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Archive for the ‘cardiology-Anatomy’ Category

               Usually in the the vascular  system both artery and  vein  go together .It is an  irony in pulmonary circualtion  these two never go together .Another paradox is that pulmonary artery carries the most deoxygenated  blood and pulmonary vien carries the purest  form of blood in the entrie body , probably God has kept them widely seperated as  communication between them  seriously affect the physiology.

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Heart is a muscular pump .But it contains more of  non muscular cells than contractile cells.

The average human heart which weighs 300 -400 grams . Contrary  to the popular perception heart is not purely a muscular organ. In fact myocytes constitutes only 30% of heart mass. Rest formed by

1.Fibroblasts

2.Endothelial cells

3.Purkinje cells

4.Interstitial cells

5.Collagen

6.Fibrous skeleton

7.Extracellualr matrix.

Why is this important to recognise ?

Cardiac failure is not synonymous with myocardial failure .

Many times cardiac failure is due to supporting structure failure like in connective tissue disorders.

Exceesive fibroblast proliferation and resulting in fibrosis of heart.

Cardiac interstitial failure is new emerging clincal entity.

In future individual cell based therapy will aim  at replacing specific cells that are defective or depleting.

 

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