ANATOMY:Cardiac Cycle

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    CARDIAC CYCLE

    SYSTOLE AND DIASTOLEPHASES :

    A.RAPID FILLINGB.DIASTASISC.ISOVOLUMETRIC CONTRACTION

    D.RAPID EJECTIONE.ISOVOLUMIC RELAXATION

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    Cardiac Cycle

    SystoleMuscle is ContractingA contracting sphere generates Pressure

    Pressure causes a change in VolumeThis is measured by CONTRACTILITYThis is affected by

    Function of MuscleInitial Volume (PRELOAD)Initial Pressure (AFTERLOAD)

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    Fig. 9-16, p. 256

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    Cardiac Cycle

    DiastoleMuscle is RelaxingVeins return blood to the heartAs the heart fills with blood, the absolutevolume and pressure changeThis relationship is measured byCOMPLIANCEThis is affected by

    Connective TissueVenous PressureVenous Resistance

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    Cardiac Cycle

    Early SystoleThe Pressure in the Ventricle is the

    same as in the great veinsThe Ventricle contractsThe AV valves closeSince the Aortic and Pulmonic valves

    were already closed, the heart is aclosed ballAs the heart contracts, the pressure inthe ball rises at a fixed volume.

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    Cardiac Cycle

    Late SystoleThe Pressure in the Ventricles is thesame as in the great arteriesThe A/P valves openFurther contraction of the ventriclescauses blood flow at a relativelyconstant pressure

    (this is because the aorta is compliantas well and increase in volume causesonly a small increase in pressure)

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    Cardiac Cycle

    Early DiastoleThe Ventricles begin to relax

    As the Ventricular pressure falls belowthe great artery pressure, the A/Pvalves closeSince the AV valves were already

    closed, the heart is a closed ballAs the heart relaxes, the pressure inthe ball falls at a fixed volume.ISOMETRIC RELAXATION

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    Cardiac Cycle

    Late DiastoleWhen the pressure inside the heartfalls below the pressure of the greatveins AND the papillary muscles haverelaxed, the AV valves openThe blood flows down its pressuregradient and the ventricles fill passively

    at a fixed pressure (because theventricle has compliance)ISTONIC RELAXATION

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    Cardiac Cycle

    End DiastoleAtrial Contraction

    Early SystoleIsometric Contraction

    Late SystoleIsotonic Contraction

    Early DiastoleIsometric Relaxation

    Late DiastoleIsotonic Relaxation

    End Diastole

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    P ressure Volume Loop

    EarlySystole

    Late Systole

    EndDiastole

    Early

    Diastole

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    P ressure Volume Loop

    EarlySystole

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    P ressure Volume Loop

    Late Systole

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    P ressure Volume Loop

    EarlyDiastole

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    P ressure Volume Loop

    LateDiastole

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    P ressure Volume Loop

    EndDiastole

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    RELATIONSHI P OF ECG TO CARDIAC

    CYCLE

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    P

    R

    QS

    T P

    PR ST TP interval

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