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Cardiac biophysics Heart Pump of the circulatory system Number of contractions Expelled blood volume 1 min ~70 ~6 l 1 day ~100.000 ~8600 l Life (70 yrs) ~2.5 x 109 ~220 x 106 l Cardiac biophysics 1. 2. 3. 4. Structure of the heart Coordinated contraction Cardiac cycle Work of the heart Structure of the human heart Aorta A. pulmonalis Left atrium Bulbus aortae Aorta valve Mitral (bicuspid) valve Right atrium Tricuspid valve Left ventricle Right ventricle Septum Functional structure of the heart myocyte Structural and functional unit: sarcomere Titin Z-line (spring function) Thin filament (actin) M-line Thick filament (myosin) Z-line Activation of coordinated contractions Sinus node EKG mV mm R AV node (Tawara-Aschoff) 10 mm (1 mV) His-bundle T P 0,08 s Tawara-bundles 0,15 s Purkinjefibers 3.5 mm Q S 0,08 s ST t (s) The cardiac cycle Contraction (systole) - relaxation (diastole) cycle of the heart systole diastole atrium 0,1 s 0,7 s ventricle 0,3 s 0,5 s Beats per minute (1/min) Events of the cardiac cycle 1-2: pre-ejection period (PEP) 2-3: ejection period (EP) 3-4: isovolumetric relaxation (IVR) 4-1: ventricular filling (VF) Aorta Pressure Left ventricle 1-3: ventricular systole 3-1: ventricular diastole Flow Intensity Bulbus aortae A. pulmonalis Pressure Right ventricle Semilunar valve Atrioventricular valve Time Pressure-volume diagram of left ventricle Mm=Isovolumetric Pressure maximum Mb=Isobaric Volume minimum R=Relaxed ventricle EP IVR PEP VF Residual volume Stroke volume Work of the heart (work of left ventricle) P (kPa) 16 Indicator diagram: EP 10,6 Simplified pressurevolume relationship IVR PEP VF 0 50 1 2 L pV mv 2 L 130 V (ml) pV=static (volumetric) component 1/2mv2=dynamic component p=pressure V=stroke volume 1 2 13,3103 N /m 2 0,08103 m 3 0,08kg 1m /s 1,06Nm 0,04Nm 1,1J 2 Adjustment of stroke volume Frank-Starling mechanism Work of heart against increased presssure Compensatitory increase in stroke volume Cardiac biophysics 1. 2. 3. 4. Structure of the heart Coordinated contraction Cardiac cycle Work of the heart