Apex of the heart

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Apex of the heart
Image:Heart2020.jpg
Sternocostal surface of heart. (Apex is not labeled, but is visible at bottom right.)
Latin	apex cordis
Gray's	subject #138 527
Dorlands/Elsevier	a_52/12145026

The apex of the heart is the lowest superficial part of the heart.

It is directed downward, forward, and to the left, and is overlapped by the left lung and pleura.

[edit] External anatomy

It lies behind the fifth left intercostal space, 8 to 9 cm. from the mid-sternal line, slightly medial to the midclavicular line.

Alternately, it can be found about 4 cm. below and 2 mm. to the medial side of the left mammary papilla.

[edit] External links

• Apex+of+heart at eMedicine Dictionary
• SUNY Labs 20:05-0104 - "Heart: Sternocostal Surface of the Heart"
• Roche Lexicon - illustrated navigator, at Elsevier 02101.002-2

This article was originally based on an entry from a public domain edition of Gray's Anatomy. As such, some of the information contained herein may be outdated. Please edit the article if this is the case, and feel free to remove this notice when it is no longer relevant.

v • d • e Anatomy of torso, cardiovascular system: heart Structures atria (interatrial septum, musculi pectinati) • ventricles (interventricular septum, trabeculae carneae, chordae tendinae, papillary muscle) • valves • cusps Regions base • apex • grooves (coronary/atrioventricular, interatrial, anterior interventricula, posterior interventricular) • surfaces (sternocostal, diaphragmatic) • borders (right, left) Right heart (vena cavae, coronary sinus) → right atrium (atrial appendage, fossa ovalis, limbus of fossa ovalis, crista terminalis, valve of the inferior vena cava, valve of the coronary sinus) → tricuspid valve → right ventricle (conus arteriosus, 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 pericardium: fibrous pericardium • serous pericardium (pericardial cavity, epicardium/visceral layer) • pericardial sinus myocardium • endocardium • cardiac skeleton (fibrous trigone, fibrous rings) Conduction system Cardiac pacemaker • SA node • AV node• bundle of His • Purkinje fibers