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Cardiologist

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Real-Life Communication

"Cardiologists read and write a tremendous amount," says Denise Wasko, manager of a cardiology office. "They need to constantly read journals and reports to keep up to date on new techniques and advances."

Cardiologists also need to have good communication skills so that they can easily explain complex heart conditions to their patients.

You are a cardiologist explaining to Simon's mother that her baby has a congenital heart disease. She is confused, and wonders what this means. You begin by explaining how the human heart works.

By reading the following excerpt, help answer the mother's questions about the heart:

The Anatomy of the Heart

The heart is a muscle about the size of your fist. It is encased in a sac called the pericardium. The pericardium helps to keep the heart in position and protects it from getting hurt.

A layer of lubricating fluid separates the pericardium and the heart. The fluid allows the heart to pump freely inside the walls of the chest. The heart is made up of three layers of muscle: the endocardium, myocardium and epicardium.

The myocardium makes up about 75 percent of the heart tissue. The epicardium is a thin lining that covers the myocardium. There is a layer called the endocardium that is between the myocardium and the inside of the heart. The endocardium acts as the inner covering of the heart and protects the myocardium.

The heart functions as a pump. It brings nourishment and oxygen to tissues and organs and takes away carbon dioxide and waste. The heart is separated into four different chambers through which blood is pumped. A thick wall of muscle, called the septum, divides the heart into two halves.

Each half is then separated into an upper and lower chamber by valves. The upper chambers are called the atria and are the inputs to the heart. The lower chambers are called the ventricles and are the outputs of the heart.

(Excerpted from http://www.bae.ncsu.edu, bioengineering department. Authors are: Robert Schoderbek, Heidi Lane, Mike Deaton and Joanne Deverson)

These are Simon's mother's questions:

  1. What is the pericardium's function?
  2. What is the difference between the endocardium, myocardium and epicardium?
  3. Which chambers are the inputs of the heart?

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