Atrium ( heart ) - wikipedia Atrium ( heart ) For other uses, see Atrium ( disambiguation ). Atrium Front view of heart showing the atria Details Part of Heart System Circulatory system Identifiers Latin Atrium TA A12. 1.00. 017 FMA 7099 Anatomical terminology ( edit on Wikidata ) The atrium is the upper chamber in which blood enters the heart. There are two atria in the human heart, which receive blood - the left atrium from the lungs, and the right atrium from the venous circulation. The atria receive blood, and when the heart muscle contracts, pump blood to the ventricles. All animals with a closed circulatory system include at least one atrium / auricle ( humans have two atria ). The atrium used to be called the `` auricle '', and that term is still used to describe this chamber in, for example, the Mollusca, but in humans that name is now used for an appendage of the atrium. Contents 1 Structure 1.1 Nodes 1.2 Blood supply 1.3 Development 2 Function 3 Clinical significance 4 Other animals 5 See also 6 References Structure Right heart anatomy left atrial appendage shown at upper right Humans have a four - chambered heart consisting of the right atrium, left atrium, right ventricle, and left ventricle. The atria are the two upper chambers. The right atrium receives and holds deoxygenated blood from the superior vena cava, inferior vena cava, anterior cardiac veins and smallest cardiac veins and the coronary sinus, which it then sends down to the right ventricle ( through the tricuspid valve ) which in turn sends it to the pulmonary artery for pulmonary circulation. The left atrium receives the oxygenated blood from the left and right pulmonary veins, which it pumps to the left ventricle ( through the mitral valve ) for pumping out through the aorta for systemic circulation. The right atrium and right ventricle are often referred to as the right heart and similarly the left atrium and left ventricle are often referred to as the left heart. The atria do not have valves at their inlets and as a result, a venous pulsation is normal and can be detected in the jugular vein as the jugular venous pressure. Internally, there are the rough pectinate muscles and crista terminalis of His, which act as a boundary inside the atrium and the smooth walled part of the right atrium, the sinus venarum derived from the sinus venosus. The sinus venarum is the adult remnant of the sinus venous and it surrounds the openings of the venae cavae and the coronary sinus. Attached to the right atrium is the right atrial appendage -- a pouch - like extension of the pectinate muscles. The interatrial septum separates the right atrium from the left atrium and this is marked by a depression in the right atrium -- the fossa ovalis. The atria are depolarised by calcium. High in the upper part of the left atrium is a muscular ear - shaped pouch -- the left atrial appendage. This appears to `` function as a decompression chamber during left ventricular systole and during other periods when left atrial pressure is high ''. Nodes The sinoatrial ( SA ) node is located in posterior aspect of the right atrium, next to the superior vena cava. This is a group of pacemaker cells which spontaneously depolarize to create an action potential. The cardiac action potential then spreads across both atria causing them to contract, forcing the blood they hold into their corresponding ventricles. The atrioventricular node ( AV node ) is another node in the cardiac electrical conduction system. This is located between the atria and the ventricles. Blood supply The left atrium is supplied mainly by the left circumflex coronary artery, and its small branches. The oblique vein of the left atrium is partly responsible for venous drainage ; it derives from the embryonic left superior vena cava. Development During embryogenesis at about two weeks, a primitive atrium begins to be formed. It begins as one chamber which over the following two weeks becomes divided by the septum primum into the left atrium and the right atrium. The interatrial septum has an opening in the right atrium, the foramen ovale which provides access to the left atrium ; this connects the two chambers, which is essential for fetal blood circulation. At birth, when the first breath is taken fetal blood flow is reversed to travel through the lungs. The foramen ovale is no longer needed and it closes to leave a depression ( the fossa ovalis ) in the atrial wall. In some cases, the foramen ovale fails to close. This abnormality is present in approximately 25 % of the general population. This is known as a patent foramen ovale, an atrial septal defect. It is mostly unproblematic, although it can be associated with paradoxical embolization and stroke. Within the fetal right atrium, blood from the inferior vena cava and the superior vena cava flow in separate streams to different locations in the heart, and this has been reported to occur through the Coandă effect. Atriums were previously named ' auricles ' Function In human physiology, the atria facilitate circulation primarily by allowing uninterrupted venous flow to the heart during ventricular systole. By being partially empty and distensible, atria prevent the interruption of venous flow to the heart that would occur