The cardiac cycle describes the sequence of events in one heartbeat. It begins with spontaneous generation of an action potential in the sinus node which then spreads to the atria and ventricles. Each cycle consists of a diastolic phase where the heart relaxes and fills with blood, followed by a systolic phase where the heart contracts and pumps blood out. Key events include atrial systole, isovolumetric contraction, ventricular ejection, reduced ejection, isovolumetric relaxation, and rapid ventricular filling. The cycle repeats with each heartbeat to circulate blood through the body.
Cardiac cycle (The Guyton and Hall physiology)Maryam Fida
Sequence of events from the beginning of one systole to the beginning of next consecutive systole.
One heart beat consists of one systole and one diastole.
Each cardiac cycle is initiated by the cardiac impulse which originates from the SA node.
During each cardiac cycle, certain events occur in the heart and these include pressure changes, volume changes, production of heart sounds, closure and opening of heart valves and electrical changes in the heart.
Right Atrium of human heart
This PPT help to understand the external and internal structures of right atrium.
sulcus terminalis on external surface of rt atrium,
crista terminalis on internal side of rt. atrium,
interior is divided into rough anterior part and smooth posterior part ( sinus venarum)
superior and inferior venae cavae drains deoxygenated blood into rt. atrim
there is Eustachian valve to guard the opening of IVC and Thebesian valve to guard the opening of coronary sinus
septal wall presents fossa ovalis with its border limbus fossa ovalis
Heart rate by Pandian M, Tutor, Dept of Physiology, DYPMCKOP,MH. This ppt for...Pandian M
Heart rate
Regulation of heart rate
Vasomotor center – cardiac center
Motor (efferent) nerve fibers to heart
Factors affecting vasomotor center
Applied
Describe events in cardiac cycle.
Describe atrial, ventricular and aortic pressure changes during cardiac cycle.
Describe the changes in ventricular volume & stroke volume during cardiac cycle.
Relate ECG changes to the phases of cardiac cycle.
Describe the functions of cardiac valves and relate their state to the production of heart sounds during cardiac cycle.
med_students0
HEART RATE
REGULATION OF HEART RATE
VASOMOTOR CENTER – CARDIAC CENTER
MOTOR (EFFERENT) NERVE FIBERS TO HEART
FACTORS AFFECTING VASOMOTOR CENTER
for all medical & health care students
CVS physiology, all details with explanation easy to recall physiology of cardiovascular system. based on Ganong's Review of Medical Physiology. all the high-yield facts are there.
Cardiac cycle (The Guyton and Hall physiology)Maryam Fida
Sequence of events from the beginning of one systole to the beginning of next consecutive systole.
One heart beat consists of one systole and one diastole.
Each cardiac cycle is initiated by the cardiac impulse which originates from the SA node.
During each cardiac cycle, certain events occur in the heart and these include pressure changes, volume changes, production of heart sounds, closure and opening of heart valves and electrical changes in the heart.
Right Atrium of human heart
This PPT help to understand the external and internal structures of right atrium.
sulcus terminalis on external surface of rt atrium,
crista terminalis on internal side of rt. atrium,
interior is divided into rough anterior part and smooth posterior part ( sinus venarum)
superior and inferior venae cavae drains deoxygenated blood into rt. atrim
there is Eustachian valve to guard the opening of IVC and Thebesian valve to guard the opening of coronary sinus
septal wall presents fossa ovalis with its border limbus fossa ovalis
Heart rate by Pandian M, Tutor, Dept of Physiology, DYPMCKOP,MH. This ppt for...Pandian M
Heart rate
Regulation of heart rate
Vasomotor center – cardiac center
Motor (efferent) nerve fibers to heart
Factors affecting vasomotor center
Applied
Describe events in cardiac cycle.
Describe atrial, ventricular and aortic pressure changes during cardiac cycle.
Describe the changes in ventricular volume & stroke volume during cardiac cycle.
