cardiac cycle Flashcards

1
Q

define systolic pressure

A

highest pressure in the aorta during contraction

~120

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2
Q

define diastolic pressure

A

lowest pressure in the aorta during relaxation

~80

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3
Q

define mean arterial pressure

A

MAP
1/3 of the way between diastolic and systolic pressure
~90-95
diastolic + 1/3 of systolic

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4
Q

define pulse pressure

A

difference between systolic and diastolic pressure

~40

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5
Q

define end diastolic volume

A

EDV
volume in the heart at the end of diastole
~140ml

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6
Q

define end systolic volume

A

ESV
volume in the heart at the end of systole
~60ml

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7
Q

define stroke volume

A

SV = EDV - ESV
~80ml
main determinant is the size of the person

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8
Q

define ejection fraction

A

EF = SV/EDV
~2/3
clinically more useful than SV
reduces with poor health

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9
Q

what does the A wave represent

A

atrial contraction

slight increase in pressure

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10
Q

what does the C wave represent

A

ventricular contraction
rise in pressure then quickly falls
pressure released when aortic valve opens and blood escapes out

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11
Q

what does the V wave represent

A

blood accumulates in atrium during ventricular systole
gradual increase in pressure
mitral valve opens and blood moves through to ventricles
pressure inside atria falls

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12
Q

define isometric contraction period

A

the ventricles are contracting but volume remains the same

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13
Q

rapid/slow ejection phase

A

during systole

rapid first then slower

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14
Q

rapid/slow filling phase

A

during diastole
rapid first then slower
if HR increases, filling phase decreases
>140bpm cuts into rapid filling phase which has a big impact

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15
Q

what occurs during late diastole

A

both sets of chambers are relaxed and the ventricles fill passively

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16
Q

what occurs during atrial systole

A

atrial contraction forces a small amount of additional blood into the ventricles

17
Q

what occurs during isovolumic/isometric ventricular contraction

A

1st phase of ventricular contraction pushes AV valves closed but doesn’t create enough pressure to open SL valves

18
Q

what occurs during ventricular ejection

A

ventricular pressure increases and exceeds the pressure in the arteries, SL valves open and blood is ejected

19
Q

what occurs during isovolumic ventricular relaxation

A

ventricles relax, pressure in ventricles falls, blood flows back into cusps of SL valves and snaps them closed

20
Q

what are the 2 ways the cardiac cycle can be represented

A

cardiac cycle graph

pressure-volume loop: LV vol vs LV pressure, runs anti-clockwise

21
Q

what is the difference in circulation in the R and L side of the heart

A

shape would be the same for pulmonary circulation but with lower numerical values
lower pressure, same volume

22
Q

pressure-volume loops

A

A. mitral valve opens (low vol and pressure)
B. mitral valve closes, EDV (isometric contraction phase)
C. aortic valve opens, diastolic pressure
D. aortic valve closes, systolic pressure, ESV

23
Q

what causes the heart sounds

A

turbulence in the blood

normally 2 heart sounds are heard

24
Q

what are the 2 normal heart sounds

A

S1 - mitral and tricuspid valves closing

S2 - aortic and pulmonary valves closing

25
Q

abnormal heart sounds

A

murmurs

caused by abnormal turbulence of blood e.g. due to stenosis or regurgitation

26
Q

systolic murmurs

A

between S1 and S2
aortic/pulmonary stenosis
mitral/tricuspid regurgitation
Lub shhh dup

27
Q

diastolic murmurs

A

Between S2 and S1
mitral/tricuspid stenosis
aortic/pulmonary regurgitation
Lub dup shhh

28
Q

what causes continuous background noise

A

murmur throughout the whole cycle
normally due to septal defect
pressure in L > R side of the heart
blood leaks from one side to the other throughout the whole cycle

can also occur due to calcification of the valves where they dont open or shut properly