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Get certified with our 100% online ACLS course, designed for medical professionals. Complete it in just 3–4 hours with unlimited quiz retakes, instant certification, and a 2-year validity.

Our online ACLS certification course includes understanding the physiology of the heart, an overview of BLS and ACLS, ACLS Pharmacology, and AED training. The course is best suited for healthcare/medical professionals. It has 2 years validity. A group of 5 or more can take Read More advantage of group discounts. Read Less

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Chapters CE Credits Validity Cost Duration ECC Exam Attempts Wallet Card
17 6.0 2 Years $119.00 3-4 Hrs Compliant Unlimited Download/Print/Mail
  • Chapters17
  • CE Credits6.0
  • Validity2 Years
  • Cost$119.00
  • Duration3-4 Hrs
  • ECCCompliant
  • Exam AttemptsUnlimited
  • Wallet CardDownload/Print/Mail

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Chapter 2: Anatomy And Physiology Of The Heart

The heart is a hollow and complex organ which has an intricate system of 4 chambers pumping blood throughout the body. The upper chambers are the atria and the lower chambers are called the ventricles; the chambers are separated by a thin muscular wall called the septum. The right atria and right ventricle push deoxygenated from the body to the lungs to become oxygenated. While the left atrium and left ventricle move the oxygen-rich blood from the lungs to the rest of the body.

 

Chapter 2A Anatomy of the Heart Video:

When you’re dealing with cardiac emergencies, knowing how the heart works isn’t just helpful; it’s essential. This chapter of your ACLS Certification Course breaks down the heart’s structure and electrical system so you can better understand what’s behind the rhythms you see on a monitor.

How the Heart Is Built

The heart is a hollow muscle with four chambers that work together to keep blood moving through the body.

  • The atria are the upper chambers that receive blood
  • The ventricles are the lower chambers that pump blood out
  • A thin wall called the septum separates the left and right sides

Here’s how blood flows through the heart:

  •  The right atrium and ventricle carry oxygen-poor blood from the body to the lungs
  • The left atrium and ventricle move oxygen-rich blood from the lungs to the body

Heart Physiology

The cells in the heart muscle can generate and respond to electrical signals without outside input. These impulses make the heart contract.

The signal follows this path:

  • Starts in the SA node (sinoatrial node) in the right atrium, which acts as the heart’s pacemaker
  • Travels to the AV node (atrioventricular node), where it pauses briefly
  • Moves through the Purkinje fibers, which stimulate the ventricles to contract

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This entire electrical cycle shows up on an electrocardiogram (ECG or EKG). It’s a common tool used to check how the heart is functioning and to detect possible problems.

An ECG can help:

  • Identify causes of chest pain, such as inflammation, angina, or a heart attack
  • Detect symptoms related to heart disease
  • Show whether medications or treatments are working

To read an ECG accurately, it’s important to understand what a normal rhythm looks like.

Understanding the ECG Wave

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Each heartbeat creates a repeating wave pattern, made up of several parts:

  • P wave—shows activity in the atria
  • QRS complex—represents the depolarization (contraction) of the ventricles
  • T wave—shows repolarization (recovery) of the ventricles
  • PR interval—the time it takes for the signal to move from the SA node to the AV node

This chapter in your online ACLS course gives you the foundation you’ll need to understand ECG rhythms and respond to cardiac events with confidence.

The heart muscle cells generate, conduct and respond to electrical impulses spontaneously. Cardiac contraction is stimulated by impulses from the Sinoatrial node or SA node, which is the pacemaker of the heart, located in the right atrium. Once the SA node stimulates the impulse it travels between the atrium and ventricles, where the Atrioventricular node or AV node is located.  Here the impulse stays for a few seconds before it travels to the purkinje fibers and these fibers trigger the ventricles to contract. The electrical activity of the heart is graphed in a wave pattern on an electrocardiogram (ECG/EKG). The electrocardiogram is a test that checks the conduction of the heart and any problems associated with it.  It helps locate the cause of chest pain which may be due to inflammation, heart attack or angina. It can help find the cause of symptoms of heart diseases as well as show if medications are working effectively.  To understand the pathology on an ECG it is important to know how a normal sinus rhythm works.

Chapter 2B Physiology of the Heart Video:

As the heart conducts, one heartbeat is a group of waves called P-QRS-T deflections. The P wave is the electrical activity of the atria. When the atrium is stimulated, the impulse is recorded as a P wave. The QRS-T complex shows the electrical activity of the ventricles. The QRS complex shows the depolarization of the ventricles and the T wave shows the repolarization of the ventricles. The PR interval shows the time the impulse takes to travel from SA node to AV node.

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Learning Outcomes:

You have completed Course I. Now you should be able to:

  1. Understand the components of the heart
  2. Understand how the heart functions
  3. Recognize a Normal Sinus Rhythm

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