跟讀練習: How the Heart Works (Animation) - 通過影片學習英語口語
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Our heart is an exciting organ.
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In this animation, we show the picturesque complexity and mechanical simplicity of the human heart.
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The human heart lies well protected in the chest behind the ribs and sternum.
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To the left and right are the lungs,
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which absorb oxygen from the air we breathe.
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The heart's task is to pump oxygen-poor blood through the lungs,
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and then transport the oxygen-rich blood coming from the lungs into the rest of the body.
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Let's take a look at the basic anatomy of our heart.
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Blood enters and exits the heart through several large blood vessels.
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The aorta has been considered an independent organ since February 2024.
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The heart receives deoxygenated blood from the body through the inferior and superior vena cava.
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It pumps this blood to the lungs with the help of the pulmonary artery.
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The oxygenated blood from the lungs returns to the heart through the four pulmonary veins.
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The heart then pumps this blood into the body by the aorta.
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However, the heart itself is not supplied with blood with the help of the aorta.
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The coronary arteries are embedded in the epicardial adipose tissue.
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The heart supplies itself with oxygen and nutrients through these blood vessels.
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There are two coronary arteries,
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which supply the heart with oxygenated blood,
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and the coronary sinus, through which the deoxygenated blood flows back into the heart.
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A heart attack can occur when the coronary arteries become blocked,
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narrowed or completely obstructed.
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Blood can then no longer flow freely,
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and oxygen and other nutrients cannot reach the heart muscles.
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Let's first take a look at the internal structure of the human heart.
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The coronary arteries just shown originate from the main artery,
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also known as the aorta.
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The openings of the arteries are located above or at the aortic valve,
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which consists of three semilunar cusps.
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The aortic valve is located at the end of the aorta.
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The pulmonary valve is located at the end of the pulmonary artery.
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Rarely, the valves have two or four cusps.
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The heart has two other valves that consist of leaflets, or cusps too.
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The mitral valve consists of two leaflets,
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and the tricuspid valve has three of these leaflets.
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When the tricuspid valve opens,
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deoxygenated blood flows from the right atrium into the right ventricle.
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The deoxygenated blood then flows through the opened pulmonary valve and then enters the lungs via the pulmonary artery.
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The oxygenated blood from the lungs passes from the left atrium into the left ventricle through the mitral valve.
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When the aortic valve opens,
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the blood enters the body via the aorta.
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The blood flow is controlled by the muscles of the heart.
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The muscles contract and then relax again.
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At that point, we show a simplified version of the pumping process.
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Later, we will describe the process in more detail.
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When the atria of the heart contract,
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the atria's space becomes smaller.
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The resulting pressure causes the blood to push the leaflets towards the ventricles.
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This allows the blood to be pumped from the atria into the ventricles.
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When the muscles of the atria contract,
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the muscles of the ventricles relax.
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And when the muscles of the ventricles contract,
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the muscles of the atria relax.
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The contraction of the ventricular muscles creates high blood pressure,
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which pushes the leaflets towards the atrium.
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However, the leaflets have thin,
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fibrous cords that prevent the leaflets from being pushed into the atrium.
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These cordae tendini are attached to papillary muscles that contract at the right moment.
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The contraction of the right ventricular muscles causes the pulmonary valve to open.
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This ultimately transports the blood to the lungs via the pulmonary artery.
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Now let's take a look at the left atrium and the left ventricle.
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The left ventricle's task is to pump oxygen-rich blood into the entire body.
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To achieve this, the left atrium first pumps the blood,
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coming from the lungs, into the left ventricle.
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The muscles of the left ventricle then contract.
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As in the right ventricle,
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fibrous cords and muscles prevent the leaflets of the valve from being pushed into the atrium.
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In the left ventricle, the muscle columns known as trabeculae carnii are particularly well-developed.
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The resulting pressure opens the aortic valve and the blood is pumped through the entire body with the help of the aorta.
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In this simplified illustration, we can clearly see how the blood is pumped through the body's blood vessels.
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The left ventricle just shown supplies the entire body with oxygen-rich blood via the aorta.
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Head, abdomen, arms and legs.
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That way, nutrients, oxygen, immune cells,
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waste products and much, much more are transported from one place to another.
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The arteries transport the blood away from the heart and the veins transport the blood towards the heart.
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The returning blood then reaches the right atrium of the heart via the inferior and superior vena cava.
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And from there into the right ventricle.
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The right ventricle then pumps the deoxygenated blood into the lungs with the help of the pulmonary artery.
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Here the blood absorbs oxygen,
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enters the left atrium and finally returns to the left ventricle and the aorta.
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The anatomy and function of the lungs can be seen in the colourful animation on this channel.
