For more information about how to cite these materials visit
|
|
|
- Alban Welch
- 6 years ago
- Views:
Transcription
1 Author(s): Louis D Alecy, D.M.D., Ph.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Non-commercial Share Alike 3.0 License: We have reviewed this material in accordance with U.S. Copyright Law and have tried to maximize your ability to use, share, and adapt it. The citation key on the following slide provides information about how you may share and adapt this material. Copyright holders of content included in this material should contact open.michigan@umich.edu with any questions, corrections, or clarification regarding the use of content. For more information about how to cite these materials visit Any medical information in this material is intended to inform and educate and is not a tool for self-diagnosis or a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional. Please speak to your physician if you have questions about your medical condition. Viewer discretion is advised: Some medical content is graphic and may not be suitable for all viewers.
2 Citation Key for more information see: Use + Share + Adapt { Content the copyright holder, author, or law permits you to use, share and adapt. } Public Domain Government: Works that are produced by the U.S. Government. (USC ) Public Domain Expired: Works that are no longer protected due to an expired copyright term. Public Domain Self Dedicated: Works that a copyright holder has dedicated to the public domain. Creative Commons Zero Waiver Creative Commons Attribution License Creative Commons Attribution Share Alike License Creative Commons Attribution Noncommercial License Creative Commons Attribution Noncommercial Share Alike License GNU Free Documentation License Make Your Own Assessment { Content Open.Michigan believes can be used, shared, and adapted because it is ineligible for copyright. } Public Domain Ineligible: Works that are ineligible for copyright protection in the U.S. (USC (b)) *laws in your jurisdiction may differ { Content Open.Michigan has used under a Fair Use determination. } Fair Use: Use of works that is determined to be Fair consistent with the U.S. Copyright Act. (USC ) *laws in your jurisdiction may differ Our determination DOES NOT mean that all uses of this 3rd-party content are Fair Uses and we DO NOT guarantee that your use of the content is Fair. To use this content you should do your own independent analysis to determine whether or not your use will be Fair.
3 M2 Mini Review! August 2008! Normal Cardiac Cycle Targeted to Bridge! Mohrman & Heller per M1 and! Lilly 4th ed. per M2! Yes -- it is the ~ same as last year -- it is a! REVIEW! Louis G. D Alecy, Professor of Physiology! 3!
4 Normal Cardiac Cycle Outline 1 BEFORE LUNCH! 1) Pressure!Flow!!Circulation! 2) Systole vs. Diastole! 3) Cardiac Cycle Pressure Gradients! 4) Heart Rate!!Normal!!Fast!!Slow!!Origins & pathway through heart! 4!
5 Normal Cardiac Cycle Outline 2! AFTER LUNCH! 1) Stroke Volume!!Preload!!Afterload!!Contractility! 2) LV Pressure-Volume Loops! 3) Measuring pressures!cvp, RV,!!PAP, PCWP,LVEDP! 4) Measuring Cardiac Output! 5!
6 Heart is a Pressure Pump but also pumps FLOW (volume/time) Heart Rate X Stroke volume = Cardiac Output HR X SV = CO b /min X ml /b = ml /min or L/min 6!
7 Requirements for Effective Cardiac Pumping!! 1 Synchronized!!!not arrhythmic!! 2 Valves open fully!!not stenotic!! 3 Valves don't leak!!not insufficient!!!!!!or regurgitant!!! 4 Forceful!!!!not failing!! 5 Must fill!!!!not "dry"!! 7!
8 Anterior! Posterior! Fig 1.2 Lilly! Lilly 8!
9 Fig. 3.14! 2-10! Lilly p ! 2-8! 2-8! CVP! PCWP! 2-8! 3/10/11! Lilly Pg ! 2-10! 9!
10 Venous! valves! Flow goes around the circulation by PUMPS & VALVES! 3/10/11! 10!
11 PUMP! PUMP! 3/10/11! 11!
12 Pressure gradient from beginning to end of capillaries! Pulmonary capillaries! Arterial end 12 mmhg! Venous end 8 mmhg! Systemic capillaries! Arterial end 30 mmhg! Venous end 15 mmhg! 4 mmhg 15 mmhg! Levitzky From Levitzky, Fig 4-1! 12!
13 Systole & Diastole! Text books vary in definitions but most the common use of the unmodified! terms systole and diastole is:!! Systole is the period from the closing of the atrio-ventricular valve (mitral)!!to the closing of the aortic valve (ventricular contraction).!! Diastole is the period from the closing of the aortic valve to the closing!!of the atrio-ventricular valve (ventricular relaxation and filling).! EXTRA NOTE: Some more rigorous texts distinguish ventricular systole from arterial systole:!! Ventricular systole is the period from the closing of the atrio-ventricular valve (mitral)!!until its opening.!! Arterial systole is the period from the opening of the aortic valve until its closing.! 13!
14 1 4 MAP = P d + 1/3Pp 2 Time! 3 Pulse Pressure = (Systolic - Diastolic) 14!
15 Aortic valve opens Aortic valve closes Arterial Pressure! Atrio-ventricular (MV) valve opens Atrial waves Fig. 2.1! 3/10/11! 15!
16 Systolic Pressure! Diastolic Pressure! Diff = Stroke volume! 3/10/11! 4.1 HM 16!
17 Not 125 mmhg RV! 3/10/11! 17!
18 Heart is a Pressure Pump but also pumps FLOW (volume/time) Heart Rate X Stroke volume = Cardiac Output HR X SV = CO b /min X ml /b = ml /min or L/min 18!
