A report on Cardiac muscle

3D rendering showing thick myocardium within the heart wall.
The swirling musculature of the heart ensures effective pumping of blood.
Cardiac muscle
Illustration of a cardiac muscle cell.
Intercalated discs are part of the cardiac muscle cell sarcolemma and they contain gap junctions and desmosomes.
Dog cardiac muscle (400X)

One of three types of vertebrate muscle tissue, with the other two being skeletal muscle and smooth muscle.

- Cardiac muscle

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Overall

Heart

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Muscular organ in most animals.

Muscular organ in most animals.

Human heart during an autopsy
Computer-generated animation of a beating human heart
The human heart is in the middle of the thorax, with its apex pointing to the left.
Heart being dissected showing right and left ventricles, from above
Frontal section showing papillary muscles attached to the tricuspid valve on the right and to the mitral valve on the left via chordae tendineae.
Layers of the heart wall, including visceral and parietal pericardium
The swirling pattern of myocardium helps the heart pump effectively
Arterial supply to the heart (red), with other areas labelled (blue).
Autonomic innervation of the heart
Development of the human heart during the first eight weeks (top) and the formation of the heart chambers (bottom). In this figure, the blue and red colors represent blood inflow and outflow (not venous and arterial blood). Initially, all venous blood flows from the tail/atria to the ventricles/head, a very different pattern from that of an adult.
Blood flow through the valves
The cardiac cycle as correlated to the ECG
The x-axis reflects time with a recording of the heart sounds. The y-axis represents pressure.
Transmission of a cardiac action potential through the heart's conduction system
Conduction system of the heart
The prepotential is due to a slow influx of sodium ions until the threshold is reached followed by a rapid depolarization and repolarization. The prepotential accounts for the membrane reaching threshold and initiates the spontaneous depolarization and contraction of the cell; there is no resting potential.
3D echocardiogram showing the mitral valve (right), tricuspid and mitral valves (top left) and aortic valve (top right).
The closure of the heart valves causes the heart sounds.
Cardiac cycle shown against ECG
Heart and its blood vessels, by Leonardo da Vinci, 15th century
Animated heart
Elize Ryd making a heart sign at a concert in 2018
The tube-like heart (green) of the mosquito Anopheles gambiae extends horizontally across the body, interlinked with the diamond-shaped wing muscles (also green) and surrounded by pericardial cells (red). Blue depicts cell nuclei.
Basic arthropod body structure – heart shown in red
The human heart viewed from the front
The human heart viewed from behind
The coronary circulation
The human heart viewed from the front and from behind
Frontal section of the human heart
An anatomical specimen of the heart
Heart illustration with circulatory system
Animated Heart 3d Model Rendered in Computer

The wall of the heart is made up of three layers: epicardium, myocardium, and endocardium.

Types of muscle contractions

Muscle contraction

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Activation of tension-generating sites within muscle cells.

Activation of tension-generating sites within muscle cells.

Types of muscle contractions
In vertebrate animals, there are three types of muscle tissues: 1) skeletal, 2) smooth, and 3) cardiac
Organization of skeletal muscle
Structure of neuromuscular junction.
Sliding filament theory: A sarcomere in relaxed (above) and contracted (below) positions
Cross-bridge cycle
Muscle length versus isometric force
Force–velocity relationship: right of the vertical axis concentric contractions (the muscle is shortening), left of the axis eccentric contractions (the muscle is lengthened under load); power developed by the muscle in red. Since power is equal to force times velocity, the muscle generates no power at either isometric force (due to zero velocity) or maximal velocity (due to zero force). The optimal shortening velocity for power generation is approximately one-third of maximum shortening velocity.
Swellings called varicosities belonging to an autonomic neuron innervate the smooth muscle cells.
Cardiac muscle
Key proteins involved in cardiac calcium cycling and excitation-contraction coupling
A simplified image showing earthworm movement via peristalsis
Asynchronous muscles power flight in most insect species. a: Wings b: Wing joint c: Dorsoventral muscles power the upstroke d: Dorsolongitudinal muscles (DLM) power the downstroke. The DLMs are oriented out of the page.
Electrodes touch a frog, and the legs twitch into the upward position

Unlike skeletal muscle, the contractions of smooth and cardiac muscles are myogenic (meaning that they are initiated by the smooth or heart muscle cells themselves instead of being stimulated by an outside event such as nerve stimulation), although they can be modulated by stimuli from the autonomic nervous system.

A myocardial infarction occurs when an atherosclerotic plaque slowly builds up in the inner lining of a coronary artery and then suddenly ruptures, causing catastrophic thrombus formation, totally occluding the artery and preventing blood flow downstream.

Myocardial infarction

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A myocardial infarction occurs when an atherosclerotic plaque slowly builds up in the inner lining of a coronary artery and then suddenly ruptures, causing catastrophic thrombus formation, totally occluding the artery and preventing blood flow downstream.
Cross section showing anterior left ventricle wall infarction
Diagram showing the blood supply to the heart by the two major blood vessels, the left and right coronary arteries (labelled LCA and RCA). A myocardial infarction (2) has occurred with blockage of a branch of the left coronary artery (1).
A 12-lead ECG showing an inferior STEMI due to reduced perfusion through the right coronary artery. Elevation of the ST segment can be seen in leads II, III and aVF.
ECG : AMI with ST elevation in V2-4
Inserting a stent to widen the artery.

A myocardial infarction (MI), commonly known as a heart attack, occurs when blood flow decreases or stops to the coronary artery of the heart, causing damage to the heart muscle.

