Cardiac Cycle: Diagrams and Events

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Questions and Answers

Which of the following scenarios would most significantly disrupt the coordinated sequence of the cardiac cycle?

  • A mild increase in systemic blood pressure due to temporary stress.
  • A localized blockage in a small coronary artery causing minor myocardial ischemia.
  • Damage to the atrioventricular node affecting the transmission of electrical signals. (correct)
  • A slight decrease in blood volume due to dehydration.

If the duration of ventricular systole were significantly prolonged, what compensatory mechanism would the body likely employ to maintain cardiac output?

  • Decrease the heart rate to reduce myocardial oxygen demand.
  • Increase the force of atrial contraction to augment ventricular preload.
  • Decrease systemic vascular resistance to facilitate ventricular ejection.
  • Increase the duration of diastole to allow for greater ventricular filling. (correct)

A patient presents with a markedly shortened PR interval on an ECG. Which alteration in the cardiac cycle is most likely responsible for this finding?

  • Prolonged ventricular repolarization.
  • Increased refractory period in the ventricles.
  • Delayed atrial depolarization.
  • Accelerated conduction through the AV node. (correct)

A patient's echocardiogram reveals severely impaired diastolic relaxation. How would this most directly affect the subsequent cardiac cycle?

<p>Reduced stroke volume as a result of decreased ventricular filling. (B)</p> Signup and view all the answers

In a scenario where atrial contraction is completely absent, what percentage decrease in ventricular filling would likely occur in a healthy individual at rest?

<p>15-20% (D)</p> Signup and view all the answers

If the mitral valve were to suddenly become stenotic (narrowed), which phase of the cardiac cycle would be most immediately affected?

<p>Ventricular filling. (D)</p> Signup and view all the answers

Which of the following interventions would have the most direct impact on increasing the rate of ventricular pressure development during isovolumetric contraction?

<p>Administering a beta-adrenergic agonist. (C)</p> Signup and view all the answers

How would a significant increase in afterload most directly affect the duration of the isovolumetric contraction phase?

<p>Lengthen it, as the ventricle requires more time to generate sufficient pressure. (D)</p> Signup and view all the answers

Which of the following best describes the relationship between end-diastolic volume (EDV) and stroke volume (SV) as defined by the Frank-Starling mechanism?

<p>Increased EDV leads to increased SV up to a physiological limit. (D)</p> Signup and view all the answers

A patient with severe aortic regurgitation will likely exhibit which of the following changes in their cardiac cycle hemodynamics?

<p>Decreased diastolic blood pressure and widened pulse pressure. (B)</p> Signup and view all the answers

During exercise, which adaptation contributes most significantly to the increase in cardiac output?

<p>A decrease in end-systolic volume. (A)</p> Signup and view all the answers

Which of the following scenarios would result in the greatest increase in myocardial oxygen consumption?

<p>Increasing afterload while maintaining constant stroke volume. (A)</p> Signup and view all the answers

What effect would a significant increase in blood viscosity have on the cardiac cycle?

<p>It would increase afterload, making it harder for the ventricle to eject blood. (B)</p> Signup and view all the answers

A patient is diagnosed with constrictive pericarditis, which impairs ventricular filling. Which of the following compensatory mechanisms is least likely to occur?

<p>Decreased atrial contribution to ventricular filling. (D)</p> Signup and view all the answers

What is the primary mechanism by which the Bainbridge reflex affects the cardiac cycle?

<p>Increasing heart rate in response to increased atrial stretch. (B)</p> Signup and view all the answers

In the context of the cardiac cycle, what is the significance of the dicrotic notch?

<p>It represents the brief rise in aortic pressure due to elastic recoil after aortic valve closure. (C)</p> Signup and view all the answers

A patient with a significantly prolonged QRS complex on an ECG might experience which of the following alterations in their cardiac cycle?

<p>Decreased synchrony of ventricular contraction. (C)</p> Signup and view all the answers

How does the administration of a drug that selectively blocks the $I_{f}$ channels in the sinoatrial (SA) node affect the cardiac cycle?

<p>It decreases the heart rate by slowing the rate of diastolic depolarization. (A)</p> Signup and view all the answers

Which of the following is the most direct consequence of impaired calcium reuptake by the sarcoplasmic reticulum in cardiac myocytes?

<p>Prolonged duration of ventricular contraction. (A)</p> Signup and view all the answers

In a scenario involving complete heart block, where the atria and ventricles beat independently, what determines the ventricular contraction rate?

<p>The intrinsic firing rate of the atrioventricular (AV) node or Purkinje fibers. (C)</p> Signup and view all the answers

Flashcards

Cardiac Cycle

The cardiac cycle consists of two main phases: diastole and systole, representing the relaxation and contraction of the heart, respectively.

Study Notes

  • Cardiac cycle will be discussed in two ways
  • First, diagrams will be used
  • Second, graphical representation of events during the cardiac cycle will be presented

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