Unit 1 Lecture 4 Flashcards
What is ventricular systole?
DEPOLARIZATION (contraction) of ventricular cardiac muscle fibers
- when the ventricles contract, PRESSURE in ventricles INCREASES -> ejects blood
What is ventricular diastole?
REPOLARIZATION (relaxation) of ventricular cardiac muscle fibers
- when ventricles eject blood, PRESSURE in ventricles DECREASES -> AV valves loosen up -> Passive filling of the ventricles
What does passive filling of the ventricles means?
Immediately after the ventricles eject blood, the atria fills with blood but the WEAK muscle around the AV valve causes some blood to slowly leak through BEFORE atrial contraction
What is atrial systole?
Contraction of the atria -> remainder of blood (that hasn’t drained into ventricle) is pumped into the ventricle
How is the majority of blood pumped into the ventricles?
“passive filling”
Once the atria has pumped all of its blood into the ventricles, what is that blood called?
End diastolic volume
Define end diastolic volume
the amount of blood pumped into the ventricles by the atria during ventricle diastole
True of false,
The ventricles pump out all of their blood during ventricular contraction?
FALSE
*some blood is left over in the ventricles
What is the blood leftover in the ventricle after contraction called?
End systolic volume
Define end systolic volume
The amount of blood leftover in the ventricle that was not pumped out
Define stroke volume
The volume of blood pumped out of the heart per beat
Formula for stroke volume (SV)
(SV) = End diastolic volume - end systolic volume
What is the average stroke volume at rest?
0.07 L/beat
What are the 3 factors that determine stroke volume?
- Afterload
- Preload
- Contraction of ventricles (active or passive)
Define preload
END DIASTOLIC VOLUME
How much blood is in the ventricle before contraction
Define afterload
the (ventricular) pressure required to open the aortic valve
*there’s blood already in the aorta so afterload is the amount of pressure that the ventricle must exert to eject its blood out
What are the 2 types of ventricular contraction that effects stroke volume?
- active contraction
- passive contraction
Define active contraction
Requires energy to contract (cardiac muscle)
Define passive contraction
Does not require energy to contract (cardiac muscle)
What does contractility mean?
refers to the STRENGTH of cardiac muscle contraction
What does active contraction involve?
Stimulation of the sympathetic nerves to the heart
What does passive contraction involve?
Changing the length of cardiac muscle fibers (“Frank-Starling Mechanism”)
During ACTIVE contraction, what stimulates the sympathetic nerves?
NE (or epinephrine)
What does NE do to the heart in active contraction?
- Increases Ca channels to open -> influx into heart
- Increases pacemaker activity
- increases force of contraction
What is the Frank-Starling Mechanism?
A law that states-
INCREASING preload (the amount of blood in ventricles before contraction) ->
INCREASING contractility (strength of contraction/ how much cardiac muscle is stretched) ->
INCREASES stroke volume (volume pumped out of the heart)
What is the optimal length of a sarcomere during contraction?
2.2 micrometers
What is the resting length of a sarcomere?
1.8 micrometers (understretched)