The cardiorespiratory system is composed of two closely related systems, the
cardiovascular system consisting of the heart, blood vessels, and blood and the respiratory system, which includes the trachea, bronchi, alveoli, and the lungs. These systems work together to provide the body with adequate oxygen and nutrients and to remove waste products such as CO2 from cells in the body. THE HEART The heart is a muscular pump that rhythmically contracts to push blood throughout the body. The adult heart is approximately the size of a adult fist and weighs roughly 300 g. Cardiac muscle is one of three major types of muscle, the others being skeletal and smooth muscle. Cardiac muscle is similar to skeletal muscle in that cardiac muscle cells contain myofibrils and sarcomeres aligned side by side, which give them their striated appearance. Whereas skeletal muscle is a voluntary muscle, cardiac muscle is involuntary muscle, meaning that it cannot typically be consciously controlled. Cardiac Muscle Contraction Cardiac muscle fibers are shorter and more tightly connected than skeletal muscle . Another unique feature of cardiac muscle is the presence of irregularly spaced dark bands between cardiac cells called intercalated discs. Intercalated discs help hold muscle cells together during contraction and create an electrical connection between the cells that allows the heart to contract as one functional unit. The heart has its own built-in conduction system, unlike skeletal muscle, that sends an electrical signal rapidly throughout all the cardiac cells. The typical resting heart rate is between 70 and 80 beats per minute. The electrical conduction system of the heart consists of specialized cells that allow an electrical signal to be transmitted from the sinoatrial (SA) node through both atria and down into the ventricles. Thus, the electrical conduction system of the heart is what stimulates the mechanical myocardial cells to contract in a regular rhythmic pattern The SA node, located in the right atrium, is referred to as the pacemaker for the heart because it initiates the electrical signal that causes the heart to beat. The internodal pathways transfer the impulse from the SA node to the atrioventricular (AV) node. The AV node delays the impulse before allowing it to move on to the ventricles. The AV bundle conducts the impulse to the ventricles for contraction via the left and right bundle branches of the Purkinje fibers.