the cardiac cycle Flashcards

1
Q

what is the cardiac cycle

A

the sequence of events in one full heart beat

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2
Q

how long is one heart beat

A

about 0.8 seconds in a human adult

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3
Q

what is the role of the heart

A

to create pressure that pushes blood around the blood vessels.

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4
Q

why must the muscular walls of the chamber contract in a coordinated sequence

A

to allow the heart to fill with blood before it can pump it away

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5
Q

what happens in diastole

A

the heart relaxes, and the atria and the ventricles fill with blood

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6
Q

what happens to blood pressure and volume as the heart fills

A

the blood pressure of the blood in the heart builds but the pressure of the arteries is at a minimum

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7
Q

what happens in systole

A

the atria contract (atrial systole) and then the ventricles (ventricular systole)

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8
Q

what happens to the blood pressure in ssytole

A

it increases dramatically inside the heart and forces blood out

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9
Q

where is blood pumped in the right side

A

from the heart to lungs

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10
Q

where is blood pumped in the left side

A

from the heart to the rest of the body

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11
Q

what happens to the volume and pressure of the blood at the end of systole

A

its low in the blood and at a maximum in the arteries

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12
Q

what are the 3 stages of the cardiac cycle

A

atrial systole, ventricular systole, diastole

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13
Q

what happens at atrial systole

A

the atria filled with blood from the vena cavae and pulmonary veins contract and this forces blood through the atrioventricular valves into the ventricles. the ventricles are now filled with blood

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14
Q

what happens at ventricular systole

A

the ventricles contract forcing blood up through the semilunar valves and into the aorta and pulmonary artery. the force of contraction closes the AV valves preventing blood from flowing back into the atria

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15
Q

what happens at cardiac diastole

A

as the ventricles relax, the drop in blood pressure causes the semilunar valves to close. the atria start to fill with blood and as the pressure increases, blood starts trickling down into the ventricles again

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16
Q

what happens to the chambers in atrial systole

A

atria contract
ventricles relax

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17
Q

what happens to the chambers at ventricular systole

A

ventricles contract
atria relax

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18
Q

what happens to the chambers at cardiac diastole

A

ventricles and atria relax

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19
Q

where does blood flow in atrial systole

A

into the ventricles

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20
Q

where does blood flow in ventricular systole

A

into the aorta and pulmonary artery

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21
Q

where does blood flow in diastole

A

into the atria and ventricles

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22
Q

what happens to the valves at atrial systole

A

AV valves open
SL valves close

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23
Q

what happens to the valves at ventricular systole

A

SL valves close
AV valves open

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24
Q

what is the role of the valves

A

to ensure blood flows in the right direction.

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25
Q

how are the valves opened and closed

A

by changes in blood pressure in various chambers of the heart

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26
Q

what happens to the ventricular walls after systole

A

they relax and recoil. the pressure in the ventricles rapidly drops below the pressure in the atria

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27
Q

what does blood do to the AV valves

A

pushes them open

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28
Q

what happens to the pressure of the atria and ventricles as blood flows through them

A

it rises slowly and fills with blood

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29
Q

when do the valves close

A

they remain open while the atria contract and close when the atria relax

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30
Q

what causes the closure of the valves

A

the swirling action in the blood around the valves when the ventricle is full

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31
Q

what happens to the blood pressure in the ventricles as they contract

32
Q

when does the blood move upward from the ventricle

A

when the pressure in the ventricles rises above that in the atria

33
Q

what keeps the AV valves closed

A

the movement of the blood from the ventricles back into the atria

34
Q

what are the role of the tendinous cords attached to the valves

A

prevent the valves from turning inside out which stops blood flowing back into the atria

35
Q

what happens before ventricular contraction

A

the pressure in the major arteries is higher than the pressure in the ventricles causing the semilunar valves to close

36
Q

what does ventricular systole do the pressure of the ventricles

A

it raises the blood pressure very quickly

37
Q

what causes the semilunar valves to push open

A

once the pressure in the ventricles rise above the pressure in the major arteries the SL valves are pushed open. the blood is under pressure so is forced out of the ventricles

38
Q

what happens when the ventricle walls have finished contracting

A

the heart muscle starts to relax (diastole)

39
Q

what does the elastic tissue in the walls of the ventricles do

A

it recoils and stretches the muscle out again and returns the ventricle to its original size.

