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The Heart

Michael Sappol, PhD; Eva Åhrén, PhD
JAMA. 2009;301(17):1825-1826. doi:10.1001/jama.2009.590.
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Certain body parts occupy a privileged position in culture. The eye, the ear, the hand, the face, the flesh—parts that are visible, instrumental, and experiential—play an outsized role in language, myths, visual images, and sense of self. So do certain body parts that are covered but conspicuous: the brain, the stomach, and especially the heart. In many cultures, the heart signifies selfhood, love, courage, religious rapture, the essential core of things. Hearts pound, break, dry up, open or close, soften or harden. Then there is another history: one that began in Greco-Roman antiquity and quickened in early modern Europe, when the heart became the subject of anatomical and physiological research that in turn led to the achievements of the 20th and 21st centuries, when the heart became the object of audacious and celebrated feats of surgery and other radical medical interventions.

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Left, Mansūr ibn Ilyās (1390), a premodern Islamic manuscript demonstrating a fascination with the interior of the body, which resulted in a detailed knowledge of anatomy. Courtesy of M. Sappol (Dream Anatomy) and with permission of the National Library of Medicine, National Institutes of Health. Right, Unconventional imaging of the cardiovascular system as formulated through select 3-dimensional magnetic resonance imaging reconstruction. Courtesy of Lee Schiel, Precision Medical Diagnostics, Crestline, California.

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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