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Cardiac muscle

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793:), heart disease, or heart muscle injury such as after a myocardial infarction. A healthy adult cardiomyocyte has a cylindrical shape that is approximately 100μm long and 10–25μm in diameter. Cardiomyocyte hypertrophy occurs through sarcomerogenesis, the creation of new sarcomere units in the cell. During heart volume overload, cardiomyocytes grow through eccentric hypertrophy. The cardiomyocytes extend lengthwise but have the same diameter, resulting in ventricular dilation. During heart pressure overload, cardiomyocytes grow through concentric hypertrophy. The cardiomyocytes grow larger in diameter but have the same length, resulting in heart wall thickening. 681:, intercalated discs appear as thin, typically dark-staining lines dividing adjacent cardiac muscle cells. The intercalated discs run perpendicular to the direction of muscle fibers. Under electron microscopy, an intercalated disc's path appears more complex. At low magnification, this may appear as a convoluted electron dense structure overlying the location of the obscured Z-line. At high magnification, the intercalated disc's path appears even more convoluted, with both longitudinal and transverse areas appearing in longitudinal section. 299: 378: 885:. In contrast, in skeletal muscle, minimal calcium flows into the cell during action potential and instead the sarcoplasmic reticulum in these cells is directly coupled to the surface membrane. This difference can be illustrated by the observation that cardiac muscle fibers require calcium to be present in the solution surrounding the cell to contract, while skeletal muscle fibers will contract without extracellular calcium. 968: 283: 275: 925: 604: 49: 873:. This is the direct result of a membrane which allows sodium ions to slowly enter the cell until the threshold is reached for depolarization. Calcium ions follow and extend the depolarization even further. Once calcium stops moving inward, potassium ions move out slowly to produce repolarization. The very slow repolarization of the CMC membrane is responsible for the long refractory period. 916:, calcium ions bind to the protein troponin, which along with tropomyosin then uncover key binding sites on actin. Myosin, in the thick filament, can then bind to actin, pulling the thick filaments along the thin filaments. When the concentration of calcium within the cell falls, troponin and tropomyosin once again cover the binding sites on actin, causing the cell to relax. 291: 370: 40: 2954:"2014 ESC/EACTS Guidelines on myocardial revascularization: the Task Force on Myocardial Revascularization of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS). Developed with the special contribution of the European Association of Percutaneous Cardiovascular Interventions (EAPCI)" 441:. They also must be able to receive and respond to electrical impulses from the brain. Lastly, they must be able to transfer electrical impulses from cell to cell. Pacemaker cells in the sinoatrial node, and atrioventricular node are smaller and conduct at a relatively slow rate between the cells. Specialized conductive cells in the 334:
allow the ventricle to squeeze in several directions simultaneously – longitudinally (becoming shorter from apex to base), radially (becoming narrower from side to side), and with a twisting motion (similar to wringing out a damp cloth) to squeeze the maximum possible amount of blood out of the heart with each heartbeat.
380: 379: 862:. After emptying, the heart immediately relaxes and expands to receive another influx of blood returning from the lungs and other systems of the body, before again contracting to pump blood to the lungs and those systems. A normally performing heart must be fully expanded before it can efficiently pump again. 3511:"2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC). Developed with the special contribution of the Heart Failure Association (HFA) of the ESC" 940:
tested samples of heart muscle from people born before 1955 who had very little cardiac muscle around their heart, many showing with disabilities from this abnormality. By using DNA samples from many hearts, the researchers estimated that a 4-year-old renews about 20% of heart muscle cells per year,
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Cardiac muscle forms both the atria and the ventricles of the heart. Although this muscle tissue is very similar between cardiac chambers, some differences exist. The myocardium found in the ventricles is thick to allow forceful contractions, while the myocardium in the atria is much thinner. The
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Humans are born with a set number of heart muscle cells, or cardiomyocytes, which increase in size as the heart grows larger during childhood development. Evidence suggests that cardiomyocytes are slowly turned over during aging, but less than 50% of the cardiomyocytes present at birth are replaced
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that are connected by cardiac connection fibres. Electrical resistance through intercalated discs is very low, thus allowing free diffusion of ions. The ease of ion movement along cardiac muscle fibers axes is such that action potentials are able to travel from one cardiac muscle cell to the next,
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Within the myocardium, there are several sheets of cardiac muscle cells or cardiomyocytes. The sheets of muscle that wrap around the left ventricle closest to the endocardium are oriented perpendicularly to those closest to the epicardium. When these sheets contract in a coordinated manner they
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Fibroblasts are smaller but more numerous than cardiomyocytes, and several fibroblasts can be attached to a cardiomyocyte at once. When attached to a cardiomyocyte they can influence the electrical currents passing across the muscle cell's surface membrane, and in the context are referred to as
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However, the mechanism by which calcium concentrations within the cytosol rise differ between skeletal and cardiac muscle. In cardiac muscle, the action potential comprises an inward flow of both sodium and calcium ions. The flow of sodium ions is rapid but very short-lived, while the flow of
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Franke WW, Borrmann CM, Grund C, Pieperhoff S (February 2006). "The area composita of adhering junctions connecting heart muscle cells of vertebrates. I. Molecular definition in intercalated disks of cardiomyocytes by immunoelectron microscopy of desmosomal proteins".
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pectoris may occur. This typically causes chest pain during exertion that is relieved by rest. If a coronary artery suddenly becomes very narrowed or completely blocked, interrupting or severely reducing blood flow through the vessel, a
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being electrically coupled, as originally shown in vitro in the 1960s, and ultimately confirmed in native cardiac tissue with the help of optogenetic techniques. Other potential roles for fibroblasts include electrical insulation of the
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network. Although the fundamental mechanisms of calcium handling are similar between ventricular and atrial cardiomyocytes, the calcium transient is smaller and decays more rapidly in atrial myocytes, with a corresponding increase in
589:. They are also involved in mechano-electric feedback, as evident from cell contraction induced T-tubular content exchange (advection-assisted diffusion), which was confirmed by confocal and 3D electron tomography observations. 1090:. Many of these conditions, if severe enough, can damage the heart so much that the pumping function of the heart is reduced. If the heart is no longer able to pump enough blood to meet the body's needs, this is described as 432:
Pacemaker cells carry the impulses that are responsible for the beating of the heart. They are distributed throughout the heart and are responsible for several functions. First, they are responsible for being able to
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Rog-Zielinska, Eva A.; Scardigli, Marina; Peyronnet, Remi; Zgierski-Johnston, Callum M.; Greiner, Joachim; Madl, Josef; O’Toole, Eileen T.; Morphew, Mary; Hoenger, Andreas; Sacconi, Leonardo; Kohl, Peter (2021-01-22).
670:. They allow action potentials to spread between cardiac cells by permitting the passage of ions between cells, producing depolarization of the heart muscle. The three types of junction act together as a single 853:
is the performance of the human heart from the beginning of one heartbeat to the beginning of the next. It consists of two periods: one during which the heart muscle relaxes and refills with blood, called
381: 570:, but fewer in number. In the centre of the cell they join, running into and along the cell as a transverse-axial network. Inside the cell they lie close to the cell's internal calcium store, the 699:, but instead are largely responsible for creating and maintaining the extracellular matrix which surrounds the cardiomyocytes. Fibroblasts play a crucial role in responding to injury, such as a 3509:
Ponikowski, Piotr; Voors, Adriaan A.; Anker, Stefan D.; Bueno, Héctor; Cleland, John G. F.; Coats, Andrew J. S.; Falk, Volkmar; González-Juanatey, José Ramón; Harjola, Veli-Pekka (August 2016).
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capacity. The complement of ion channels differs between chambers, leading to longer action potential durations and effective refractory periods in the ventricles. Certain ion currents such as
658:). The discs are responsible mainly for force transmission during muscle contraction. Intercalated discs consist of three different types of cell-cell junctions: the actin filament anchoring 471:- working to efficiently pump blood from the heart, and if this coordination breaks down then – despite individual cells contracting – the heart may not pump at all, such as may occur during 2570:
Orlic D, Kajstura J, Chimenti S, Jakoniuk I, Anderson SM, Li B, Pickel K, McKay R, Nadal-Ginard B, Bodine DM, Anversa P (April 2001). "Bone marrow cells regenerate infarcted myocardium".
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Kolh, Philippe; Windecker, Stephan; Alfonso, Fernando; Collet, Jean-Philippe; Cremer, Jochen; Falk, Volkmar; Filippatos, Gerasimos; Hamm, Christian; Head, Stuart J. (October 2014).
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Bergmann, O.; Bhardwaj, R. D.; Bernard, S.; Zdunek, S.; Barnabe-Heider, F.; Walsh, S.; Zupicich, J.; Alkass, K.; Buchholz, B. A.; Druid, H.; Jovinge, S.; Frisen, J. (3 April 2009).
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Roffi, Marco; Patrono, Carlo; Collet, Jean-Philippe; Mueller, Christian; Valgimigli, Marco; Andreotti, Felicita; Bax, Jeroen J.; Borger, Michael A.; Brotons, Carlos (2016-01-14).
