The Cardiac Cycle Flashcards

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1
Q

The cardiac cycle

A

Has 3 stages:

  • Atrial systole; contraction of the atria
  • Ventricular systole; contraction of the ventricles
  • Diastole; Atria and ventricles relax
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2
Q

Pressure changes

A

Atrial pressure:

1) During passive atrial filling there is little change in pressure as atrium can distend and blood simply passes through to the left ventricle (SLV CLOSED; AVV OPEN)
2) During atrial contraction the contents of the left atrium are emptied so there is a small spike in pressure as atrial contraction relatively weak (SLV CLOSED; AVV OPEN)
3) During ventricular contraction the pressure in the left atrium only gradually increases as it fills with blood (SLV OPEN; AVV CLOSED)
4) Pressure drops in left atrium as atrioventricular valve opens and atrial filling commences again (SLV CLOSED; AVV OPEN)

Ventricular pressure:

1) During passive atrial filling there is little change in pressure as left ventricle can distend and blood simply passes into it (SLV CLOSED; AVV OPEN)
2) During atrial contraction there is a small increase in pressure as blood is rapidly ejected into the left ventricle (SLV CLOSED; AVV OPEN)
3) During ventricular contraction there is a large spike in pressure as the thick muscle walls of the ventricle contract (SLV OPEN; AVV CLOSED)
4) Pressure in the left ventricle falls below the pressure in the left atrium as the ventricle empties and relaxes. Pressure in the left ventricle falls below that of the left atrium, so it is passively filled with blood (SLV CLOSED; AVV OPEN)

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3
Q

Myogenic

A

The heart beat is initiated from within the cardiac muscle itself and not due to stimulation from the nervous system or hormonal system

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4
Q

Sino Atrial Node (SAN)

A
  • Located in the wall of the right atrium
  • A natural pacemaker

-Initiates waves of excitation

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5
Q

Atrioventricular Node (AVN)

A
  • Located in the wall of the heart between the atria and ventricles
  • Composed of specialised cells which can conduct the waves of excitation from the atria to the ventricles

-Responsible for the delay between atrial systole and ventricular systole

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6
Q

Bundles of His

A
  • Located in the ventricular septum of the heart
  • Composed of specialised cardiac muscle cells arranged as fibres

-The fibres can conduct waves of excitation from the AVN to the apex of the heart

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7
Q

Purkinje fibres

A
  • Located in the walls of the ventricles
  • Composed of specialised cardiac muscle cells arranged as fibres
  • Branch from the Bundles of His upwards
  • Cause simultaneous contraction of the ventricles from the apex upwards
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8
Q

Events involved in coordinating the cardiac cycle

10

A

1) SAN initiates a wave of excitation that spreads across both atria
2) Both atria contract simultaneously
3) A thin band of connective tissue in the walls between the atria and ventricles acts as an electrical insulator, preventing the wave of excitation passing directly to the ventricles
4) This causes delay of approx. 0.1s between the contraction of the atria and contraction of ventricles
5) This allows the atria to empty their blood before the ventricles contract
6) The wave of excitation passes down the Bundles of His in the septum from the AVN to the apex of the heart
7) The wave of excitation passes from the apex up the Purkinje fibre in the walls of the ventricles
8) This causes the ventricles to contract simultaneously from the apex upwards
9) This ensures most of their blood is emptied into the aorta and pulmonary artery
10) A small residual volume of blood is left in the ventricles

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9
Q

Electrocardiogram (ECG)

A
  • The electrical activity that spreads through the heart during the cardiac cycle can be detected by using electrodes placed on the subjects skin.
  • The electrical signals can be shown on a cathode ray oscilloscope
  • The record produced is called an electrocardiogram.
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10
Q

Analysis of ECG

A

P Wave:

  • Shows depolarisation/contraction of the atria during atrial systole
  • Shows the voltage change generated by the SAN, associated with the the wave of excitation that sweeps over the atrial walls, causing them to contract.
  • The atria have less muscle than the ventricles so the P-waves are small

PR Interval:
-Represents the time for the wave of excitation to spread from the atria to the ventricles via the AVN

QRS wave:
-Shows the spread of depolarisation/contraction through the ventricles resulting in ventricular systole

T wave:
-Shows the repolarisation/relaxation of the ventricles during ventricular diastole

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11
Q

Pressure changes in blood vessels

A
  • The higher the blood pressure, the faster the flow
  • The further away from the heart the lower the blood pressure
  • Friction and branching reduce blood pressure
  • Pressure highest at Aorta and largest arteries, rising and falling with ventricular contraction
  • Pressure is lowest in the veins, but due to their diameter blood travels
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12
Q