40
Q

what does the stretching of the muscle do

A

causes the pressure in the ventricles to drop quickly

41
Q

what happens when the pressure in the ventricles drop below the pressure in the major arteries

A

the blood starts to flow back towards the ventricles.

42
Q

how do the semilunar valves close

A

semilunar valves are pushed closed by the blood collecting in the pockets of the valves. this prevents blood returning back to the ventricles

43
Q

what is the pulse

A

the pressure wave created when the left semilunar valve closes. its easily felt at the neck or wrist

44
Q

what is cardiac output

A

the amount of blood pumped around the body

45
Q

what does cardiac output depend on

A

stroke volume and heart rate

46
Q

what is stroke volume

A

the volume of blood pumped by the left ventricle in each heartbeat

47
Q

what is the stroke volume of an adult at rest

48
Q

what is heart rate

A

number of times the heart beats per minute

49
Q

what is the heart rate of an adult at rest

50
Q

how to work out cardiac output

A

stroke volume x heart rate

51
Q

what is the typical resting cardiac output

A

4-6 litres per minute

52
Q

when can cardiac output rise

A

up to 40 litres per minute in highly trained endurance athletes

53
Q

where do electrical impulses initiate

A

an electrical impulse travels from the sinoatrial node to the walls of the atria causing them to contract

54
Q

where does the impulse go after the SAN

A

it reaches the atrioventricular node which delays the impulse by 0.1 seconds

55
Q

what carries the impulse from the AVN to the apex

A

bundle branches

56
Q

how do the ventricle walls contract

A

the singal spreads through the ventricle walls causing them to contract

57
Q

how can the sounds of the heartbeat be heard

A

through a stethoscope

58
Q

how is the heartbeat created

A

made by blood pressure closing the heart valves

59
Q

what does the heart sound like

60
Q

what is the “lub” sound

A

blood is forced against the atrioventricular valves as the ventricles contract

61
Q

what is the “dub” sound

A

backflow of blood closes the semilunar valves in the aorta and pulmonary artery as the ventricles relax

62
Q

what causes the valves to open and close

A

pressure changes in the heart chambers

63
Q

what helps create a more even flow of blood

A

the structure of the artery walls

64
Q

describe how the structure of the artery walls create a more even flow of blood

A
  • the artery walls close to the heart have a lot of elastic tissue
  • when blood leaves the heart the walls stretch
  • as blood moves in and out the aorta, the pressure in the aorta starts to drop
  • the elastic recoil of the walls help maintain the blood pressure in the aorta
  • the further the blood flows along the arteries the further the pressure drops and the fluctuations are less obvious
65
Q

why is it important to maintain the pressure gradient between the aorta and the arterioles

A

this is what keeps the blood flowing towards the tissue

66
Q

when does aortic pressure rise and fall

A

when ventricles contract as blood is forced into the aorta. it then gradually falls but never below around 12kPa because of the elasticity of its wall which creates a recoil of action

67
Q

why is a recoil of the walls important

A

so blood is constantly delivered to the tissues. it produces a temporary rise in pressure at the start of the relaxation phase.

68
Q

why is atrial pressure always relatively low

A

the thin walls of the atrium cannot create much force.

69
Q

when is atrial pressure at its highest

A

when they are contracting

70
Q

when does atrial pressure drop

A

when the left atrioventricular valve closes and its walls relax.

71
Q

what happens when the atrial walls relax

A

the atria then fill with blood which leads to a gradual buildup of pressure until a slight drop when the left atrioventricular valve opens and some blood moves into the ventricles

72
Q

when does ventricular pressure increase

A

its low at first but increases as the ventricles fill with blood as the atria contracts

73
Q

when does pressure rise in the ventricles

A

the left atrioventricular valve closes and pressure rises dramatically as the thick muscular walls of the ventricle contract

74
Q

how is blood forced through the aorta from the ventricles

A

as the pressure rises above that of the aorta blood is forced into the aorta past the semilunar valves pressure falls as the ventricles empty and the walls relax.

75
Q

what happens to ventricular volume as the atria contract

A

it rises. the ventricles fill with blood