Podcast
Questions and Answers
During which phase of the cardiac cycle does the pressure in the ventricles rise above the pressure in the arteries, causing the semilunar valves to open?
During which phase of the cardiac cycle does the pressure in the ventricles rise above the pressure in the arteries, causing the semilunar valves to open?
- Isovolumic ventricular relaxation
- Atrial systole
- Isovolumic ventricular contraction
- Ventricular ejection (correct)
What is the significance of the 'S1' heart sound?
What is the significance of the 'S1' heart sound?
- It marks the opening of the atrioventricular valves.
- It marks the closure of the semilunar valves.
- It marks the opening of the semilunar valves.
- It marks the closure of the atrioventricular valves. (correct)
What happens to the volume of blood in the ventricle during the isovolumic ventricular contraction phase?
What happens to the volume of blood in the ventricle during the isovolumic ventricular contraction phase?
- Volume increases due to blood entering from the atria
- Volume fluctuates as semilunar valves open and close.
- Volume remains constant as all valves are closed (correct)
- Volume decreases as blood is ejected into the arteries
According to the provided information on the cardiac cycle, what does the term 'diastole' refer to?
According to the provided information on the cardiac cycle, what does the term 'diastole' refer to?
Based on the description of the pressure-volume curve, what does the point 'B' on the curve represent?
Based on the description of the pressure-volume curve, what does the point 'B' on the curve represent?
On which axis of the pressure-volume curve would you find the volume of blood in the ventricle?
On which axis of the pressure-volume curve would you find the volume of blood in the ventricle?
Which of these events would cause the pressure in the ventricle to increase most significantly?
Which of these events would cause the pressure in the ventricle to increase most significantly?
What does the 'end-diastolic volume' refer to in the context of the cardiac cycle?
What does the 'end-diastolic volume' refer to in the context of the cardiac cycle?
What primary factor determines the force of ventricular contraction according to the Frank-Starling Law?
What primary factor determines the force of ventricular contraction according to the Frank-Starling Law?
Which of the following describes the role of norepinephrine in cardiac muscle contraction?
Which of the following describes the role of norepinephrine in cardiac muscle contraction?
Inotropic agents affect the heart's contractility. Which of the following would be classified as an inotropic agent?
Inotropic agents affect the heart's contractility. Which of the following would be classified as an inotropic agent?
Which mechanism is primarily responsible for the increase in force of contraction due to norepinephrine?
Which mechanism is primarily responsible for the increase in force of contraction due to norepinephrine?
How does venous return influence stroke volume?
How does venous return influence stroke volume?
What happens to the left ventricular pressure during atrial systole?
What happens to the left ventricular pressure during atrial systole?
At which point does the left ventricular pressure reach its peak?
At which point does the left ventricular pressure reach its peak?
What occurs during isovolumetric contraction?
What occurs during isovolumetric contraction?
What event occurs immediately after the tricuspid valve closes?
What event occurs immediately after the tricuspid valve closes?
Which phase follows ventricular systole?
Which phase follows ventricular systole?
What primarily causes the pressure increase in the ventricle during atrial systole?
What primarily causes the pressure increase in the ventricle during atrial systole?
During which phase does the tricuspid valve open?
During which phase does the tricuspid valve open?
Where in the cycle is the left ventricular pressure at its lowest?
Where in the cycle is the left ventricular pressure at its lowest?
What is the relationship between pressure and volume in the ventricle during ventricular systole?
What is the relationship between pressure and volume in the ventricle during ventricular systole?
Which of the following correctly describes the end of atrial systole?
Which of the following correctly describes the end of atrial systole?
What is the measurement of stroke volume based on?
What is the measurement of stroke volume based on?
What does the dicrotic notch in the aortic pressure curve represent?
What does the dicrotic notch in the aortic pressure curve represent?
During which phase is the aortic pressure increasing?
During which phase is the aortic pressure increasing?
Which heart sound corresponds with the closure of the tricuspid valve?
Which heart sound corresponds with the closure of the tricuspid valve?
What information does the QRS complex provide in an ECG?
What information does the QRS complex provide in an ECG?