Plasma

A

Contains solutes such as:

  • Food molecules e.g. Glucose, Amino acids and Mineral ions
  • Waste products e.g. urea and CO2 as Hydrogen carbonate ions
  • Hormones
  • Plasma proteins e.g. antibodies and blood clotting proteins

Plasma also distributes heat

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13
Q

Red Blood Cells/Erythrocytes

A

Function:
To transport oxygen from the lungs to the respiring tissues

Structure:
-Biconcave discs with no nucleus

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14
Q

Oxygen disassociation curves

A

Haemoglobin can change its affinity for oxygen under different conditions

High affinity:

  • Organisms that live in environments with little oxygen have haemoglobin with higher affinity for oxygen
  • Oxygen disassociation curves will shift to the left
  • E.g. Llama and lugworm

Low affinity:

  • Organisms with high metabolic rates need to unload oxygen readily to meet respiratory demands
  • Oxygen disassociation curves will shift to the right
  • E.g. Small mammals
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15
Q

Haemoglobin

A

Haemoglobin combines with and then transports oxygen

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16
Q

Cooperative binding

A

Allows haemoglobin to pick up oxygen rapidly in the lungs

1) The four polypeptides of each haemoglobin are tightly bound together, so the 1st O2 molecule is difficult to absorb
2) Once the 1st O2 molecule is bound the haemoglobin molecule changes shape, making it easier for the 2nd O2 molecule to bind
3) The 2nd O2 molecule binding changes the shape again, making it easier for the 3rd O2 molecule to bind
4) The 3rd O2 molecule doesn’t induce a shape change, so it takes a large change in oxygen partial pressure to bind the 4th oxygen molecule
- ONE haemoglobin molecule can combine with 4 O2 molecules

17
Q

Transport of carbon dioxide

A
  • Dissolved in plasma as carbon dioxide (5%)
  • As Hydrogen carbonate ions in plasma (85%)
  • Bound to haemoglobin as carbaminohaemoglobin (10%)
18
Q

The Bohr Effect

A

Higher concentration of carbon dioxide in the blood reduces haemoglobin affinity for oxygen, so oxygen disassociation curve shifts lower and to the right

19
Q

Reaction within Red Blood Cell

A

1) Carbon dioxide is produced by respiring cells
2) Carbon dioxide diffuses out of the cells, into the tissue fluid and then into the red blood cells
3a) Some of the carbon dioxide binds to the haemoglobin to form carbaminohaemoglobin

3b) Inside the red blood cells carbon dioxide reacts with water to produce carbonic acid. This reaction is catalysed by the enzyme carbonic anhydrase.
CO2 + H2O ( + Carbonic anhydrase) –> H2CO3

4) Carbonic acid will then quickly disassociate into hydrogen carbonate ions and hydrogen ions
H2CO3 –> HCO3(-) + H(+)

5) HCO3(-) ions diffuse out of the red blood cells into the blood plasma as their concentration builds up
6) To balance this outward negative flow there is a one to one exchange of chloride ions (Cl-) via facilitated diffusion
7) The H(+) ions cause oxyhaemoglobin to change shape
8) Oxyhaemoglobin then has a lower affinity for oxygen so disassociates into haemoglobin and oxygen
9) The H(+) ions are picked up by haemoglobin forming haemoglobinic acid, so the pH of red blood cells remains constant
10) The oxygen that has disassociated diffuses out of the red blood cells down a concentration gradient into respiring tissues

THE REVERSE REACTION OCCURS AT THE LUNGS

20
Q

Formation of tissue fluid

A

Arterial end:

  • Arterial blood is under high pressure from the ventricles contracting, and smooth muscle contraction in artery and arteriole walls
  • Water potential within the capillaries is low due to the presence of dissolved solutes
  • The effect of high hydrostatic pressure outweighs the water potential gradient
  • So fluid is forced out of the capillaries into the surrounding tissue fluid

Venous end:

  • Fluid has left the capillary so hydrostatic pressure is reduced
  • Plasma proteins are more concentrated so solute potential is even greater
  • The effect of water potential gradient pulling water inwards outweighs the hydrostatic force
  • So most of the water diffuses into the capillary by osmosis
21
Q

The lymphatic system

A
  • Excess tissue fluid forms lymph that drains back into the lymphatic system
  • The lymphatic vessels carry lymph towards the heart