The cardiac cycle L7 Flashcards

1
Q

what is 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 phases of the cardiac cycle

A
  1. ventricular filling
  2. isovolumetric ventricular contraction
  3. ventricular ejection
  4. isovolumetric ventricular relaxation
    - diastole: relaxation systole: contraction
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3
Q

what happens at late diastole

A

AV open SL closed
both chambers are relaxed fill passively

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4
Q

what happens at atrial systole

A

atria contract forcing small about of blood into ventricle

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5
Q

what happens at isovolumetric contraction

A

ventricular contraction forces AV closed creating lubb sound
now both values are shut so EDV is reached

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6
Q

what is EDV

A

End Diastolic volume
- maximum blood volume in ventricles

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7
Q

what happens at ventricular ejection

A

ventricular pressure rises exceeding that of it in the arteries
forcing SL open creating dubb sound
blood is ejected

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8
Q

what happens at isovolumetric ventricular relaxation

A

ventricles relax so pressure falls AV valves closed
blood flows back into SL valves closing them
ESV reached

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9
Q

what is ESV

A

end systolic volume- minimum blood volume in ventricles

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10
Q

on pressure area of Wiggers Diagram, what happens at A,B,C and D
use pp for diagram

A

A: AV valves close as first part of isovolumetric ventricular contraction
both valves close causing increase in pressure on ventricle
B: SL valves open: pressure inside ventricle is higher than that of artery
C: SL close: ventricular pressure no longer higher than artery
- dicrotic notch: increase in pressure of the aorta due to blood coming back down and hitting SL shut
D: AV valves open

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11
Q

on ventricular volume area of Wiggers Diagram, what happens at E and F
use pp for diagram

A

E: end diastolic volume
F: end systolic volume

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12
Q

how to work out stroke volume from wiggers diagram

A

EDV-ESV

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13
Q

how to work out ejection fraction from wiggers diagram

A

refers to blood left in ventricle
stoke volume/ EDV

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14
Q

how to work out heart rate

A

if a cycle occurs every 1 second
there will be 60 beats per min

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15
Q

how to work out stoke volume

A

cardiac output X heart rate

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16
Q

what causes heart sounds and how can it be measured

A

Two main sounds can be heard (lubb dupp)
First (S1) – Atrioventricular (AV) valves closing
Second (S2) – Semilunar (SL) valves closing
Phonocardiogram (see ECG practical)

17
Q

give 2 examples of disease of valves

A
  1. stenosis
    - Valves do not open as they should so harder for heart to achieve stoke volume- may exhaust heart
    - congestive heart failure
  2. incompetence
    - do not close correctly- leak
18
Q

what is mean arteriole pressure

A

Pressure in artery averaged over time
- Can be ‘estimated’ by this relationship: MAP = DP + 1/3 Pulse Pressure (PP)

19
Q

what is the functional importance of elastic recoil ability of arteries

A

Stoke volume going into artery causing it to expand
- Expand and back to normal helps to keep moving blood away from the heart

20
Q

how is systematic arterial blood pressure measured

A

measured at level of heart
- Systolic/diastolic
Maximum/minimum
120/80 mmHg (normal values)