CVR 6 Flashcards
Three important aspect of the cardiac cycle?
pressure vs time
Pressure vs …
valvular action
Whats a severe heart rate
200 bpm
Whats teh normal duration of cardiac cycle?
.8 sec with 72 bpm
What is systole and diastyole?
Diastole is when the chamber fills up. Relaxation phase. .5 sec
Systole is contraction. .3 sec.
Short diastolic time has a negative impact on?
ventricular filling and coronary blood flow
Whats the systemic pressure?
120/80 mm Hg
When atria fills what are closed?
the AV are closed
Where must more pressure be generated?
Left side
Where must more pressure be generated?
Left side
What are heart sounds 1 and 2?
1 are AV valve closing which is the end of the ventricular diastole and onset of systole
2 is outflow valve closure pulmonary and aortic end ventricular systole and onset of diastole
What can a 3rd heart sound mean?
rapid filling of ventricles. benign in youth, some athletes, some pregnants.
What heart murmurs?
Diastolic - occur at S2 and S1. usually to do with aortic regurgitation and mitral stenosis.
How do you read a left ventricular pressure volume relationship?
A = ventricular diastole
B = ventricular contraction when volume is the same - valves are closed
C ventricular ejection
D = Closed ventricular relaxation
Average stroke volume
EDV - ESV (normal 50 - 70ml)
Why is left ventricular end diastolic pressure important?
LVEDP
How can we measure pressures in the vena cava
jugular vein
Name the waves?
P = The first deflection of the heartbeat is a small upward wave called the P wave. It indicates atrial depolarisation Q = When visible, the Q wave is any initial downward deflection after the P wave. The normal Q wave represents septal depolarisation. R = The R wave is the first upward deflection after the P wave (even when Q waves are absent). The R wave is normally the easiest waveform to identify on the ECG and represents early ventricular depolarisation. S = The S wave is the first negative deflection after the R wave. It represents the late ventricular depolarisation. T = The T wave represents repolarisation of the ventricles. It is normally upright, somewhat rounded, and slightly asymmetric. Its morphology will alter with breath holding and digitalis toxicity.