Cardiac cycle Flashcards

1
Q

What is the total duration of one cardiac cycle?

What is the duration of diastole?

What is the duration of systole?

A
  1. 9 seconds
  2. 55 seconds
  3. 35 seconds
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2
Q

What is systole?

A

Contraction and ejection of blood from ventricles

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3
Q

What is diastole?

A

Relaxing and filling of ventricles

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4
Q

What is the pressure of left atrium during systole and diastole?

A

8-10

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5
Q

What is pressure change of the left ventricle during systole and diastole?

A

120/10

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6
Q

What is the pressure of the aorta during systole and diastole?

A

120/80

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7
Q

What is the origin of the first heart sound?

A

When the tricuspid and mitral valve close during phase 2

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8
Q

What is the origin of the second heart sound?

A

Closure of the aortic and pulmonary valve during phase 5

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9
Q

Describe the ECG curve during the cardiac cycle

A

Phase 1 - P wave of atrial depolarisation
Phase 2 - QRS depolarisation of the ventricles
Phase 4 - T wave of ventricular repolarisation

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10
Q

Which phases of the cardiac cycle are systole?

Which are diastole?

A

Systole - 2-4

Diastole 5 - 1

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11
Q

Describe the left ventricular volume over the cardiac cycle.

A

After phase 1 - End diastolic volume, final 10% of ventricle filling
After phase 2 - NO change
Phase 3 - Down as rapid ejection into aorta
Phase 4 - Small reduction
Phase 5 - Constant as all valves closed, ESV
Phase 6 - increasing as intraventricular pressure is below atrial pressure
Phase 7 - Ventricles are 90% full

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12
Q

Describe left atrial pressure over the cardiac cycle

A

Phase 1 - A wave due to atrial systole, increase in pressure
Phase 2 - C wave as valves close, small increase
Phase 3 - X descent as base pulled downwards due to ventricular contraction
Phase 4 - V wave, pressure increases due to venous return
Phase 6 - Y descent as mitral valve opens to allow ventricular filling

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13
Q

Describe aortic pressure over the cardiac cycle

A

Phase 3 - increases as valve opens and ventricular pressure exceeds it, ventricular contraction
Phase 4 - Down as ejection falls and repolarisation occurs
Phase 5 - Dicrotic notch caused by valve closure

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14
Q

Describe left ventricular pressure over the cardiac cycle

A

Phase 2 - increases due to contraction
Phase 4 - Decreases as ejection falls and repolarisation occurs
Phase 5 - Rapid decline

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15
Q

What are the 7 phases of the cardiac cycle

A
  1. Atrial contraction
  2. Isovolumetric contraction
  3. Rapid ejection
  4. Reduced ejection
  5. Isovolumetric relaxation
  6. Rapid filling
  7. Reduced filling
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