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It was commonly believed that cardiac muscle cells could not be regenerated. However, this was contradicted by a report published in 2009. Olaf Bergmann and his colleagues at the
757:. Together, these substances give support and strength to the muscle cells, create elasticity in cardiac muscle, and keep the muscle cells hydrated by binding water molecules. 1141: 467:
Cardiac muscle cells are the contracting cells that allow the heart to pump. Each cardiomyocyte needs to contract in coordination with its neighboring cells - known as a
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Cardiac muscle tissue or myocardium forms the bulk of the heart. The heart wall is a three-layered structure with a thick layer of myocardium sandwiched between the inner
711:(ability to contract). In this capacity, fibroblasts can repair an injury by creating collagen while gently contracting to pull the edges of the injured area together. 634:
that enable the rapid transmission of electrical impulses through the network, enabling the syncytium to act in a coordinated contraction of the myocardium. There is an
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Quinn, T. Alexander; Camelliti, Patrizia; Rog-Zielinska, Eva A.; Siedlecka, Urszula; Poggioli, Tommaso; O'Toole, Eileen T.; Knöpfel, Thomas; Kohl, Peter (2016-12-20).
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Viewed through a microscope, cardiac muscle cells are roughly rectangular, measuring 100–150μm by 30–40μm. Individual cardiac muscle cells are joined at their ends by
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during a normal life span. The growth of individual cardiomyocytes not only occurs during normal heart development, it also occurs in response to extensive exercise (
1926:"A unique and specific interaction between alphaT-catenin and plakophilin-2 in the area composita, the mixed-type junctional structure of cardiac intercalated discs" 947:
In the 2000s, the discovery of adult endogenous cardiac stem cells was reported, and studies were published that claimed that various stem cell lineages, including
1390: 2679: 2876:"Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010" 2874:
Lozano, Rafael; Naghavi, Mohsen; Foreman, Kyle; Lim, Stephen; Shibuya, Kenji; Aboyans, Victor; Abraham, Jerry; Adair, Timothy; Aggarwal, Rakesh (2012-12-15).
1212:"Left ventricular twist mechanics in the context of normal physiology and cardiovascular disease: a review of studies using speckle tracking echocardiography" 869:
during this phase of the beat separates the ions such as sodium, potassium, and calcium. Myocardial cells possess the property of automaticity or spontaneous
130: 1463:. Camm, A. John., Lüscher, Thomas F. (Thomas Felix), Serruys, P. W., European Society of Cardiology (2nd ed.). Oxford: Oxford University Press. 2009. 877:
calcium is sustained and gives the plateau phase characteristic of cardiac muscle action potentials. The comparatively small flow of calcium through the
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that run from the cell surface to the cell's interior which help to improve the efficiency of contraction. The majority of these cells contain only one
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Walden, A. P.; Dibb, K. M.; Trafford, A. W. (April 2009). "Differences in intracellular calcium homeostasis between atrial and ventricular myocytes".
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individual myocytes that make up the myocardium also differ between cardiac chambers. Ventricular cardiomyocytes are longer and wider, with a denser
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Göktepe, S; Abilez, OJ; Parker, KK; Kuhl, E (2010-08-07). "A multiscale model for eccentric and concentric cardiac growth through sarcomerogenesis".
502:, the fundamental contractile units of muscle cells. The regular organization of myofibrils into sarcomeres gives cardiac muscle cells a striped or 558:
are microscopic tubes that run from the cell surface to deep within the cell. They are continuous with the cell membrane, are composed of the same
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Goshima, K.; Tonomura, Y. (1969). "Synchronized beating of embryonic mouse myocardial cells mediated by FL cells in monolayer culture".
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Zhao, G; Qiu, Y; Zhang, HM; Yang, D (January 2019). "Intercalated discs: cellular adhesion and signaling in heart health and diseases".
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One way that cardiomyocyte regeneration occurs is through the division of pre-existing cardiomyocytes during the normal aging process.
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from the cell surface to the cell's core, and helping to regulate the concentration of calcium within the cell in a process known as
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Heart muscle can also become damaged despite a normal blood supply. The heart muscle may become inflamed in a condition called
882: 586: 574:. Here, a single tubule pairs with part of the sarcoplasmic reticulum called a terminal cisterna in a combination known as a 2513:
Senyo SE, Steinhauser ML, Pizzimenti CL, Yang VK, Cai L, Wang M, Wu TD, Guerguin-Kern JL, Lechene CP, Lee RT (January 2013).
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Cardiac fibroblasts are vital supporting cells within cardiac muscle. They are unable to provide forceful contractions like
3602: 3946: 3739: 3650: 125: 912:. As the thick and thin filaments slide past each other the cell becomes shorter and fatter. In a mechanism known as 4974: 4751: 4504: 3852: 3744: 3729: 2623:"Cardiac stem cells in patients with ischaemic cardiomyopathy (SCIPIO): initial results of a randomised phase 1 trial" 1060: 1055:, then a heart muscle region may become permanently scarred and damaged. Specific cardiomyopathies include: increased 2764: 1977:"Desmosomes and Desmosomal Cadherin Function in Skin and Heart Diseases-Advancements in Basic and Clinical Research" 4281: 3804: 1492: 1068: 506:
appearance when looked at through a microscope, similar to skeletal muscle. These striations are caused by lighter
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Intercalated discs are complex adhering structures that connect the single cardiomyocytes to an electrochemical
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Smith, Jennifer N.; Negrelli, Jenna M.; Manek, Megha B.; Hawes, Emily M.; Viera, Anthony J. (March 2015).
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Contracting heart muscle uses a lot of energy, and therefore requires a constant flow of blood to provide
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Jahangir Moini; Professor of Allied Health Everest University Indialantic Florida Jahangir Moini (2011).
4916: 4821: 4789: 4663: 4582: 1324: 1056: 1040: 700: 655: 252: 707:– cells which exhibit behaviour somewhere between a fibroblast (generating extracellular matrix) and a 314:(also known as the visceral pericardium). The inner endocardium lines the cardiac chambers, covers the 3577:
The Etiopathogenesis of Coronary Heart Disease: A Heretical Theory Based on Morphology, Second Edition
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Rohr, Stephan (June 2009). "Myofibroblasts in diseased hearts: new players in cardiac arrhythmias?".
1619:"Cardiac Mechano-Electric Coupling: Acute Effects of Mechanical Stimulation on Heart Rate and Rhythm" 933: 738: 732: 708: 559: 457: 434: 402: 354: 322:
that lines the blood vessels that connect to the heart. On the outer aspect of the myocardium is the
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triggers a much larger release of calcium from the sarcoplasmic reticulum in a phenomenon known as
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Japp, Alan G.; Gulati, Ankur; Cook, Stuart A.; Cowie, Martin R.; Prasad, Sanjay K. (2016-06-28).
2931: 2696: 2688: 2603: 2199:"Electrotonic coupling of excitable and nonexcitable cells in the heart revealed by optogenetics" 1869: 1769: 1656: 1540: 1486: 1440: 1384: 1190: 913: 426: 236: 216: 992:
are highly specific to atrial cardiomyocytes, making them a potential target for treatments for
2716:"Undeniable Evidence That the Adult Mammalian Heart Lacks an Endogenous Regenerative Stem Cell" 1276: 5023: 4951: 4901: 4747: 4646: 4631: 4619: 4547: 4542: 4394: 4310: 4217: 3970: 3781: 3608: 3581: 3548: 3540: 3488: 3470: 3460: 3429: 3411: 3372: 3354: 3315: 3297: 3258: 3250: 3209: 3201: 3150: 3132: 3109:
Liew, Alphonsus C.; Vassiliou, Vassilios S.; Cooper, Robert; Raphael, Claire E. (2017-12-12).
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and about 69% of the heart muscle cells of a 50-year-old were generated after they were born.
866: 761: 754: 741:(ECM) surrounds the cardiomyocyte and fibroblasts. The ECM is composed of proteins including 631: 607: 598: 483: 453: 346: 298: 201: 1034:. If these narrowings become severe enough to partially restrict blood flow, the syndrome of 4785: 4681: 4651: 4010: 3826: 3809: 3786: 3530: 3522: 3478: 3452: 3419: 3403: 3362: 3346: 3305: 3289: 3240: 3191: 3181: 3140: 3122: 3073: 3063: 3014: 2965: 2913: 2895: 2887: 2838: 2791: 2735: 2727: 2663: 2642: 2634: 2587: 2542: 2534: 2485: 2477: 2398: 2350: 2342: 2293: 2277: 2236: 2218: 2171: 2128: 2091: 2075: 2025: 1998: 1988: 1947: 1937: 1898: 1853: 1745: 1704: 1688: 1630: 1589: 1573: 1268: 1233: 1223: 1011: 830: 765: 678: 353:
and lie on the outer or epicardial surface of the heart. Blood is then drained away by the
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Pieperhoff S, Barth M, Rickelt S, Franke WW (2010). Mahoney MG, Müller EJ, Koch PJ (eds.).
