Download File

Survey
yes no Was this document useful for you?
   Thank you for your participation!

* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project

Document related concepts

Management of acute coronary syndrome wikipedia , lookup

Heart failure wikipedia , lookup

Coronary artery disease wikipedia , lookup

Arrhythmogenic right ventricular dysplasia wikipedia , lookup

Antihypertensive drug wikipedia , lookup

Electrocardiography wikipedia , lookup

Quantium Medical Cardiac Output wikipedia , lookup

Lutembacher's syndrome wikipedia , lookup

Heart arrhythmia wikipedia , lookup

Dextro-Transposition of the great arteries wikipedia , lookup

Transcript
Heart Function
The cardiac cycle refers to the sequence of events of a
The pumping of the heart consists of alternate
contractions
[sys tole] and relaxations [d ia s t ole]. During
a complete cycle, each chamber undergoes a systole and a
diastole. For a heart beating at 75 beats per minute, one
cardiac cycle lasts about 0.8 seconds. Pressure changes
within the heart's chambers generated by the cycle of
contraction and relaxation are responsible for blood
movement and cause the heart valves to open and close,
preventing the backflow of blood. The noise of the blood
when the valves open and close produces the heartbeat
sound (Iu bb-dubb].
- I heartbeat
~_
The Cardiac Cycle
Atrio-venlricular
valves closed
The pulse results from Ihe
rhythmic expansion of the
arteries as the blood spurts
from the left ventricle. Pulse
rate therefore corresponds to
heart rate.
Stage 2: Ventricular systole The
atria relax. the ventricles contract.
and blood is pumped from the
ventricles Into the aorta and the
pulmonary artery. The start of
ventricular contraction coincides
with the first heart sound.
Stage 1. Atrial systole and
ventricular filling The
ventricles relax and blood flows
into them from the atria. Note
that 70% 01 the blood lrom the
atria flows passively into the
ventricles. It is during Ihe last
third of ventricular filling that
the atria contract.
Stage 3: (not shown) There is a
short period of atrial and
ventricular relaxation (diastole).
Semilunar valves (SLV) close to
prevent backflow into the
ventricles (see diagram, left). The
cycle begins again.
Heart during ventricular contraction
Heart during ventricular filling
The Cardiac Cycle and the ECG
The electrical Impulses transmitted through the heart generate
electrical currents Illat can be detected by pladng metal electrodes
on the body's surface. They can be recorded on a heart monitor
as a trace, called an electrocardiogram or ECG. The ECG
pattern is the result 01 the different impulses produced at each
phase of the cardiac cycle. A normal ECG (below) shows a
regular repeating pattern of electrical pulses. Each wave of
electrical activity brings about a corresponding contraction in the
part of the heart receiving the electrical Impulse. Each part of the
EGG is given a letter aeconding to an international code (below).
An EGG provides a useful method of monitoring changes in heart
rate and activity and detection of heart disorders.
The T wave: This signals
recovery of the electrical
activity of the ventricles.
which are relaxed. .
The QRS complex:This corresponds to the spread of l he Impulse through the ventricles. which contract. r
l.
The P wave: This represents
the spread of the Impulse
from the pacemaker through
the atria, which then contract.
. The Interval between successive beats
allows the heart rate to be calculated.
Identify each of the following phases of an ECG by its inter ~ tional code:
(a) Excitation of the ventricles and ventricular systole: __
K__________________________
(b) Electrical recovery of the ventricles and ventricular diastole:
(c) Excitation of the atria and atrial systole: _ _
_'T-'-_____________________
L
?___________________________
2.
Suggest the physiological reason for the period of electrical recovery experienced each cycle (the T wave):
Heart Function-BWG.docx 05/0 1112
Mammalian Transport
system: a pulmonary system (or circulation), which
carries blood between the heart and lungs, and a systemic
system (circulation), which carries blood between the
heart and the rest of the body. The systemic Circulation
has many subdivisions. Two important subdivisions a re
the coronary (cardiac) circulation, which s upplies the
heart muscle, a nd the hepatic portal circulation, w hich
runs from the gu t to the li ver.
The blood vessels of the circulatory system form a vast
. - I network of tubes that carry blood away from the heart,
(_ transport it to the tissues of the body, and then return it to
the heart. The arteries, arterioles, capillaries, venul es, and
veins a re organized into specific routes to circulate the
blood throughout the body. Th e figure below shows a
numb er of the basic circulatory routes through which the
blood travels.
Mammals have a double circulatory
Schematic Overview of the Human Circulatory System
Deoxygenated blood (colored gray below) travels to the right
side of the heart via the vena cavae. The heart pumps the
deoxygenated blood to the lungs where it releases carbon
dioxide and receives oxygen. The oxygenated blood (colored
white below) travels via the pulmonary vein back to the heart
from where it is pumped to all parts of the body. The venous
system (figure, left) returns blood from the capillaries to the
heart. The arterial system (figure right) carries blood from
the heart to the capillaries. Portal systems carry blood
between two capillary beds.
~-------------,
iil'lIPlIl!!!m (a) htQtA
Pulmonary vein :
carnes oxygenaled
blood bad 10 the heart
VENOUS SYSTEM
ARTERIAL SYSTEM
Superior vella cava:
'ocelves deoxygon l ed
blood from t e he d and
oody
Pulmonary artery:
carnes OOoxyg naled
blood to Ihe lungs.
Right atrium :
receives deoxyge nated
ood VIa th e 5UP0'lOI
rnlenor vena cava .
lI ~a
Right velltricle:
pumps d .·!),y g~naled
blood 10 Ina lungs.
Inferior vella cava:
reC£!IIJf~ S deox y~ na led
blood imm th" lower OOdy
.loa or a ns
Lett atrium '
receives oXV'lenu ll1d
blood from Ih lungs
Lett ventricle '
pumps blood lrom Ihe
le~ atrium to lt1<l aorla.
Hepottc artery :
carnes OlC'yCj nRIed
blood to Ih .. I,v r
Hepalic vein :
~o" les
d o<ygenaled
blOOd lrom Iho I ."".
Mesenteric artery:
c mes oxygenal
HepatiC portal vein:
.1
blood 10 Ihe glJL
carnes d ·QxY9u nated .
nu . m nell " Iood Irom Ih
qUI lo r prOC'fJ'S6 tng .
Renal vein :
Renal artery:
carn(!S d'oo lC yy cno ted
oiOod (rom lhe kianeys
<)arnes olC'ygen31 d
blood u Ih ki neys
Mammalian Transport-BWG.docx 05/01112