How is cardiac output calculated?
How is cardiac output calculated?
What phase immediately follows isovolumetric contraction in the cardiac cycle?
What phase immediately follows isovolumetric contraction in the cardiac cycle?
During early ventricular diastole, what happens to the left ventricular volume?
During early ventricular diastole, what happens to the left ventricular volume?
What occurs during atrial systole?
What occurs during atrial systole?
Which phase signifies the end of passive ventricular filling?
Which phase signifies the end of passive ventricular filling?
What characterizes isovolumic contraction in the cardiac cycle?
What characterizes isovolumic contraction in the cardiac cycle?
Which of the following describes afterload?
Which of the following describes afterload?
What occurs during the D to A phase of the pressure-volume curve?
What occurs during the D to A phase of the pressure-volume curve?
What happens to left ventricular pressure during isovolumetric relaxation?
What happens to left ventricular pressure during isovolumetric relaxation?
What is the function of stroke volume (SV) in the cardiac cycle?
What is the function of stroke volume (SV) in the cardiac cycle?
What causes the first heart sound (S1) during the cardiac cycle?
What causes the first heart sound (S1) during the cardiac cycle?
Which phase is characterized by the ventricles contracting while all valves are closed?
Which phase is characterized by the ventricles contracting while all valves are closed?
What is the average cardiac output for a healthy adult?
What is the average cardiac output for a healthy adult?
Which phase follows atrial depolarization represented by the P wave in an ECG?
Which phase follows atrial depolarization represented by the P wave in an ECG?
What describes the dicrotic notch observed in the cardiac cycle?
What describes the dicrotic notch observed in the cardiac cycle?
What occurs during the isovolumic relaxation phase?
What occurs during the isovolumic relaxation phase?
During ventricular diastole, what is happening in the heart?
During ventricular diastole, what is happening in the heart?
How does pressure in the left atrium change during atrial systole?
How does pressure in the left atrium change during atrial systole?
What is indicated by the QRS complex in an ECG?
What is indicated by the QRS complex in an ECG?
What can be inferred about left ventricular volume during isovolumic contraction?
What can be inferred about left ventricular volume during isovolumic contraction?
What does the T wave in an ECG represent?
What does the T wave in an ECG represent?
What changes follow the closure of the aortic valve?
What changes follow the closure of the aortic valve?
What happens to atrial pressure during ventricular systole?
What happens to atrial pressure during ventricular systole?
During isovolumetric contraction, what is the primary reason for the pressure increase within the ventricle?
During isovolumetric contraction, what is the primary reason for the pressure increase within the ventricle?
What event marks the onset of diastole?
What event marks the onset of diastole?
What is the primary contributor to the pressure drop in the aorta during diastole?
What is the primary contributor to the pressure drop in the aorta during diastole?
What is the significance of the 'dicrotic notch' observed on the aorta pressure curve?
What is the significance of the 'dicrotic notch' observed on the aorta pressure curve?
What is the primary difference between 'isovolumetric contraction' and 'ventricular ejection'?
What is the primary difference between 'isovolumetric contraction' and 'ventricular ejection'?
During what phase of the cardiac cycle does the left atrial pressure exceed the left ventricular pressure?
During what phase of the cardiac cycle does the left atrial pressure exceed the left ventricular pressure?
Why is the pressure in the left ventricle higher than that in the left atrium during isovolumetric contraction?
Why is the pressure in the left ventricle higher than that in the left atrium during isovolumetric contraction?
What does the QRS complex on the ECG indicate?
What does the QRS complex on the ECG indicate?
What event usually happens shortly after the QRS complex on the ECG?
What event usually happens shortly after the QRS complex on the ECG?
During which phase of the cardiac cycle is the left ventricular volume constant?
During which phase of the cardiac cycle is the left ventricular volume constant?
Which statement(s) correctly explain why the pressure in the aorta drops during diastole?
Which statement(s) correctly explain why the pressure in the aorta drops during diastole?
Which event is responsible for the sudden increase in left ventricular volume during atrial systole?
Which event is responsible for the sudden increase in left ventricular volume during atrial systole?
