Physiology of Cardiac Cycle Flashcards

1
Q

Pressure Differences

A

-pressures on left side of heart higher than right side of heart -pressure in aorta is higher than pulmonary trunk

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2
Q

Valve

A

-valves will only open when pressure behind is greater than pressure in front

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3
Q

Valve Sounds

A

-normally, opening of valves doesn’t produce sound -closing of valves produces sound

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4
Q

Tricuspid Opening

A

RAP > RVP

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5
Q

Pulmonary Valve Opening

A

RVP > Pulmonary Trunk Pressure

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6
Q

Mitral Valve Opening

A

LAP > LVP

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7
Q

Aortic Valve Opening

A

LVP > Aortic Pressure

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8
Q

Diastole

A

-ventricular relaxation and filling

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9
Q

Systole

A

-ventricular contraction and ejection

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10
Q

S1

A
  • first heart sound
  • closure of AV valves in early systole
  • due to vibrations in valves and walls of heart
  • high frequency single sound
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11
Q

S2

A
  • second heart sound
  • closure of semilunar valves (aortic and pulmonary)
  • end of systole
  • high pitched sound
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12
Q

Physiological Splitting

A
  • splitting of S2 upon inspiration
  • no splitting in expiration
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13
Q

S3

A
  • heard at apex of heart
  • due to rapid ventricular filling
  • can be normal in children
  • can indicate volume overload in adults, congestive heart failure
  • heard in early diastole
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14
Q

S4

A
  • heard in late diastole
  • due to atria contracting against a contracted ventricle
  • indicative of heart failure
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15
Q

Gallop Rhythm

A

S1 and S2 plus either S3 or S4

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16
Q

Cardiac Murmur

A

-sound generated by turbulent blood flow through the heart

17
Q

Types of Murmurs

A
  • flow across an obstruction (eg. aortic valve stenosis)
  • increased/turbulent flow across a normal structure (eg. aortic systolic murmur in anemia)
  • flow into a dilated compartment (eg. flow into a aortic aneurysm)
  • regurgitant flow across an incompetent valve (eg. mitral regurgitation)
  • abnormal shunting from high to low pressure chamber (eg. VSD)