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Bracamonte-Baran, William; Čiháková, Daniela (2017). "Cardiac Autoimmunity: Myocarditis".
1417:. Lowe, J. S. (James Steven), Stevens, Alan (Pathologist). (2nd ed.). London: Mosby. 1337: 1131: 1031: 808: 659: 644: 567: 446: 418: 327: 220: 205: 181: 173: 1167:. Last, R. J. (Raymond Jack) (11th ed.). Edinburgh: Elsevier/Churchill Livingstone. 2918: 2583: 2530: 2473: 2394: 2338: 2214: 566:
that surrounds the cell. T-tubules in cardiac muscle are bigger and wider than those in
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Bolli R, Chugh AR, D'Amario D, Loughran JH, Stoddard MF, Ikram S, et al. (2011).
429:. Other pacemaker cells are found in the atrioventricular node (secondary pacemaker). 5038: 4921: 4360: 3868: 3695: 3680: 3560: 3078: 2900: 2175: 1773: 1733: 1660: 1269: 1091: 1079: 952: 850: 826: 704: 667: 581:
The functions of T-tubules include rapidly transmitting electrical impulses known as
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oriented along the length of the cell slide over each other in what is known as the
654:(in contrast to the skeletal muscle, which becomes a multicellular syncytium during 4837: 4833: 4825: 4731: 4039: 3992: 3451:. Advances in Experimental Medicine and Biology. Vol. 1003. pp. 187–221. 2935: 2607: 2425: 1098: 1083: 1078:, most commonly caused by a viral infection but sometimes caused by the body's own 1044: 924: 773: 719:, and the ability to transform into other cell types including cardiomyocytes and 615: 603: 526: 422: 414: 358: 1692: 1071:). Some of these conditions are caused by genetic mutations and can be inherited. 48: 3456: 3407: 3019: 3002: 2765:"He Promised to Restore Damaged Hearts. Harvard Says His Lab Fabricated Research" 1677:"Beat-by-Beat Cardiomyocyte T-Tubule Deformation Drives Tubular Content Exchange" 94: 4961: 4943: 4878: 4870: 4817: 4721: 4711: 4658: 4389: 4364: 4183: 4154: 3955: 3755: 3712: 2795: 2281: 2266:"Aging and the cardiac collagen matrix: Novel mediators of fibrotic remodelling" 2132: 1301: 1228: 1211: 1210:
Stöhr, Eric J.; Shave, Rob E.; Baggish, Aaron L.; Weiner, Rory B. (2016-09-01).
1075: 909: 896:. There are two kinds of myofilaments, thick filaments composed of the protein 889: 690: 323: 319: 315: 307: 232: 193: 189: 3245: 3228: 3186: 3169: 3068: 3051: 3003:"Diagnosis and management of acute coronary syndrome: an evidence-based update" 2402: 1902: 1749: 1635: 1618: 1577: 529:(some may have two central nuclei), unlike skeletal muscle cells which contain 4986: 4801: 4459: 4420: 4415: 4305: 4266: 4240: 4235: 4205: 4200: 4195: 4123: 4056: 4034: 3886: 1857: 663: 611: 522: 472: 406: 311: 166: 3544: 3474: 3415: 3358: 3301: 3293: 3254: 3205: 3136: 3087: 3028: 2979: 2909: 2852: 2803: 2289: 2232: 2140: 2087: 2079: 1757: 1700: 1644: 1585: 1478: 1245: 118: 17: 4464: 4369: 4355: 4315: 4225: 4141: 4093: 4088: 4005: 3923: 2481: 2346: 2223: 1532: 1432: 1182: 1126: 937: 837:
subsequently triggers muscle contraction by increasing the concentration of
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The matrix in immediate contact with the muscle cells is referred to as the
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triggers the release of calcium from the cell's internal calcium store, the
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were able to differentiate into cardiomyocytes, and could be used to treat
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The swirling musculature of the heart ensures effective pumping of blood.
905: 855: 777: 742: 555: 518: 244: 2538: 2439: 1734:"Electron microscopy of cardiac 3D nanodynamics: form, function, future" 858:, following a period of robust contraction and pumping of blood, dubbed 4489: 4469: 4174: 4098: 3535: 3127: 1942: 1925: 859: 838: 817:
The physiology of cardiac muscle shares many similarities with that of
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conditions caused by a restricted blood supply to the muscle such as
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or heart attack occurs. If the blockage is not relieved promptly by
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Kohl, Peter; Greiner, Joachim; Rog-Zielinska, Eva A. (2022-04-08).
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American Journal of Physiology. Heart and Circulatory Physiology
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Gray's anatomy : the anatomical basis of clinical practice
200:. It is composed of individual cardiac muscle cells joined by 3229:"Constrictive Pericarditis Versus Restrictive Cardiomyopathy?" 2456:
Bergmann O, Bhardwaj RD, Bernard S, et al. (April 2009).
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During contraction of a cardiac muscle cell, the long protein
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Excitation-contraction coupling and cardiac contractile force
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Significant damage to cardiac muscle cells is referred to as
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which provide the energy needed for the cell in the form of
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3D rendering showing thick myocardium within the heart wall.
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are larger in diameter and conduct signals at a fast rate.
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The Immunology of Cardiovascular Homeostasis and Pathology
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Goossens S, Janssens B, Bonné S, et al. (June 2007).
3170:"The Diagnosis and Evaluation of Dilated Cardiomyopathy" 2515:"Mammalian heart renewal by pre-existing cardiomyocytes" 643:
facing only slight resistance. Each syncytium obeys the
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The Purkinje fibers rapidly conduct electrical signals;
1517:(2nd ed.). Dordrecht: Kluwer Academic Publishers. 3111:"Hypertrophic Cardiomyopathy-Past, Present and Future" 2062:
Ivey, Malina J.; Tallquist, Michelle D. (2016-10-25).
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that slide past each other. These are organized into
421:(the primary pacemaker) positioned on the wall of the 401:
of the cardiac muscle. The cells are surrounded by an
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Horn, Margaux A.; Trafford, Andrew W. (April 2016).
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cells. Specialised modified cardiomyocytes known as
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that surrounds, protects, and lubricates the heart.
5006: 4960: 4942: 4887: 4869: 4862: 4800: 4710: 4703: 4598: 4535: 4528: 4445: 4403: 4378: 4331: 4324: 4294: 4254: 4216: 4140: 4107: 4023: 3945: 3936: 3922: 3911: 3900: 3875: 3797: 3764: 3673: 2426:"Cardiovascular Physiology= Cardiac muscle Concept" 1142:
List of distinct cell types in the adult human body
124: 112: 100: 88: 76: 71: 60: 55: 32: 1793:. Jones & Bartlett Publishers. pp. 213–. 3007:Journal of the American Board of Family Medicine 2032:A Learning System in Histology: CD-ROM and Guide 541:(ATP), making them highly resistant to fatigue. 2203:Proceedings of the National Academy of Sciences 1790:Anatomy and Physiology for Health Professionals 1617:Quinn, T. Alexander; Kohl, Peter (2021-01-01). 1560:Hong, TingTing; Shaw, Robin M. (January 2017). 1105:defined as either coagulative or colliquative. 2458:"Evidence for cardiomyocyte renewal in humans" 2376: 2374: 2323:"Evidence for cardiomyocyte renewal in humans" 1300:Kashou AH, Basit H, Chhabra L (January 2020). 900:, and thin filaments composed of the proteins 4505: 3853: 3651: 3233:Journal of the American College of Cardiology 3174:Journal of the American College of Cardiology 2825:Ravens, Ursula; Wettwer, Erich (2011-03-01). 235:to slide past each other in a process called 8: 2784:Journal of Molecular and Cellular Cardiology 2270:Journal of Molecular and Cellular Cardiology 1562:"Cardiac T-Tubule Microanatomy and Function" 1545:: CS1 maint: multiple names: authors list ( 1445:: CS1 maint: multiple names: authors list ( 1195:: CS1 maint: multiple names: authors list ( 1010:Diseases affecting cardiac muscle, known as 865:The rest phase is considered polarized. The 630:is a network of cardiomyocytes connected by 490:, specialized protein contractile fibers of 456:to bring nutrients to the muscle cells, and 2958:European Journal of Cardio-Thoracic Surgery 2451: 2449: 1461:The ESC textbook of cardiovascular medicine 286:Differently oriented cardiac muscle fibers. 4866: 4707: 4602: 4532: 4512: 4498: 4490: 4328: 4027: 3942: 3933: 3919: 3908: 3860: 3846: 3838: 3658: 3644: 3636: 2699:|...|intentional=yes}} 1389:: CS1 maint: location missing publisher ( 1165:Last's anatomy : regional and applied 562:, and are open at the cell surface to the 47: 38: 3534: 3482: 3423: 3366: 3309: 3244: 3195: 3185: 3144: 3126: 3077: 3067: 3018: 2969: 2917: 2899: 2842: 2739: 2646: 2546: 2489: 2354: 2297: 2240: 2222: 2095: 2002: 1992: 1951: 1941: 1708: 1634: 1593: 1271:Biology : concepts & connections 1227: 486:to form long fibers. Each cell contains 231:. The rise in calcium causes the cell's 1032:the formation of atherosclerotic plaques 963:Differences between atria and ventricles 923: 602: 386:An isolated cardiac muscle cell, beating 376: 368: 297: 289: 281: 273: 243:are of major importance. These include 239:. Diseases of the heart muscle known as 184:that constitutes the main tissue of the 1839: 1837: 1369:(Forty-first ed.). . p. 139. 1302:"Physiology, Sinoatrial Node (SA Node)" 1152: 1101:which is considered a type of cellular 803:Cardiac excitation-contraction coupling 27:Muscular tissue of heart in vertebrates 4772:moderator band/septomarginal trabecula 1538: 1484: 1438: 1382: 1333: 1322: 1267:Neil A. Campbell; et al. (2006). 1188: 662:, the intermediate filament anchoring 373:Illustration of a cardiac muscle cell. 141: 29: 3504: 3502: 2947: 2945: 2057: 2055: 1413:(Pathologist), Stevens, Alan (1997). 1352:"Anatomy and Physiology of the Heart" 510:composed mainly of actin, and darker 464:network to take away waste products. 7: 4246:Connective tissue in skeletal muscle 1508: 1506: 1504: 1502: 1408: 1406: 1404: 1402: 1400: 1158: 1156: 1024:blood supply to the heart is reduced 1014:, are the leading cause of death in 610:are part of the cardiac muscle cell 533:. Cardiac muscle cells contain many 345:is brought to the myocardium by the 83:textus muscularis striatus cardiacus 3339:The New England Journal of Medicine 208:and other substances that form the 1049:percutaneous coronary intervention 25: 3822:List of muscles of the human body 3604:Atlas of Cardiovascular Pathology 3515:European Journal of Heart Failure 2732:10.1161/CIRCULATIONAHA.118.035186 2064:"Defining the Cardiac Fibroblast" 3333:Cooper, Leslie T. (2009-04-09). 4277:Excitation–contraction coupling 3396:Current Opinion in Rheumatology 3227:Garcia, Mario J. (2016-05-03). 2714:Maliken B, Molkentin J (2018). 2440:"Cells Alive: Pumping Myocytes" 1820:. Elsevier India. p. 247. 1163:S., Sinnatamby, Chummy (2006). 1122:Frank–Starling law of the heart 1018:. The most common condition is 883:calcium-induced calcium release 587:excitation-contraction coupling 237:excitation-contraction coupling 196:), with blood supplied via the 2383:Journal of Theoretical Biology 1817:Textbook Of Medical Physiology 1137:Regional function of the heart 1: 2892:10.1016/S0140-6736(12)61728-0 2668:10.1016/S0140-6736(19)30542-2 2639:10.1016/S0140-6736(11)61590-0 1693:10.1161/CIRCRESAHA.120.317266 3457:10.1007/978-3-319-57613-8_10 3408:10.1097/BOR.0000000000000303 3278:"Inherited cardiomyopathies" 3115:Journal of Clinical Medicine 3020:10.3122/jabfm.2015.02.140189 2176:10.1016/0014-4827(69)90029-9 514:composed mainly of myosin. 349:. These originate from the 302:Cardiac sarcomere structure 4975:sternopericardial ligaments 4752:valve of inferior vena cava 3390:Rose, Noel R. (July 2016). 3276:Towbin, Jeffrey A. (2014). 2796:10.1016/j.yjmcc.2008.11.003 2763:Kolata, Gina (2018-10-29). 2282:10.1016/j.yjmcc.2015.11.005 2133:10.1016/j.hrthm.2009.02.038 1229:10.1152/ajpheart.00104.2016 1061:hypertrophic cardiomyopathy 425:, near the entrance of the 192:) and the inner layer (the 165:) is one of three types of 5081: 4573:posterior interventricular 4282:Sliding filament mechanism 3805:Anatomical terms of muscle 3246:10.1016/j.jacc.2016.01.076 3187:10.1016/j.jacc.2016.03.590 2403:10.1016/j.jtbi.2010.04.023 2164:Experimental Cell Research 1903:10.1016/j.ejcb.2005.11.003 1750:10.1038/s41569-022-00677-x 1636:10.1152/physrev.00036.2019 1578:10.1152/physrev.00037.2015 1112: 1069:restrictive cardiomyopathy 1003: 806: 800: 730: 688: 596: 548: 417:. They are located in the 267: 5055:Cardiac electrophysiology 4987:epicardium/visceral layer 4776:crista supraventricularis 4677: 4605: 4568:anterior interventricular 4030: 4001: 3580:. CRC Press. p. 88. 3574:Baroldi, Giorgio (2004). 3079:10067/1526940151162165141 2030:Vaughan, Deborah (2002). 1858:10.1007/s10741-018-9743-7 1738:Nature Reviews Cardiology 1365:Standring, Susan (2016). 