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Cardiovascular System 4: Cardiac Cycle $3.90   Add to cart

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Cardiovascular System 4: Cardiac Cycle

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A detailed summary of the cardiac cycle and the law of laplace.

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  • May 18, 2016
  • 2
  • 2015/2016
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CARDIAC CYCLE

1. Ventricular filling from IVC and SVC.
2. Atrial systole – atria contract when pressure in atria is greater than ventricles (P-R
waves).
3. Isovolumetric contraction – AV valves shut, S1 heart sound, QRS complex.
4. Ejection phase – ST segment, semi-lunar valves open, as pressure in ventricles is
greater than atria.
5. Isovolumetric relaxation – just after T phase, ventricles relax and atria start filling S2
heart sound as semi-lunar valves shut.

Normal Blood Pressure – 120/80mmHg.

In left ventricle, the blood pressure is 117/1mmHg but diastolic
pressure maintained above 1 by Windkessel effect.

Area within the cardiac cycle loop is the work of the heart.
Area within the loop for a Right Ventricle will be smaller than a
Left Ventricle.

A = Mitral valve opens.
A-B = Rapid filling of ventricle (ventricle relaxation).
B-C = Slower filling of the ventricle.
C = Atria contract and mitral valve closes.
C-D = Isovolumetric contraction.
D = Aortic valve opens when left ventricle pressure is greater than
aortic blood pressure.
D-E = Rapid ejection.
E-F = Reduced ejection.
F = Aortic valve closes.
F-A = Isovolumetric relaxation which leads to mitral valve opening.

INCREASED PRELOAD

 Cardiac cycle loop moves left and increases in width (represents an increase in
stroke volume).
 Increase in area of the loop, which increases the cardiac work.

INCREASED AFTERLOAD

 Cardiac cycle increases in height and narrower (represents a decrease in stroke
volume).
 The height increase means that the load has to get to a higher pressure for the
blood to be ejected.
 Less emptying – therefore, heart is larger at the end of systole.
 Increase in area of cardiac cycle loop as the heart has to work harder to get rid of
blood due to increase in blood pressure.

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