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Second Heart

DEFINITION
A nickname for the soleus muscle because of its role in supporting venous return from the lower limbs. Appears in published scientific literature. Not a medical device or pacemaker.
Pronunciation SEK-und HART
Category Physiological Concept
Term ID TERM-002
Source: 2HEART Glossary
Refers To
Soleus Muscle
The deep calf muscle that helps pump blood upward
Function
Supports Venous Return
Helps move blood from lower limbs back to the heart

What it refers to

"Second heart" refers to the soleus muscle, a deep calf muscle that supports venous return the movement of blood from the lower legs back to the heart. When it contracts, it compresses deep veins, pushing blood upward against gravity. The term appears in published literature, including a 2013 International Journal of Angiology paper on calf pump activity and venous hemodynamics (PMC3699225) it's a physiological description, not a marketing term.

Not a device: if you're searching because of a pacemaker, VAD, or artificial heart, this isn't that. And the term is descriptive, not literal your heart remains the primary pump; the soleus supports circulation, it doesn't replace it. Read the full explanation →

Why it matters during sitting

When you sit with your knees at 90 degrees, the soleus becomes substantially less active, the calf pump slows, and venous return decreases which may contribute to heaviness, swelling, or fatigue by end of day. What happens when it stops moving → · Heavy legs after sitting →

Related terms

Frequently Asked Questions

Why is the soleus called the second heart?
Because it functions as a venous pump contracting to compress the deep leg veins and drive blood upward against gravity, the same job your heart does for the rest of the body.
Is the second heart a real medical term?
Yes it's a physiological description found in peer-reviewed literature, not a phrase 2HEART invented for marketing.
Does the second heart replace my actual heart?
No. The term second heart is descriptive, not literal. Your heart remains the primary pump. The soleus supports circulation but does not replace your heart.

Educational purpose only. This glossary entry is for informational purposes and is not medical advice. The term "second heart" refers to the soleus muscle, not a medical device.

See It in Context
Why Second Heart → Soleus Muscle → Soleus Push-Up →