1086:, or persistent abnormal 928:Dog cardiac muscle (400X) 717:cardiac conduction system 660:fascia adherens junctions 136: 46: 37: 3631:Cardiac muscle histology 3294:10.1253/circj.CJ-14-0893 3069:10.1093/eurheartj/ehv320 2080:10.1253/circj.CJ-16-1003 2026:Histology image:22501loa 1067:), or abnormally stiff ( 835:cardiac action potential 813:Myocardial contractility 753:(sugar chains) known as 477:ventricular fibrillation 326:which forms part of the 225:cardiac action potential 180:. It is an involuntary, 4756:valve of coronary sinus 4669:atrioventricular septum 4637:interventricular septum 4475:Fukutin-related protein 2831:Cardiovascular Research 2482:10.1126/science.1164680 2347:10.1126/science.1164680 2224:10.1073/pnas.1611184114 2036:Oxford University Press 1020:coronary artery disease 894:sliding filament theory 879:L-type calcium channels 791:athletic heart syndrome 517:Cardiomyocytes contain 405:produced by supporting 219:in a similar manner to 4994:fold of left vena cava 4744:limbus of fossa ovalis 4433:Sarcoplasmic reticulum 4262:Neuromuscular junction 4170:elastic filament/titin 3892:Vascular smooth muscle 3056:European Heart Journal 1491:: CS1 maint: others ( 1332:Cite journal requires 1115:anatomical terminology 1065:dilated cardiomyopathy 972: 959:for scientific fraud. 949:bone marrow stem cells 929: 623: 572:sarcoplasmic reticulum 539:adenosine triphosphate 473:abnormal heart rhythms 435:spontaneously generate 397:) are the contractile 387: 374: 303: 295: 287: 279: 270:Heart § Structure 229:sarcoplasmic reticulum 138:Anatomical terminology 4790:pulmonary circulation 4165:thick filament/myosin 3601:Olsen, E. G. (2012). 3351:10.1056/NEJMra0800028 2901:10536/DRO/DU:30050819 2691:|...}} 2662:(Retracted, see 1846:Heart Failure Reviews 1623:Physiological Reviews 1566:Physiological Reviews 1513:M., Bers, D. (2001). 1063:), abnormally large ( 1057:left ventricular mass 1041:myocardial infarction 1004:Further information: 1000:Clinical significance 970: 927: 807:Further information: 764:, mainly composed of 701:myocardial infarction 656:embryonic development 640:ventricular syncytium 606: 385: 372: 318:, and joins with the 301: 293: 285: 277: 268:Further information: 253:myocardial infarction 5019:Coronary circulation 4848:systemic circulation 4687:intervenous tubercle 2971:10.1093/ejcts/ezu366 1936:(Pt 12): 2126–2136. 1681:Circulation Research 934:Karolinska Institute 914:cross-bridge cycling 841:within the cytosol. 739:extracellular matrix 733:Extracellular matrix 727:Extracellular matrix 560:phospholipid bilayer 469:functional syncytium 403:extracellular matrix 391:Cardiac muscle cells 210:extracellular matrix 198:coronary circulation 4970:fibrous pericardium 4160:thin filament/actin 4146:(a, i, and h bands; 3725:Fascial compartment 3392:"Viral myocarditis" 3282:Circulation Journal 2886:(9859): 2095–2128. 2633:(9806): 1847–1857. 2584:2001Natur.410..701O 2539:10.1038/nature11682 2531:2013Natur.493..433S 2474:2009Sci...324...98B 2424:Klabunde, Richard. 2395:2010JThBi.265..433G 2339:2009Sci...324...98B 2215:2016PNAS..11314852Q 2209:(51): 14852–14857. 2068:Circulation Journal 1994:10.1155/2010/725647 1030:become narrowed by 1016:developed countries 994:atrial fibrillation 564:extracellular fluid 439:electrical impulses 172:, the others being 5014:Circulatory system 4982:serous pericardium 4944:Pericardial cavity 4642:trabeculae carneae 4615:interatrial septum 3128:10.3390/jcm6120118 2844:10.1093/cvr/cvq398 2769:The New York Times 1981:Dermatol Res Pract 1943:10.1242/jcs.004713 1891:Eur. J. Cell Biol. 1113:This article uses 973: 930: 755:glycosaminoglycans 709:smooth muscle cell 632:intercalated discs 624: 608:Intercalated discs 593:Intercalated discs 484:intercalated discs 427:superior vena cava 388: 375: 304: 296: 288: 280: 202:intercalated discs 5032: 5031: 5024:Coronary arteries 5002: 5001: 4952:pericardial sinus 4912:Bachmann's bundle 4902:cardiac pacemaker 4897:Conduction system 4858: 4857: 4748:crista terminalis 4699: 4698: 4695: 4694: 4647:chordae tendineae 4620:pectinate muscles 4487: 4486: 4483: 4482: 4441: 4440: 4395:Myosatellite cell 4311:Intercalated disc 4290: 4289: 4218:Connective tissue 4136: 4135: 4132: 4131: 4099:Synemin/desmuslin 4019: 4018: 3835: 3834: 3466:978-3-319-57611-4 3345:(15): 1526–1538. 3288:(10): 2347–2356. 3239:(17): 2061–2076. 3180:(25): 2996–3010. 2578:(6829): 701–705. 2525:(7432): 433–436. 2074:(11): 2269–2276. 1827:978-81-8147-850-4 1800:978-1-4496-3414-8 1174:978-0-443-10032-1 1028:coronary arteries 983:calcium buffering 867:resting potential 762:basement membrane 628:cardiac syncytium 614:and they contain 599:Intercalated disc 583:action potentials 454:coronary arteries 383: 347:coronary arteries 204:, and encased by 186:wall of the heart 152: 151: 147: 16:(Redirected from 5072: 4867: 4822:atrial appendage 4786:pulmonary artery 4736:atrial appendage 4708: 4682:cardiac skeleton 4652:papillary muscle 4603: 4533: 4514: 4507: 4500: 4491: 4329: 4112: 4028: 4011:Laminin, alpha 2 3943: 3934: 3920: 3909: 3862: 3855: 3848: 3839: 3827:Composite muscle 3660: 3653: 3646: 3637: 3619: 3618: 3598: 3592: 3591: 3571: 3565: 3564: 3538: 3527:10.1002/ejhf.592 3506: 3497: 3496: 3486: 3444: 3438: 3437: 3427: 3387: 3381: 3380: 3370: 3330: 3324: 3323: 3313: 3273: 3267: 3266: 3248: 3224: 3218: 3217: 3199: 3189: 3165: 3159: 3158: 3148: 3130: 3106: 3100: 3099: 3081: 3071: 3047: 3041: 3040: 3022: 2998: 2992: 2991: 2973: 2949: 2940: 2939: 2921: 2903: 2871: 2865: 2864: 2846: 2822: 2816: 2815: 2779: 2773: 2772: 2760: 2754: 2753: 2743: 2711: 2705: 2704: 2702: 2700: 2692: 2681:Retraction Watch 2660: 2650: 2618: 2612: 2611: 2592:10.1038/35070587 2567: 2561: 2560: 2550: 2510: 2504: 2503: 2493: 2468:(5923): 98–102. 2453: 2444: 2443: 2436: 2430: 2429: 2421: 2415: 2414: 2378: 2369: 2368: 2358: 2333:(5923): 98–102. 2318: 2312: 2311: 2301: 2261: 2255: 2254: 2244: 2226: 2194: 2188: 2187: 2170:(2–3): 387–392. 2159: 2153: 2152: 2116: 2110: 2109: 2099: 2059: 2050: 2049: 2023: 2017: 2016: 2006: 1996: 1972: 1966: 1965: 1955: 1945: 1921: 1915: 1914: 1884: 1878: 1877: 1841: 1832: 1831: 1814:Khurana (2005). 1811: 1805: 1804: 1784: 1778: 1777: 1729: 1723: 1722: 1712: 1671: 1665: 1664: 1638: 1614: 1608: 1607: 1597: 1557: 1551: 1550: 1544: 1536: 1510: 1497: 1496: 1490: 1482: 1457: 1451: 1450: 1444: 1436: 1410: 1395: 1394: 1388: 1380: 1362: 1356: 1355: 1348: 1342: 1341: 1335: 1330: 1328: 1320: 1318: 1316: 1297: 1291: 1290: 1274: 1264: 1258: 1257: 1231: 1207: 1201: 1200: 1194: 1186: 1160: 1012:cardiomyopathies 831:action potential 766:type IV collagen 679:light microscopy 636:atrial syncytium 384: 341:and nutrients. 