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Cardiac Cycle
FATIMA WAHID MANGRIO
fatimawahid1234@gmail.com
Cardiac Cycle
• The cardiac cycle is a sequence of
mechanical events that is regulated by
the electrical activity of the
myocardium.
• Cardiac muscle cells have the ability
to contract spontaneously; that is,
nerve impulses are not required to
cause contraction.
• The heart generates its own beat, and
the electrical impulses follow a very
specific route throughout the
myocardium.
• The natural pacemaker of the heart is
the sinoatrial (SA) node, a specialized
group of cardiac muscle cells located
in the wall of the right atrium just
below the opening of the superior
vena cava.
• The SA node is considered specialized
because it has the most rapid rate of
contraction, that is, it depolarizes
more rapidly than any other part of
the myocardium (60 to 80 times per
minute).
• As you may recall, depolarization is
the rapid entry of Na ions and the
reversal of charges on either side of
the cell membrane.
• The cells of the SA node are more
permeable to Na ions than are other
cardiac muscle cells. Therefore, they
depolarize more rapidly, then contract
and initiate each heartbeat.
• From the SA node, impulses for
contraction travel to the
atrioventricular (AV) node.
• The transmission of impulses from the
SA node to the AV node and to the
rest of the atrial myocardium brings
about atrial systole.
• From the SA node, impulses for
contraction travel to the
atrioventricular (AV) node.
• The transmission of impulses from the
SA node to the AV node and to the
rest of the atrial myocardium brings
about atrial systole.
• If the SA node does not function
properly, the AV node will initiate the
heartbeat, but at a slower rate (50 to
60 beats per minute).
• The AV bundle is also capable of
generating the beat of the ventricles,
but at a much slower rate (15 to 40
beats per minute).
• This may occur in certain kinds of
heart disease in which transmission of
impulses from the atria to the
ventricles is blocked.
• Arrhythmias are irregular heartbeats;
their effects range from harmless to
life-threatening. Nearly everyone
experiences heart palpitations
(becoming aware of an irregular beat)
from time to time.
• These are usually not serious and may
be the result of too much caffeine,
nicotine, or alcohol. Much more
serious is ventricular fibrillation, a
very rapid and uncoordinated
ventricular beat that is totally
ineffective for pumping blood.
ARRHYTHMIAS
• Arrhythmias (also called
dysrhythmias) are irregular
heartbeats caused by damage to
part of the conduction pathway,
or by an ectopic focus, which is a
beat generated in part of the
myocardium other than the SA
node.
ARRHYTHMIAS
• Flutter is a very rapid but fairly
regular heartbeat.
• In atrial flutter, the atria may
contract up to 300 times per minute.
Because atrial pumping is not crucial,
however, blood flow to the ventricles
may be maintained for a time, and
flutter may not be immediately life-
threatening.
Atrial Flutter
• Ventricular flutter is an
arrhythmia, more specifically a
tachycardia affecting
the ventricles with a rate over
250-350 beats/min, and one of
the most indiscernible.
Ventricular Flutter
• Fibrillation is very rapid and
uncoordinated contractions.
Ventricular fibrillation is a medical
emergency that must be quickly
corrected to prevent death.
• Normal contraction of the ventricles
is necessary to pump blood into the
arteries, but fibrillating ventricles
are not pumping, and cardiac output
decreases sharply.
Ventricular Fibrilation
• Ventricular fibrillation may follow
a non-fatal heart attack
(myocardial infarction). Damaged
cardiac muscle cells may not be
able to maintain a normal state of
polarization, and they depolarize
spontaneously and rapidly.
• From this ectopic focus, impulses
spread to other parts of the
ventricular myocardium in a rapid
and haphazard pattern, and the
ventricles quiver rather than
contract as a unit.
• It is often possible to correct
ventricular fibrillation with the
use of an electrical defibrillator.
This instrument delivers an
electric shock to the heart,
which causes the entire
myocardium to depolarize and
contract, then relax. If the first
part of the heart to recover is
the SA node (which usually has
the most rapid rate of
contraction), a normal heartbeat
may be restored.
