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CARDIAC CYCLE
CARDIAC CYCLE
➢The sequence of events that occur from the
beginning of one heart beat to the beginning of the
next beat is known as the cardiac cycle.
➢The period of contraction that the heart undergoes
while it pumps blood into circulation is called
systole.
➢The period of relaxation that occurs as the
chambers fill with blood is called diastole.
DURATION OF CARDIAC CYCLE
➢ If normal Heart Rate is 75 beats/min
➢ Duration of one beat = 60/75
= 0.8 sec
STAGES OF THE CARDIAC CYCLE
The cardiac cycle involves three stages,
1. Atrial Systole
2. Ventricular Systole
3. Relaxation period.
•Atrial systole includes depolarization of SA node,
contraction of atria and flow of blood into
ventricle.
➢ 75% flows directly from atria into ventricles
through the open AV valve before the atria
contracts. 25% of filling of ventricles – during
atrial contraction.
➢ It lasts around 0.1 seconds.
1. Atrial Systole
r
• Ventricular systole is the contraction of ventricles which
lasts for 0.3 seconds
• The atrial relaxation also takes place at this time.
• Contraction of atrio-ventricular valves occurs for 0.05
seconds just before opening of semi lunar valves .
• This helps in the rise of pressure inside the ventricles
around 80-120 mmHg which forcibly open the semi
lunar valves to push the blood into aorta and pulmonary
trunk.
• Ventricular ejection lasts for 0.25 seconds and around
70ml of blood is ejected by both ventricles.
2. Ventricular Systole
•This last for about 0.4 seconds and both atrium
and ventricles are well relaxed.
•This is known as complete cardiac diastole.
•This also helps in atrial filling.
3. Relaxation Period
HEART SOUNDS
•There are four heart sounds such as S1, S2, S3
and S4. But only S1 and S2 can be heard by
stethoscope since the other sounds are too mild.
Cont..
•The first sound S1 can be described as a lubb
sound which is louder and bit longer than the
second sound. It is caused by the closure of AV
Valve before ventricular systole begins.
•The second sound S2 can be described as a dupp
sound which is shorter and less louder than the first
sound. It is caused by closure of SL Valve before
ventricular diastole begins.
Cont..
•S4 is the sound of blood turbulence during atrial
systole.
•S3 is the sound of blood turbulence during
ventricular filling.
Stroke Volume
ELECTRO-
CARDIOGRAM
Electrocardiogram
An electrocardiogram (ECG) is a simple test that is
used to check heart's rhythm and electrical
activity. Sensors attached to the skin are used to
detect the electrical signals produced by the heart
each time it beats.
Normal ECG
P wave
P wave - The P wave represents depolarization of
the atria. Atrial depolarization spreads from the
SA node towards the AV node, and from the
right atrium to the left atrium.
PR interval
PR interval - The PR interval is measured from the
beginning of the P wave to the beginning of the
QRS complex. This interval reflects the time the
electrical impulse takes to travel from the SA node
through the AV node.
QRS complex
QRS complex - The QRS complex represents the
rapid depolarization of the right and left
ventricles. The ventricles have a large muscle mass
compared to the atria, so the QRS complex usually
has a much larger amplitude than the P wave.
ST segment
ST segment - The ST segment connects the QRS
complex and the T wave; it represents the region
between the end of ventricular depolarization
and beginning of ventricular repolarization.
T wave
T wave - The T wave represents the repolarization
of the ventricles.
The 10 electrodes in a 12-lead ECG are listed below.
Electrode
name
Electrode placement
RA On the right arm, avoiding thick muscle.
LA In the same location where RA was placed, but on the left arm.
RL On the right leg, lower end of inner aspect of calf muscle.
LL In the same location where RL was placed, but on the left leg.
V1
In the fourth intercostal space (between ribs 4 and 5) just to the right of
the sternum
V2
In the fourth intercostal space (between ribs 4 and 5) just to the left of the
sternum.
V3 Between leads V2 and V4.
V4
In the fifth intercostal space (between ribs 5 and 6) in the mid-clavicular
line.
V5 Horizontally even with V4, in the left anterior axillary line.
V6 Horizontally even with V4 and V5 in the mid-axillary line.