241:cardiomyopathies 144:edit on Wikidata 51: 42: 30: 21: 5080: 5079: 5075: 5074: 5073: 5071: 5070: 5069: 5050:Muscular system 5045:Cardiac anatomy 5035: 5034: 5033: 5028: 4998: 4956: 4938: 4932:Purkinje fibers 4927:bundle branches 4883: 4854: 4812:pulmonary veins 4796: 4780:pulmonary valve 4764:right ventricle 4760:tricuspid valve 4691: 4673: 4625:terminal sulcus 4594: 4524: 4520:Anatomy of the 4518: 4488: 4479: 4447: 4437: 4399: 4374: 4320: 4297: 4286: 4250: 4212: 4147: 4145: 4128: 4108: 4103: 4015: 3997: 3938: 3927: 3914: 3903: 3896: 3878: 3871: 3866: 3836: 3831: 3793: 3760: 3691:Skeletal muscle 3669: 3667:Muscular system 3664: 3627: 3622: 3615: 3600: 3599: 3595: 3588: 3573: 3572: 3568: 3508: 3507: 3500: 3467: 3446: 3445: 3441: 3389: 3388: 3384: 3332: 3331: 3327: 3275: 3274: 3270: 3226: 3225: 3221: 3167: 3166: 3162: 3108: 3107: 3103: 3049: 3048: 3044: 3000: 2999: 2995: 2951: 2950: 2943: 2873: 2872: 2868: 2824: 2823: 2819: 2781: 2780: 2776: 2762: 2761: 2757: 2713: 2712: 2708: 2694: 2686: 2684: 2661: 2620: 2619: 2615: 2569: 2568: 2564: 2512: 2511: 2507: 2455: 2454: 2447: 2438: 2437: 2433: 2423: 2422: 2418: 2380: 2379: 2372: 2320: 2319: 2315: 2263: 2262: 2258: 2196: 2195: 2191: 2161: 2160: 2156: 2118: 2117: 2113: 2061: 2060: 2053: 2046: 2029: 2024: 2020: 1974: 1973: 1969: 1923: 1922: 1918: 1886: 1885: 1881: 1843: 1842: 1835: 1828: 1813: 1812: 1808: 1801: 1786: 1785: 1781: 1731: 1730: 1726: 1673: 1672: 1668: 1616: 1615: 1611: 1559: 1558: 1554: 1537: 1525: 1512: 1511: 1500: 1483: 1471: 1459: 1458: 1454: 1437: 1425: 1415:Human histology 1412: 1411: 1398: 1381: 1377: 1364: 1363: 1359: 1350: 1349: 1345: 1331: 1321: 1314: 1312: 1299: 1298: 1294: 1287: 1266: 1265: 1261: 1222:(3): H633–644. 1209: 1208: 1204: 1187: 1175: 1162: 1161: 1154: 1150: 1132:Protein S100-A1 1118: 1111: 1022:, in which the 1008: 1002: 991: 965: 922: 847: 819:skeletal muscle 815: 809:Autorhythmicity 805: 799: 786: 751:polysaccharides 735: 729: 693: 687: 645:all or none law 601: 595: 568:skeletal muscle 553: 547: 447:Purkinje fibers 419:sinoatrial node 411:pacemaker cells 377: 367: 328:pericardial sac 272: 266: 261: 221:skeletal muscle 215:Cardiac muscle 206:collagen fibers 182:striated muscle 174:skeletal muscle 148: 28: 23: 22: 15: 12: 11: 5: 5078: 5076: 5068: 5067: 5062: 5057: 5052: 5047: 5037: 5036: 5030: 5029: 5027: 5026: 5021: 5016: 5010: 5008: 5004: 5003: 5000: 4999: 4997: 4996: 4991: 4990: 4989: 4979: 4978: 4977: 4966: 4964: 4958: 4957: 4955: 4954: 4948: 4946: 4940: 4939: 4937: 4936: 4935: 4934: 4929: 4924: 4919: 4914: 4909: 4904: 4893: 4891: 4885: 4884: 4882: 4881: 4875: 4873: 4864: 4860: 4859: 4856: 4855: 4853: 4852: 4830:left ventricle 4806: 4804: 4798: 4797: 4795: 4794: 4726:coronary sinus 4716: 4714: 4705: 4701: 4700: 4697: 4696: 4693: 4692: 4690: 4689: 4684: 4678: 4675: 4674: 4672: 4671: 4666: 4661: 4656: 4655: 4654: 4649: 4644: 4639: 4629: 4628: 4627: 4622: 4617: 4606: 4600: 4596: 4595: 4593: 4592: 4591: 4590: 4585: 4577: 4576: 4575: 4570: 4565: 4560: 4550: 4545: 4539: 4537: 4530: 4526: 4525: 4519: 4517: 4516: 4509: 4502: 4494: 4485: 4484: 4481: 4480: 4478: 4477: 4472: 4467: 4462: 4457: 4451: 4449: 4443: 4442: 4439: 4438: 4436: 4435: 4430: 4429: 4428: 4418: 4413: 4407: 4405: 4401: 4400: 4398: 4397: 4392: 4382: 4380: 4376: 4375: 4373: 4372: 4367: 4358: 4353: 4352: 4351: 4346: 4335: 4333: 4326: 4322: 4321: 4319: 4318: 4313: 4308: 4302: 4300: 4292: 4291: 4288: 4287: 4285: 4284: 4279: 4274: 4272:Muscle spindle 4269: 4264: 4258: 4256: 4252: 4251: 4249: 4248: 4243: 4238: 4233: 4228: 4222: 4220: 4214: 4213: 4211: 4210: 4209: 4208: 4203: 4198: 4187: 4186: 4180: 4179: 4178: 4177: 4172: 4167: 4162: 4151: 4149: 4148:z and m lines) 4138: 4137: 4134: 4133: 4130: 4129: 4127: 4126: 4121: 4115: 4113: 4105: 4104: 4102: 4101: 4096: 4091: 4086: 4085: 4084: 4079: 4074: 4069: 4064: 4054: 4053: 4052: 4047: 4037: 4031: 4025: 4021: 4020: 4017: 4016: 4014: 4013: 4008: 4002: 3999: 3998: 3996: 3995: 3990: 3989: 3988: 3983: 3978: 3973: 3968: 3963: 3952: 3950: 3940: 3931: 3917: 3906: 3898: 3897: 3895: 3894: 3889: 3883: 3881: 3873: 3872: 3867: 3865: 3864: 3857: 3850: 3842: 3833: 3832: 3830: 3829: 3824: 3819: 3818: 3817: 3812: 3801: 3799: 3795: 3794: 3792: 3791: 3790: 3789: 3784: 3777:Pennate muscle 3774: 3768: 3766: 3762: 3761: 3759: 3758: 3749: 3748: 3747: 3742: 3737: 3732: 3722: 3721: 3720: 3715: 3710: 3700: 3699: 3698: 3693: 3688: 3686:Cardiac muscle 3677: 3675: 3671: 3670: 3665: 3663: 3662: 3655: 3648: 3640: 3634: 3633: 3626: 3625:External links 3623: 3621: 3620: 3613: 3593: 3586: 3566: 3521:(8): 891–975. 3498: 3465: 3439: 3402:(4): 383–389. 3382: 3325: 3268: 3219: 3160: 3101: 3062:(3): 267–315. 3042: 3013:(2): 283–293. 2993: 2964:(4): 517–592. 2941: 2866: 2837:(4): 776–785. 2817: 2790:(4): 463–473. 2774: 2755: 2726:(8): 806–808. 2706: 2613: 2562: 2505: 2445: 2431: 2416: 2389:(3): 433–442. 2370: 2313: 2256: 2189: 2154: 2127:(6): 848–856. 2111: 2051: 2045:978-0195151732 2044: 2018: 1967: 1953:1854/LU-374870 1916: 1879: 1852:(1): 115–132. 1833: 1826: 1806: 1799: 1779: 1744:(9): 607–619. 1724: 1687:(2): 203–215. 1666: 1609: 1572:(1): 227–252. 1552: 1524:978-0792371588 1523: 1498: 1469: 1452: 1424:978-0723424857 1423: 1396: 1375: 1357: 1343: 1334:|journal= 1304:. StatPearls. 1292: 1285: 1259: 1202: 1173: 1151: 1149: 1146: 1145: 1144: 1139: 1134: 1129: 1124: 1110: 1107: 1006:Cardiomyopathy 1001: 998: 989: 964: 961: 921: 918: 871:depolarization 846: 843: 801:Main article: 798: 795: 785: 782: 731:Main article: 728: 725: 705:myofibroblasts 697:cardiomyocytes 689:Main article: 686: 683: 672:area composita 597:Main article: 594: 591: 549:Main article: 546: 543: 395:cardiomyocytes 366: 363: 355:coronary veins 316:cardiac valves 310:and the outer 294:Cardiac muscle 265: 262: 260: 257: 170:muscle tissues 155:Cardiac muscle 150: 149: 140: 134: 133: 128: 122: 121: 116: 110: 109: 104: 98: 97: 92: 86: 85: 80: 74: 73: 69: 68: 62: 58: 57: 53: 52: 44: 43: 35: 34: 33:Cardiac muscle 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 5077: 5066: 5063: 5061: 5060:Muscle tissue 5058: 5056: 5053: 5051: 5048: 5046: 5043: 5042: 5040: 5025: 5022: 5020: 5017: 5015: 5012: 5011: 5009: 5005: 4995: 4992: 4988: 4985: 4984: 4983: 4980: 4976: 4973: 4972: 4971: 4968: 4967: 4965: 4963: 4959: 4953: 4950: 4949: 4947: 4945: 4941: 4933: 4930: 4928: 4925: 4923: 4922:bundle of His 4920: 4918: 4915: 4913: 4910: 4908: 4905: 4903: 4900: 4899: 4898: 4895: 4894: 4892: 4890: 4886: 4880: 4877: 4876: 4874: 4872: 4868: 4865: 4861: 4851: 4849: 4845: 4839: 4835: 4831: 4827: 4823: 4819: 4815: 4813: 4808: 4807: 4805: 4803: 4799: 4793: 4791: 4787: 4781: 4777: 4773: 4769: 4765: 4761: 4757: 4753: 4749: 4745: 4741: 4737: 4733: 4729: 4727: 4723: 4718: 4717: 4715: 4713: 4709: 4706: 4702: 4688: 4685: 4683: 4680: 4679: 4676: 4670: 4667: 4665: 4662: 4660: 4657: 4653: 4650: 4648: 4645: 4643: 4640: 4638: 4635: 4634: 4633: 4630: 4626: 4623: 4621: 4618: 4616: 4613: 4612: 4611: 4608: 4607: 4604: 4601: 4597: 4589: 4586: 4584: 4581: 4580: 4578: 4574: 4571: 4569: 4566: 4564: 4561: 4559: 4556: 4555: 4554: 4551: 4549: 4546: 4544: 4541: 4540: 4538: 4534: 4531: 4527: 4523: 4515: 4510: 4508: 4503: 4501: 4496: 4495: 4492: 4476: 4473: 4471: 4468: 4466: 4463: 4461: 4458: 