Heart: how your heart pumps blood around your body
The heart is a fist-sized muscular organ that sits in the chest cavity.
What does your heart do?
The purpose of your heart is to pump blood to the organs and tissues of your body that need the oxygen and nutrients it carries. Oxygen-rich blood is pumped out of the left side of your heart (shown on the right in the diagram) into the arteries to these tissues and organs.
Blood that has delivered its nutrients and oxygen and is in need of oxygen comes back to your heart in the veins and enters the right hand side of the heart (on left of diagram). This blood which is in need of oxygen (so-called deoxygenated blood) is sent to your lungs to pick up oxygen and get rid of carbon dioxide.
Your heart pumps all day to circulate blood around the body. On average, a red blood cell in the circulation will pass through the heart every 45 seconds. If you start to exert yourself your heart will start to pump faster to supply your working muscles with the increased amount of oxygen and nutrients they need. The heart is a muscle too, and to enable it to pump effectively, it has its own blood supply bringing it oxygen.
How does your heart work?
Your heart is made up of 2 pumps. The pump on the right hand side receives blood that has already delivered its oxygen round the body and sends this blood to the lungs to pick up more oxygen (and get rid of carbon dioxide).
The pump on the left hand side receives oxygen-rich blood and then pumps it out into the arteries to deliver its oxygen around the body.
Blood in need of oxygen enters heart
Blood in need of oxygen from around the body travels in the veins to the heart. This blood in need of oxygen (also called deoxygenated blood) is usually shown as blue or purple on diagrams.
This ‘deoxygenated’ blood enters the top right hand side chamber (shown on left in diagram) of the heart, which is called the right atrium, via two large veins. Blood from the upper body, e.g. the head and arms, comes in via the superior vena cava. Blood from the lower body, that is the trunk and legs, comes in via the inferior vena cava.
Blood passes from right atrium to right ventricle
When the right atrium fills, the blood then passes through a one-way door (valve) called the tricuspid valve into the right ventricle. The valve stops blood from flowing backwards into the right atrium once it’s in the right ventricle. The right ventricle relaxes and venous blood in need of oxygen flows in.
Right ventricle sends blood needing oxygen to the lungs
The blood needing oxygen is pumped out of the right ventricle, through the pulmonary valve into the pulmonary artery. The pulmonary artery then divides into the right and left pulmonary arteries, carrying blood to the right and left lungs. In the lungs the blood gives up its carbon dioxide and picks up oxygen.
Oxygen-rich blood from lungs enters heart
Fresh blood full of oxygen leaves the lungs and comes back to the heart in the pulmonary veins. This oxygen-rich blood enters the left atrium — the top left chamber of the heart (on right of diagram).
Blood passes from left atrium to left ventricle
When the left atrium is full it pushes the blood through the mitral valve into the left ventricle.
Left ventricle sends oxygen-rich blood around body
The left ventricle relaxes and fills up with blood before squeezing and pumping the oxygen-rich blood through the aortic valve into the aorta — the main artery that carries blood to your body. The muscle wall of the left ventricle is very thick because it has to pump blood around the whole body.
Last Reviewed: 05/08/2015
1. Tortora GJ, Derrickson BH. Essentials of Anatomy and Physiology. 9th International student edition. New York: Wiley; 2012.
2. Tracey DJ, Baume P. Anatomica: The Complete Reference to the Human Body and How it Works. Random House Australia, 2000.
3. Netter FH. Atlas of Human Anatomy. 6th ed. Saunders; 2014.
View a picture of the anatomy of the heart, which is made up of 4 compartments: 2 atria and 2 ventricles.
The coronary arteries supply the heart muscle with oxygen so that it can work. If these vessels become narrowed, angina can result.
Heart failure overview
Heart failure is when your heart can't effectively pump blood around your body, but it doesn’t mean your heart is about to stop or fail completely - you can live with heart failure for many years.
Pulmonary hypertension is a condition where the blood pressure in the pulmonary arteries (vessels that carry blood from the heart to the lungs) is higher than normal, putting a strain on the right side of the heart.
Angina can affect people in different ways and the symptoms may vary at different times. It usually lasts only a few minutes and can be relieved by rest and/or medicines.