Heart Physiology and ECG Overview
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Heart Physiology and ECG Overview

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Questions and Answers

What initiates the sequence of excitation in the heart?

  • Atrioventricular (AV) node
  • Sinoatrial (SA) node (correct)
  • Purkinje fibers
  • Atrioventricular bundle
  • Which wave on the electrocardiogram corresponds to the depolarization of the ventricles?

  • P wave
  • QRS complex (correct)
  • T wave
  • Atrial repolarization phase
  • During which phase of the cardiac cycle do the AV valves close due to rising ventricular pressure?

  • Atrial systole
  • Ventricular filling
  • Ventricular systole (correct)
  • Isovolumetric relaxation
  • What primarily happens during the isovolumetric relaxation phase of the cardiac cycle?

    <p>Ventricular muscle relaxes while all valves are closed</p> Signup and view all the answers

    Which part of the heart's conduction system is responsible for delaying the impulse after it passes from the SA node?

    <p>Atrioventricular (AV) node</p> Signup and view all the answers

    What event corresponds with the T wave in an electrocardiogram?

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

    In which phase of the cardiac cycle does the heart experience the lowest blood pressure as blood enters the ventricles?

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

    Which structure carries the impulse toward the heart apex and ventricular walls?

    <p>Bundle branches</p> Signup and view all the answers

    What leads to the opening of the semilunar valves during the cardiac cycle?

    <p>Ventricular pressure from contraction</p> Signup and view all the answers

    What is most likely masked by the larger QRS complex in an electrocardiogram?

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

    What causes the brief rise in aortic pressure known as h?

    <p>The rebounding of blood off semilunar valves</p> Signup and view all the answers

    What primarily stimulates the heart's activity?

    <p>Sympathetic cardioacceleratory center</p> Signup and view all the answers

    Which heart sounds correspond to the closing of the heart valves?

    <p>S1 and S2</p> Signup and view all the answers

    How is cardiac output (CO) defined?

    <p>The volume of blood pumped by each ventricle in one minute</p> Signup and view all the answers

    What is cardiac reserve?

    <p>The maximum capacity of the heart to increase output</p> Signup and view all the answers

    What are the components used to calculate cardiac output?

    <p>Heart rate and stroke volume</p> Signup and view all the answers

    If heart rate is 75 beats/min and stroke volume is 70 ml/beat, what is the cardiac output?

    <p>5250 ml/min</p> Signup and view all the answers

    Which statement accurately describes the role of the parasympathetic cardioinhibitory center?

    <p>It decreases heart rate during rest</p> Signup and view all the answers

    Which of the following best describes stroke volume?

    <p>The amount of blood pumped out by a ventricle with each beat</p> Signup and view all the answers

    What is the normal heart sound known as?

    <p>Lub-dup</p> Signup and view all the answers

    Study Notes

    Heart Physiology: Sequence of Excitation

    • The Sinoatrial (SA) node, the heart's natural pacemaker, generates impulses approximately 75 times per minute.
    • The Atrioventricular (AV) node delays the impulse for approximately 0.1 seconds, allowing the atria to contract and fully fill the ventricles with blood.
    • The impulse travels from the atria to the ventricles via the atrioventricular bundle (bundle of His).
    • The AV bundle splits into two branches within the interventricular septum, known as bundle branches.
    • The bundle branches conduct the impulse towards the apex of the heart.
    • The Purkinje fibers, a specialized network of fibers, carry the impulse to the heart apex and ventricular walls, triggering ventricular contraction.

    Electrocardiography

    • Electrical activity in the heart can be recorded using an electrocardiogram (ECG or EKG).
    • The P wave represents atrial depolarization, the electrical signal that initiates atrial contraction.
    • The QRS complex reflects ventricular depolarization, the electrical signal that initiates ventricular contraction.
    • The T wave represents ventricular repolarization, the return of the ventricles to their resting state.
    • Atrial repolarization is masked by the larger QRS complex on the ECG.

    Cardiac Cycle

    • The cardiac cycle encompasses all events associated with blood flow through the heart.
    • Systole refers to the contraction phase of the heart muscle.
    • Diastole refers to the relaxation phase of the heart muscle.

    Phases of the Cardiac Cycle

    • Ventricular filling: Occurs during mid-to-late diastole when heart blood pressure is low, allowing blood to flow from the atria into the ventricles. The AV valves are open, and atrial systole, contraction of the atria, further fills the ventricles.
    • Ventricular systole: Atria relax, and increasing ventricular pressure causes the AV valves to close (lub sound).
      • Isovolumetric contraction phase: The ventricles contract but no blood is ejected as the valves are closed.
      • Ventricular ejection phase: The pressure in the ventricles exceeds that in the aorta and pulmonary trunk, opening the semilunar valves and ejecting blood.
    • Isovolumetric relaxation: Occurs early in diastole when the ventricles relax, and the backflow of blood in the aorta and pulmonary trunk closes the semilunar valves (dup sound).
    • Dicrotic notch: A brief rise in aortic pressure caused by the backflow of blood rebounding off the closed semilunar valves.

    Extrinsic Innervation of the Heart

    • The heart is stimulated by the sympathetic cardioacceleratory center, which increases heart rate and contractility.
    • The heart is inhibited by the parasympathetic cardioinhibitory center, which decreases heart rate and contractility.

    Cardiac Output (CO) and Reserve

    • CO is the volume of blood pumped by each ventricle per minute: CO = HR x SV.
    • Heart rate (HR) is the number of heartbeats per minute.
    • Stroke volume (SV) is the volume of blood ejected from a ventricle with each beat.
    • Cardiac reserve is the difference between resting CO and maximal CO, representing the heart's ability to increase output during exercise or stress.

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    Description

    Explore the key components of heart physiology, including the sequence of excitation that leads to heartbeats. Understand how the Sinoatrial node functions as the natural pacemaker and the role of electrocardiography in monitoring heart activity.

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