4456: 4453: 4452: 4450: 4444: 4434: 4431: 4427: 4424: 4423: 4422: 4419: 4417: 4414: 4412: 4409: 4408: 4406: 4402: 4396: 4393: 4391: 4387: 4384: 4383: 4381: 4377: 4371: 4368: 4366: 4362: 4361:Microfilament 4359: 4357: 4354: 4350: 4347: 4345: 4342: 4341: 4340: 4337: 4336: 4334: 4330: 4327: 4323: 4317: 4314: 4312: 4309: 4307: 4304: 4303: 4301: 4299: 4293: 4283: 4280: 4278: 4275: 4273: 4270: 4268: 4265: 4263: 4260: 4259: 4257: 4253: 4247: 4244: 4242: 4239: 4237: 4234: 4232: 4229: 4227: 4224: 4223: 4221: 4219: 4215: 4207: 4204: 4202: 4199: 4197: 4194: 4193: 4192: 4189: 4188: 4185: 4182: 4181: 4176: 4173: 4171: 4168: 4166: 4163: 4161: 4158: 4157: 4156: 4153: 4152: 4150: 4143: 4139: 4125: 4122: 4120: 4117: 4116: 4114: 4111: 4106: 4100: 4097: 4095: 4092: 4090: 4087: 4083: 4080: 4078: 4075: 4073: 4070: 4068: 4065: 4063: 4060: 4059: 4058: 4055: 4051: 4048: 4046: 4043: 4042: 4041: 4038: 4036: 4033: 4032: 4029: 4026: 4024:Intracellular 4022: 4012: 4009: 4007: 4004: 4003: 4000: 3994: 3991: 3987: 3984: 3982: 3979: 3977: 3974: 3972: 3969: 3967: 3964: 3962: 3959: 3958: 3957: 3954: 3953: 3951: 3948: 3944: 3941: 3939:extracellular 3935: 3932: 3930: 3925: 3921: 3918: 3916: 3910: 3907: 3905: 3899: 3893: 3890: 3888: 3885: 3884: 3882: 3880: 3874: 3870: 3869:Muscle tissue 3863: 3858: 3856: 3851: 3849: 3844: 3843: 3840: 3828: 3825: 3823: 3820: 3816: 3813: 3811: 3808: 3807: 3806: 3803: 3802: 3800: 3796: 3788: 3785: 3783: 3780: 3779: 3778: 3775: 3773: 3770: 3769: 3767: 3763: 3757: 3753: 3750: 3746: 3743: 3741: 3738: 3736: 3733: 3731: 3728: 3727: 3726: 3723: 3719: 3716: 3714: 3711: 3709: 3706: 3705: 3704: 3701: 3697: 3696:Smooth muscle 3694: 3692: 3689: 3687: 3684: 3683: 3682: 3681:Muscle tissue 3679: 3678: 3676: 3672: 3668: 3661: 3656: 3654: 3649: 3647: 3642: 3641: 3638: 3632: 3629: 3628: 3624: 3616: 3614:9789400932098 3610: 3606: 3605: 3597: 3594: 3589: 3587:9781498712811 3583: 3579: 3578: 3570: 3567: 3562: 3558: 3554: 3550: 3546: 3542: 3537: 3532: 3528: 3524: 3520: 3516: 3512: 3505: 3503: 3499: 3494: 3490: 3485: 3480: 3476: 3472: 3468: 3462: 3458: 3454: 3450: 3443: 3440: 3435: 3431: 3426: 3421: 3417: 3413: 3409: 3405: 3401: 3397: 3393: 3386: 3383: 3378: 3374: 3369: 3364: 3360: 3356: 3352: 3348: 3344: 3340: 3336: 3335:"Myocarditis" 3329: 3326: 3321: 3317: 3312: 3307: 3303: 3299: 3295: 3291: 3287: 3283: 3279: 3272: 3269: 3264: 3260: 3256: 3252: 3247: 3242: 3238: 3234: 3230: 3223: 3220: 3215: 3211: 3207: 3203: 3198: 3197:10044/1/45801 3193: 3188: 3183: 3179: 3175: 3171: 3164: 3161: 3156: 3152: 3147: 3142: 3138: 3134: 3129: 3124: 3120: 3116: 3112: 3105: 3102: 3097: 3093: 3089: 3085: 3080: 3075: 3070: 3065: 3061: 3057: 3053: 3046: 3043: 3038: 3034: 3030: 3026: 3021: 3016: 3012: 3008: 3004: 2997: 2994: 2989: 2985: 2981: 2977: 2972: 2967: 2963: 2959: 2955: 2948: 2946: 2942: 2937: 2933: 2929: 2925: 2920: 2915: 2911: 2907: 2902: 2897: 2893: 2889: 2885: 2881: 2877: 2870: 2867: 2862: 2858: 2854: 2850: 2845: 2840: 2836: 2832: 2828: 2821: 2818: 2813: 2809: 2805: 2801: 2797: 2793: 2789: 2785: 2778: 2775: 2770: 2766: 2759: 2756: 2751: 2747: 2742: 2737: 2733: 2729: 2725: 2721: 2717: 2710: 2707: 2698: 2690: 2683: 2682: 2677: 2673: 2669: 2665: 2658: 2654: 2649: 2644: 2640: 2636: 2632: 2628: 2624: 2617: 2614: 2609: 2605: 2601: 2597: 2593: 2589: 2585: 2581: 2577: 2573: 2566: 2563: 2558: 2554: 2549: 2544: 2540: 2536: 2532: 2528: 2524: 2520: 2516: 2509: 2506: 2501: 2497: 2492: 2487: 2483: 2479: 2475: 2471: 2467: 2463: 2459: 2452: 2450: 2446: 2441: 2435: 2432: 2427: 2420: 2417: 2412: 2408: 2404: 2400: 2396: 2392: 2388: 2384: 2377: 2375: 2371: 2366: 2362: 2357: 2352: 2348: 2344: 2340: 2336: 2332: 2328: 2324: 2317: 2314: 2309: 2305: 2300: 2295: 2291: 2287: 2283: 2279: 2275: 2271: 2267: 2260: 2257: 2252: 2248: 2243: 2238: 2234: 2230: 2225: 2220: 2216: 2212: 2208: 2204: 2200: 2193: 2190: 2185: 2181: 2177: 2173: 2169: 2165: 2158: 2155: 2150: 2146: 2142: 2138: 2134: 2130: 2126: 2122: 2115: 2112: 2107: 2103: 2098: 2093: 2089: 2085: 2081: 2077: 2073: 2069: 2065: 2058: 2056: 2052: 2047: 2041: 2037: 2033: 2027: 2022: 2019: 2014: 2010: 2005: 2000: 1995: 1990: 1986: 1982: 1978: 1971: 1968: 1963: 1959: 1954: 1949: 1944: 1939: 1935: 1931: 1927: 1920: 1917: 1912: 1908: 1904: 1900: 1896: 1893: 1892: 1883: 1880: 1875: 1871: 1867: 1863: 1859: 1855: 1851: 1847: 1840: 1838: 1834: 1829: 1823: 1819: 1818: 1810: 1807: 1802: 1796: 1792: 1791: 1783: 1780: 1775: 1771: 1767: 1763: 1759: 1755: 1751: 1747: 1743: 1739: 1735: 1728: 1725: 1720: 1716: 1711: 1706: 1702: 1698: 1694: 1690: 1686: 1682: 1678: 1670: 1667: 1662: 1658: 1654: 1650: 1646: 1642: 1637: 1632: 1628: 1624: 1620: 1613: 1610: 1605: 1601: 1596: 1591: 1587: 1583: 1579: 1575: 1571: 1567: 1563: 1556: 1553: 1548: 1542: 1534: 1530: 1526: 1520: 1516: 1509: 1507: 1505: 1503: 1499: 1494: 1488: 1480: 1476: 1472: 1470:9780199566990 1466: 1462: 1456: 1453: 1448: 1442: 1434: 1430: 1426: 1420: 1416: 1409: 1407: 1405: 1403: 1401: 1397: 1392: 1386: 1378: 1376:9780702052309 1372: 1368: 1361: 1358: 1353: 1347: 1344: 1339: 1326: 1311: 1307: 1303: 1296: 1293: 1288: 1286:0-13-193480-5 1282: 1278: 1273: 1272: 1263: 1260: 1255: 1251: 1247: 1243: 1239: 1235: 1230: 1225: 1221: 1217: 1213: 1206: 1203: 1198: 1192: 1184: 1180: 1176: 1170: 1166: 1159: 1157: 1153: 1147: 1143: 1140: 1138: 1135: 1133: 1130: 1128: 1125: 1123: 1120: 1119: 1116: 1108: 1106: 1104: 1100: 1095: 1093: 1092:heart failure 1089: 1085: 1081: 1080:immune system 1077: 1072: 1070: 1066: 1062: 1058: 1054: 1050: 1046: 1042: 1037: 1033: 1029: 1025: 1021: 1017: 1013: 1007: 999: 997: 995: 988: 984: 979: 969: 962: 960: 958: 954: 953:heart failure 950: 945: 942: 939: 935: 926: 919: 917: 915: 911: 907: 903: 899: 895: 891: 886: 884: 880: 874: 872: 868: 863: 861: 857: 852: 851:cardiac cycle 845:Cardiac cycle 844: 842: 840: 836: 832: 828: 827:cell membrane 824: 820: 814: 810: 804: 796: 794: 792: 783: 781: 779: 775: 774:glycoproteins 771: 767: 763: 758: 756: 752: 748: 744: 740: 734: 726: 724: 722: 718: 712: 710: 706: 702: 698: 692: 684: 682: 680: 675: 673: 669: 668:gap junctions 665: 661: 657: 653: 648: 646: 641: 637: 633: 629: 621: 617: 616:gap junctions 613: 609: 605: 600: 592: 590: 588: 584: 579: 577: 573: 569: 565: 561: 557: 552: 544: 542: 540: 536: 532: 528: 524: 523:cell membrane 521:, pouches of 520: 515: 513: 509: 505: 501: 497: 493: 489: 485: 480: 478: 474: 470: 465: 463: 459: 455: 450: 448: 444: 443:bundle of His 440: 437:and send out 436: 430: 428: 424: 420: 416: 415:gap junctions 412: 408: 404: 400: 396: 393:(also called 392: 371: 364: 362: 360: 356: 352: 348: 344: 340: 335: 331: 329: 325: 321: 317: 313: 309: 300: 292: 284: 276: 271: 264:Gross anatomy 263: 258: 256: 254: 250: 246: 242: 238: 234: 230: 226: 222: 218: 213: 211: 207: 203: 199: 195: 191: 187: 183: 