PSC1002/L07 The Cardiac Cycle Flashcards

1
Q

Define the cardiac cycle.

A

Cycle of pressure and volume changes in the heart chambers (both atria and ventricles) every time the heart contracts and relaxes

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2
Q

What are the 4 distinct phases of the cardiac cycle?

A

Ventricular filling
Isovolumetric ventricular contraction
Ventricular ejection
Isovolumetric ventricular relaxation

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3
Q

Define
1. Systole
2. Diastole.

A
  1. Contraction
  2. Relaxation
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4
Q

Describe late diastole (step 1).

A

Both sets of chambers are relaxed and ventricles fill passively

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5
Q

Describe atrial systole (step 2).

A

Atrial contraction forces a small amount of additional blood into ventricles

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6
Q

Describe isovolumetric ventricular contraction (step 3).

A

First phase of ventricular contraction pushes AV valves closed but does not create enough pressure to open semilunar valves

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7
Q

What is end diastolic volume (EDV)?

A

Maximum blood volume in ventricles

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8
Q

Describe ventricular ejection (step 4).

A

As ventricular pressure rises and exceeds pressure in the arteries, the semilunar valves open and blood is ejected

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9
Q

Describe isovolumetric ventricular relaxation (step 5).

A

As ventricles relax, pressure in ventricles falls
Blood flows back into cusps of semilunar valves and snaps them closed

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10
Q

Define end systolic volume (ESV).

A

Minimum blood volume in ventricles

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11
Q

Give the order in which valves open and shut during a heart beat.

A

Atrioventricular closes
Semilunar valve opens
Semilunar valve closes
Atrioventricular opens

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12
Q

What is the ejection fraction?

A

Stroke volume/end diastolic volume

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13
Q

What are the heart sounds caused by?

A

Closing of heart valves

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14
Q

What is the first and second heart sound?

A

1st - AV valves closing
2nd - SL valves closing

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15
Q

Give 2 diseases of valves.

A

Stenosis
Incompetence

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16
Q

What is the dichrotic notch?

A

A small wave caused by back flow of blood into ventricles

17
Q

What is mean arterial blood pressure and its equation?

A

Pressure in artery averaged over time
MABP = DP + 1/3 Pulse Pressure (PP)

18
Q

What is normal blood pressure?

A

120/80 mmHg
Systolic/diastolic

19
Q

What does turbulent flow create in an artery?

A

Korotkoff sounds, created by pulsatile blood flow through compressed arteries

20
Q

What is laminar flow?

A

Blood flow is silent as artery is no longer compressed