and more conical in shape. It has much thicker, more muscular walls because it must generate high pressure. It pushes blood into the systemic circulation at a typical pressure of about 120 mmHg. In contrast, the right ventricle is triangular in shape. When viewed in a cross section, it appears crescent-shaped. It only needs to pump blood to the lungs, so it operates at a lower pressure. The right ventricle is composed of two parts called the sinus and the conus. The sinus acts as the inflow area for blood coming from the tricuspid valve. The conus arteriosus is a conical pouch from which the pulmonary artery arises.

Wiggers
Wiggers

Inside the ventricles, the muscular structure is quite complex. The inner walls are not smooth but are covered in irregular muscular columns called trabeculae carneae. These columns cover most of the inner surfaces. Within these walls, there are specific types of muscles. One type is the papillary muscles. These muscles attach to strings called chordae tendinae. These strings, in turn, connect to the cusps of the tricuspid and mitral valves. This mechanism helps regulate the valves during the heartbeat. In the right ventricle, three specific muscle bands separate the chamber: the parietal, the septal, and the moderator band. The moderator band specifically connects the base of the anterior papillary muscle to the ventricular septum.

Physicians use several measurements to understand how well the ventricles are performing. They often look at the mass and the volume of the chambers. Using magnetic resonance imaging, researchers have estimated the average mass of the left ventricle at 143 g, with a range between 87 g and 224 g. The right ventricle is roughly equal in size and holds about 85 milliliters of blood in an adult. Doctors also measure dimensions in millimeters, such as the end-diastolic dimension (EDD) and the end-systolic dimension (ESD). These measurements help determine the end-diastolic volume (EDV) and the end-systolic volume (ESV). Another important metric is the ejection fraction (Ef), which helps assess pumping efficiency.

Wiggers
Wiggers

The workload of the ventricles changes significantly as a person develops. By young adulthood, the walls of the left ventricle have thickened considerably. They can become three to six times thicker than the walls of the right ventricle. This thickening is a response to the pressure workload. The left ventricle must accept blood at roughly 80 mmHg and push it forward to about 120 mmHg. This pressure is necessary to stretch the aorta and other arteries. A healthy adult heart typically pumps about 5 liters of blood per minute at rest. However, this capacity can increase greatly. For non-athletes, the maximum pumping volume may reach 25 liters per minute. For Olympic-level athletes, it can reach as high as 45 liters per minute.

Sometimes, the electrical system of the ventricles does not function normally. This can lead to an arrhythmia, which is an irregular heartbeat. While the heartbeat usually starts in the atrium, it can sometimes begin in the Purkinje fibres of the ventricles. This can cause premature ventricular contractions, also known as ventricular extra beats. If these beats occur in groups, the condition is called ventricular tachycardia. In some cases, the ventricles may produce a ventricular escape beat as a compensatory mechanism. The most severe type of arrhythmia is ventricular fibrillation. This condition is a common cause of cardiac arrest and sudden death.

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File:Gray internal structure of heart.png
Gray internal structure of heart.png
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