Cardiac Cycle
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The cardiac cycle represents the complete sequence of events occurring in the heart from the beginning of one heartbeat to the beginning of the next. It encompasses a precise, coordinated series of mechanical and electrical activities, including contraction (systole) and relaxation (diastole) of the atria and ventricles, resulting in the efficient pumping of blood throughout the systemic and pulmo…
Quick Summary
The cardiac cycle is the sequence of events in the heart from one heartbeat to the next, typically lasting 0.8 seconds at a resting heart rate of 75 bpm. It comprises two main phases: diastole (relaxation and filling) and systole (contraction and ejection).
The cycle begins with joint diastole, where all chambers relax and ventricles passively fill. This is followed by atrial systole, where atria contract to push the remaining blood into the ventricles, reaching the End-Diastolic Volume (EDV).
Next is ventricular systole, starting with isovolumetric contraction (all valves closed, pressure rising, S1 sound from AV valve closure), then ventricular ejection (semilunar valves open, blood pumped out, leaving End-Systolic Volume (ESV)).
Finally, ventricular diastole begins with isovolumetric relaxation (all valves closed, pressure falling, S2 sound from semilunar valve closure), followed by rapid and reduced ventricular filling, leading back to joint diastole.
Pressure gradients drive blood flow and valve actions, ensuring unidirectional circulation. The ECG correlates electrical events (P wave, QRS complex, T wave) with these mechanical phases.
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- Cardiac Cycle Duration: — (at )
- Phases: — Atrial Systole (), Ventricular Systole (), Joint Diastole ()
- Ventricular Systole Sub-phases: — Isovolumetric Contraction (), Ventricular Ejection ()
- Ventricular Diastole Sub-phases: — Isovolumetric Relaxation (), Rapid Filling (), Diastasis ()
- Heart Sounds:
- S1 ('lub'): Closure of AV valves (Tricuspid & Bicuspid) - marks start of ventricular systole. - S2 ('dub'): Closure of Semilunar valves (Aortic & Pulmonary) - marks start of ventricular diastole.
- ECG Correlation:
- P wave: Atrial depolarization (precedes atrial systole). - QRS complex: Ventricular depolarization (precedes ventricular systole). - T wave: Ventricular repolarization (during ventricular ejection, precedes ventricular diastole).
- Volumes:
- EDV (End-Diastolic Volume): Max ventricular volume (approx. ). - ESV (End-Systolic Volume): Min ventricular volume (approx. ). - SV (Stroke Volume): (approx. ).
- Valve Actions: — Open/close passively due to pressure gradients.
To remember the sequence of events in the cardiac cycle, think: All Valves In Every Room Really Dance.
- Atrial Systole
- Ventricular Isovolumetric Contraction
- Ejection (Ventricular)
- Relaxation (Ventricular Isovolumetric)
- Rapid Filling (Ventricular)
- Diastasis (Reduced Filling)