What is the primary reason for the slight increase in left atrial pressure immediately before the opening of the tricuspid valve?
What is the primary reason for the slight increase in left atrial pressure immediately before the opening of the tricuspid valve?
During which phase of the cardiac cycle is the heart muscle completely unable to be stimulated further?
During which phase of the cardiac cycle is the heart muscle completely unable to be stimulated further?
Which of the following statements correctly describes the relationship between ventricular pressure and aortic pressure during ventricular ejection?
Which of the following statements correctly describes the relationship between ventricular pressure and aortic pressure during ventricular ejection?
What is the main reason for the pressure “flip” observed during isovolumetric relaxation?
What is the main reason for the pressure “flip” observed during isovolumetric relaxation?
Flashcards
Systole
Systole
The period of contraction in the heart, where blood is pumped out.
Diastole
Diastole
The period of relaxation in the heart, where the chambers refill with blood.
Cardiac Cycle
Cardiac Cycle
The complete sequence of events in the heart, including systole and diastole.
Stroke Volume
Stroke Volume
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End-Diastolic Volume
End-Diastolic Volume
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Cardiac Output
Cardiac Output
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Heart Rate
Heart Rate
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End-Systolic Volume
End-Systolic Volume
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Atrial systole's effect on left ventricular pressure
Atrial systole's effect on left ventricular pressure
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Pressure drop after tricuspid valve closure
Pressure drop after tricuspid valve closure
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Ventricular systole
Ventricular systole
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Isovolumetric contraction
Isovolumetric contraction
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Peak left ventricular pressure
Peak left ventricular pressure
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Aortic valve opening and ejection
Aortic valve opening and ejection
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Ventricular diastole
Ventricular diastole
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Pressure increase during atrial systole and ventricular filling
Pressure increase during atrial systole and ventricular filling
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First heart sound (S1)
First heart sound (S1)
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Second heart sound (S2)
Second heart sound (S2)
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Isovolumic Contraction
Isovolumic Contraction
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Stroke Volume (SV)
Stroke Volume (SV)
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End-Systolic Volume (ESV)
End-Systolic Volume (ESV)
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Isovolumic Relaxation
Isovolumic Relaxation
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Electrocardiogram (ECG)
Electrocardiogram (ECG)
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P Wave
P Wave
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QRS Complex
QRS Complex
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T Wave
T Wave
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Absolute Refractory Period
Absolute Refractory Period
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Atrial Systole
Atrial Systole
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Left Atrial Pressure
Left Atrial Pressure
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Left Ventricular Pressure
Left Ventricular Pressure
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Left Ventricular Volume
Left Ventricular Volume
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Isovolumetric Relaxation
Isovolumetric Relaxation
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Aortic Valve Opens
Aortic Valve Opens
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Aortic Valve Closes
Aortic Valve Closes
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Aortic Pressure
Aortic Pressure
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Tricuspid Valve Opens
Tricuspid Valve Opens
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Tricuspid Valve Closes
Tricuspid Valve Closes
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Factors Affecting Heart Contraction
Factors Affecting Heart Contraction
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Frank-Starling Law
Frank-Starling Law
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Norepinephrine's Effect on Contractility
Norepinephrine's Effect on Contractility
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Inotropic Agents
Inotropic Agents
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Mechanism of Norepinephrine's Inotropic Effect
Mechanism of Norepinephrine's Inotropic Effect
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Atrial Diastole
Atrial Diastole
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S2 (Dub)
S2 (Dub)
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S1 (Lub)
S1 (Lub)
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End-Diastolic Volume (EDV)
End-Diastolic Volume (EDV)
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Cardiac Output (CO)
Cardiac Output (CO)
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Heart Rate (HR)
Heart Rate (HR)
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Filling Time
Filling Time
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Afterload
Afterload
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Study Notes
Cardiac Cycle, Cardiac Output, Stroke Volume and Heart Rate
- The cardiac cycle describes the sequence of events in one heartbeat
- Cardiac output is the volume of blood pumped by one ventricle per minute
- Stroke volume (SV) is the volume of blood pumped by one ventricle with each contraction
- Heart rate (HR) is the number of heartbeats per minute
Definitions for Systole and Diastole
- Systole: Contraction phase of the heart muscle
- Diastole: Relaxation phase of the heart muscle
- Atrial systole: Contraction of the atria, pumping blood into the ventricles
- Atrial diastole: Relaxation of the atria, allowing them to fill with blood
- Ventricular systole: Contraction of the ventricles, pumping blood out of the heart
- Ventricular diastole: Relaxation of the ventricles, allowing them to fill with blood
Pressure-Volume Curve (Loop)
- Represents changes in volume and pressure during one cardiac cycle
- Pressure is measured on the Y-axis
- Volume is measured on the X-axis
- Shows the relationship between pressure and volume as the heart goes through systole and diastole
Pressure-Volume Curve (Left Ventricle)
- The graph shows the relationship between left ventricular pressure and volume during one complete cardiac cycle.
