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Systems Exam II (L)
The Heart As A Pump: The Cardiac Cycle
27
Medical
Graduate
03/09/2009

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Cards

Term
At what muscle length is optimal interaction?
Definition
2.0 - 2.2 μm
Term
What does stretching of the sarcomere to beyond 2.3μm do to the myocyte?
Definition
It leads to irreversible damage
Term
What effect does stretching of the sarcomere have on force keeping concentration of Ca2+ constant.
Definition
Stretching the sarcomere will increase force at similar concentrations of Calcium.
Term

What is the geometric shape of the left ventricle?

The right ventricle?

Definition

Left ventricle is a cylinder that compresses its contents from all sides.

Right ventricle is more of a pocket that rests on the interventricular septum.

Term

1. Which ventricle contracts with apex shortening?

2. Which contracts with outerwall contraction against the inner wall with little muscular fiber shortening?

3. Which ventricle is better suited for total ejection of contents?

Definition

1. Left

2. Right

3. Right

 

Term
What is the peak pressure caused by the right and left ventricles respectively?
Definition
28 mmHg and 120-125 mmHg
Term

1. What is the location of the mitral valve?

2. Tricuspid?

3. Aortic?

4. Pulmonic?

Definition

1. Between the left atrium and ventricle

2. Between the right atrium and ventricle

3. Between the left ventricle and aorta

 4. Between the right ventricle and Pulmonary Artery

Term

How are the valves tethered to the cardiac wall?

How do they work?

Definition
Chorda tendineae and papillary muscles. Work in relation to interventricular pressure to prevent backflow of blood from ventricle to atria and to prevent rupture of valves into atria.
Term
What is the clinical significance of the lack of valves in vena cava and pulmonary veins.
Definition
Atria contraction can lead to retrograde blood flow back into the supply vessels depending on pressure gradient.
Term
What is the time length of the cardiac cycle?
Definition
0.8 seconds
Term

What is systole?

What is diastole?

Definition

Systole - period of the cardiac cycle comprising of contraction/ejection

 

Diastole - filling period segment

Term
What is isovolumetric contraction?
Definition
When pressure is generated in the ventricles after filling without blood flow through the aortic valve. Portion of cardiac cycle when both mitral and aortic valves are closed.
Term
What happens to aortic pressure during diastole?
Definition
It falls since no blood is entering into the aorta due to the closed aortic valves.
Term
What is diastolic runoff?
Definition
Diastolic runoff is blood moving from artery to vein down the pressure gradient.
Term
True or False: There is a period in the cardiac cycle when both valves are closed.
Definition
True. This occurs when the intraventricular pressure is high enough to close the mitral valve, but not high enough to produce an ejection through the aortic valve. This is called isovolumetric contraction.
Term
What is the first heart sound?
Definition
The first heart sound is vibration of the ventricular wall and acceleration of the blood during early systole.
Term
True or False: Aortic pressure is always lower than left ventricular pressure.
Definition
False. There is a portion immediately following systole where aortic pressure is slightly higher than ventricular pressure yet due to momentum of blood movement, the aortic valve maintains open.
Term
What is the second heart sound?
Definition
The second heart sound occurs when blood in the aorta recoils against the closed valve and vibrates the column of blood in the aorta.
Term
What is isovolumetric relaxation?
Definition
This is a period where both valves of the ventricle are closed and the ventricle is undergoing relaxation.
Term
What is the 3rd heart sound?
Definition
Occurs during the movement of blood from the atria to ventricle during initial filling of diastole
Term
What is the 4th heart sound?
Definition
When the atria contracts after P wave depolarization which leads to forceful ejection of blood from atria into ventricle.
Term
What happens to atrial pressure during isovolumetric contraction?
Definition
Atrial pressure increases slightly during isovolumetric contraction designated by the c wave.
Term
What is the c wave?
Definition
Represents that increase in atrial pressure during isovolumetric contraction.
Term
What is the x descent?
Definition
Decline in atrial pressure as a result of ventricular contraction. The nadir of the x descent corresponds with the peak ejection of blood from the ventricle.
Term
What is the v wave?
Definition
Increase in atrial pressure as they fill with blood during ventricular systole.
Term
What is the y descent?
Definition
When the atrioventricular valve opens, blood moves rapidly from atrium to ventricle and the atrial pressure falls. This decrease in atrial pressure as the ventricles fill during diastole is the y descent.
Term
What is the PV loop?
Definition
It is a representation of cardiac muscle function during the cardiac cycle.
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