THE
HEART'S OWN SUPPLY The heart, being a muscle, and a hard-working one, needs nutritious
blood. And nature has seen to it that it gets it by special means. The heart's
special system begins at the aorta, from which branch off two arteries, the
coronaries, each about the size of a thick knitting needle. One enters the
heart muscle on the right side; the other, on the left. And the two together
form a kind of wreath about the heart. The coronaries divide and divide to feed
every part of the heart muscle. And after the blood has deposited its oxygen
supply and picked up waste, it is carried by a system of veins to the right
atrium to be passed, along with blood returning from other parts of the body,
to the lungs. As we have noted, the heart has remarkable ability to adapt to
demands of the body-to beat faster, contract more completely, and thus pump
much more blood when necessary.
In
turn, the coronary circulation has remarkable ability to adapt to the heart's
needs when they increase. When the heart must work harder, it needs more
nourishment -and the coronary circulation accommodates. Ordinarily, the
coronary arteries take only a small fraction of the blood moving through the
aorta. But when the heart is working harder, the arteries will take more, even
up to half of the total flow through the aorta. An unusual feature of the
coronary circulation is the presence of extra capillaries, many of which form
connections between the two coronary arteries. These extra tiny vessels lie
unused and empty except when you are exerting yourself to the point of putting
bigger demands on the heart. Then they go to work to bring more blood and
oxygen to the heart muscle. These same capillaries help, too, if some of the
regular blood channels no longer function effectively because of disease. Then
the spare capillaries go into regular use as substitute pathways. There is
another safeguard in the fact that each coronary artery doesn't supply only its
own side of the heart.
Branches extend over to the other side so
that many heart areas have blood supplied from both coronary arteries. Thus, if
one of these vital vessels should become dis- eased and narrowed, all is not
necessarily lost.