Page 194 - The Miracle of the Blood and Heart
P. 194

THE MIRACLE OF THE
                                       BLOOD AND HEART


                   the cell membrane removes sodium faster than it takes in
                   potassium, an excess positive charge builds outside the cell.
                   When it reaches a certain level, the flow suddenly reverses
                   and sodium ions again begin entering the cells. This sudden
                   change sets up an electrical current, and the heart cell retreats
                   by contracting. 92  The process that allows the cells to beat

                   emerges through these chemical transactions.
                       The signal for the heartbeat to start depends on one small
                   knot of cells known as the sinus node, or SA node, in the right
                   atrium. The electrical signal produced by this node is trans-




                                                       Capillary

                                                                          Intercalated
                                                                          discs





                                        Sarcolemma
                                                            Cardiac muscle cell
                                                      Nucleus
                                                            a) Diagram
                                          Cardiac muscle
                                                                            Interca-
                                                                            lated
                                                                            discs
                                                                             Nuclei
                                              Heart
                                              muscle
                                              fiber

                                                          b) Photomicrograph

                            The cardiac muscle possesses a very special structure, in that every one
                           of the cells comprising it can beat on its own. These cells are just like liv-
               Harun         ing batteries, using the electrical current that passes over them.
               Yahya



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