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Oct 30, 2023 · The sudden change in the pressure gradient results in a small backflow of blood into the left ventricle just before the aortic valves close. This is represented on the aortic pressure graph by a sharp decline or ‘ incisura ’ and then a sharp increase.
- Content Manager
- 15 min
- Introduction
- Structure of The Heart
- The Cardiac Cycle
- Wigger’s Diagram
- Cardiac Volumes
- Key Points
- References
The heart is the pump of the body’s circulatory system. It must work in a systematic way so that the body is adequately supplied with blood. This article will give an overview of the cardiac cycle, highlighting the physiology and clinical relevance.
Blood flows through the structures of the heart in the following order: 1. Great veins (the venae cavae on the right and the pulmonary vein on the left) 2. Atria 3. Ventricles 4. Great arteries (the pulmonary artery on the right and the aorta on the left) There are two sets of valves, theatrioventricular and thesemilunar valves, on each side of the...
The heart relies on its muscle to contract and relax to pump the blood around the body. The left and right sides of the heart areindependent of each other, however, will contract synchronously. When in a contractile state, this is called systole. When in a relaxed state, this is called diastole. The cycle can then be divided into three stages: 1. A...
Wigger’s diagram is used to demonstrate thevarying pressures in the atrium, ventricle, and artery during one cardiac cycle (Figure 2). Intracardiac pressures are different within the right and left sides of the heart. The left side hashigher pressure, as it has to pump blood through the whole body, compared to the right side, which has to pump bloo...
There are two cardiac volumes to be measured during the cardiac cycle. 1. Ventricular end-systolic volume= the volume of blood in the ventricle at the end of the systolic phase 2. Ventricular end-diastolic volume= the volume of blood in the ventricle at the end of the diastolic phase These volumes can then be used to calculate other parameters whic...
The cardiac cycle can be divided into systolic (contraction) and diastolic(relaxation) phases.The cycle goes in the following order: atrial systole, ventricular systole and diastole.Heart valves open when the pressure of the chamber lying before it is higherthan that of the chamber after the valve.The shutting of the valves produces the two heart sounds(S1/S2), also known as the ‘lub-dub’ heart sounds.Reference texts
1. Gillian Pocock, Christopher D. Richards, David A. Richards. Human Physiology (Fifth Edition). 2018. 2. Walter F. Boron, Emile L. Boulpaep. Medical Physiology (Third Edition). 2017.
Reference images
1. Figure 1. OpenStax. Dual System of the Human Blood Circulation. License: [CC BY 4.0] 2. Figure 2 – 6. DanielChangMD. Adapted by Geeky Medics. Wigger’s diagram. Licence: [CC BY-SA 2.5]
When pressure within the ventricles drops below pressure in both the pulmonary trunk and aorta, blood flows back toward the heart, producing the dicrotic notch (small dip) seen in blood pressure tracings. The semilunar valves close to prevent backflow into the heart.
- Lindsay M. Biga, Sierra Dawson, Amy Harwell, Robin Hopkins, Joel Kaufmann, Mike LeMaster, Philip Mat...
- 2019
During ventricular systole, pressure rises in the ventricles, pumping blood into the pulmonary trunk from the right ventricle and into the aorta from the left ventricle. PHSL-P 225 - Cardiovascular system - Wiggers - Part 1. Watch on. Phases of the Cardiac Cycle.
Jul 16, 2023 · Filling phase – the ventricles fill during diastole and atrial systole. Isovolumetric contraction – the ventricles contract, but as the heart valves are shut, the volume remains constant. This causes a build-up of pressure, ready to propel blood into the aorta/pulmonary trunk.
Aortic pressure is measured by inserting a pressure-measuring catheter into the aorta from a peripheral artery, and the left ventricular pressure is obtained by placing a catheter inside the left ventricle and measuring changes in intraventricular pressure as the heart beats.
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When pressure within the ventricles drops below pressure in both the pulmonary trunk and aorta, blood flows back toward the heart, producing the dicrotic notch (small dip) seen in blood pressure tracings. The semilunar valves close to prevent backflow into the heart.