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7435025046Cardiac cycleAlternating systole and diastole leads to different periods0
7435025047Ventricular fillingBlood passively flows into ventricles from atria through open AV valves (70%) ; heart is at rest1
7435025048Atrial depolarization ------->Atrial systole Moves remaining blood (30%) into ventricles2
7435025049Ventricular depolarization ----->Ventricular systole3
7435025050Period of isovolumetric contractionVentricles contract, push blood against AV valves->AV valves close; pressure rises without change in volume4
7435025051Period of ejectionIncreased pressure in ventricles pushes semilunar valves open and blood forced into elastic arteries (pulmonary and aorta)5
7435025052ventricular repolarization----->Ventricles relax Semilunar valves close when pressure in ventricles drops below pressure in aorta6
7435025053Dicrotic notchIncrease in aortic pressure as blood pushes back against closed semilunar valve7
7435025054Period of isovolumetric relaxationVentricles relax with both sets of valves closed; pressure drops but volume stays the same8
7435025055Isovolumetric relaxation continues tilUntil pressure in ventricles drops below pressure in atria-> AV valves open and filling begins again9
74350250561st heart sound"Lub" -closure of AV valves10
74350250572nd heart sound"Dup"-closure of semilunar valves11
7435025058MurmurGurgling sound due to backwash of blood through valves or stenosis(narrowing) of valves12
7435025059Cardiac outputVolume of blood ejected from each ventricle per minute13
7435025060At rest, cardiac output is usually5 L/ min14
7435025061CO =HR x SV15
7435025062Heart rate (HR)Number of beats per minute16
7435025063Heart rate varies withPresence of sympathetic and parasympathetic inner action and presence of adrenal hormones (epinephrine/norepinephrine)17
7435025064Stroke volume(SV)Amount of blood ejected per beat18
7435025065SV =EDV-ESV19
7435025066EDVEnd diastolic volume(preload)- amount of blood in the ventricle at the end of filling/diastole ; normally 120-130 ml20
7435025067ESVEnd systolic volume-amount of blood in the ventricle at the end of contraction; normally 50 ml21
7435025068Cardiac cycleAll events associated with blood flow through the heart during one complete heart beat22
7435025069Cardiac outputVolume of blood ejected from each ventricle per minute23
7435025070CO =HR x SV24
7435025071Main controller of stroke volumePreload25
7435025072Frank-starting law of the heartHeart contraction adjusts to match venous inflow (stroke volume is sensitive to preload)26
7435025073Greater venous return---->greater stretch--->Stronger contraction27
7435025074Decreased return--->less stretch--->Weaker contraction28
7435025075AfterloadPressure of blood in arteries; must be overcome for blood to be ejected from ventricle29
7435025076Higher afterload =Smaller SV30
7435025077Ventricular contractilityMeasure of the ventricles ability to produce contraction force (independent of muscle stretch and EDV)31

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