A top-down view of skeletal muscle

Skeletal muscle

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Skeletal muscles (commonly referred to as muscles) are organs of the vertebrate muscular system and typically are attached by tendons to bones of a skeleton.

Skeletal muscles (commonly referred to as muscles) are organs of the vertebrate muscular system and typically are attached by tendons to bones of a skeleton.

A top-down view of skeletal muscle
3D rendering of a skeletal muscle fiber
Muscle types by fiber arrangement
Types of pennate muscle. A – unipennate; B – bipennate; 
C – multipennate
ATPase staining of a muscle cross section. Type II fibers are dark, due to the alkaline pH of the preparation. In this example, the size of the type II fibers is considerably less than the type I fibers due to denervation atrophy.
Structure of muscle fibre showing a sarcomere under electron microscope with schematic explanation.
Diagram of sarcoplasmic reticulum with terminal cisternae and T-tubules.
Human embryo showing somites labelled as primitive segments.
When a sarcomere contracts, the Z lines move closer together, and the I band becomes smaller. The A band stays the same width. At full contraction, the thin and thick filaments overlap.
Contraction in more detail
(a) Some ATP is stored in a resting muscle. As contraction starts, it is used up in seconds. More ATP is generated from creatine phosphate for about 15 seconds. (b) Each glucose molecule produces two ATP and two molecules of pyruvic acid, which can be used in aerobic respiration or converted to lactic acid. If oxygen is not available, pyruvic acid is converted to lactic acid, which may contribute to muscle fatigue. This occurs during strenuous exercise when high amounts of energy are needed but oxygen cannot be sufficiently delivered to muscle. (c) Aerobic respiration is the breakdown of glucose in the presence of oxygen (O2) to produce carbon dioxide, water, and ATP. Approximately 95 percent of the ATP required for resting or moderately active muscles is provided by aerobic respiration, which takes place in mitochondria.
Exercise-induced signaling pathways in skeletal muscle that determine specialized characteristics of slow- and fast-twitch muscle fibers
Jogging is one form of aerobic exercise.
In muscular dystrophy, the affected tissues become disorganized and the concentration of dystrophin (green) is greatly reduced.
Prisoner of war exhibiting muscle loss as a result of malnutrition.

The other types of muscle are cardiac muscle which is also striated and smooth muscle which is non-striated; both of these types of muscle tissue are classified as involuntary, or, under the control of the autonomic nervous system.

General structure of a skeletal muscle cell and neuromuscular junction: 1. Axon

2. Neuromuscular junction

3. Skeletal muscle fiber

4. Myofibril

Muscle cell

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General structure of a skeletal muscle cell and neuromuscular junction: 1. Axon

2. Neuromuscular junction

3. Skeletal muscle fiber

4. Myofibril
Diagram of skeletal muscle fiber structure

A muscle cell is also known as a myocyte when referring to either a cardiac muscle cell (cardiomyocyte), or a smooth muscle cell as these are both small cells.

Illustration depicting angina

Angina

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Illustration depicting angina
Illustration depicting angina
Diagram of discomfort caused by coronary artery disease. Pressure, fullness, squeezing or pain in the center of the chest. Can also feel discomfort in the neck, jaw, shoulders, back or arms.

Angina, also known as angina pectoris, is chest pain or pressure, a symptom of coronary heart disease, usually due to insufficient blood flow to the heart muscle (myocardium).

Ventricular fibrillation (VF) showing disorganized electrical activity producing a spiked tracing on an electrocardiogram (ECG)

Arrhythmia

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Too fast or too slow.

Too fast or too slow.

Ventricular fibrillation (VF) showing disorganized electrical activity producing a spiked tracing on an electrocardiogram (ECG)
Broad classification of arrhythmias according to region of heart required to sustain the rhythm
Normal sinus rhythm, with solid black arrows pointing to normal P waves representative of normal sinus node function, followed by a pause in sinus node activity (resulting in a transient loss of heartbeats). Note that the P wave that disrupts the pause (indicated by the dashed arrow) does not look like the previous (normal) P waves – this last P wave is arising from a different part of the atrium, representing an escape rhythm.

Automaticity refers to a cardiac muscle cell firing off an impulse on its own.

Smooth muscle

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Involuntary non-striated muscle, so-called because it has no sarcomeres and therefore no striations .

Involuntary non-striated muscle, so-called because it has no sarcomeres and therefore no striations .

Smooth muscle tissue, highlighting the inner circular layer (nuclei then rest of cells in pink), outer longitudinal layer (nuclei then rest of cells), then the serous membrane facing the lumen of the peritoneal cavity
The dense bodies and intermediate filaments are networked through the sarcoplasm, which cause the muscle fiber to contract.
A series of axon-like swellings, called varicosities from autonomic neurons, loosely form motor units through the smooth muscle.
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Smooth muscle differs from skeletal muscle and cardiac muscle in terms of structure, function, regulation of contraction, and excitation-contraction coupling.

Micrograph of HPS stained skeletal striated muscle (fibularis longus).

Striated muscle tissue

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Micrograph of HPS stained skeletal striated muscle (fibularis longus).

Cardiac muscle (heart muscle)

Myofilament

Myofilament

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Myofilaments are the three protein filaments of myofibrils in muscle cells.

Myofilaments are the three protein filaments of myofibrils in muscle cells.

Myofilament
Muscle fiber showing thick and thin myofilaments of a myofibril.

Types of muscle tissue are striated skeletal muscle and cardiac muscle, obliquely striated muscle (found in some invertebrates), and non-striated smooth muscle.