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Cardiovascular System Heart Conduction System Heart Function • Primary function of the heart is to impart energy to the blood in order for it to be dispersed throughout the body. Cardiac Cycle • Cardiac Cycle- one complete heart beat • Diastole = relaxation of the ventricles • Systole = contraction of the ventricles Heart Function Terminology • Amount of blood pumped out of one ventricle during one beat is known as Stroke Volume (ml/stroke) • Number of times ventricles beat per minute is known as Heart Rate • Cardiac output (Q) = SV x HR (l/min) • Together SV and HR gives to volume of blood pumped in 1 minute by one ventricle Cardiac Cycle • 1. Atrial systole- A-V valves open -semi lunar valves closed -atria contract 1 2. Isovolumetric Contraction- All valves closed -ventricular wall tension increases as ventricles are being filled Cardiac Cycle 3. Rapid Ejection- Aortic and Pulmonary valves open -A-V valves closed - Intraventricular pressure forces aortic and pulmonary valves to open 4. Reduced Ejection- aortic and pulmonary valves open -A-V valves closed -ventricular pressure decreases Cardiac Cycle 5. Isovolumetric Relaxation- all valves closed -atrial pressure rises from venous return 6. Rapid Ventricular Filling- A-V valves open -atrial pressure greater than ventricular pressure 7. Reduced Ventricular Filling- ventricles continue to fill -pressure difference between atrium and ventricles decreases Conduction System • A specialized electrical conduction system controls the mechanical contraction of the heart. Conduction System Control center in the brain is the medulla oblongata • The Sinoatrial Node (SA Node) in which rhythmic electrical impulses are initiated is Located in the upper lateral wall of the right atrium • The internodal pathways, which conduct the impulse from the SA node to the Atrioventricular Node (AV Node) • The AV Node , in which the impulse is delayed before passing into the ventricles • The Atrioventricular bundle (AV Bundle) which conducts the impulse to the ventricles • The left and right bundle of branches of the Purkije fibers, which conduct the impulse to all parts of the ventricle • The electrical system of the heart regulates Depolarization and Repolarization of the Atrium and Ventricles during the Cardiac Cycle. Conduction System Conduction System • This process is illustrated through the use of the ECG (electrocardiograph) Cardiac Cycle Cardiac Cycle-Diastole Cardiac Cycle-Atrial Systole Cardiac Cycle-Ventricular Systole Conduction System • P-wave- atrial depolarization -signal sent from the SA node through the Atria • QRS-complex- Left ventricular wall depolarization • T-wave- ventricular repolarization • U- wave- Purkinje Fibre repolarization Conduction System Cardiac review and Conduction System • Cardiac Cycle illustration