It is a closed sac having two layers: the visceral layer (epicardium), immediately surrounding the heart, and the outer parietal layer, forming the sac, composed of strong fibrous tissue, the fibrous pericardium, lined with a serous membrane, the serous pericardium. Synonym(s): heart sac, theca cordis.
The right and left cavernous sinuses are interconnected by the anterior and posterior intercavernous sinuses. Tributaries of the cavernous sinus include the superior ophthalmic, superficial middle cerebral, and inferior cerebral veins and the sphenoparietal sinus.
The sinus node (SA) is located in the roof of the right atrium. It is the fastest physiological pacemaker. When the sinus node generates an electrical impulse, the surrounding cells of the right atrium depolarize. Then the cells of the left atrium, the AV (atrioventricular)node, follow, and at last the ventricles are stimulated via the His bundle. With this knowledge it is quite simple to recognize normal sinus rhythm on the ECG.