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Phys2 Cardiac cycle
Question | Answer |
---|---|
What are the 3 parts of Ventricular Systole? | 1.Isovolumetric contraction. 2.Rapid Ejection. 3.Reduced Ejection. **All of this is occuring during Phase 2 of the ventricular AP. |
What are 4 parts of ventricular Diastole? | 1.Isovolumetric relaxation. 2.Rapid ventricular filling. 3.Reduced ventricular filling. 4.Atrial Systole (Pwave). |
What determines whether or not a heart valve is open or closed? | PRESSURE DIFFERENTIAL |
What are the 5 main stages of the cardiac cycle? | 1A:Rapid inflow & diastasis. 1B:Atrial systole (P-R interval). 2:Isovolumetric contraction (QRS). 3:Rapid ejection. 4:Isovolumetric relaxation. |
what wave represents Atrial systole (phase 1b of cardiac cycle)? how long does it take? does it contribute to the LV volume? | represented by the A Wave, it takes ~0.15sec and does NOT change LV volume much (only 10-15ml). LV filling is PASSIVE |
What valves open/close during atrial systole (phase 1b of cardiac cycle)? what is happening to the MAP? | NO VALVE CHANGE!! the MAP is falling down closer to 80mmHg. |
Isovolumetric contraction (phase 2 of cardiac cycle) | 1.Valves: Mitral valve closes (initiates). 2.Pressure:rises from 15 to 80mmHg. 3.Volume:No change (EDV, flatline MAX on graph). 4.Sounds:S1 (mitral valve closing). 5.Atrial wave:C wave (mitral valve push into atria). 6.Time:0.05sec. 7.ECG:end of QRS |
Rapid & Reduced Ejection (phase 3 of cardiac cycle) | 1.Valve:Aortic semilunar opens (initiates). 2.Pressure:rises to PEAK systolic and then declines to 100mmHg. 3.Volume:Decreases from EDV down to ESV. 4.Sounds:none. 5.Atrial wave:V wave (atrial filling). 6.Time:0.3s. 7.ECG:S-T segment. |
is PEAK systolic pressure at the end or the middle of the ejection phase (3)? | MIDDLE |
When is the majority of the BL volume pumped out of the LV? | Half way through the Ejection phase (3) |
Isovolumetric relaxation (phase 4 of cardiac cycle) | 1.Valves:Aortic semilunar closes (mitral valve remains closed). 2.Pressure:Drops from 100 to 0mmHg. 3.Volume:No change (ESV, flatline MINIMUM). 4.Sounds:S2 (aortic closes). 5.Atrial wave:none. 6.Time:0.08s. 7.ECG:T wave |
When does Isovolumetric relaxation (phase 4) and passive ventricular filling (phase 1a) begin? | when the Mitral valve OPENS (due to LV and LA pressure becoming equal) |
What does the Dicrotic notch represent? how does MAP remain above 80mmHg? | The SLAMMING SHUT of the aortic semilunar valve. The elastic energy absorbed by the smooth muscle artery stretch during PEAK systolic pressure is used to maintain pressure |
Passive ventricular filling (phase 1a of cardiac cycle) | 1.Valves:mitral valve opens (initiates). 2.Pressure:minimal changes. 3.Volume:Rises from ESV almost to EDV. 4.Sounds:S3. 5.Atrial wave: none. 6.Time:0.5s. 7.T-P segment. |
How are the pressure changes in the R heart compared to the L heart? | Qualitatively similar but Quantatatively less: 1.RV:LV (25/4:120/9). 2.Pulmonary Arteries:Aorta (25/10:120/80). |
Do the phases of the cardiac cycle decrease equally as HR increases? | NO. Low HR (60bpm): Diastole is 2X longer. High HR (180bpm): Diastole is 1/2 systole (which will decrease EDV) |
Average time spent in ventricular systole? (phases 2&3) | 0.35 seconds. (0.3sec is phase 3) |
Average time spent in ventricular diastole? (phases 1a&1b&4) | 0.73 seconds (0.5sec is phase 1a) |