Relate ECG changes to the phases of cardiac cycle.
Describe the functions of cardiac valves and relate their state to the production of heart sounds during cardiac cycle.
med_students0
HEART RATE
REGULATION OF HEART RATE
VASOMOTOR CENTER – CARDIAC CENTER
MOTOR (EFFERENT) NERVE FIBERS TO HEART
FACTORS AFFECTING VASOMOTOR CENTER
for all medical & health care students
CVS physiology, all details with explanation easy to recall physiology of cardiovascular system. based on Ganong's Review of Medical Physiology. all the high-yield facts are there.
This presentation describes the normal cardiac cycle referred to pressure-time curves for aorta, the left ventricle and left atrium, the electrocardiogram and the phonocardiogram.
Cardiac cycle and how the different chambers of the heart fill. We talk about the ventricular fillings and how diastole and systole work.
How pressure changes during all cycles
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
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Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
2. OBJECTIVES
1.Enumerate the phases of cardiac cycle
2.Explain the effect of heart rate on duration of systole and
diastole
3.Recognize the pressure, electrical, sound and volume
changes during cardiac cycle
4.Correlate different phases of cardiac cycle with various
changes in events
5.Compare and contrast left and right ventricular pressures
and volumes during the normal cardiac cycle
6.Describe atrial pressure waves & their relationship to
cardiac cycle
7.Describe the use of the pressure-volume loop in
describing the phases of the cardiac cycle
3. FACTS ABOUT OUR HEART
Pumping is the main function of the heart.
● It is the size of a fist and weighs about 250 grams
● In a lifetime, it beats 3 billion times and pumps 110 million gallons of
blood (2000 gallons/day.)
● Every day, your heart creates enough energy to drive a truck for 20
miles (32 km.) In a lifetime, that is equivalent to driving to the moon and
back.
● Our heart has its own electrical impulse, it can continue to beat even
when separated from the body, as long as it has an adequate supply of
oxygen.
● Heart is a double pump (right & left) that work together
● It has two circulations: systemic & pulmonary circulation which
10. Cardiac events that occur from the
beginning of one heart beat to the
beginning of the next is called C Cycle.
TIME OF ONE CYCLE : O.8 SECONDS
So, 75 beats x 0.8 = 60 seconds or 1
mnt.
MECHANICAL & ELECTRICAL
EVENTS
DIASTOLE SYSTOLE
11.
12.
13. CARDIAC CYCLE
The cardiac events that occur from the beginning of one heartbeat to
the beginning of the next are called the cardiac cycle.
Each cycle is initiated by spontaneous generation of an action
potential in the sinus node.
AP → Atria → A – V bundles → Ventricles.
AV Delay - .1 sec
Diastole: Period of relaxation – heart fills with blood.
Systole: Period of contraction – heart pumps the blood.
14. CARDIAC CYCLE
Contraction of the myocardium generates pressure
changes which result in the orderly movement of blood.
Blood flows from an area of high pressure to an area
of low pressure, unless flow is blocked by a valve.
Events on the right and left sides of the heart are the
same, but pressures are lower on the right.
16. Valves open passively & close actively due to
pressure gradients
AV valves open when P in atria > P in ventricles
AV valves close when P in ventricles > P in atria
Semilunar valves open when P in ventricles > P in
arteries
Semilunar valves close when P in arteries > P in
ventricles
25. ATRIAL SYSTOLE - HEART
Prior to atrial systole, blood has
been flowing passively from the
atrium into the ventricle through
the open AV valve.
Contraction of atria propels some
additional blood into the
ventricles. Atrial contraction is
complete before the ventricle
begins to contract.
26.
27.
28.
29.
30. ATRIAL SYSTOLE
PRESSURES & VOLUMES
The "a" wave occurs when the
atrium contracts, increasing atrial
pressure (yellow).
Blood arriving at the heart cannot
enter the atrium so it flows back up
the jugular vein, causing the first
discernible wave in the jugular
venous pulse.
