GIVE SOMETHING IMAGE BASED
heart anatomy cardiovascular diagram
cardiac chambers valves cross section internal anatomy
coronary arteries blood supply myocardium
cardiac conduction system electrical pathway ECG

(a) External surface with coronary arteries (red) and cardiac veins (blue). (b) Semi-transparent view showing internal chambers — atria, ventricles, and major vessel pathways.

The intricate coronary network supplies oxygenated blood to every region of the myocardium. Blockage of these vessels leads to myocardial infarction (heart attack).

Left: external morphology with coronary arteries. Right: windowed dissection revealing internal chamber structures. Mirror-written Italian annotations accompany the drawings.

| Structure | Function |
|---|---|
| SA Node | The heart's natural pacemaker — initiates each beat |
| AV Node | Delays conduction to allow atrial emptying before ventricular contraction |
| His Bundle | Carries impulse from AV node to ventricles |
| Bundle Branches (L & R) | Distribute impulse to left and right ventricles |
| Purkinje Fibers | Rapidly spread depolarization through ventricular myocardium |

| Wave / Interval | What it represents |
|---|---|
| P wave | Atrial depolarization (SA node fires) |
| PR interval | Conduction delay through AV node |
| QRS complex | Ventricular depolarization |
| ST segment | Ventricular plateau phase |
| T wave | Ventricular repolarization |

The "three vulnerabilities" in acute coronary syndrome:
- Vulnerable plaque — Inflammation, plaque extension, and location drive rupture risk
- Thrombogenic blood — Comorbidities and inflammation promote clot formation
- Vulnerable myocardium — Duration of ischemia and individual susceptibility determine infarct size

(A–C) Curved multiplanar reconstructions of LAD, LCx, and RCA — calcified plaques visible as bright densities. (D) Perfusion color map: red = normal flow, yellow/green = reduced perfusion in ischemic territory.