Podcast
Questions and Answers
During the mid-to-late diastole phase of the cardiac cycle, which of the following conditions accurately describe the state of the atria, ventricles, and related valves?
During the mid-to-late diastole phase of the cardiac cycle, which of the following conditions accurately describe the state of the atria, ventricles, and related valves?
- Atria contract, ventricles relax, AV valves are closed, and SL valves are open.
- Atria relax, ventricles contract, AV valves are open, and SL valves are closed.
- Atria and ventricles are contracted, AV valves are closed, and SL valves are open.
- Atria and ventricles are relaxed, AV valves are open, and SL valves are closed. (correct)
Which event is directly associated with the 'lub' sound during the cardiac cycle?
Which event is directly associated with the 'lub' sound during the cardiac cycle?
- Closing of the atrioventricular valves. (correct)
- Opening of the aortic and pulmonary semilunar valves.
- Closing of the aortic and pulmonary semilunar valves.
- Opening of the atrioventricular valves.
The QRS complex on an ECG signals atrial repolarization and precedes atrial contraction.
The QRS complex on an ECG signals atrial repolarization and precedes atrial contraction.
False (B)
Explain the relationship between ventricular pressure and blood volume during the isovolumic contraction phase of the cardiac cycle.
Explain the relationship between ventricular pressure and blood volume during the isovolumic contraction phase of the cardiac cycle.
During early diastole, the ______ close, leading to the 'dub' sound.
During early diastole, the ______ close, leading to the 'dub' sound.
Which of the following best explains the physiological basis of a dicrotic notch observed in the aortic pressure waveform?
Which of the following best explains the physiological basis of a dicrotic notch observed in the aortic pressure waveform?
A stenotic valve allows blood to flow freely, resulting in reduced turbulence and decreased pressure.
A stenotic valve allows blood to flow freely, resulting in reduced turbulence and decreased pressure.
Detail the sequence of events that lead to the opening of the AV valves during the cardiac cycle.
Detail the sequence of events that lead to the opening of the AV valves during the cardiac cycle.
The volume of blood remaining in the ventricle at the end of systole is known as the ______.
The volume of blood remaining in the ventricle at the end of systole is known as the ______.
Which of the following ECG components directly corresponds to ventricular repolarization?
Which of the following ECG components directly corresponds to ventricular repolarization?
Heart murmurs are always indicative of severe cardiovascular disease.
Heart murmurs are always indicative of severe cardiovascular disease.
Match the following phases of the cardiac cycle with their key events:
Match the following phases of the cardiac cycle with their key events:
Explain how an incompetent valve can lead to a heart murmur and describe the resulting effect on cardiac output.
Explain how an incompetent valve can lead to a heart murmur and describe the resulting effect on cardiac output.
During the isovolumic ______ phase, both the AV and semilunar valves are closed.
During the isovolumic ______ phase, both the AV and semilunar valves are closed.
What is the primary effect of atrial depolarization on the cardiac cycle?
What is the primary effect of atrial depolarization on the cardiac cycle?
Flashcards
Systole
Systole
The periods of heart contraction.
Diastole
Diastole
The periods of heart relaxation.
Cardiac Cycle
Cardiac Cycle
All events associated with blood flow through the heart during one complete heartbeat.
Mid-to-late Diastole
Mid-to-late Diastole
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End Diastolic Volume (EDV)
End Diastolic Volume (EDV)
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Ventricular Systole
Ventricular Systole
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Isovolumic Contraction Phase
Isovolumic Contraction Phase
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Early Diastole
Early Diastole
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End Systolic Volume (ESV)
End Systolic Volume (ESV)
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Lub (1st Heart Sound)
Lub (1st Heart Sound)
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Dub (2nd Heart Sound)
Dub (2nd Heart Sound)
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Heart Murmurs
Heart Murmurs
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Incompetent Valve
Incompetent Valve
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Stenotic Valve
Stenotic Valve
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Study Notes
Lecture Goals
- Know events in the cardiac cycle
- Grasp the timing for events within the cycle
- Understand causes of heart sounds and their timing relative to cardiac cycle phases
- Know what heart murmurs are and what causes them
Cardiac Cycle
- Systole is the period of contraction
- Diastole is the period of relaxation
- The cardiac cycle includes all events associated with blood flow through the heart during one complete heartbeat
Mid-to-Late Diastole
- Atria and ventricles are relaxed
- Pressure is low
- AV valves are open, while aortic and pulmonary SL valves are closed
- Blood flows passively from the atria, through the open AV valves, into the ventricles
- Ventricles fill 80%
- The P wave represents atrial depolarization and contraction
- End diastolic volume (EDV) is reached
Ventricular Systole
- The QRS complex shows ventricles depolarizing and contracting
- AV valves close
- The first heart sound (lub) occurs
- The isovolumic contraction phase involves both sets of valves being closed
- Aortic and pulmonary SL valves open as Ventricular pressure rises
- Aortic pressure also rises
Early Diastole
- The T wave signifies ventricles repolarizing
- Ventricles relax
- Pulmonary and aortic SL valves close
- The second heart sound (dub) occurs
- The dicrotic notch becomes present
- Atria fill with blood
- AV valves open
- End systolic volume (ESV) is measured
Heart Sounds
- The first heart sound, "lub" is due to turbulent blood flow from the closure of AV valves the onset of systole
- The second heart sound, "dub" is due to turbulent blood flow from the closure of the aortic and pulmonary valves signaling the onset of diastole
Heart Murmurs
- Heart murmurs are abnormal heart sounds
- They're common in children but can be heard in adults with irregular turbulent flow through valves
- An incompetent or insufficient valve fails to close completely, causing blood backflow and regurgitation through the partial opening, resulting in a swishing noise
- A stenotic valve fails to open completely; the narrow valve opening restricts blood flow and creates a high-pitched sound or click
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