OIA1004 CVS 2 CARDIAC CYCLE & CARDIAC OUTPUT

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What is the cardiac cycle?

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30 Terms

1

What is the cardiac cycle?

The sequence of events in one heartbeat, including systole (contraction) and diastole (relaxation) of the atria and ventricles.

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2

What triggers the cardiac cycle?

One action potential generated by the SA node.

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3

What are the two main phases of the cardiac cycle?

Diastole (ventricular relaxation and filling) and systole (ventricular contraction and blood ejection).

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4

What happens during atrial diastole?

Blood flows passively into the atria from the vena cava (right atrium) and pulmonary veins (left atrium), and 70% flows passively into the ventricles.

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5

What is atrial systole?

The contraction of the atria, pushing the remaining 30% of blood into the ventricles.

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6

What is end-diastolic volume (EDV)?

The maximum volume of blood in the ventricles at the end of diastole, typically 120–130 mL.

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7

What happens during isovolumetric contraction?

The ventricles contract with all valves closed, causing an increase in pressure without a change in volume.

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8

What is stroke volume (SV)?

The amount of blood ejected by each ventricle during systole, typically 70–90 mL.

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9

What is end-systolic volume (ESV)?

The volume of blood remaining in the ventricles after systole, typically 50 mL.

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10

What produces the first heart sound ("LUP")?

The closure of the tricuspid and mitral valves at the start of ventricular systole.

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11

What produces the second heart sound ("DUP")?

The closure of the aortic and pulmonary valves at the start of ventricular diastole.

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12

What happens to atrial pressure during late diastole?

A slight increase due to atrial contraction.

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13

What is the systolic pressure in the left ventricle and aorta?

120 mmHg.

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14

What is the systolic pressure in the right ventricle and pulmonary artery?

25 mmHg.

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15

Define cardiac output (CO).

The amount of blood ejected by each ventricle per minute, typically 5 L/min at rest.

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16

How is cardiac output calculated?

CO = Stroke Volume (SV) × Heart Rate (HR).

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17

How does exercise affect cardiac output?

It can increase 4–5 times to accommodate higher oxygen demand.

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18

What factors influence stroke volume?

End-diastolic volume (EDV) and ventricular contractility.

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19

What is the Frank-Starling law of the heart?

The heart pumps more forcefully as it fills more, meaning stroke volume increases with higher venous return.

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20

What mechanisms increase venous return?

Skeletal muscle pump, respiratory pump, and venoconstriction

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21

How does sympathetic stimulation affect contractility?

It increases contractility by enhancing calcium influx into myocardial cells, increasing stroke volume.

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22

What is the inotropic effect?

The effect of increased ventricular contractility, often due to sympathetic activation.

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23

How does contractility affect end-systolic volume (ESV)?

Higher contractility reduces ESV, increasing stroke volume.

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24

How does the parasympathetic nervous system affect heart rate?

It decreases heart rate by releasing acetylcholine, increasing potassium efflux and hyperpolarization.

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25

How does the sympathetic nervous system affect heart rate?

It increases heart rate by releasing noradrenaline, increasing calcium influx and depolarization.

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26

How does sympathetic activity affect the AV node?

It reduces AV nodal delay, speeding up conduction to the ventricles.

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27

What is preload?

The initial stretching of the heart muscle due to ventricular filling (EDV).

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28

What is afterload?

The resistance the ventricles must overcome to eject blood, influenced by arterial pressure.

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29

What is ejection fraction?

The percentage of EDV ejected during systole, typically around 60%.

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30

What are the key determinants of cardiac output?

Heart rate (HR) and stroke volume (SV), both regulated by neural, hormonal, and intrinsic cardiac mechanisms.

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