179: 178:smooth muscle 175: 171: 168: 164: 160: 157:(also called 156: 145: 139: 135: 132: 129: 127: 123: 120: 117: 115: 111: 108: 105: 103: 99: 96: 93: 91: 87: 84: 81: 79: 75: 70: 67: 63: 59: 54: 50: 45: 41: 36: 31: 19: 18:Cardiomyocyte 5007:Blood supply 4888: 4879:heart valves 4841: 4838:aortic sinus 4834:aortic valve 4826:mitral valve 4809: 4783: 4768:infundibulum 4740:fossa ovalis 4732:right atrium 4719: 4339:Muscle fiber 4295: 4109: 4040:Dystrobrevin 3993:Dystroglycan 3685: 3603: 3596: 3576: 3569: 3518: 3514: 3448: 3442: 3399: 3395: 3385: 3342: 3338: 3328: 3285: 3281: 3271: 3236: 3232: 3222: 3177: 3173: 3163: 3118: 3114: 3104: 3059: 3055: 3045: 3010: 3006: 2996: 2961: 2957: 2883: 2879: 2869: 2834: 2830: 2820: 2787: 2783: 2777: 2768: 2758: 2723: 2719: 2709: 2695:{{ 2687:{{ 2680: 2678:,   2630: 2626: 2616: 2575: 2571: 2565: 2522: 2518: 2508: 2465: 2461: 2434: 2419: 2386: 2382: 2330: 2326: 2316: 2273: 2269: 2259: 2206: 2202: 2192: 2167: 2163: 2157: 2124: 2121:Heart Rhythm 2120: 2114: 2071: 2067: 2031: 2021: 1984: 1980: 1970: 1933: 1929: 1919: 1897:(2): 69–82. 1894: 1889: 1882: 1849: 1845: 1816: 1809: 1789: 1782: 1741: 1737: 1727: 1684: 1680: 1669: 1629:(1): 37–92. 1626: 1622: 1612: 1569: 1565: 1555: 1514: 1460: 1455: 1414: 1366: 1360: 1346: 1325:cite journal 1313:. Retrieved 1295: 1270: 1262: 1219: 1215: 1205: 1164: 1099:myocytolysis 1096: 1088:heart racing 1084:hypertension 1073: 1009: 986: 974: 946: 943: 931: 920:Regeneration 890:myofilaments 887: 875: 864: 848: 829:known as an 816: 787: 759: 736: 713: 694: 676: 649: 639: 635: 625: 580: 554: 535:mitochondria 516: 481: 466: 451: 431: 423:right atrium 394: 390: 389: 365:Microanatomy 359:right atrium 336: 332: 305: 233:myofilaments 214: 162: 159:heart muscle 158: 154: 153: 107:A12.1.06.001 82: 4962:Pericardium 4871:Endocardium 4818:left atrium 4722:venae cavae 4712:Right heart 4563:interatrial 4390:Muscle cell 4365:Myofilament 4184:Tropomyosin 4155:Myofilament 3956:Sarcoglycan 3756:Aponeurosis 3708:Superficial 3536:2434/427148 3121:(12): 118. 2720:Circulation 2276:: 175–185. 1930:J. Cell Sci 1076:myocarditis 910:tropomyosin 825:across the 784:Development 749:along with 691:Fibroblasts 685:Fibroblasts 531:many nuclei 351:aortic root 320:endothelium 308:endocardium 194:endocardium 190:pericardium 72:Identifiers 5039:Categories 4889:Myocardium 4802:Left heart 4632:ventricles 4460:Telethonin 4421:Sarcolemma 4416:Sarcoplasm 4349:extrafusal 4344:intrafusal 4306:Myocardium 4267:Motor unit 4241:Endomysium 4236:Perimysium 4124:Caveolin 3 4057:Syntrophin 4035:Dystrophin 3887:Calmodulin 3782:Unipennate 2627:The Lancet 1238:10369/9408 1148:References 1045:medication 797:Physiology 721:adipocytes 664:desmosomes 620:desmosomes 612:sarcolemma 500:sarcomeres 488:myofibrils 445:, and the 407:fibroblast 324:epicardium 312:epicardium 167:vertebrate 163:myocardium 66:heart wall 5065:Histology 4465:Dysferlin 4448:ungrouped 4370:Sarcomere 4356:Myofibril 4316:Nebulette 4226:Epimysium 4142:Sarcomere 4094:Dysbindin 4089:Syncoilin 4006:Sarcospan 3937:Membrane/ 3924:Costamere 3815:Insertion 3787:Bipennate 3561:221675744 3545:1879-0844 3475:0065-2598 3416:1531-6963 3359:1533-4406 3302:1347-4820 3255:1558-3597 3206:1558-3597 3137:2077-0383 3088:1522-9645 3029:1558-7118 2980:1873-734X 2910:1474-547X 2853:1755-3245 2804:1095-8584 2697:retracted 2689:retracted 2290:1095-8584 2233:0027-8424 2141:1556-3871 2088:1347-4820 1774:248004338 1758:1759-5010 1701:0009-7330 1661:218554597 1645:0031-9333 1586:1522-1210 1541:cite book 1487:cite book 1479:321015206 1441:cite book 1385:cite book 1246:1522-1539 1191:cite book 1127:Nebulette 957:retracted 938:Stockholm 778:integrins 652:syncytium 556:T-tubules 551:T-tubules 545:T-tubules 519:T-tubules 462:capillary 357:into the 259:Structure 217:contracts 4704:Chambers 4599:Internal 4579:borders 4558:coronary 4455:Myotilin 4426:T-tubule 4386:Myoblast 4231:Fascicle 4191:Troponin 4110:related: 3913:Skeletal 3902:Striated 3772:Fusiform 3718:Visceral 3553:27207191 3493:28667560 3434:27166925 3377:19357408 3320:25186923 3263:27126534 3214:27339497 3155:29231893 3096:26320110 3037:25748771 2988:25173601 2928:23245604 2919:10790329 2861:21159668 2812:19059414 2750:30359129 2676:30894259 2657:22088800 2600:11287958 2557:23222518 2500:19342590 2411:20447409 2365:19342590 2308:26578393 2251:27930302 2149:19467515 2106:27746422 2013:20885972 1962:17535849 1911:16406610 1874:52919432 1866:30288656 1766:35396547 1719:33228470 1653:32380895 1604:27881552 1533:47659382 1433:35652355 1310:29083608 1254:27402663 1183:61692701 1109:See also 1103:necrosis 978:T-tubule 906:troponin 856:diastole 743:collagen 504:striated 475:such as 399:myocytes 245:ischemic 4917:AV node 4907:SA node 4536:Surface 4529:General 4470:Fukutin 4296:Cardiac 4255:General 4175:nebulin 3735:Forearm 3484:5706653 3425:4948180 3368:5814110 3311:4467885 3146:5742807 2936:1541253 2741:6205190 2648:3614010 2608:4424399 2580:Bibcode 2548:3548046 2527:Bibcode 2491:2991140 2470:Bibcode 2462:Science 2391:Bibcode 2356:2991140 2335:Bibcode 2327:Science 2299:4945757 2242:5187735 2211:Bibcode 2184:5387911 2097:5588900 2004:2946574 1987:: 1–3. 1710:7834912 1595:6151489 1053:surgery 860:systole 839:calcium 833:. The 776:called 770:laminin 747:elastin 527:nucleus 512:A bands 508:I bands 95:D009206 61:Part of 56:Details 4863:Layers 4778:), → 4659:valves 4446:Other/ 4411:Desmin 4298:muscle 3915:muscle 3904:muscle 3879:muscle 3877:Smooth 3810:Origin 3752:Tendon 3703:Fascia 3674:Tissue 3611:  3584:  3559:  3551:  3543:  3491:  3481:  3473:  3463:  3432:  3422:  3414:  3375:  3365:  3357:  3318:  3308:  3300:  3261:  3253:  3212:  3204:  3153:  3143:  3135:  3094:  3086:  3035:  3027:  2986:  2978:  2934:  2926:  2916:  2908:  2880:Lancet 2859:  2851:  2810:  2802:  2748:  2738:  2674:  2670:, 2655:  2645:  2606:  2598:  2572:Nature 2555:  2545:  2519:Nature 2498:  2488:  2409:  2363:  2353:  2306:  2296:  2288:  2249:  2239:  2231:  2182:  2147:  2139:  2104:  2094:  2086:  2042:  2011:  2001:  1960:  1909:  1872:  1864:  1824:  1797:  1772:  1764:  1756:  1717:  1707:  1699:  1659:  1651:  1643:  1602:  1592:  1584:  1531:  1521:  1477:  1467:  1431:  1421:  1373:  1315:10 May 1308:  1283:  1252:  1244:  1181:  1171:  1036:angina 1026:. 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Index

Cardiomyocyte


heart wall
Latin
MeSH
D009206
TA98
A12.1.06.001
TA2
3950
FMA
9462
Anatomical terminology
edit on Wikidata
vertebrate
muscle tissues
skeletal muscle
smooth muscle
striated muscle
wall of the heart
pericardium
endocardium
coronary circulation
intercalated discs
collagen fibers
extracellular matrix
contracts
skeletal muscle
cardiac action potential

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