- EDV (End-Diastolic Volume) is the volume of blood in the left ventricle at the end of diastole
- ESV (End-Systolic Volume) is the volume of blood remaining in the left ventricle at the end of systole
- Stroke Volume (SV) is the difference between EDV and ESV
- A to A': Isometric ventricular relaxation
- A to B: Ventricular filling and atrial contraction, increasing volume
- B to C: Isovolumic ventricular contraction, pressure increases without change in volume
- C to D: Ventricular ejection, pressure rises causing ejection of blood, and stroke volume
- D to A: Isovolumic ventricular relaxation, ventricles relax without change in volume
Normal Heart Sounds
- Sounds generated by the heart that can be heard with a stethoscope
- First heart sound (S1) occurs during the start of ventricular systole when the mitral and tricuspid valves close.
- Second heart sound (S2) occurs at the start of ventricular diastole when the aortic and pulmonary valves close.
Putting Everything Together (Cardiac Cycle)
- Graph shows the ECG (Electrocardiogram), blood pressure, and heart sounds across one cycle.
- Each stage of the cycle is correlated with related ECG, pressure, and sound
Heart Rate
- Normal resting heart rate: 60-100 bpm
- Initiated by autorhythmic cells
- Sympathetic NS activation increases HR by increasing rate of depolarization
- Parasympathetic NS activation decreases HR by increasing K+ efflux
What Factors Influence Stroke Volume?
- 1) Length of the muscle fibers: Ability of muscle fibers to contract is directly related to the length of the fiber. The more the muscle stretches, the stronger the contraction
- 2) Contractility: Intrinsic ability of the cardiac muscle fiber to contract; determined by intracellular calcium levels.
- 3) Venous return: Amount of blood returning to the heart from the veins
- 4) Skeletal muscle: Contraction of skeletal muscle around the veins pushes blood back to the heart, increasing venous return
- 5) Respiratory pump: When you breathe in, pressure in the lungs decreases, which decreases pressure in the veins of the lungs, increasing the amount of blood flowing through them and back to the heart.
- Frank-Starling Law: SV is proportional to end-diastolic volume (EDV).
Norepinephrine: Effect on Contractility
- Norepinephrine increases force of contraction, increasing stroke volume.
- Norepinephrine binds to beta-1 receptors, activating secondary messengers that enhance calcium interaction, increasing contractility and stroke volume.
Other Factors that Affect Stroke Volume
- Venous return: The total volume of blood returning to the heart from venous circulation. Higher venous return leads to a higher EDV and potentially a higher SV.
- Skeletal muscle contraction: Contraction of skeletal muscles compresses veins, promoting venous return and thereby increasing SV.
- Respiration: Changes in intrathoracic pressure during breathing (the respiratory pump) also help to circulate blood back to the heart, thereby increasing venous return.
Cardiac Output and Stroke Volume
- Cardiac output (CO) is calculated by multiplying heart rate (HR) by stroke volume (SV): CO = HR x SV
- Average stroke volume (SV) is 70 mL/beat
- Average cardiac output (CO) is approximately 5 L/minute
Quiz Questions
- Answers for the quiz questions are not included in the notes.
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