Cardiac Cycle Flashcards

1
Q

How many phases are in the Cardiac Cycle?

A

5 stages

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2
Q

Name the stages

A
Late Diastole
Atrial Systole
Isovolumic Ventricular Contraction
Ventricular Ejection
Isovolumic Ventricular Relaxation
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3
Q

Describe Late Diastole

A

Both chambers relaxed, AV valves are open and ventricles fill passively

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4
Q

Describe Atrial Systole

A

Atrial contraction forces last bit of additional blood into the ventricles (controlled by SAN)

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5
Q

Describe Isovolumic Ventricular Contraction

A

Pressure in Ventricle is higher than in Atria so the AV valves are pushed shut. Ventricle contracts but does not change volume because the SL valves are still shut.

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6
Q

Describe Ventricular Ejection

A

Pressure in the Ventricle reaches a value higher than in the aorta and pulmonary artery so the SL valves open and blood is pushed out of the ventricle.

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7
Q

Describe Isovolumic Ventricular Relaxation

A

Ventricle relax and SL valves shut as the pressure drops.

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8
Q

How does the time spent in Diastole relate to Systole?

A

2/3 diastole, 1/3 systole

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9
Q

Name 4 pressures associated with the cardiac cycle

A

Systolic pressure= peak= 120mm/hg
Diastolic pressure= lowest aortic pressure= 80mm/hg
Pulse pressure= Systolic- diastolic pressure = 40mm/hg
Mean Arterial Pressure= diastolic+ 1/3pulse pressure= 75mm/hg

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10
Q

What is important to remember about these pressures?

A

They apply to the LEFT side of the heart

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11
Q

What is different in THE RIGHT side?

A

The values are around 1/5 of the left
Less pressure is required because the blood is only going to the lungs.
The stroke volume is the same. SERIES circuit

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12
Q

Name 4 Volumes associated with the Cardiac Cycle

A

END Systolic Volume= 60ml
END Diastolic Volume= 140ml
Stroke Volume= EDV- ESV= 80ml
Ejection Fracture= SV/EDV (should be 2/3)

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13
Q

Name the three phases of Filling

A

Rapid, slower and active (action of atria)

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14
Q

Describe the process of Ejection

A

Rapid phase then a slower phase

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15
Q

Why is it important to have a rapid phase at the start?

A

Limits the effect that rising HR has on stroke volume.

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16
Q

What is another method of illustrating the Cardiac Cycle?

A

The pressure volume loop- time = anticlockwise.

Shows a graph of Left ventricular volume against ventricular pressure.

17
Q

What happens during HTN?

A

The valves will open at higher ventricular pressure because the systemic pressures are also higher.

18
Q

Define the purpose of Phonocardiography

A

To listen to heart sounds

19
Q

Describe the classic heart sounds

A
LUB= Atrioventricular Valves shutting 
DUP= Semi lunar valves closing
20
Q

Describe the 3rd and 4th heart sounds

A
3rd= Rapid Filling
4th = Active filling
21
Q

What is Systolic Murmour?

A

Lub-shh-dup
Mitral/ Tricuspid regurgitation
SL stenosis (failure to close)

22
Q

What is Diastolic Murmour?

A

Lub-dup-shh
Mitral/ Tricuspid Stenosis
SL regurgitation

23
Q

State the cause of Heart murmur throughout the Cardiac Cycle

A

Septal Defect