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Cardiac Cycle Physiology-18!12!2018
Cardiac Cycle Physiology-18!12!2018
Cardiac Cycle Physiology-18!12!2018
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Learning Objectives
1. Definition
2. Cardiodynamics
3. Calculation of duration of cardiac cycle
4. Phases of cardiac cycle
5. Atrial cycle
6. Ventricular cycle
7. Pressure changes during cardiac cycle
8. Volume changes during cardiac cycle
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Cardiac cycle Definition
Includes both
Associated with
4. Valvular events
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Phases of cardiac cycle
During each cardiac cycle both
Atria
Ventricles
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Ventricular Cycle (0.8sec)
Ventricular systole (0.3 sec) consisting of
sec)
5. Last rapid filling phase which coincide with atrial systole (0.1s)
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Atrial Cycle (0.8 sec)
Atrial Systole or Contraction Phase (0.1 sec)
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Atrial Cycle (0.8 sec)
Atrial Systole (0.1sec)
ventricular diastole.
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Atrial systole (0.1sec)
Before beginning of
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Atrial systole (0.1sec)
AV valves are open & blood is flowing
Thus
In to the ventricles
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Atrial systole (0.1sec)
Thus atrial contraction usually causes
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Atrial systole (0.1sec)
Therefore,
It is unlikely to be noticed
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Pressure rise in Right Atrium JVP
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Atrial systole Increase Intraventricular Pressure
Occurs slightly
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Contraction of the atria causes…
Narrowing of origin of the great veins
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Atrial Diastole (0.7 sec)
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Atrial Diastole (0.7 sec)
Coincide with
And
To
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Ventricular Cycle (0.8 sec)
After the atrial contraction is over,
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Ventricular Systole (0.3 sec)
Consisting of
sec)
very rapidly
This event
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Phase of Isovolumic Contraction(0.05 sec)
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Phase of Isovolumic Contraction (0.05sec)
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Pressure Rapid Ejection Phase (0.1sec)
And to
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Right Ventricular Ejection Phase (0.1 sec)
Begins ….
Continued
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Slow Ejection Phase (0.15 sec)
Later 2/3 rd of the systole (0.15 sec)
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End-Diastolic Volume130mL
At the end of each diastole
Ventricular Relaxation
By each ventricle
5. Last rapid filling phase which coincide with atrial systole: 0.1sec
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Protodiastole (0.04 sec)
When the ventricular systole ends,
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Protodiastole (0.04 sec)
Intra Ventricular Pressure
Falls rapidly
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Protodiastole (0.04 sec)
During this phase Elevated pressure in the
ventricles
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During Protodiastole2nd Heart Sound
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Closure of Aortic Valve
It also causes
Dicrotic Notch
Called Incisura
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Isovolumic Relaxation phase(0.06sec)
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Isovolumic relaxation phase (0.06sec)
Since Semilunar valves (Aortic & Pulmonary)
closed
In this phase
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Isovolumic relaxation phase (0.06sec)
As indicated
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A –V Valves Open
Rapid passive filling Phase (0.06 seconds)
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Rapid passive filling phase(0.11 sec)
And
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3 rd Heart sound
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Reduce Filling Phase/Diastasis
(0.19 sec)
In this phase,
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Reduce Filling Phase/ Diastasis
(0.19 sec)
This decreases the rate of blood flow
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Last rapid filling phase(0.1sec)
75% of the blood passes
the ventricles
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