(Chapter 21 & 22) Assessing The Cardiovascular System

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Depolarization - leads to the contraction of the heart.

Repolarization - leads to relaxation.

The electrical activity of the sinoatrial (SA) node is an important component of the
electrocardiogram (ECG). The ECG represents the electrical activity of the heart, which
can be measured on the surface of the body.

There are three main phases of the ECG that correspond to the electrical activity of
the SA node:

 P wave: The P wave represents the depolarization (contraction) of the atria,


which is initiated by the SA node. The P wave is a small, upward deflection on
the ECG that occurs just before the QRS complex.

 PR interval: The PR interval is the time between the start of the P wave and the
start of the QRS complex. It represents the time it takes for the electrical signal to
travel from the SA node through the atria and to the atrioventricular (AV) node.

 QRS complex: The QRS complex represents the depolarization of the


ventricles, which is initiated by the AV node after a brief delay. The QRS complex
is a larger, downward deflection on the ECG that occurs after the P wave and the
PR interval.

 ST segment: The ST segment is the flat section of the ECG that follows the QRS
complex and precedes the T wave. It represents the time between ventricular
depolarization and repolarization.

 T wave: The T wave represents the repolarization (relaxation) of the ventricles.

 QT interval: The QT interval is the time from the start of the QRS complex to the
end of the T wave. It represents the total time it takes for the ventricles to
depolarize and repolarize.

 U wave: The U wave is a small, sometimes present wave that follows the T
wave. Its exact function is not well understood, but it may represent the
repolarization of the Purkinje fibers, which are specialized cells that help transmit
the electrical signal through the ventricles.

It's important to note that the SA node is responsible for initiating the electrical activity of
the heart, but the AV node is responsible for transmitting that signal to the ventricles.
The ECG provides important information about the timing and coordination of these
electrical events, which can help diagnose and treat a variety of cardiac conditions.
Overall, the ECG provides important information about the timing and coordination of
the electrical activity of the heart. It can be used to diagnose a variety of cardiac
conditions, including arrhythmias, ischemia (reduced blood flow to the heart), and
electrolyte imbalances.
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The electrical conduction system of the heart is responsible for generating and
transmitting electrical signals that regulate the contraction and relaxation of the heart
muscle. The system is composed of specialized cells that are arranged in a specific
pathway, which starts in the sinoatrial (SA) node and ends in the ventricles.

Here's a step-by-step overview of the electrical conduction of the heart:


 Sinoatrial (SA) node: The SA node is the natural pacemaker of the heart and is
located in the right atrium. It generates an electrical signal that spreads through
the atria, causing them to contract.

 Atrioventricular (AV) node: The AV node is located between the atria and
ventricles, and acts as a gateway for the electrical signal. It slows down the
electrical impulse, allowing the atria to contract fully and ensuring that the
ventricles don't receive the signal too early.

 Atrioventricular Bundle (Bundle of His): The bundle of His is a specialized


group of cells that transmit the electrical signal from the AV node to the
ventricles. It splits into two branches, known as the left and right bundle
branches.

 Purkinje fibers: The Purkinje fibers are specialized cells that are located in the
walls of the ventricles. They receive the electrical signal from the bundle of His
and transmit it throughout the ventricles, causing them to contract.

Overall, the electrical conduction system of the heart ensures that the atria and
ventricles contract and relax in a coordinated manner, allowing for efficient blood flow
throughout the body. Abnormalities in the conduction system can lead to a variety of
cardiac conditions, including arrhythmias and heart block.
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The heart is composed of four chambers: two atria (the right and left atria) and
two ventricles (the right and left ventricles). These chambers are separated by valves,
which allow blood to flow in one direction through the heart.

Overview of how the heart chambers and valves function:q

I. Blood enters the right atrium from the body through the superior and inferior vena
cava. Meanwhile, oxygenated blood returns to the left atrium from the lungs via
the pulmonary veins.

II. The right atrium contracts, sending blood through the tricuspid valve and into the
right ventricle. The tricuspid valve is a one-way valve that prevents blood from
flowing back into the right atrium.

III. The right ventricle contracts, sending blood through the pulmonary valve and into
the pulmonary artery, which carries the blood to the lungs for oxygenation.

IV. The left atrium contracts, sending blood through the mitral (or bicuspid) valve and
into the left ventricle. The mitral valve is another one-way valve that prevents
blood from flowing back into the left atrium.

V. The left ventricle contracts, sending blood through the aortic valve and into the
aorta, which carries the oxygenated blood to the rest of the body.

VI. The entire process repeats, with blood returning to the right atrium and the cycle
starting over again.

The valves of the heart play a crucial role in ensuring that blood flows in the correct
direction through the heart. They open and close in response to changes in pressure
within the chambers of the heart, and are supported by various structures such as
papillary muscles and chordae tendineae. Problems with the valves, such as stenosis
(narrowing) or regurgitation (leakage), can lead to a variety of cardiac conditions and
may require medical intervention.

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