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Anatomy & Physiology SIXTH EDITION Chapter 20, part 3 The Heart PowerPoint® Lecture Slide Presentation prepared by Dr. Kathleen A. Ireland, Biology Instructor, Seabury Hall, Maui, Hawaii Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Frederic H. Martini Fundamentals of Contractile Cells • Resting membrane potential of approximately – 90mV • Action potential • Rapid depolarization • A plateau phase unique to cardiac muscle • Repolarization • Refractory period follows the action potential Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Calcium Ion and Cardiac contraction • Cardiac action potentials cause an increase in Ca2+ around myofibrils • Ca2+ enters the cell membranes during the plateau phase • Additional Ca2+ is released from reserves in the sarcoplasmic reticulum Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Figure 20.15 The Action Potential in Skeletal and Cardiac Muscle Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Figure 20.15 Figure 20.15 The Action Potential in Skeletal and Cardiac Muscle Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Figure 20.15 The cardiac cycle • The period between the start of one heartbeat and the beginning of the next • During a cardiac cycle • Each heart chamber goes through systole and diastole • Correct pressure relationships are dependent on careful timing of contractions PLAY Animation: Intrinsic Conduction System Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Figure 20.16 Phases of the Cardiac Cycle Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Figure 20.16 Figure 20.16 Phases of the Cardiac Cycle Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Figure 20.16 Pressure and volume changes: atrial systole • rising atrial pressure pushes blood into the ventricle • atrial systole • the end-diastolic volume (EDV) of blood is in the ventricles Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Pressure and volume changes: ventricular systole • Isovolumetric contraction of the ventricles: ventricles are contracting but there is no blood flow • Ventricular pressure increases forcing blood through the semilunar valves Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Pressure and volume changes: ventricular diastole • The period of isovolumetric relaxation when all heart valves are closed • Atrial pressure forces the AV valves open Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Figure 20.17 Pressure and Volume Relationships in the Cardiac Cycle Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Figure 20.17 Heart sounds • Auscultation – listening to heart sound via stethoscope • Four heart sounds • S1 – “lubb” caused by the closing of the AV valves • S2 – “dupp” caused by the closing of the semilunar valves • S3 – a faint sound associated with blood flowing into the ventricles • S4 – another faint sound associated with atrial contraction Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Figure 20.18 Heart Sounds Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Figure 20.18a, b SECTION 20-4 Cardiodynamics Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Stroke Volume and Cardiac Output • Cardiac output – the amount of blood pumped by each ventricle in one minute • Cardiac output equals heart rate times stroke volume CO HR Cardiac output Heart rate (ml/min) = (beats/min) Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings SV X Stroke volume (ml/beat) Figure 20.19 A Simple Model of Stroke Volume Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Figure 20.19a-d