L5 The Cardiac Cycle Flashcards

1
Q

What is the sequence of electrical events that occur during the cardiac cycle?

A

The sequence includes depolarization and repolarization of the atria and ventricles.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

How can electrical events in the heart be recorded?

A

They can be recorded on the body surface in the form of an ECG.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What does the P wave in an ECG represent?

A

Atrial depolarization.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What does the Q wave in an ECG signify?

A

Depolarization of the septum (towards the atria).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What does the R wave in an ECG indicate?

A

Depolarization of the ventricles (towards apex).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What does the S wave in an ECG represent?

A

Depolarization of the ventricles (towards atria).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What does the T wave in an ECG indicate?

A

Repolarization of the ventricles (towards endocardium).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the function of the sino-atrial (SA) node?

A

It acts as the primary pacemaker of the heart.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the role of the atrio-ventricular (AV) node?

A

It conducts impulses from the atria to the ventricles and slows down the conduction (AV pause).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the purpose of the AV pause?

A

It allows ventricular filling to occur before the electrical impulse is passed to the ventricle.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the conduction system of the heart comprised of?

A
  • Sino-atrial (SA) node
  • Atrio-ventricular (AV) node
  • Bundle of His
  • Right and left bundle branches
  • Purkinje fibres
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the significance of the P-Q interval in an ECG?

A

It reflects atrial conduction and A-V nodal delay.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What does the S-T segment in an ECG represent?

A

It indicates that all of the ventricle has depolarized.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What does QRS duration indicate?

A

Ventricular conduction velocity.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What does the Q-T interval in an ECG reflect?

A

Ventricular action potential duration.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the definition of stroke volume?

A

Stroke Volume = EDV - ESV (ml).

17
Q

What is isovolumic contraction?

A

A phase where the ventricles contract without a change in volume.

18
Q

What occurs during the period of ventricular ejection?

A

Blood is expelled from the ventricles into the aorta and pulmonary artery.

19
Q

What is the definition of end-diastolic volume (EDV)?

A

The volume of blood in the ventricles at the end of diastole.

20
Q

What is end-systolic volume (ESV)?

A

The volume of blood remaining in the ventricles after systole.

21
Q

True or False: The left atrial pressure is higher than the left ventricular pressure when the mitral valve opens.

22
Q

What are the phases of the cardiac cycle?

A
  • Diastole
  • Systole
  • Isovolumic contraction
  • Isovolumic relaxation
23
Q

What does the cardiac pacemaker hierarchy include?

A
  • Sino-atrial (SA) node
  • Atrio-ventricular (AV) node
  • Bundle of His
  • Purkinje fibres
24
Q

Fill in the blank: The __________ allows the apex to contract before the base.

A

ventricular conduction system

25
What is the role of the Purkinje fibres in the cardiac conduction system?
They rapidly conduct the electrical impulse throughout the ventricles.
26
What is the purpose of the cardiac conduction system?
To coordinate the contraction of the heart muscle.
27
What is the significance of pressure-volume (P-V) loops?
They illustrate the relationship between pressure and volume in the ventricles during the cardiac cycle.
28
Why is there the AV pause?
Condution through AVN is slow Allows ventricular filling b4 electrical impulse passes to ventricle Prevents transmission of high rates from the atria
29
30
What are the 10 steps of the contractile cycle?
The contractile cycle: 1) LA press > LV press: mitral valve opens - blood flows INTO LV 2) LA contract: atrial Kick 3) LV contracts 4) LV press increases: Isovolumic contraction 5) aortic valve opers: V press > aortic press 6) ventricular ejection 7) end-systolic press decreases 8) LV press decreases below aortic press & aortic valve shuts 9) period of isovolumetric relaration 10) LV press d below atrial press 8& mitral valve opens → V refills
31
What type of system are systemic and pulmonary circulatory system in?
Series
32