Cardiac cycle

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Cardiac cycle

  • 1. Cardiac Cycle FATIMA WAHID MANGRIO fatimawahid1234@gmail.com
  • 2. Cardiac Cycle • The cardiac cycle is a sequence of mechanical events that is regulated by the electrical activity of the myocardium. • Cardiac muscle cells have the ability to contract spontaneously; that is, nerve impulses are not required to cause contraction. • The heart generates its own beat, and the electrical impulses follow a very specific route throughout the myocardium.
  • 3. • The natural pacemaker of the heart is the sinoatrial (SA) node, a specialized group of cardiac muscle cells located in the wall of the right atrium just below the opening of the superior vena cava. • The SA node is considered specialized because it has the most rapid rate of contraction, that is, it depolarizes more rapidly than any other part of the myocardium (60 to 80 times per minute).
  • 4. • As you may recall, depolarization is the rapid entry of Na ions and the reversal of charges on either side of the cell membrane. • The cells of the SA node are more permeable to Na ions than are other cardiac muscle cells. Therefore, they depolarize more rapidly, then contract and initiate each heartbeat.
  • 5. • From the SA node, impulses for contraction travel to the atrioventricular (AV) node. • The transmission of impulses from the SA node to the AV node and to the rest of the atrial myocardium brings about atrial systole. • From the SA node, impulses for contraction travel to the atrioventricular (AV) node. • The transmission of impulses from the SA node to the AV node and to the rest of the atrial myocardium brings about atrial systole.
  • 6. • If the SA node does not function properly, the AV node will initiate the heartbeat, but at a slower rate (50 to 60 beats per minute). • The AV bundle is also capable of generating the beat of the ventricles, but at a much slower rate (15 to 40 beats per minute). • This may occur in certain kinds of heart disease in which transmission of impulses from the atria to the ventricles is blocked.
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  • 8. • Arrhythmias are irregular heartbeats; their effects range from harmless to life-threatening. Nearly everyone experiences heart palpitations (becoming aware of an irregular beat) from time to time. • These are usually not serious and may be the result of too much caffeine, nicotine, or alcohol. Much more serious is ventricular fibrillation, a very rapid and uncoordinated ventricular beat that is totally ineffective for pumping blood. ARRHYTHMIAS
  • 9. • Arrhythmias (also called dysrhythmias) are irregular heartbeats caused by damage to part of the conduction pathway, or by an ectopic focus, which is a beat generated in part of the myocardium other than the SA node. ARRHYTHMIAS
  • 10. • Flutter is a very rapid but fairly regular heartbeat. • In atrial flutter, the atria may contract up to 300 times per minute. Because atrial pumping is not crucial, however, blood flow to the ventricles may be maintained for a time, and flutter may not be immediately life- threatening. Atrial Flutter
  • 11. • Ventricular flutter is an arrhythmia, more specifically a tachycardia affecting the ventricles with a rate over 250-350 beats/min, and one of the most indiscernible. Ventricular Flutter
  • 12. • Fibrillation is very rapid and uncoordinated contractions. Ventricular fibrillation is a medical emergency that must be quickly corrected to prevent death. • Normal contraction of the ventricles is necessary to pump blood into the arteries, but fibrillating ventricles are not pumping, and cardiac output decreases sharply. Ventricular Fibrilation
  • 13. • Ventricular fibrillation may follow a non-fatal heart attack (myocardial infarction). Damaged cardiac muscle cells may not be able to maintain a normal state of polarization, and they depolarize spontaneously and rapidly. • From this ectopic focus, impulses spread to other parts of the ventricular myocardium in a rapid and haphazard pattern, and the ventricles quiver rather than contract as a unit.
  • 14. • It is often possible to correct ventricular fibrillation with the use of an electrical defibrillator. This instrument delivers an electric shock to the heart, which causes the entire myocardium to depolarize and contract, then relax. If the first part of the heart to recover is the SA node (which usually has the most rapid rate of contraction), a normal heartbeat may be restored.