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As the pulmonary circulation is short but the systemic circulation is long,
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the heart chambers require muscles of different strengths.
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For this reason, the right ventricle has a much thinner muscle layer than the left ventricle.
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The interventricular septum of the heart,
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which separates the left and right ventricles,
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also consists of strong muscles.
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The atria have muscles too.
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The fine parallel muscular ridges,
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which scientists refer to as pectinate muscles,
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can be found particularly in the right atrium.
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In contrast, the left atrium with its atrial appendage has more of a smooth structure.
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As we have previously only shown a simplified cardiac cycle,
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we will now take a look at the actual process showing the right side of the heart.
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The muscles of the atrium and ventricle are relaxed.
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The tricuspid valve is open.
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The pulmonary artery is closed through the pulmonary valve.
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Contracting the atrial muscles initiates atrial systole,
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which pushes blood from the atrium into the ventricle.
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The atrial muscles then relax and the ventricular muscles contract.
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The resulting pressure closes the tricuspid valve.
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The ventricular muscles contract further and increase the pressure,
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opening the pulmonary valve and forcing the blood into the pulmonary artery.
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When the ventricular muscles relax again,
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the pressure inside the ventricle drops.
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This causes the pulmonary valve to close,
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as the pressure in the pulmonary artery is higher than the pressure inside the ventricle.
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The tricuspid valve opens, allowing blood to flow from the atrium into the ventricle.
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Now the cycle begins again.
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The cardiac cycle is generally divided into a diastole and a systole.
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Diastole refers to the relaxed ventricle filled with blood.
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Systole on the other hand refers to the contracted ventricle which ejects the blood.
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Systole is divided into the contraction stage and the ejection stage.
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is divided into an early filling stage and a late filling stage.
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Electrical impulses are used to stimulate the heart muscles to contract.
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The cells that generate these electrical impulses are known as the sinoatrial node.
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Special muscle cells, shown here in green,
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quickly transmit the electrical impulses to the muscle cells of the atria and the atrioventricular node.
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There is only a narrow connection of muscle cells between the atria and the ventricles,
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known as the bundle of his.
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The atrioventricular node transmits the electrical impulses to the right and left bundles through through these special muscle cells.
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Fast-conducting Purkinje fibers originate from the right and left bundles.
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These Purkinje fibers then transmit the impulses very quickly to the heart muscle cells of the ventricles.
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The sinoatrial node generates an electrical impulse which is transmitted through the internodal tracks to the atrial muscles and the atrioventricular node.
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The AV node transmits the impulse with a time delay to the ventricles through the Purkinje fibers.
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The sinoatrial node is capable of generating 60 to 80 electrical impulses per minute.
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If the sinoatrial node fails,
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the AV node can generate approximately 40 to 60 impulses per minute.
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If the sinoatrial node and AV node fail,
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the bundle of his can still produce 20 to 40 impulses.
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For this reason, we speak of primary,
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secondary and tertiary pacemaker cells.
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Let us now illustrate the path of the impulses in the human heart.
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The electrical impulses propagate in the atria and cause the muscles to contract,
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thus pumping the blood into the ventricles.
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The impulse is transmitted to the muscle cells of the ventricles via the AV node and the bundle of his.
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This causes the ventricular muscles to contract and pump the blood into the pulmonary artery and the aorta.
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The heart muscle cells have the special property of being able to transmit the electrical impulses to neighbouring muscle cells.
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However, apart from the bundle of his,
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there is no connection between the atrial muscles and the ventricular muscles.
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For this reason, the atria and ventricles can contract at different times.
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The contraction of the ventricles begins at the apex of the heart.
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For this reason, the blood is literally squeezed out of the ventricles,
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similar to a tube of toothpaste that is rolled in from the back to the front.
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In medicine, electrical impulses can be used to check heart activity.
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This is done with the help of an electrocardiogram.
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The stimulation of the atria by the impulse of the sinoatrial node corresponds to the first wave.
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The stimulation of the ventricles through the atrioventricular node is represented by three spikes.
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The first wave is called the P wave,
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and the three graphical deflections the QRS complex.
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The last wave is the T wave,
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which represents the recovery of the ventricles.
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To allow the heart to change shape and size during contractions,
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it is enclosed in the pericardium.
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The pericardium consists of a semi-rigid outer layer of dense and loose connective tissue.
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A smooth layer is attached to this outer layer.
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Another smooth layer covers the heart.
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In humans there is about 10-15ml of fluid between the two layers,
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which serves as a lubricant.
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This allows the heart to change its shape
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and size in the pericardium without causing strong friction on the heart or other organs.
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Many more animations about the human body are available on this channel and my website.
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