About the size of its owner's clenched fist, the organ sits in the middle of the chest, behind the breastbone and between the lungs, in a moistened chamber that is protected all round by the rib cage. It's made up of a special kind of muscle (cardiac muscle) that works involuntarily, so we don't have to think about it. The heart speeds up or slow downs automatically in response to nerve signals from the brain that tell it how much the body is being exerted. Normally the heart contracts and relaxes between 70 and 80 times per minute, each heartbeat filling the four chambers inside with a fresh round of blood.
These cavities form two separate pumps on each side of the heart, which are divided by a wall of muscle called the septum. The upper chamber on each side is called the atrium. This is connected via a sealing valve to the larger, more powerful lower chamber, or ventricle. The left ventricle pumps most forcefully, which is why a person's heartbeat is felt more on the left side of the chest.
When the heart contracts, the chambers become smaller, forcing blood first out of the atria into the ventricles, then from each ventricle into a large blood vessel connected to the top of the heart. These vessels are the two main arteries. One of them, the pulmonary artery, takes blood to the lungs to receive oxygen. The other, the aorta, transports freshly oxygenated blood to the rest of the body. The vessels that bring blood to the heart are the veins. The two main veins that connect to the heart are called the vena cava.
Blood both supplies oxygen from the lungs to the other organs and tissues and removes carbon dioxide to the lungs, where the gas is breathed out. Blood also distributes nourishment from the digestive system and hormones from glands. Likewise our immune system cells travel in the bloodstream, seeking out infection, and blood takes the body's waste products to the kidneys and liver to be sorted out and trashed.
Your heart can be viewed as having two halves. The left half of your heart is much stronger and better developed than the right half. This happens because the left half has to pump blood through your entire body, while the right half only has to pump blood through the lungs.