Front | Back |
Cardiac cycle
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Systemic circulation --> superior/inferior vena cava --> right atrium --> tricuspid valve --> right ventricle --> pulmonary artery --> pulmonary veins --> left atrium --> mitral valve --> left ventricle --> aorta --> systemic circulation
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Diastole
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Period of relaxation, during which the heart (ventricles) fill with blood
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Systole
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Period of contraction, during which the heart (ventricles) empty
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Cause of the P wave
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Depolarization of the atria
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Cause of the QRS complex
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Ventricular depolarization
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Cause of the T wave
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Ventricular repolarization, causing the ventricle to relax
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Atrial kick
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Atria contraction during the last third of ventricular diastole to provide approximately 25% of ventricular filling in each cycle
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Period of isovolumetric contraction
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Short period after ventricular pressure causes the atrioventricular valves to close but before ventricular pressure exceeds that in the great arteries and semilunar valves open
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Rapid ejection
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Once ventricular pressure exceeds pressure in the great arteries, this is the first 1/3 of total ejection period when approx 70% of stroke volume is ejected
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Reduced ejection
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Last 2/3 of total ejection period when 30% of stroke volume is ejected; ends with closure of the semilunar valves
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Isovolumetric relaxation
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At the end of ventricular systole, when the semilunar valves have already closed but the atrioventricular valves have not yet opened; ends when atrial pressure exceeds ventricular pressure
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Rapid ventricular filling
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The first 1/3 of ventricular diastole, ventricular pressure falls and atrial pressure increases causing the atrioventricular valves to open and most of ventricular filling
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Diastasis
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Period of relatively little ventricular filling when blood flows directly from veins through atria to ventricles; follows rapid ventricular filling and ends with atrial systole
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Dicrotic notch
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Backflow of blood in the aorta suddenly ceases when the aortic valve closes, resulting in no more decrease of aortic pressure
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A wave
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Increase in atrial pressure caused by atrial contractionleft atria: 7-8 mmHgright atria: 4-6 mmHg
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