during ventricular systole if the veins ended at the inlet valves of the heart. In normal physiologic states, the output of the heart is pulsatile, and the venous inflow to the heart is continuous and non-pulsatile. But without functioning atria, venous flow becomes pulsatile, and the overall circulation rate decreases significantly. Atria have four essential characteristics that cause them to promote continuous venous flow. ( 1 ) There are no atrial inlet valves to interrupt blood flow during atrial systole. ( 2 ) The atrial systole contractions are incomplete and thus do not contract to the extent that would block flow from the veins through the atria into the ventricles. During atrial systole, blood not only empties from the atria to the ventricles, but blood continues to flow uninterrupted from the veins right through the atria into the ventricles. ( 3 ) The atrial contractions must be gentle enough so that the force of contraction does not exert significant back pressure that would impede venous flow. ( 4 ) The `` let go '' of the atria must be timed so that they relax before the start of ventricular contraction, to be able to accept venous flow without interruption. By preventing the inertia of interrupted venous flow that would otherwise occur at each ventricular systole, atria allow approximately 75 % more cardiac output than would otherwise occur. The fact that atrial contraction is 15 % of the amount of the succeeding ventricular ejection has led to a misplaced emphasis on their role in pumping up the ventricles ( the so - called `` atrial kick '' ), whereas the key benefit of atria is in preventing circulatory inertia and allowing uninterrupted venous flow to the heart. Also, of importance in maintaining the blood flow are the presence of atrial volume receptors. These are low - pressure baroreceptors in the atria, which send signals to the hypothalamus when a drop in atrial pressure ( which indicates a drop in blood volume ) is detected. This triggers a release of vasopressin. Clinical significance In an adult, an atrial septal defect would result in the flow of blood in the reverse direction -- from the left atrium to the right -- which will reduce cardiac output, potentially causing cardiac failure and in severe or untreated cases cardiac arrest and sudden death. CT scan of the chest showing a thrombus in the left atrial appendage ( left : axial plane, right : coronal plane ) In patients with atrial fibrillation, mitral valve disease, and other conditions, blood clots have a tendency to form in the left atrial appendage. The clots may dislodge ( forming emboli ), which may lead to ischemic damage to the brain, kidneys, or other organs supplied by the systemic circulation. Left atrial appendage occlusion is an experimental treatment to prevent stroke in atrial fibrillation. The left atrial appendage can serve as an approach for mitral valve surgery. The left atrial appendage can be seen on a standard posteroanterior x-ray, where the lower level of the left hilum becomes concave. Wolff - Parkinson - White syndrome Atrial flutter Atrial tachycardia Sinus tachycardia Multifocal atrial tachycardia -- several types Premature atrial contraction Atriomegaly Other animals Many other animals, including mammals, also have four - chambered hearts, which have a similar function. Some animals ( amphibians and reptiles ) have a three - chambered heart, in which the blood from each atrium is mixed in the single ventricle before being pumped to the aorta. In these animals, the left atrium still serves the purpose of collecting blood from the pulmonary veins. In some fish, the circulatory system is very simple : a two - chambered heart including one atrium and one ventricle. Among sharks, the heart consists of four chambers arranged serially ( and therefore called a serial heart ) : blood flows into the most posterior chamber, the sinus venosus, and then to the atrium which moves it to the third chamber, the ventricle, before it reaches the conus anteriosus, which itself is connected to the ventral aorta. This is considered a primitive arrangement, and many vertebrates have condensed the atrium with the sinus venosus and the ventricle with the conus anteriosus. With the advent of lungs came a partitioning of the atrium into two parts divided by a septum. Among frogs, the oxygenated and deoxygenated blood are mixed in the ventricle before being pumped out to the body 's organs ; in turtles, the ventricle is almost entirely divided by a septum, but retains an opening through which some mixing of blood occurs. In birds, mammals, and some other reptiles ( alligators in particular ) the partitioning of both chambers is complete. See also This article uses anatomical terminology ; for an overview, see Anatomical terminology. Syncytium References Jump up ^ `` Auricles ( of atria ) definition - Drugs.com ''. Jump up ^ `` Structure of the Heart ''. Jump up ^ Human heart anatomy diagram. Retrieved on 2010 - 07 - 02. Jump up ^ `` American Heart Association - Building healthier lives, free of cardiovascular diseases and stroke. ''. Jump up ^ `` Jugular Venous Pressure. JVP information ; Cannon wave ''. Jump up ^ Applefeld, Mark M. ( 1 January 1990 ). Walker, H. Kenneth ; Hall, W. Dallas ; Hurst, J. Willis, eds. Clinical Methods : The History, Physical, and Laboratory Examinations. Butterworths. PMID 21250143 -- via PubMed. Jump up ^ `` Embryo Images Online ''. ^ Jump up to : Al - Saady NM ; et al. ( 1999 ). `` Left atrial appendage : structure, function, and role in thromboembolism : Review ''. Heart. 