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Anatomy of the Heart and Valvular Disease Part 1 – Anatomy of the HeartPart 1 - ILOs: • To demonstrate knowledge of the structure and function of the heart, including: • the pericardium and layers of the heart wall • the flow of blood through the heart • the auricles, atria, ventricles and great vessels • the position and function of the heart valves • electrical conductance through the heartPericardium and Layers of the Heart Wall Superficial to deep: 1. Fibrous pericardium 2. Parietal pericardium 3. Pericardial cavity 4. Visceral pericardium = Epicardium 5. Myocardium 6. EndocardiumPericardium - Neurovasculature Arterial Supply and Venous Drainage: Pericardiacophrenic Innervation: PhrenicFlow of Blood To body To lungs PA Ao RA LA From body From lungs SVC + PV IVC RV Through Through LV pulmonary aortic valve valve Through Through tricuspid valve mitral valveExternal Anatomy ANTERIORExternal Anatomy POSTERIORExternal Anatomy LEFTExternal Anatomy RIGHTHeart Valves – ‘Skeleton’ of the HeartHeart ValvesInternal Anatomy - RA Opening of coronary sinusInternal Anatomy - RVInternal Anatomy - LAInternal Anatomy - LVElectrical ConductancePart 2 - Valvular Disease ILOs: • To demonstrate knowledge of the structure and function of the heart, including: the position and function of the heart valves • To demonstrate the ability to apply anatomical and physiological knowledge of the heart to basic clinical skills, including: auscultation of the heart valves • To demonstrate the ability to apply anatomical and physiological knowledge of the heart to basic clinical skills, including: anatomical basis of heart murmursHeart valves RECAPAuscultationTypes of Valvular DiseaseAortic StenosisAortic RegurgitationMitral StenosisMitral RegurgitationThank you for Listening! ANY QUESTIONS?