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Chapter 19d New
Chapter 19d New
Chapter 19d New
Diastole
relaxation of the heart chamber
AV valves open
pressure no longer pushing them closed
Atria relaxed and ventricles contracted Ventricular pressure > atrial pressure Ventricular pressure < arterial trunk pressure AV valves and semilunar valves closed Isovolumetric contraction
ESV = EDV - SV
Blood flowing backward slightly caught in semilunar valves, which close Prevents backflow into ventricles Isovolumetric relaxation
Ventricular pressure < arterial trunk pressure Semilunar valves closed When most ventricular filling occurs
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Figure 19.21
Copyright The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
1 Atrial systole
Atria contract
Atria relax
Ventricles contract Chambers Ventricular pressure Valves Atria contract Ventricles relax < Atrial pressure < Arterial trunk pressure AV valves open Semilunar valves closed Chambers Ventricular pressure Valves Atria relax Ventricles contract
EDV
Ventricles contract Chambers Ventricular pressure Valves Atria relax Ventricles contract > Atrial pressure > Arterial trunk pressure AV valves closed Semilunar valves open
> Atrial pressure < Arterial trunk pressure AV valves closed Semilunar valves closed
AV valves open Ventricles relax Chambers Ventricular pressure Valves Atria relax Ventricles relax < Atrial pressure < Arterial trunk pressure AV valves open Semilunar valves closed Chambers Ventricular pressure Valves Atria relax Ventricles relax
> Atrial pressure < Arterial trunk pressure AV valves closed Semilunar valves closed
SV: Stroke volume EDV: End diastolic volume ESV: End systolic volume
Figure 19.22a-b
Copyright The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
(a) ECG
Initiates contraction of ventricles R Initiates contraction of atria P Q
ECG is a graphic recording of electrical changes in the heart that initiate atrial and ventricular contraction T
(b) Chambers
1 Atria Relax Contract 2 3 4 Relax 5
Ventricles
Relax
Contract
Relax
Figure 19.22c
Copyright The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
80 Aorta
40
Left Atrium
Left Ventricle
Figure 19.22d-e
Copyright The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
70
Cardiac Output
Clinical View: Heart Sounds and Heart Murmurs
Four normal heart sounds
two familiar sounds, lubb-dupp, S1 and S2 S1, closing of AV valves S2, closing of semilunar valves two minor sounds, S3 and S4 provide clinically important information about heart and valves
Cardiac Output
Clinical View: Heart Sounds and Heart Murmurs (continued)
Heart murmur
abnormal heart sound result of turbulence of blood passing through heart some medically important, some not two types:
valvular insufficiency and valvular stenosis