1. The heart rate is regulated by the nervous system, specifically the vasomotor center located in the medulla oblongata.
2. The vasomotor center contains vasoconstrictor and vasodilator areas that regulate heart rate by sending sympathetic or parasympathetic signals via the spinal cord. The vasoconstrictor area increases heart rate while the vasodilator area decreases it.
3. Factors like emotions, exercise and respiration can trigger the vasomotor center to adjust heart rate through sympathetic or parasympathetic outflow as part of reflex responses mediated by baroreceptors and chemoreceptors.
Cardiac cycle refers to a complete heartbeat from its generation to the beginning of the next beat.
Cardiac events that occur from –
beginning of one heart beat to the beginning of the next are called the cardiac cycle.
This presentation is an overview of the description of the 4 stages of the cardiac cycle (atrial diastole, atrial systole, ventricular systole, ventricular diastole) as well as explaining the mechanism of the cardiac cycle.
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
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
Cardiac cycle refers to a complete heartbeat from its generation to the beginning of the next beat.
Cardiac events that occur from –
beginning of one heart beat to the beginning of the next are called the cardiac cycle.
This presentation is an overview of the description of the 4 stages of the cardiac cycle (atrial diastole, atrial systole, ventricular systole, ventricular diastole) as well as explaining the mechanism of the cardiac cycle.
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
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
Heart rate by Pandian M, Tutor, Dept of Physiology, DYPMCKOP,MHPandian M
Heart rate
Regulation of heart rate
Vasomotor center – cardiac center
Motor (efferent) nerve fibers to heart
Factors affecting vasomotor center
Applied
Cardiac output (The Guyton and Hall Physiology)Maryam Fida
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.
Nervous and hormonal regulation of heart beat.pptxVidushirastogi17
nervous and hormonal regulation of heartbeat
Heart rate refers to the number of times the heart beats per minute and is directly related to workload being placed on the heart
The normal heart rate of resting adult human- 60-100
Bradycardia- slow heart rate (below 60 bpm)
Tachycardia- fast heart rate (above 100 bpm)
Irregular pattern in heart beating is termed as Arrhythmia
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
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
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
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
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.
2. HEART
• Normal heart rate is
72/minute. It range
between 60 and 80 per
minutes.
• It is subjected for
variation during normal
physiological condition
such as exercise,
emotion , etc.
3. Regulation of heart rate:
▪ Heart rate is regulated by nervous mechanism.
▪ Nervous mechanism consists of three
components:
1.Vasomotor center.
2.Motor nerve fibers to the heart (efferent).
3.Sensory nerve fibers from the heart (afferent).
3
4. Vasomotor center:
▪ It is the nervous center that regulates the heart rate.
▪ It is situated in the reticular formation of medulla
oblongata and the lower part of the pons.
▪ It has three areas:
1. Vasoconstrictor area.
2. Vasodilator area.
3. Sensory area.
4
5. Vasomotor centers:
Vasomotor
center
Situation Function
Vasoconstrictor
area
Reticular formation of medulla in
the floor of the IV ventricle and
forms the lateral portion of
Vasomotor center
It increases the heart rate by
sending accelerator impulses to
heart through sympathetic
nerves
Vasodilator area Reticular formation of medulla in
the floor of the IV ventricle and
forms the medial portion of
Vasomotor center
It decreases the heart rate by
sending inhibitor impulses to the
heart through vagus nerve
Sensory area Posterior part of vasomotor
center, which lies in nucleus of
tractus solitaries in medulla
It controls the vasoconstrictor
and vasodilator area
5
6. Motor (efferent) nerve fibers to heart
▪ Heart receives efferent nerves from both the
divisions of autonomic nervous system.
▪ Parasympathetic nerve fibers arise from the
medulla oblongata and pass through vagus.
▪ Sympathetic nerve fibers arise from upper
thoracic (T1-T4) segments of spinal cord.
6
9. Parasympathetic nerve fibers:
▪ Origin: They arise from the dorsal nucleus of
vagus. The nucleus is situated in the IV ventricle
in medulla oblongata.
▪ Function: The vagus nerve fibers are
cardioinhibitory in function and carry inhibitory
impulses from vasodilator area to heart.
