Electrical activity of the heart & the cardiac cycle Flashcards

1
Q

Conduction system of the heart

  • cardiac muscles have
  • contracile activity
  • Auto rhythmicity comes from
A
  • no CNS commands
  • myogenic
  • Autorhythmic cells
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2
Q

myogenic effect

A

functioning in ordered rhythmic fashion because of the inherent properties of cardiac muscle rather than specific neural stimuli

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3
Q

pacemaker cells :

  • consist of
  • Initiate AP’s by
  • function of pm
  • SA nodes AP/min
  • AV nodes Aps/min
A
  • SA and AV
  • departing membrane potentials
  • coordinate and provide rhythm
  • 70-80
  • 40-60
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4
Q

Conduction fibres

  • AP/min for bundle of his
  • Purkinje fibres
  • function
A
  • 20-40
  • 20-40
  • Transmit AP’s (from pacemaker cells to myocardium , 4m/s)
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5
Q

Spread of excitation through heart muscle:

The excitation signal travels to:

A
  1. artiums, telling them to contract
  2. AV node delay signals until artia are empty of blood
  3. bundle of his carries signals to purkinje fibers
  4. Purkinje fibers carry signal to ventricles causing them to contract
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6
Q

Interatrial pathway

A

SA node initiates AP

Right atrium > left atrium (simultaneous contraction)

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7
Q

INTERNODAL PATHWAY:

A

sends transmission of signals from SA node to AV node

slow delay of 0.1 second therefore atria contract before ventricles

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8
Q

Ventricular excitation

A
  • fast conduction
  • down bundle of his
  • up pukinje fibres, contract ventricles , contracile cells
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9
Q

Electrocardiogram (ECG)
what does it do
how

A

record electrical activity of heart

body fluid become conductors ,currents in the body go to the surface

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10
Q

Electrocardiogram (ECG)

arrhythmias

A
tachycardia = HR increased
bradycardia= ↓
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11
Q

Cardiac Cycle

one cycle lasts..

A

about 0.8 secs

systole 0.3 (35%)
Diastole 0.5(55%)

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12
Q

the four phases of cardiac cycle

A
  • ventricular filling
  • Isovolumetric ventricular contraction
  • ventricular ejection
  • Isovolumetric ventricular relaxation
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13
Q

ventricular filling

A

-venous return and atrial contraction

AV valves open leading to passive phase
aortic valves close
then increase of volume
results to arterial contraction

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14
Q

Isovolumetric ventricular contraction

A
  • increased pressure as ventricles contract
  • AV valves closes
  • isovol- no blood entering or leaving
  • aortic valve closed
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15
Q

Ventricular ejection

A
  • ventricle contract
  • semilunar valves open
  • vent pressure keeps ↑ > peak and decline
  • aortic p. ↑ > peak and decline
  • blood vol. ↓> ejection
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16
Q

Isovolumetric ventricular relaxation

A

vent pressure drops until lower than art pressure

aortic p↓ , p dissopiates thru arteries

  • semilunar and AV valves close
  • isovol= no blood movement of volume change
17
Q

which phases are

  • systolic
  • diastolic
A
  • 2&3

- 1&4

18
Q

Ventricular & atrial pressure during the cardiac cycle

  • Ventricular
  • atrial
A
  • sharp peak and decline when AV valves close and aortic and pulmonary valves open
  • remains rel. constant , slight drop when vent p is increased
19
Q

Aortic pressure during cardiac cycle

A

↑&↓ w each heart beat

20
Q

Pulse pressure =

A

systolic – diastolic = about 40mmHg

21
Q

Mean arterial pressure=

A

average aortic pressure during cardiac cycle

22
Q

EDV (end diastolic volume)

A

highest vol. in ventricles

23
Q

end systolic volume ESV

A

lowest vol. in ventricles

24
Q

stroke volume SV

A

EDV – ESV = am. of blood ejected each cycle

25
Q

factors that affect stroke volume

A

preload
contractability
afterload

26
Q

preload

when raised…

A

↑EDV

↑SV

27
Q

contractility

when raised…

A

↓ESV

↑SV

28
Q

afterload

when raised…

A

↑ESV

↓SV

29
Q

Heart Sounds

A

1st soft lubb is the AV valves closing

2nd louder dub is the semilunar valves closing