What Is a Heart Attack? How the heart works You don t need a science degree - or even an O-level in biology - to understand the mechanics of a heart attack. It really is very simple. First, a word about the circulation of the blood. The heart is a pump which sends blood on its way through the body. Blood goes to the lungs to pick up oxygen from the air we breathe. This bright red oxygenated blood is then conveyed round the body in the arteries and returns to the heart, with the oxygen used up, via the veins as dark red, de-oxygenated blood. Then the cycle starts all over again. Figure 1 is a drawing of the four chambers that make up the human heart, showing the direction of the blood flow. The walls of these chambers are composed of a special kind of muscle which does not tire. Each side of the heart, left and right, has a thin-walled chamber called an atrium, which lies over a much bigger and stronger chamber called a ventricle. Each atrium is separated from its corresponding ventricle, which en- sures that the blood flows in one direction only. The i right atrium is separated from the right ventricle by the tricuspid valve; while the left atrium is separated from the left ventricle by what is called the mitral valve, because it looks like a bishop s mitre. Notice also that
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