cardiac cycle Flashcards
cuantas fases del ciclo cardiaco hay ?
7
- sistole auricular (diastole)
- isovolumetric contraction (sistole)
- rapid ventricular ejection
- slow ventricular ejection
- isovolumetric relaxation (diastole)
- rapid ventricular filling
- slow ventricular filling
FASE 1 SISTOLE AURICULAR (ONDA P )
se despolariza la auricular
se produce la contracción
la sangre pasa al ventrículo izq
el ventrículo aumenta de volumen y la presión tmb
si el ventrículo es rígido puede temblar u producir un sonido grave que se conoce como 4th sound ( se escucha mejor con la campana) este indica una hypertrophy ventricular
sistole: phases , what is it, sound
3 phases : Isovolumetric contraction
fast ventricular ejection and slow ventricular ejection
ventricular emptying
1st and 2nd by closing
PHASE 2: ISOVOLUMETRIC CONTRACTION (2ND HALF OF QRS)
electric event, mechanical and hemodynamic and acoustic
electric - ventricular depolarization
mechanical event: ventricular contraction, increased pressure, no change in volume, av valve closure
Acoustic : 1st sound- av valve closure
phase3: rapid ventricular ejection
electric, mechanical and acoustic event
electric : st segment
mechanical : la presión e mayor que la de la aorta, sale la sangre, atria relieve Venus return
acoustic: no sounds ( si hay, pathologic )
phase 4: slow ventricular ejection
electrical, mechanical and acoustic event
electrical: depolarisation t wave
mechanical: ventricles stop contracting but flow is still going out
baja el volumen and atria will keel filling up
acoustic : no noise, if there is then teheres a pathology
DIASTOLE: phases, what it is , sound
phases: 3+1
isovolumetric realxation
fast ventricular relaxation
slow ventricular relaxation
it is equivalen to ventricular filling
sound: 2nd sound
phase 5 ISOVOLUMETRIC RELAXATION
electrical , mechanical and acoustic event
electrical event : end of t wave
mechanical: ventricular relaxation, no change in volume but decreased pressure atria keep filling up
acoustic: 2nd sound ( semilunar valve closing ) in inspiration DELAYED PULMONARY VALVE CLOSURE= DOUBLING OF THE SECOND NOISE.
phase 6: rapid ventricular filling
electrical, mechanical , acoustic
electrical: tp segment
mechanical : ventricular pressure is lower than atrial
av valve opening
rapid filling
acoustic: normally no sound but fast filling can provoque a 3rd sound ( with bell
physiological in children , teens and t3- pregnancy
phase 7: slow ventricular filling
electric, mechanical and acoustic
electrical: post t wave
mechanical : longest phase of the cardiac cycle ( and MOST boring)
relaxed ventricle that finish filling
acoustic: no sound
PHASE MOST EASILY SHORTENS WITH TACHYCARDIA