▪ Vagal tone: It is the continuous stream of
inhibitory impulses from vascodilatory area to
heart.HR is inversely proportional to vagal tone.
9
10. Parasympathetic nerve fibers(contd…)
Effects of stimulation of vagus nerve:
▪ Vagal escape:
▪ Stimulation of right vagus stops the heart beat due to inhibition of SA
node and atria.
▪ Because of this, when stoppage of heart beat is continued for some time, a
part of ventricular musculature becomes a pacemaker and starts producing
impulses.
▪ Heart block:
▪ Stimulation of left vagus inhibition of Av node. Because of this, some of
the impulses from SA node are not conducted to ventricles. This is called
the partial heart block.
▪ Stimulation with strong stimulus causes stoppage of ventricular
contraction, which causes Complete heart block
10
12. Sympathetic nerve fibers:
▪ Origin: The preganglionic fibers of sympathetic
nerves to the heart arise from lateral grey horns
of the first four thoracic(T1-T4) segments of the
spinal cord.
▪ Function: The sympathetic nerves are
cardioaccelarators in function and carry
cardioaccelarator impulses from vasoconstrictor
area to the heart.
12
13. Sensory Nerve fibers from heart:
▪ The afferent nerve fibers from the heart pass
through the inferior cervical sympathetic nerve.
▪ These nerve fibers carry sensations of stretch
and pain from the heart to the brain via spinal
cord.
13
14. Factors affecting vasomotor center:
1. Impulses from higher centers.
2. Impulse from respiratory centers.
3. Impulses from Baroreceptors-Mary’s Reflex
4. Impulses from Chemoreceptors
5. Impulses from Right atrium-Bainbridge reflex
14
15. 1. Impulses from the higher centers:
▪ Cerebral cortex: During emotional conditions, this area
sends inhibitory impulses to the vasodilator area. This
causes reduction in vagal tone leading to
cardioaccelaration.
▪ Hypothalamus: It influences heart rate via vasomotor
center. Stimulation of posterior and lateral hypothalamic
nuclei causes Tachycardia
15
16. 2. Impulses from Respiratory centers:
▪ In forced breathing, HR increases during inspiration and
decreases during expiration and this variation is called
respiratory sinus arrhythmia.
▪ Sinus arrhythmia is due to alternation of vagal tone because
of impulses arising from respiratory center during
inspiration.
▪ These impulses inhibits the vasodilator area, result in
increase of heart rate.
▪ During expiration ,respiratory center stop sending impulses
to vasodilator center. Now, vagal tone increases, leading to
decrease in heart rate.
16
18. 3.Impulses from baroreceptors - Mareys Reflex
▪ It is a cardionhibitory reflex that decreases heart
rate when blood pressure increases.
▪ Whenever the blood pressure increases the
aortic and carotid baroreceptors are stimulated.
▪ The stimulatory receptors are sent to nucleus of
tractus solitarius.
▪ Nucleus of tractus solitarius stimulates the
vasodilator area, which in turn increases the
vagal tone leading to decrease in heart rate.
18
21. 4. Impulses from chemoreceptors
▪ Chemoreceptors give response to change in chemical
constituents of blood, particularly oxygen, carbon
dioxide and hydrogen ion concentration.
▪ Peripheral chemoreceptors are situated in the carotid
body and aortic body, adjacent to baroreceptors.
Structure.
▪ Chemoreceptors in the carotid body are supplied by
Hering nerve. Chemoreceptors in the aortic body are
supplied by aortic nerve.
21
22. 4. Impulses from chemoreceptors(contd…)
▪ Whenever there is hypoxia, hypercapnea and increased
hydrogen ions concentration in the blood, the
chemoreceptors are stimulated.
▪ Inhibitory impulses are sent to vasodilator area. Vagal
tone decreases and heart rate increases.
▪ The nerves supplying these receptors are called buffer
nerves.
22
23. 5. Impulses from right atrium –
bainbridge reflex
▪ Bainbridge reflex is a cardioaccelerator
reflex that increases the heart rate when venous
return is increased.
▪ Since this reflex arises from right atrium, it is also
called right atrial reflex.
23