Atrial pressure drops when the atria
stop contracting.
31. ATRIAL SYSTOLE
1
Function of Atria as primer pumps :
80 % of Blood directly flows in
20 % of blood by Atrial Contraction
ATRIAL PRESSURE ELEVATION WAVE
a – wave c – wave v – wave
a – wave = atrial contraction and the
Pressure from 4 -6 goes up to 7-8 mmH
c- wave = ventricular contraction
bulging of AV Valves.
v – wave = end of ventricular contractio
flow blood from veins to atria.
33. VENTRICULAR SYSTOLE
Isovolumic contraction: Immediately after ventricular contraction
begins, the ventricular pressure rises abruptly, causing the A-V
valves to close.
An additional 0.02 to 0.03 second is required for the ventricle to
build up sufficient pressure to push the semilunar valves open
against the pressures in the aorta and pulmonary artery.
Therefore, during this period, contraction is occurring in the
ventricles, but there is no emptying. This is called the period of
isovolumic or isometric contraction, meaning that tension is
increasing in the muscle but little or no shortening of the muscle
fibers is occurring.
34.
35.
36.
37.
38. 2
ISOVOLUMETRIC
VENTRICULAR CONTRACTION
ISOVOLUMIC + ISOMETRIC =
ISOVOLUMETRIC
Ventricular pressure rises abruptly causing
AV VALVES closes.
Then additional 0.02 -0.03 seconds
Required for the ventricle to build
Sufficient pressure to push aortic , pulmo.
Valves.
Therefore this period is called Iso Vol.
contraction meaning –tension is building
up with no shortening of muscle
39. VENTRICULAR SYSTOLE
Ventricular Ejection: When the left ventricular pressure
rises slightly above 80 mm Hg and the right ventricular
pressure slightly above 8 mm Hg, the ventricular pressures
push the semilunar valves open.
Immediately, blood begins to pour out of the ventricles,
with about 70 per cent of the blood emptying occurring
during the first third of the period of ejection - and the
period of rapid ejection.
Remaining 30 per cent emptying during the next two
thirds – the period of slow ejection.
40. 3
Ventricular pressure raises above
to 8
and 80 mm Hg in RV & LV .
PERIOD OF RAPID EJECTION
PERIOD OF SLOW EJECTION
VENTRICULAR EJECTION
FIRST -- RAPID 1/3 - 70 %
SECOND – SLOW 2/3 - 30 %
50. REDUCED EJECTION
PRESSURES & VOLUMES
After the peak in ventricular and arterial
pressures (red and green), blood flow
out of the ventricles decreases and
ventricular volume decreases more
slowly (white).
When the pressure in the ventricles falls
below the pressure in the arteries, blood
in the arteries begins to flow back
toward the ventricles and causes the
semilunar valves to close. This marks
the end of ventricular systole
mechanically.
51.
52. VENTRICULAR DIASTOLE
Protodiastole: Once the ventricular muscle is fully contracted, the already falling
ventricular pressures drop more rapidly.
The elevated pressures in the distended large arteries that have just been filled
with blood from the contracted ventricles immediately push blood back toward the
ventricles, which snaps the aortic and pulmonary valves closed. (second heart
sound)
Isovolumic relaxation: At the end of systole, ventricular relaxation begins
suddenly, allowing both the right and left intraventricular pressures to decrease
rapidly.
For another 0.03 to 0.06 second, the ventricular muscle continues to relax, even
though the ventricular volume does not change, giving rise to the period of
isovolumic or isometric relaxation.
During this period, the intraventricular pressures decrease rapidly back to their
low diastolic levels. Then the A-V valves open to begin a new cycle of ventricular
pumping.
56. 4
ISOVOLUMETRIC
VENTRICULAR RELAXATION
DIASTOLE
Intra ventricular pressure drops at the e
Of the ventricular systole. Aorta, Pulm.
