Heart beat

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jayarajgr

Health & Medicine Business

Heart rate ,[object Object],[object Object]

Tachycardia & Bradycardia ,[object Object],[object Object]

Cardiac Cycle ,[object Object],[object Object],[object Object],[object Object],[object Object]

Cardiac Cycle ,[object Object],[object Object]

Electrocardiogram ,[object Object],Electrocardiograph

Factors Affecting Heart Rate ,[object Object],[object Object],[object Object],[object Object],[object Object]

Control of Heart Rate ,[object Object],[object Object],[object Object]

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The volume of blood pumped by each ventricle per minute is called cardiac output Cardiac output = Stroke Volume X Heart Rate Normal value = 5 Liters /Minute Cardiac output = Stroke Volume X Heart Rate The factors which regulate stroke volume and Heart rate are basically regulating Cardiac output Volume of blood ejected by each ventricle in single systole; Normal Value = 70 ml/beat Stroke Volume = End diastolic Volume – End Systolic Volume So stroke volume is mainly controlled by EDV ESV VENOUS RETURN: What ever blood volume returns to the heart, same is pumped forward through the Frank’s Starlings Law. According to this law 13- 15 liters of blood volume can be pumped out without cardiac stimulation. DURATION OF DIASTOLE OR FILLING TIME: ventricular filling occurs during diastole, so there must be adequate ventricular filling time. DISTENSIBILITY OF THE VENTRICLES: Normally ventricles are distensible to accommodate adequate blood volume. Infarction decreases the distensibility which decreases the EDV. ATRIAL CONTRACTION: There must be adequate atrial contraction to have adequate EDV. If atrial function is not adequate then EDV will decrease. E.S.V is basically CONTROLLED BY MYOCARDIAL CONTRACTION FORCE OF MYOCARDIAL CONTRACTION: It depends upon the initial length of muscle fibers according to frank’s starlings law. PRELOAD: The effect of EDV on initial length is called preload. So EDV also effects the ESV. AFTER LOAD: Force of contraction is also dependant upon the resistance against which the ventricles have to pump CONDITION OF THE MYOCARDIUM : It also effects the force of contraction. AUTONOMIC NERVES : Sympathetic stimulation increases and parasympathetic stimulation decreases force of contraction HORMONES: Catecholamines, thyroxine, glucagon, digitalis, calcium, increased temp, caffeine, theophyline increase the force. Force decreases by hypoxia, acidosis, barniturates, procainamide and quinidine decrease the force of contraction.

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Human digestive system structure and function overview Major organs Mouth Esophagus Stomach small intestine large intestine Acessory organs: Liver gall bladder Pancreas. Human digestive system Major organs Mouth Esophagus Stomach small intestine large intestine. Acessory organs: Liver Gall bladder Pancreas. MAJOR ORGANSThe Mouth pH: 7 The first part of the digestive system the entry point of food. Structures in the mouth that aids digestion Teeth – cut, tear, crush and grind food. Salivary glands – produce and secrete saliva into the oral cavity. saliva moistens the food contains enzymes (ptyalin or salivary amylase) begins digestion of starch into smaller polysaccharides. Function: Mechanical digestion. increasing surface area for faster chemical digestion. The Esophagus a tube connecting the mouth to the stomach running through the Thoracic cavity. Location: lies behind windpipe (Trachea). The trachea has as an epiglottis preventing food from entering the windpipe, moving the food to the esophagus while swallowing. Food travels down the esophagus, through a series of involuntary rhythmic contractions (wave-like) called peristalsis. Function: The lining of the esophagus secretes mucus lubricating to support the movement of food. Esophageal sphincter: bolus reaches the stomach must pass through a muscular ringed valve called the esophageal sphincter (Cardiac Sphincter). Function: prevent stomach acids from back flowing into the esophagus. Stomach J-shaped muscular sac Has inner folds (rugae) Increasing surface area of the stomach. Function: Stomach performs mechanical digestion HOW By churning the bolus and mixing it with the gastric juices secreted by the lining of the stomach. GASTRIC JUICES HCl, salts, enzymes, water and mucus) HCL helps break down of food and kills bacteria that came along with the food. The bolus is now called Chyme. Enzymes in stomach: Acidic environment HCl secreation kill any microbes that are found in the bolus, creating a pH of 2. Mucus prevents the stomach from digesting itself. Pepsin secreation responsible for initiating the breakdown of proteins (in )food. hydrolyzes proteins to yield polypeptides. pH is 2, the enzyme from the salivary glands stops breaking down carbohydrates. Pyloric sphincter: chyme moves from the stomach to the small intestine. It passes through a muscular ringed sphincter called the pyloric sphincter. stomach does not digest itselfWhy ? Protective Mechanism: three protective mechanisms. First the stomach only secretes small amounts of gastric juices until food is present. Second the secretion of mucus coats the lining of the stomach protecting it from the gastric juices. The third mechanism is the digestive enzyme pepsin is secreted in an inactive protein c