Placement of Electrodes
Cardiac cycle.pdf

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Cardiac cycle.pdf

  • 2. CARDIAC CYCLE ➢The sequence of events that occur from the beginning of one heart beat to the beginning of the next beat is known as the cardiac cycle. ➢The period of contraction that the heart undergoes while it pumps blood into circulation is called systole. ➢The period of relaxation that occurs as the chambers fill with blood is called diastole.
  • 3. DURATION OF CARDIAC CYCLE ➢ If normal Heart Rate is 75 beats/min ➢ Duration of one beat = 60/75 = 0.8 sec
  • 4. STAGES OF THE CARDIAC CYCLE The cardiac cycle involves three stages, 1. Atrial Systole 2. Ventricular Systole 3. Relaxation period.
  • 5. •Atrial systole includes depolarization of SA node, contraction of atria and flow of blood into ventricle. ➢ 75% flows directly from atria into ventricles through the open AV valve before the atria contracts. 25% of filling of ventricles – during atrial contraction. ➢ It lasts around 0.1 seconds. 1. Atrial Systole
  • 6. r • Ventricular systole is the contraction of ventricles which lasts for 0.3 seconds • The atrial relaxation also takes place at this time. • Contraction of atrio-ventricular valves occurs for 0.05 seconds just before opening of semi lunar valves . • This helps in the rise of pressure inside the ventricles around 80-120 mmHg which forcibly open the semi lunar valves to push the blood into aorta and pulmonary trunk. • Ventricular ejection lasts for 0.25 seconds and around 70ml of blood is ejected by both ventricles. 2. Ventricular Systole
  • 7. •This last for about 0.4 seconds and both atrium and ventricles are well relaxed. •This is known as complete cardiac diastole. •This also helps in atrial filling. 3. Relaxation Period
  • 8. HEART SOUNDS •There are four heart sounds such as S1, S2, S3 and S4. But only S1 and S2 can be heard by stethoscope since the other sounds are too mild.
  • 9. Cont.. •The first sound S1 can be described as a lubb sound which is louder and bit longer than the second sound. It is caused by the closure of AV Valve before ventricular systole begins. •The second sound S2 can be described as a dupp sound which is shorter and less louder than the first sound. It is caused by closure of SL Valve before ventricular diastole begins.
  • 10. Cont.. •S4 is the sound of blood turbulence during atrial systole. •S3 is the sound of blood turbulence during ventricular filling.
  • 12.
  • 14. Electrocardiogram An electrocardiogram (ECG) is a simple test that is used to check heart's rhythm and electrical activity. Sensors attached to the skin are used to detect the electrical signals produced by the heart each time it beats.
  • 16. P wave P wave - The P wave represents depolarization of the atria. Atrial depolarization spreads from the SA node towards the AV node, and from the right atrium to the left atrium.
  • 17. PR interval PR interval - The PR interval is measured from the beginning of the P wave to the beginning of the QRS complex. This interval reflects the time the electrical impulse takes to travel from the SA node through the AV node.
  • 18. QRS complex QRS complex - The QRS complex represents the rapid depolarization of the right and left ventricles. The ventricles have a large muscle mass compared to the atria, so the QRS complex usually has a much larger amplitude than the P wave.
  • 19. ST segment ST segment - The ST segment connects the QRS complex and the T wave; it represents the region between the end of ventricular depolarization and beginning of ventricular repolarization.
  • 20. T wave T wave - The T wave represents the repolarization of the ventricles.
  • 21.
  • 22. The 10 electrodes in a 12-lead ECG are listed below. Electrode name Electrode placement RA On the right arm, avoiding thick muscle. LA In the same location where RA was placed, but on the left arm. RL On the right leg, lower end of inner aspect of calf muscle. LL In the same location where RL was placed, but on the left leg. V1 In the fourth intercostal space (between ribs 4 and 5) just to the right of the sternum V2 In the fourth intercostal space (between ribs 4 and 5) just to the left of the sternum. V3 Between leads V2 and V4. V4 In the fifth intercostal space (between ribs 5 and 6) in the mid-clavicular line. V5 Horizontally even with V4, in the left anterior axillary line. V6 Horizontally even with V4 and V5 in the mid-axillary line.