Patient Education Outpatient Cardiac Rehab | Page 7

How It Works The heart can be thought of as a factory. Many things need to be working in sync and functioning well in order to have a good product. For the heart to do its job well — providing oxygen and nutrients for the body — these need to be working:  Structure for blood flow  Muscle for pumping  Electrical system for direction  Plumbing for its energy source The heart is about the size of your fist and lies beneath the breastbone. It is surrounded by the rib cage for protection. The heart muscle has three layers:  Epicardium — outer layer  Myocardium — middle layer  Endocardium — inner layer A sac around the heart called the pericardium holds a small amount of fluid. The fluid lubricates and protects the heart as it beats. Heart Chambers The heart is divided into four chambers:  Atria — two upper chambers contract or squeeze together to pump blood into the ventricles or lower chambers.  Ventricles — two lower