1. The cardiac cycle Describing the sequence of events in one heart beat

2. Learning Intentions Describe the cardiac cycle with reference to the action of the valves in the heart

3. Introduction It is important that the chambers of the heart contract in a coordinated fashion. The sequence of events involved in one heartbeat is called the cardiac cycle.

4. Definitions Systole = period of ventricular contraction. Diastole = period of ventricular relaxation. NOTE: Normally diastole is longer than systole.

5. Cardiac cycle General Principles. Contraction of the myocardium generates pressure changes which result in the orderly movement of blood. Blood flows from an area of high pressure to an area of low pressure, unless flow is blocked by a valve. Events on the right and left sides of the heart are the same, but pressures are lower on the right.

6. Atrial systole The heart is full of blood and the ventricles are relaxed Both the atria contract and blood passes down to the ventricles The atrio-ventricular valves open due to blood pressure 70% of the blood flows passively down to the ventricles so the atria do not have to contract a great amount.

7. Ventricular systole The atria relax. The ventricle walls contract, forcing the blood out The pressure of the blood forces the atrio- ventricular valves to shut (producing the heart sound ‘lub’)

8. Ventricular systole The pressure of blood opens the semi-lunar valves. Blood passes into the aorta and pulmonary arteries.

9. Diastole The ventricles relax Pressure in the ventricles falls below that in the arteries Blood under high pressure in the arteries causes the semi lunar valves to shut. This produces the second heart sound, ‘dub’. During diastole, all the muscle in the heart relaxes.

10. Blood from the vena cava and pulmonary veins enter the atria. The whole cycle starts again.

12. Pressure changes during one heart beat

13. A Atrioventricular (bicuspid / mitral) valve(s) closes (“snaps shut”– makes 1 st louder heart sound “LUB” B Semilunar valve(s) (aortic valve) opens C Semilunar valve(s) closes – makes second softer heart sound “DUB”- shut due to blood accumulating in their pockets D Atriioventricular (bicuspid) valve(s) opens “LUB” “DUB” Atrial Systole Ventricular Systole Diastole Cardiac cycle = 0.8 sec 60/0.8 bpm = 72 bpm

14. Cardiac cycle Match the letter on the graph to the following events semilunar (aortic) valve starting to open atrio-ventricular (bicuspid) valve about to open semilunar (aortic) valve about to close atrio-ventricular (bicuspid) valve about to close left ventricle starting to contract both left atrium and left ventricle relaxing minimum blood volume in left ventricle

16. Length of 1 cardiac cycle ~ 0.8 sec No of beats per minute = 1 x 60/0.8 sec = 75 beats/min