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For most of history,
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humans had no idea what purpose the heart served.
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In fact, the organ so confused Leonardo da Vinci,
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that he gave up studying it.
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Although everyone could feel their own heart beating,
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it wasn't always clear what each thump was achieving.
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Now we know that the heart pumps blood.
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But that fact wasn't always obvious,
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because if a heart was exposed or taken out,
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the body would perish quickly.
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It's also impossible to see through the blood vessels,
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and even if that were possible,
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the blood itself is opaque,
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making it difficult to see the heart valves working.
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Even in the 21st century,
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only a few people in surgery teams
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have actually seen a working heart.
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Internet searches for heart function,
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point to crude models, diagrams
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or animations that don't really show how it works.
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It's as if there has been a centuries old conspiracy
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amongst teachers and students
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to accept that heart function cannot be demonstrated.
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Meaning that the next best thing
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is simply to cut it open and label the parts.
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That way students might not fully grasp the way it works,
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but can superficially understand it,
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learning such concepts as
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the heart is a four-chambered organ,
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or potentially misleading statements like,
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mammals have a dual-circulation:
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one with blood going to the lungs and back,
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and another to the body and back.
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In reality, mammals have a figure-eight circulation.
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Blood goes from one heart pump to the lungs,
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back to the second heart pump, which sends it to the body,
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and then back to the first pump.
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That's an important difference
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because it marks two completely different morphologies.
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This confusion makes many students
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wary of the heart in biology lessons,
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thinking it signals an intimidating subject
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full of complicated names and diagrams.
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Only those who end up studying medicine
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compeltely understand how it all actually works.
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That's when its functions become apparent
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as medics get to observe the motion of the heart's valves.
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So, let's imagine you're a medic for a day.
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What you'll need to get started is a whole fresh heart,
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like one from a sheep or pig.
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Immerse this heart in water
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and you'll see that it doesn't pump when squeezed by hand.
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That's because water doesn't enter the heart cleanly enough
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for the pumping mechanism to work.
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We can solve this problem in an extraordinarly simple way.
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Simply identify the two atria and cut them off,
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trimming them down to the tops of the ventricles.
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This makes the heart look less complicated
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because the atria have several incoming veins attached.
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So without them there, the only vessels remaining
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are the two major heart arteries:
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the aorta and pulmonary artery,
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which rise like white columns from between the ventricles.
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It looks -- and really is -- very simple.
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If you run water into the right ventricle from a tap
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(the left also works, but less spectacularly),
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you'll see that the ventricular valve
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tries to close against the incoming stream.
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And then ventricle inflates with water.
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Squeeze the ventricle and a stream of water
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squirts out of the pulmonary artery.
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The ventricular valves, called the tricuspid in the right ventricle
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and the mitral in the left,
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can be seen through the clear water
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opening and closing like parachutes
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as the ventricle is rhythmically squeezed.
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This flow of water mimics the flow of blood in life.
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The valves are completely efficient.
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You'll notice they don't leak at all when the ventricles are squeezed.
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Over time, they also close against each other
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with very little wear and tear,
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which explains how this mechanism continues to work seamlessly
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for more than 2 billion beats a heart gives in its lifetime.
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Now, anyone studying the heart can hold one in their hands,
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make it pump for real
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and watch the action unfold.
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So place your hand above your own
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and feel its rhymic beat.
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Understanding how this dependable inner pump works
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gives new resonance to the feeling you get
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when you run a race,
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drink too much caffeine
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or catch the eye of the one you love.