Professional Documents
Culture Documents
2010
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maria immaculata iwo, sf itb
Semilunar valve
Bicuspid (mitral)
valve (AV valve)
Tricuspid valve
(AV valve)
Intraventricular septum
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Coronary Circuit
Cardiac muscle fibers and the other types of cells in the wall of the
heart are not nourished by the blood in the chambers;
Instead,
these cells receive nutrients and rid themselves of wastes at
capillaries embedded in the heart wall.
coronary
arteries,
the left and right coronary arteries, branch from the aorta just
beyond the aortic semilunar valve.
Each of these arteries branches then rebranches encircled by
small arterial blood vessels capillary bed in the heart the
coronary veins (specifically called cardiac veins).
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Nodal system,
intrinsic conducting
system Components
Sinoatrial (S-A) Node
(pacemaker)
Atrioventricular node
(A-V node)
A-V bundle
(Bundle of His)
right and left bundle
branches
down, the branches
give rise to enlarged
Purkinje fibers
Sinoatrial
(SA) node
(AV) node
AV bundle
Left bundle
branch
Right bundle
branch
Purkinje
fibers
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Electrocardiogram (ECG)
Impulse transmission
through the conduction
system generated
electrical currents that
can be detected on the
body's surface.
An ECG consists of a
set of waves:
the P wave,
a QRS complex,
a T wave.
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P-Wave
Indicates atrial depolarization.
The spread of the impulse from the S-A node through the two
atria.
the atria are going to be in systole and that the atrial myocardium
is about to contract.
QRS-Wave or Complex
Represents ventricular depolarization
the spread of the electrical impulse through the ventricles.
Shortly after the QRS wave begins, the ventricles undergo
contraction.
T-Wave
Indicates ventricular repolarization
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0.15 sec.
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- Time
0.40 sec.
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Heart Sounds
A heartbeat produces the familiar LUB-DUP sounds as the
chambers contract and the valves close.
Lub sound
The first heart sound, lub, is heard when the ventricles
contract and the atrioventricular valves close.
This sound lasts longest and has a lower pitch.
Dup sound
The second heart sound, dup, is heard when the
relaxation of the ventricles allows the semilunar valves
to close.
The third sound seems to be caused by the vibration of
the ventricular walls and the atrio-ventricular valve cusps
during systole.
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Heart murmurs,
which are clicking or swishing sounds heard after the
lub, are often due to ineffective valves.
These leaky valves allow blood to pass back into the
atria after the atrioventricular valves have closed, or back
into the ventricles after the semilunar valves have
closed.
A trained physician or health professional can diagnose heart
murmurs from their sound and timing.
It is possible to replace the defective valve with an artificial
valve.
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Cardiac Output
Cardiac output (CO)
is the volume of blood pumped out of a ventricle in one
minute.
Cardiac output is dependent on two factors:
Heart Rate
A cardioregulatory center in the medulla oblongata of the brain
can alter the heart rate by way of the autonomic nervous
system (ANS)
Exercise?
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Stroke Volume
SV - which is the amount of blood that leaves a ventricle,
depends on the strength of contraction.
The degree of contraction depends on
the blood electrolyte concentration
the activity of the autonomic system.
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Venous Return
Venous return is the amount of blood entering the heart by
way of the vena cava (right side of heart) or pulmonary
veins (left side of heart).
Any event that decreases or increases the volume or speed
of blood entering the heart will affect the strength of
contractioncalled Starlings Law.
A slow heart rate allows more time for the ventricles to
fill and therefore increases the strength of contraction.
A low venous return, as might happen if there is blood
loss, decreases the strength of contraction.
Exercise increases the strength of contraction because
skeletal muscle contraction puts pressure on the veins and
speeds venous return.
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Regulation of blood
pressure and volume
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