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Physiology of Exercise Cardiovascular system deals with heart and blood vessels Blood vessels are divided into three branches – Arteries, Veins and Capillaries Systole: Contraction of the heart – Arterial systole takes – 0.1 seconds and Ventricular systole takes – 0.5 seconds Diastole: Relaxation of the heart – Arterial diastole takes – 0.7 seconds and Ventricular diastole takes – 0.3 seconds Heart beat: One contraction and relaxation of ventricle– Approximately 0.8 seconds Pulse: is the expansion and elongation of the arterials walls passively produced by the contraction and relaxation of the heart. Cardiac Cycle: The sequential change of events that occur in the heart during one beat is repeated in successive beats (Average time of cardiac cycle is 0.8 seconds) Heart rate: Number of systoles and diastoles per minute is approximately 72 beats per minute (Range 70 to 80 beats per minute) Stroke volume: Amount of blood pumped out of left ventricle in one heart beat or stroke is approximately 70 milliliters Volume: amount of blood passed out through ventricle in one minute is usually 5 liters in a minute Minute volume = Stroke Volume X Heart rate Cardiac output: Amount of blood passed out from left ventricle in one minute is usually 5 liters in a minute Cardiac Output = Heart rate X Stroke Volume Cardiac Index: cardiac output per square meter of the body surface per minute Cardiac Index = 5 liters/ 1.7 square meters / minute Cardiac Index = 2.9 liters/ square meters/ minute 5 liters of blood can carry 1200 milliliters of air and 250 to 300 milliliters of Oxygen per minute Blood Pressure: It is the lateral pressure exerted on the walls of the arteries and is normally systolic pressure is 120 mm to 140 mm Hg. and diastolic pressure is 80 mm Hg. (Normally blood pressure = 120/80 mm Hg.) Formula for systolic pressure = 90 + Age Arteries pressure = 120 mm Hg.; Arterioles = 40 to 60 mm Hg.; Capillaries = 15 to 20 mm Hg.; Veins = 0 to 10 mm Hg. Factors that maintain circulation: 1. Force of contraction of the heart 2. Respiration also helps; when we inhale, intra-thoracic pressure decreases in the chest cavity and the pressure in abdomen increases 3. Elastic Recoil of the arteries: the arteries push the blood to all parts of the body and helps in blood circulation. 4. Gravity: The parts located above the heart and the blood in them is pulled towards the heart through the help of gravity 5. Difference in pressure between the arteries, arterioles, capillaries and veins ensure a pressure gradient which helps in the flow of the blood. Factors Maintaining Cardiac Output: 1. Venous return means is that amount of blood which is coming back to right atrium form the body. 2. Force of contraction of heart Sterlings Law: The greater the initial length of the muscle the more is the force of contraction Factors Affecting Cardiac Output: 1. Force of contraction of the heart depends on – respiration, gravity, pressure gradient, elastic recoil

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