Cardiovascular System- ALL NOTES Flashcards
What are the 3 phases of the Cardiac Cycle (Haemodynamic)?
1) Ventricular filling
2) Ventricular systole
3) Early diastole
What does Haemodynamic mean?
-This is the Cardiac Cycle, how the blood flows through the body of which takes place through 3 phases.
What does Systole mean?
-Heart Contraction
What does Diastole mean?
-Heart Relaxation
Diagram of the heart?
Valves graph diagram?
What phase of Cardiac cycle is the sound S1 (LUBb)?
-Isvolumetric contraction, caused by the closure of AV vavles
What phase of Cardiac cycle is the sound S2 (DUBb)?
-Isvolumetric relaxation, cause by the closure of SL vavles
What phase of Cardiac cycle is the sound S3?
-Early ventricular filling, caused by tensing of the chordae tendinease and the atrioventricular ring.
- Adults: Ventricular systolic failure, normal in children
What phase of Cardiac cycle is the sound S4?
-Atrial contraction, caused by vibration of the ventricular wall, stiff ventricle, hypertrophy or ischemic ventricle
Electrical system within the heart, what is it?
–Right artrium, there is a SA node, which involuntary stimulates heartbeat. It is a muscle which contracts and generates electrical signals and sends a pulse throughout the body
- AV node of the left side of the heart
- These signals inter nodal tracts
Electrical system within the heart, what is it?
–Right artrium, there is a SA node, which involuntary stimulates heartbeat. It is a muscle which contracts and generates electrical signals and sends a pulse throughout the body
- AV node of the left side of the heart
- These signals inter nodal tracts
Heart Electrical flow diagram?
What is the Bundle Of His?
-It is an elongated segment connecting the AV node and the left and right bundle branches of the septal crest.
-It carries electrical impulses through the centre of the heart.
What happens if the Bundle Of His fibres are blocked?
-You will have problems with your heartbeat
What are the purkinje fibres?
-Fibres of which carry the electrical impulse to the ventricles.
What is the atrioventricular node?
-The atrioventricular node sends an electrical signal to the bundle of his. The electrical signal moves to the purkinje fibres
What are the 4 key properties of the Cardiac Muscle?
-Auto-rhythically
-Excitability
-Conductivity
-Contractility
What does heart Auto-rhythically mean?
-Ability to initiate heartbeat, consistent and continuous at regular pace without any external stimuli
What does the heart Excitability mean?
- Ability to respond to stimuli of adequate strength and duration (threshold or more)
- Ability to generate and process action potential
What does heart Conductivity mean?
-Ability to conduct and transmit impulse through the cardiac tissue
What does heart Contractility mean?
-Ability to contract in response to stimulation (mechanical)
What are the Excitation- Contraction Coupling in Contractile Myocytes steps?
1) AP from adjacent cell excites myocytes and trigger membrane depolarisation in T-tubules
2) Calcium enter the cells via voltage gated channel opens and calcium enters the cells
3) Calcium binds to Ryanodine receptor (RYR) and induce Calcium release from SR
4) Calcium binds to troponin and triggers acting-myosin complex and contraction
5) Calcium unbind from troponin and pumped back into SR
6) Calcium unbinding cause relaxation and excess Ca2+ exchanged with Na+
7) Na+ gradient is maintained by sodium-potassium-ATPase pump
Excitation- Contraction Coupling in Contractile Myocytes steps diagram?
What is the sinus rhythm of the heart?
-This is the wave of depolarisation that begins in the SA node and spreads over the heart (it proceeds contraction)
What can we use an ECG for?
-To see the sinus rhythm of the heart, where the ECG shows the depolarisation and depolarisation of the atria and ventricles as it shows up as 3 distance waves on the ECG
What is the ECG alphabet order?
P,Q,R,S,T
What is the Isoelectric signal line on an ECG?
-This is the flat line of the graph, the x-axis
What is the order of reading a ECG?
-Cardiac cycle starts with arium contraction, when atria systole takes place you can see the deflation in the chart (This is at point P, a slight wave/peak)
- Delay happens when waiting for ventricle to be filled before it can generate the next contraction (this will be shown as a straight line)
- When the ventricle contracts QRS (This will be a large wave where R is the top of the wave/ peak)
- T is ventricular relaxation and when there is a depolarisation happening
How long does a cardiac cycle take? how many beats per minute in a normal individual?
-Around 0.8 seconds
-Therefore, beats per minute 0.8 x 60 = 75bmp, in a normal individual 70-100
What does a Sinus Bradycardia mean?
-is when the heartbeat is less than 70bmp; if it is prolonged = abnormal
What does a -Sinus Tachycardia mean?
-is when the heartbeat is over 100bpm; if it is prolonged= abnormal
Why is the R wave bigger than the others?
-This is because the walls of the ventricles are very thick due to the amount of work they have to do, and consequently, more voltage is required. The ventricles are larger than the atria, requiring a stronger electrical stimulation to depolarise them.
Is there a U wave in an ECG?
When would a sinus bradycardia occur?
-Seen in athletes and occur during sleep
-No treatment is usually required
When would sinus tachycardia occur?
-normally in exercise
-Hypovolemia/ underlying health issues
What is sinus Arrythmia?
-Regularly irregular sinus rhythm
What can cause sinus arrhythmia ?
-Heart block/ disease
-Respiratory disease?
How can you detect sinus arrhythmia ?
Cardiac cells have what to ensure electrical flow of the heart?
-Cardiac cells have specialised cells regulating the electrical flow of the heart
What are the 2 most common heart sounds ?
-LUB
-DUB
What are the roles of blood?
-Transportation, protection and regulation
What does blood transport?
-O2, CO2, nutrients, electrolytes, metabolic waste, hormones and cytokines
How does the blood protect?
-Platelets to prevent blood loss and antibodies and WBC to aid immune response
How does the blood help regulation?
-First response to adapt to change in conditions eg body temp and pH
What colour is high oxygen blood and where is it found?
-Scarlet red, found in artery
What colour is lower oxygen blood and where is it found?
-Dark red, found in vein
What percentage of the blood is made up of plasma?
-55%
What percentage of blood is made up of solids?
44%
What percentage of blood is made up of Buffy coat?
1%
What is carried in the plasma?
-Plama proteins (albumin, globulin) nutrients, gases, electrolytes, metabolic wastes make up 10% dissolved in 90% water
What is the word used for blood production?
-Haematopoiesis
What are haemocytoblasts?
-Committed cells that will become blood cells
How di blood cells travel from the red bone marrow into circulation?
-Through blood sinusoids
What is leucopoiesis ?
-Formation of white blood cells
What is erthropoeisis?
-Production of red blood cells
What is thrombopoiesis?
-Production of platelets
What are the two types of leucocytes?
-Granulocytes and granulocytes
What are the types of granulocytes?
-Neutrophils, eosinophils, basophils