Cardiac Cycle Flashcards
What precedes atrial systole?
P wave
When all valves are closed and ventricular volume is constant, what is the phase called?
Isovolumetric
Name the important components of Atrial Systole in the:
- EKG
- Aortic Pressure
- Left Ventricular Pressure
- Venous Pulse
- Ventricular Volume
- Ventricular Outflow
- Heart sound??
- Mitral valve (open or closed?)
- Aortic Valve (open or closed?)
- P wave before Atrial Systole (precedes)
- decreasing Aortic Pressure
- slight increase/almost constant Left Ventricular Pressure
- A wave –> ATRIAL SYSTOLE
- Ventricular VOLUME is constant
- Ventricular OUTFLOW is constant
- 4th heart sound!!! hypertrophy!!
- Mitral Valve OPEN!!
- Aortic Valve CLOSED
Are the 4th and 3rd heart sounds abnormal? What causes them? When do they occur?
YES!
- 4th = hypertrophy of left ventricle
- occurs in late diastole –> ATRIAL SYSTOLE - occurs in Early Diastole - Rapid Ventricular Filling
3rd = rapid filling & emptying of ventricle –> normal in kids/pregnant women, not normal in adults
- mitral regurge
- HF
- dilated ventricles
Name the important components of ISOVOLUMETRIC CONTRACTION in the:
- EKG
- Aortic Pressure
- Left Ventricular Pressure
- Venous Pulse
- Ventricular Volume
- Ventricular Outflow
- Heart sound??
- Mitral valve (open or closed?)
- Aortic Valve (open or closed?)
- during the QRS(activation of ventricles)
- Aortic Pressure drops slightly
- L. Ventricular Pressure INCREASES
- none
- Ventricular Volume slight INCREASE
- Ventricular outflow CONSTANT
- 1st heart sound!! = closure of mitral valve
- Mitral closed
- Aortic Closed
-when ventricular pressure is GREATER than atrial pressure = MITRAL Valve closed - 1st sound
- ventricular pressure increases isovolumetrically due to ventricular contraction
- NO BLOOD LEAVES
Name the important components of SYSTOLE: Rapid Ventricular Ejection in the:
- EKG
- Aortic Pressure
- Left Ventricular Pressure
- Venous Pulse
- Ventricular Volume
- Ventricular Outflow
- Heart sound??
- Mitral valve (open or closed?)
- Aortic Valve (open or closed?)
- no EKG, beginning of T wave marks end of ventricular contraction & RAPID EJECTION
- Aortic Pressure - INCREASES
- L. Ventricular Pressure INCREASES
- C wave – ventricular contraction!!!bulging of tricuspid valve into right atrium during right ventricular contraction
- Ventricular VOlume DECREASES
- Ventricular Outflow INCREASES drastically
- No heart sound
- Mitral Valve CLOSED
- Aortic Valve OPEN!!!!!!!!
When does the aortic valve open?
During Rapid Ejection!
Name the important components of SYSTOLE: Reduced Ventricular Ejection in the:
- EKG
- Aortic Pressure
- Left Ventricular Pressure
- Venous Pulse
- Ventricular Volume
- Ventricular Outflow
- Heart sound??
- Mitral valve (open or closed?)
- Aortic Valve (open or closed?)
- T wave!!!!
- Aortic Pressure - DECREASED
- Left Ventricular Pressure - DECREASED
- Venous Pulse - X wave –> ventricular relaxation
- followed by V wave –> filling of ATRIUM
5. Ventricular Volume - DECREASING
6. Ventricular Outflow - DECREASING
7. Heart sound?? - NONE
8. Mitral valve (open or closed?) - CLOSED
9. Aortic Valve (open or closed?) - OPEN
Why is there reduced ejection?
Sarcomeres are not at optimal overlap–> too close together so steric hindrance occurs
Name the important components of Isovolumetric Relaxation in the:
- EKG
- Aortic Pressure
- Left Ventricular Pressure
- Venous Pulse
- Ventricular Volume
- Ventricular Outflow
- Heart sound??
- Mitral valve (open or closed?)
- Aortic Valve (open or closed?)
- EKG - END OF T wave - depolarization of ventricles complete
- Aortic Pressure - DICROTIC NOTCH OCCURS –> occurs due to recoil of Aorta once the valve closes
- Left Ventricular Pressure - DECREASING
- Venous Pulse - rising V WAVE = rapid filling of atria
- Ventricular Volume - constant
- Ventricular Outflow - Constant
- Heart sound?? - 2nd heart sound!!! = closing of Aortic Valve/Pulmonic Valve
- Mitral valve (open or closed?) - CLOSED
- Aortic Valve (open or closed?) - CLOSED
When does the dicrotic notch occur?
During Isovolumetric Relaxation - Aortic Valve closes
Name the important components of Diastole: Rapid Filling:
- EKG
- Aortic Pressure
- Left Ventricular Pressure
- Venous Pulse
- Ventricular Volume
- Ventricular Outflow
- Heart sound??
- Mitral valve (open or closed?)
- Aortic Valve (open or closed?)
- EKG- none
- Aortic Pressure - decreasing
- Left Ventricular Pressure - decreasing
- Venous Pulse - FALL of V wave = EMPTYING of ATRIUM
- Ventricular Volume -INCREASING
- Ventricular Outflow - Constant ( not changing)
- Heart sound?? - 3rd heart sound!!! = rapid flow of blood from atria into the ventricles
- abnormal in adults - Mitral valve (open or closed?) - OPEN
- Aortic Valve (open or closed?) - CLOSED
Inspiration delays the closure of what valve?
Pulmonic
What valve delay can RBBB cause? LBBB?
- Pulmonic Valve delay = Persistent Splitting
(increased with inspiration) - Paradoxical Splitting = Aortic Valve delay
(decreased with inspiration)
Name the important components of Diastole: Reduced Filling:
- EKG
- Aortic Pressure
- Left Ventricular Pressure
- Venous Pulse
- Ventricular Volume
- Ventricular Outflow
- Heart sound??
- Mitral valve (open or closed?)
- Aortic Valve (open or closed?)
LONGEST PHASE
- ventricular filling occurs at a slower rate
- None
- Aortic Pressure - DECREASES
- Left Ventricular Pressure - Constant
- Venous Pulse - none
- Ventricular Volume - CONSTANT (increased during rapid filling)
- Ventricular Outflow - Constant = not changing
- Heart sound?? - preceded by 3rd heart sound (rapid filling of ventricles)
- Mitral valve (open or closed?) - OPEN
- Aortic Valve (open or closed?) - CLOSED