Early
Development: The human embryonic heart (EHR)
begins beating at approximately 21 days after conception, or
five weeks after the last normal menstrual period (LMP), which
is the date normally used to date pregnancy. The human heart
begins beating at a rate near the mother's, about 75-80 beats
per minute (bpm). It then accelerates linearly for the first
month of beating, peaking at 165-185 bpm during the early 7th
week, (early 9th week after the LMP). This acceleration is approximately
3.3 bpm per day, or about 10 bpm every three days, an increase
of 100 bpm in the first month.
After peaking at about 9.2 weeks after the LMP,
it decelerates to about 150 bpm (+/-25 bpm) during the 15 week
after the LMP. After the 15th week the deceleration slows reaching
an average rate of about 145 (+/-25 bpm) bpm at term.
Structure:
In the human body , the heart is normally situated slightly
to the left of the middle of the thorax , underneath the sternum
(breastbone). It is enclosed by a sac known as the pericardium
and is surrounded by the lungs . The apex is the blunt point
at the base of the heart. A stethoscope can be placed directly
over the apex and count the beats. In normal adults, its mass
is 250-350 g , but extremely diseased hearts can be up to 1000
g in mass. It consists of four chambers, the two upper atria
(singular: atrium) and the two lower ventricles .
A septum divides the right atrium and ventricle
from the left atrium and ventricle, preventing blood from passing
between them. Valves between the atria and ventricles (atrioventricular
valves) maintain coordinated unidirectional flow of blood from
the atria to the ventricles.The ventricular systole consists
of the contraction of the ventricles and flow of blood into
the circulatory system. Again, once all the blood empties from
the ventricles, the pulmonary and aortic semilunar valves close.
Finally complete cardiac diastole involves relaxation of the
atria and ventricles in preparation for refilling with circulating
blood.
Pulse
Rates: A normal pulse rate for a healthy adult,
while resting, can range from 60 to 90 beats per minute (BPM).
During sleep, this can drop to as low as 40 BPM; during strenuous
exercise, it can rise as high as 200–220
BPM. Generally, pulse rates are higher in younger persons. A
resting heart rate for an infant is as high as or higher than
an adult's pulse rate during strenuous exercise.