Cardiac Cycle Flashcards

1
Q

name the 4 heart valves

A

Right AV tricuspid valve
Left AV mitral valve
Aortic Valve
Pulmonary valve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

there is sound made when the heart valves are open - True or False

A

False

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what triggers the cardiac cycle

A

orderly depolarisation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what is the cardiac cycle

A

ALL events that occur from beginning of 1 heart beat to the beginning of the next

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what is longer diastole or systole

A

diastole

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

define diastole

A

heart ventricles are relaxed and fill with blood

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

define systole

A

heart ventricles contract and pump blood inot the aorta (LV) and pulmonary artery (RV)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

5 order of events in the cardiac cycle

A
  1. passive filling
  2. atrial contraction
  3. Isovolumetric ventricular contraction
  4. Ventricular ejection
  5. Isovolumetric ventricular relaxation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what is the pressure in the atria and ventricles during passive filling

A

0

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what happens during passive filling

A

AV valve opens allowing venous return flow into ventricles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what is the aortic pressure and state of the aorta during passive filling

A

pressure = 80 mmHg

aortic valve is closed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

how full are the ventricles after passive filling

A

80%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

during passive filling is pressure in the right ventricles and pulmonary artery high or low

A

LOW

lower than left

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what happens during atrial contraction

A

20% of ventricular filling

atria contracts between P wave and QRS complex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what is competed after atria contraction

A

End diastolic volume (130 ml at rest)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what happens during the isovolumetric ventricular contraction

A

ventricular pressure rises
when pressure exceeds atrial pressure AV valve shuts
aortic valve is shut so pressure and tension rise

17
Q

at what stage is the first heart sound heard - LUBB

A

isovolumetric ventricular contraction when AV valve (tricuspid and mitral) closes
beginning of systole

18
Q

when does ventricular ejection occur

A

when ventricular pressure exceeds aortic/pulmonary artery pressure
SV leaves end systolic volume
aortic pressure rises

19
Q

when is the second heart sound heart - DUBB

A

when pressure in ventricles s less than aortic/pulmoanry artery pressure and the aortic/pulmonary valves close

20
Q

where can valve vibration be seen

A

diortic notch in aortic pressure curve

21
Q

what is isovolumetric ventricular relaxation

A

closure of aortic/pulmonary artery valves = begins relaxation
ventricles = closed box
tension falls around closed volume

22
Q

when does the AV valves open

A

when ventricular pressure falls below atrial pressure

23
Q

where can the mitral valve be auscultated

A

mid clavicular line
5th intercostal space
apex of lung

24
Q

where can the tricuspid valve be auscultated

A

left border of sternum

4th intercostal space

25
where can the pulmonary area be aucultated
2nd intercostal space | left border of sternum
26
how do you check for heaves in examination
place hand vertically over pulmonary area
27
how can the aortic valve be auscultated
right side of sternum border | 2nd rib space
28
why does arterial pressure not fall to zero in diastole
due to elastic properties | maintained at 80 mmHg in diastole
29
what is Jugular Venous Pressure (JVP)
occurs after right atrial pressure waves (indirect measure of central venous pressure)
30
what would a raised JVP suggest
right heart failure