Cardiac Cycle: Electrical Events and ECG Trace
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Questions and Answers

Which structure transmits the action potential with a 0.1 second delay, allowing full atrial contraction?

  • Purkinje fibers
  • SA node
  • AV node (correct)
  • AV bundle (bundle of HIS)
  • In the sequence of events during the cardiac cycle, where does the action potential pass through after the AV node?

  • Left bundle branch
  • Right bundle branch
  • Purkinje fibers
  • SA node (correct)
  • What is the name of the extensive network that spreads through the ventricular myocardium from the apex upwards?

  • AV bundle (bundle of HIS)
  • SA node
  • AV node
  • Purkinje fibers (correct)
  • Which of the following structures is responsible for generating the action potential in the right atrium?

    <p>SA node</p> Signup and view all the answers

    What is the function of the AV bundle (bundle of HIS) in the transmission of the action potential?

    <p>Generates the action potential in the right atrium</p> Signup and view all the answers

    Which part of the heart completes depolarization after being innervated by the Purkinje fibers?

    <p>Left ventricle</p> Signup and view all the answers

    What comprises the diastole of the cardiac cycle?

    <p>Isovolumetric ventricular relaxation and ventricular filling with atria relaxed</p> Signup and view all the answers

    What is the effect of sympathetic input on the heart rate?

    <p>Increases the heart rate</p> Signup and view all the answers

    Which hormones and ions can increase the heart rate?

    <p>Adrenaline and noradrenaline</p> Signup and view all the answers

    What is the primary determinant of arterial blood pressure?

    <p>Elastic properties of the arterial system</p> Signup and view all the answers

    What is the formula for cardiac output (CO)?

    <p>$CO = SV imes HR$</p> Signup and view all the answers

    What does an inotrope affect in relation to the heart?

    <p>Force of contraction</p> Signup and view all the answers

    What is the main determinant of arterial blood pressure?

    <p>Resistance to forward flow in the arterial system</p> Signup and view all the answers

    What factor influences vascular resistance (R) the most?

    <p>Vessel diameter</p> Signup and view all the answers

    In the pulmonary circulation, which chamber generates less force compared to the systemic circulation?

    <p>Right ventricle</p> Signup and view all the answers

    Which part of the brain controls both heart rate and blood pressure?

    <p>Medulla oblongata</p> Signup and view all the answers

    What is the normal range of ejection fraction, a measure of cardiac function?

    <p>$60-70 ext{%}$</p> Signup and view all the answers

    Which wave in an ECG represents atrial depolarization?

    <p>P wave</p> Signup and view all the answers

    What does the QRS complex in an ECG represent?

    <p>Ventricular depolarization</p> Signup and view all the answers

    What does the T-Q segment in an ECG represent?

    <p>Ventricular diastole</p> Signup and view all the answers

    Study Notes

    Cardiac Cycle

    • The AV node transmits the action potential with a 0.1 second delay, allowing full atrial contraction.
    • After the AV node, the action potential passes through the AV bundle (Bundle of His).

    Electrical Conduction System

    • The Purkinje fibers innervate the ventricular myocardium, allowing it to depolarize.
    • The extensive network that spreads through the ventricular myocardium from the apex upwards is called the Purkinje fibers.
    • The sinoatrial (SA) node is responsible for generating the action potential in the right atrium.

    Transmission of Action Potential

    • The AV bundle (Bundle of His) transmits the action potential from the AV node to the ventricular myocardium.

    Cardiac Function

    • Diastole is the period of the cardiac cycle where the heart muscle relaxes.
    • Sympathetic input increases the heart rate.
    • Hormones such as epinephrine and norepinephrine, and ions such as calcium, increase the heart rate.
    • Cardiac output (CO) is calculated using the formula CO = Heart Rate x Stroke Volume.
    • An inotrope affects the contractility of the heart.

    Blood Pressure Regulation

    • The primary determinant of arterial blood pressure is peripheral resistance.
    • The main determinant of arterial blood pressure is total peripheral resistance.
    • Vascular resistance (R) is most influenced by the Diameter of blood vessels.
    • The brain stem, specifically the medulla oblongata, controls both heart rate and blood pressure.

    Pulmonary Circulation

    • The right ventricle generates less force compared to the left ventricle in the systemic circulation.

    ECG

    • The P wave in an ECG represents atrial depolarization.
    • The QRS complex in an ECG represents ventricular depolarization.
    • The T-Q segment in an ECG represents ventricular repolarization.
    • The normal range of ejection fraction, a measure of cardiac function, is 55-70%.

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    Description

    This quiz covers the electrical and mechanical events of the cardiac cycle, including factors affecting cardiac output, heart rate, and blood pressure. It also includes a simple ECG trace explanation. Ideal for students studying the cardiac cycle and related topics.

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