82 ( 5 ) : 547 -- 54. PMC 1760793. PMID 10525506. doi : 10.1136 / hrt. 82.5. 547. Jump up ^ Keith L. Moore ; Arthur F. Dalley ; Anne M.R. Agur ( 2010 ). Clinically oriented anatomy ( 6th ed. ). Philadelphia : Wolters Kluwer Health / Lippincott Williams & Wilkins. p. 145. ISBN 9780781775250. ^ Jump up to : Homma, S. ( 2005 ). `` Patent Foramen Ovale and Stroke ''. Circulation. 112 ( 7 ) : 1063 -- 72. ISSN 0009 - 7322. PMID 16103257. doi : 10.1161 / CIRCULATIONAHA. 104.524371. Jump up ^ Ashrafian H ( July 2006 ). `` The Coanda effect and preferential right atrial streaming ''. Chest. 130 ( 1 ) : 300. PMID 16840419. doi : 10.1378 / chest. 130.1. 300. Jump up ^ Anderson, RM. The Gross Physiology of the Cardiovascular System ( 2nd ed., 2012 ). See `` Chapter 1 : Normal Physiology. '' ^ Jump up to : Anderson R.M. ; Fritz J.M. ; O'Hare J.E. ( 1967 ). `` The Mechanical Nature of the Heart as a Pump '' ( PDF ). American Heart Journal. 73 ( 1 ) : 92 -- 105. PMID 6016029. doi : 10.1016 / 0002 - 8703 ( 67 ) 90313 - 4. Jump up ^ The Determinants of Cardiac Output ( video produced by University of Arizona Biomedical Communications ; demonstration of atrial effect begings at 13 : 43 ). Jump up ^ http://cardiac-output.info ( See discussion of atrial effect in text Chapter 1. ) Jump up ^ Anderson, RM. The Gross Physiology of the Cardiovascular System ( 2nd ed. ) See `` Chapter 1 : Normal Physiology. '' Jump up ^ `` The Gross Physiology of the Cardiovascular System ''. Robert M. Anderson -- via Google Books. Jump up ^ Sherwood, Lauralee ( 2008 ). Human physiology : From cells to systems ( 7th revised ed. ). Cengage Learning. p. 567. ISBN 978 - 0 - 495 - 39184 - 5. Jump up ^ Parekh A, Jaladi R, Sharma S, Van Decker WA, Ezekowitz MD ( September 2006 ). `` Images in cardiovascular medicine. The case of a disappearing left atrial appendage thrombus : direct visualization of left atrial thrombus migration, captured by echocardiography, in a patient with atrial fibrillation, resulting in a stroke ''. Circulation. 114 ( 13 ) : e513 -- 14. PMID 17000914. doi : 10.1161 / CIRCULATIONAHA. 106.617886. Jump up ^ Stöllberger C, Schneider B, Finsterer J ( December 2003 ). `` Elimination of the left atrial appendage to prevent stroke or embolism ? Anatomic, physiologic, and pathophysiologic considerations ''. Chest. 124 ( 6 ) : 2356 -- 62. PMID 14665520. doi : 10.1378 / chest. 124.6. 2356. Jump up ^ Guhathakurta S, Kurian VM, Manmohan G, Cherian KM ( 2004 ). `` Mitral valve reoperation through the left atrial appendage in a patient with mesocardia ''. Tex Heart Inst J. 31 ( 3 ) : 316 -- 18. PMC 521780. PMID 15562857. Jump up ^ Corne ; et al. ( 2002 ). Chest X-Ray Made Easy. Churchill Livingstone. ISBN 0 - 443 - 07008 - 3. ^ Jump up to : Doris R. Helms ; Carl W. Helms ; Robert J. Kosinski ( 15 December 1997 ). Biology in the Laboratory : With BioBytes 3.1 CD - ROM. W.H. Freeman. p. 36. ISBN 978 - 0 - 7167 - 3146 - 7. Anatomy of the heart General Surface base apex sulci coronary interatrial anterior interventricular posterior interventricular borders right left Internal atria interatrial septum pectinate muscles terminal sulcus ventricles interventricular septum trabeculae carneae chordae tendineae papillary muscle valves cusps atrioventricular septum cardiac skeleton intervenous tubercle Chambers Right heart ( venae cavae, coronary sinus ) → right atrium ( atrial appendage, fossa ovalis, limbus of fossa ovalis, crista terminalis, valve of inferior vena cava, valve of coronary sinus ) → tricuspid valve → right ventricle ( infundibulum, moderator band / septomarginal trabecula ) → pulmonary valve → ( pulmonary artery and pulmonary circulation ) Left heart ( pulmonary veins ) → left atrium ( atrial appendage ) → mitral valve → left ventricle → aortic valve ( aortic sinus ) → ( aorta and systemic circulation ) Layers Endocardium heart valves Myocardium Conduction system cardiac pacemaker SA node AV node bundle of His bundle branches Purkinje fibers Pericardial cavity pericardial sinus Pericardium fibrous pericardium sternopericardial ligaments serous pericardium epicardium / visceral layer fold of Left vena cava Blood supply Circulatory system Coronary circulation Coronary arteries Retrieved from `` https://en.wikipedia.org/w/index.php?title=Atrium_(heart)&oldid=797936879 '' Categories : Cardiac anatomy Hidden categories : Medicine infobox template using GraySubject or GrayPage Use dmy dates from April 2017 Talk Contents About Wikipedia Беларуская Bosanski Català Deutsch Eesti Emiliàn e rumagnòl Español Esperanto Euskara فارسی Français Gaeilge Galego Ido Italiano Қазақша Kreyòl ayisyen Latina Lietuvių Nederlands Norsk nynorsk Polski Português Русский Slovenščina کوردی Српски / srpski Svenska Українська 粵語 中文 Edit links This page was last edited on 30 August 2017, at 01 : 48. 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Question: where does the blood in the right atrium come from
Answer: venous circulation