Cardiac cycle Flashcards

1
Q

During a single heart beat, the cardiac cycle consists of what four events

A

Electrical
Contractile
Pressure
Valvular

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2
Q

2 periods of cardiac cycle

A

Diastole

Systole

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3
Q

Diastole

A

Relaxation of heart muscle and refills with blood

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4
Q

Systole

A

Contraction of heart muscle and pumping of blood

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5
Q

Arterial line

A

Thin catheter inserted into an artery
Allow to draw blood easily
Blood pressure monitoring and blood tests
Measure SBP,DBP,MAP

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6
Q

Systolic pressure

A

120mmHg

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7
Q

Diastolic pressure

A

70mmHg - normally twice as long as systolic pressure at rest

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8
Q

MAP

A

87mmHg

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9
Q

How do you work out MAP

A

diastolic pressure + 1/3 of the pulse pressure

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10
Q

Pulse pressure equation

A

Systolic pressure - diastolic pressure

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11
Q

In cardiac cathertisation what screening tool is used to guide artery

A

X-ray

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12
Q

Where is a cardiac artery usually inserted

A

In the groin area

Threaded through vessels - pressure tracing as follows arteries or veins

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13
Q

What does the dicrotic notch represent

A

Closure of the aortic valve

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14
Q

Which ventricle is circular and thick walled

A

Left higher pressures

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15
Q

Which ventricle is crescent shaped and thin walled for low pressure

A

Right ventricle

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16
Q

What muscles anchor mitral valve leaflets

A

Prominent papillary muscles

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17
Q

In right heart catheterisation where do you enter the catheter

A

Neck

Sometimes groin

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18
Q

When is pulmonary artery wedge pressure increased

A
Vasoconstriction
Fluid overload 
Right to left shunt VSD 
Left ventricular failure 
Pulmonary hypertension
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19
Q

When is pulmonary artery wedge pressure decreased

A

Vasodilation and hypovolaemia

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20
Q

Range for right atrial pressure

What is this equivalent to and seen clinically where

A

6/2
Central venous pressure
Jugular venous pressure

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21
Q

Pulmonary artery pressures

A

25/10

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22
Q

Right ventricle pressures

23
Q

Left ventricle pressures

24
Q

Left atrium pressures

25
What are the four valves
Tricuspid valve - located between RA and RV pulmonary valve located between the RV and the PA Mitral valve located between the LA and LV aortic valve located between LV and aorta
26
What is a bicuspid aortic valve
Aortic valve with only two cups/flaps instead of 3 - aortic valve controls flow of blood from LV to the aorta , the main artery delivering blood to your body
27
What valve is normally the only bicuspid valve
Mitral valve between LA and LV
28
When does systole occur
Mitral valve and tricuspid closing to when aortic and pulmonary vlaves close
29
When does diastole occur
Aortic and pulmonary close to mitral and tricuspid close
30
What is isovolumetric contraction
Early systole where ventricles contract with no corresponding volume change (isovolumetrically ) - all heart valves are closed
31
What is isovolumetric relaxation
Interval in cardiac cycle closure of aortic valve to onset of filling by opening of mitral valve
32
Cardiac output
Volume of blood pumped out by heart by ventricles per minute
33
Stroke volume
Volume of blood ejected from each benticle due to each contraction SV is the difference between end diastolic volume and end systolic volume
34
Heart rate
Number of beats per minute
35
Ejection fraction
How much blood the left ventricle pumps out with each contraction, 60% means 60perfent of total amount of blood in the left ventricle is pushed out with each heartbeat
36
At what pressure and volume does mitral valve open at
3mmHg | 40ml
37
At what pressure and volume does mitral close
6mmHg | 110ml
38
At what pressure and volume does the aortic open
75mmHg | 110ml
39
What pressure and volume does aortic close
90mmHg | 40ml
40
Coronary blood flow what is it
250mL/min - 5% of CO | Auto regulates MAP between 50-120mmHg
41
In coronary vasoconstriction Po2 increases and alkalosis occurs what happens in coronary vasodilation
Lowered PO2 and increased PCO2 causing acidosis and lactate and adenosine build up
42
What receptor needs to be stimulated for coronary vasoconstriction
Alpha 1
43
What receptor needs to be stimulated for coronary vasodilation
Beta 2
44
What hormone can cause coronary vasodilation
Prostacyclin
45
What hormones can cause coronary vasodilation
ADH Angiotensin Thromboxane
46
What is the first heart sound caused by
Closure of mitral and tricuspid vlaves
47
What is the second heart valine csused by
Closure of aortic and pulmonary vlaves
48
What sided valves normally close fractionally ahead
Left
49
How does turbulent flow produce sound
Vibrations in surrounding structures
50
What’s a stenotic valve
Shift or narrowed valve that doesn’t open correctly - ejection murmurs as blood forced through small gap
51
What is a regurgitant valve
Valve edges scarred - don’t close completely so badkflow of blood
52
How can murmurs be divided and subdivided
Into valvular and non-valvular Valvular into stenotic and regurgitant Non-valvular can be either normally pathway flow with pregnancy or abnormal pathway with ASD; VSD; PDA
53
In the timing of valvular murmurs the mitral and tricuspid in stenosis occurs in diastole and in incompetence is systole what are the aortic and pulmaory vlaves in both stenosis and incompetence
Systole and diastole