Artery snaps back blood and Aortic,
pulmonary valves closes .
For about 0.03 to 0.06 seconds
ventricular muscle relaxes even thoug
ventricular volume does not change
giving rise to Isovolumetric relaxation.
57.
58.
59. During this period intra ventricular pressure
decreases rapidly back to their low diastolic
levels.
Then the AV Valves open to begin a new
cycle of Ventricular pumping.
60.
61. ISOVOLUMETRIC RELAXATION
PRESSURES & VOLUMES
Throughout this and the previous
two phases, the atrium in diastole
has been filling with blood on top
of the closed AV valve, causing
atrial pressure to rise gradually
(yellow).
The "v" wave is due to the back
flow of blood after it hits the
closed AV valve. It is the second
discernible wave of the jugular
venous pulse.
The pressure in the ventricles
(red) continues to drop.
Ventricular volume (white) is at a
minimum and is ready to be filled
again with blood.
62. RAPID VENTRICULAR FILLING
HEART
Once the AV valves open, blood
that has accumulated in the atria
flows rapidly into the ventricles.
63.
64.
65.
66. RAPID VENTRICULAR FILLING PRESSURES &
VOLUMES
Ventricular volume (white)
increases rapidly as blood flows
from the atria into the ventricles.
67.
68.
69.
70. Ventricular volume (white) increases more
slowly now. The ventricles continue to fill
with blood until they are nearly full.
71. VENTRICULAR DIASTOLE
Rapid passive filling: During ventricular systole, large amounts of blood
accumulate in the right and left atria because of the closed A-V valves.
Therefore, as soon as systole is over and the ventricular pressures fall
again, the moderately increased pressures that have developed in the atria
during ventricular systole immediately push the A-V valves open and allow
blood to flow rapidly into the ventricles - the rise of the left ventricular
volume curve. (70% approx.)
Reduced filling (diastasis): During the middle third of diastole, only a
small amount of blood normally flows into the ventricles that continues to
empty into the atria from the veins and passes through the atria directly
into the ventricles. (20% approx.)
Last rapid filling: During the last third of diastole, the atria contract and
give an additional thrust to the inflow of blood into the ventricles; this
accounts for about 10 per cent of the filling of the ventricles. (10% approx.
- atrial kick)
72.
73.
74.
75.
76.
77.
78.
79.
80.
81.
82.
83.
84.
85.
86.
87.
88.
89.
90. LENGTH
Cardiac muscle has the unique property of contracting and repolarizing faster
when the heart rate is high and the duration of systole decreases from 0.3 s at a
heart rate of 65 to 0.16 s at a rate of 200 beats/min.
The duration of systole is much more fixed than that of diastole, and when the
heart rate is increased, diastole is shortened to a much greater degree.
This fact has important physiologic and clinical implications. It is during
diastole that the heart muscle rests, and coronary blood flow to the
subendocardial portions of the left ventricle occurs only during diastole.
Most of the ventricular filling occurs in diastole. At heart rates up to about 180,
filling is adequate as long as there is sufficient venous return, and cardiac
output per minute is increased by an increase in rate.
However, at very high heart rates, filling may be compromised to such a degree
that cardiac output per minute falls and symptoms of heart failure develop.
93. 2) Pressure changes in the atria, the a, c, and v waves.
a wave, the atrial
contraction
c wave, bulging of the
A-V valves when the
ventricles begin to
contract
94. v wave, at the end of ventricle contraction,
caused by the accumulated blood in the atria
while the A-V valves are closed
95. The sounds heard over the cardiac
region produced by the functioning of
the heart.
Heart Sounds
96. HEART SOUNDS
S1- first sound
Atrioventricular valves and surrounding fluid vibrations as
valves close at beginning of ventricular systole
97. S2- second sound closure of aortic and pulmonary
semilunar valves at beginning of ventricular
diastole
S3- third sound vibrations of the ventricular walls
when suddenly distended by the rush of blood from
the atria