19 Origins of the Heart Beat Automaticity: the ability to initiate its own beat. Rhythmicity: regularity of pace-making activity. Pacemaker: the region of the heart that ordinarily generates impulses at the greatest frequency. Sinoatrial (SA) node: normal, main pacemaker. Intrinsic rate: ~100b/minute for SA node vs. resting rate Ectopic foci or pacemakers: regions other than SA node that initiate beat. 19!
20 Variations in the Heart Rate (fast) Tachycardia: heart rate greater than normal. Sinus tachycardia: a heart rate greater than normal (> 100b/min) from SA node. Ectopic tachycardia: a heart rate greater than normal originating from ectopic focus. Paroxysmal tachycardia: a heart rate greater than normal originating from ectopic focus that begins and ends abruptly. 20!
21 Variations in the Heart Rate (slow) Bradycardia: a heart rate less than normal. Sinus bradycardia: a heart rate less than normal (< 60 beats/minute) from SA node. Idiojunctional Rhythm: AV nodal rhythm when SA node fails b/minute Idioventricular Rhythm: Ectopic ventricular rhythm when SA & AV nodes fails b/ minute 21!
22 Effector Pathways! + or - CHRONOTROPIC Reflexes Drugs Temp. 3/10/11! McGraw-Hill 22!
23 Phase 4 = relatively more Na + going in and less K + going out thus +++ Fig /10/11! 23!
24 Time! 24!
25 Markedly Different! conduction velocities! 25!
26 AV Nodal Delay! 3/10/11! 26!
27 Normal Cardiac Cycle Outline 2! AFTER LUNCH! 1) Stroke Volume!!Preload!!Afterload!!Contractility! 2) LV Pressure-Volume Loop! 3) Measuring pressures!cvp, RV,!!PAP, PCWP,LVEDP! 4) Measuring Cardiac Output! 27!
28 Fig 9.2! 3/10/11! 28!
29 Lilly Table 9.1 Definitions! Preload - The ventricular wall tension!!at the end of diastole.!! Afterload -- The ventricular wall tension!!during contraction; the resistance that!!must be overcome for the ventricle to!!eject its contents. Approximated by!!systolic ventricular or arterial pressure.!! Contractility -- Property of heart muscle that!!accounts for changes in strength of!!contraction independent of preload!!and afterload.! Lilly 29!
30 Left ventricle pressure-volume loop e! Fig /10/11! 30!
31 Pressure increases as! radius decreases.! systole COUNTER! CLOCKWISE! ROTATION! diastolic filling Ejection Fraction = 70/130 = 54% LV end-diastolic! Volume! **** LVEDV ****! PRELOAD! 3.3 MH 31!
32 Matching Question Know all the answers!!!! a! a to b! b! c! d! e! b to c! c to d! Stroke volume! Isovolumetric contraction! Ventricular filling! 1st heart sound! 2nd heart sound! Systolic arterial pressure! Diastolic arterial pressure! Left ventricular end-diastolic P&V! Opening of atria-ventricular valve! e! 32!
33 LV Pressure-Volume Loop! End-systolic pressure volume!!!relationship (ESPVR).! Slope of ESPVR ~ contractility! Contractility ~ inotropic state! Preload = stretch on end of!diastole (~ EDP or EDV)! Afterload = tension during contraction! (~ arterial pressure ~ MAP or diastolic AP)! 33!
34 ****Major Figure **** Fig 9.5! ~ held constant! Isolated! Increased afterload! decreases stroke volume ~ held constant! 3/10/11! (Preload) 34!
35 Increased! contractility! increases! stroke volume! ~ held constant! Afterload! ~ held constant! Preload! 3/10/11! 35!
36 Increased preload increases! stroke volume ~ held constant! Contractility! ~ held constant! Afterload! 3/10/11! (Preload) 36!
37 What should we be thinking about? Measuring?! What are the differences in the interpretation of CVP and PCWP?! What are the clinical concerns?! What makes each go up and down? Physiologically and pathophysiologically?! CVP = central venous pressure! PCWP = pulmonary capillary wedge pressure! 37!
38 Swan-Ganz Catheter Balloon Deflated Balloon Inflated Distal Port for PCWP & PAP RV -Sys, Dia CVP hermistor for ardiac Output Pulmonary Artery Catheter (PAC) 38!
39 Swan-Ganz Catheter! Edwards.com! Catheter! X-Section! 39!
40 Insertion vein varies but: 50-60% Jugular,!!!30-40% Subclavian,!!!20-30% Arm or Leg! 2-8! 2-10! 2-8! 2-10! Fig PCWP! 40!
41 Lilly Pg. 64, Fig Lilly Fig. 3.15! P 64! 41!
42 Pressure Changes as Catheter Moves! Through Right Heart to PA to PCWP 42!
43 Pulmonary Artery! Dicrotic! notch PA vs. RV! - 1) has notch! - 2) > diastole! - 3) dn vs.. up! 43!
44 Box 3.1! Pressure Changes as Catheter Moves!! Through Right Heart to PA & PCWP 44!
45 Swan-Ganz Catheter Pressure Recording Right Ventricle Pulmonary Artery Pul. Cap Wedge catheter Pulmonary branch Balloon wedged Open end to measure! PCWP! 45!
46 LV EDV LV EDP (Preload) LAP Pulmonary Venous P Pul Cap P Pulmonary Capillary Wedge Pressure PCWP is used as an index of LV EDP PRELOAD 46!
47 Preload SV! 3/10/11! McGraw-Hill Preload! 47!
48 **limited 3/10/11! **limited 48!
49 Fig /10/11! 49!
50 How do we determine?? 3/10/11! 50!
51 Heart is a Pressure Pump but also pumps volume/time Heart Rate X Stroke volume = Cardiac Output Measure Cardiac Output by Thermal Dilution Calculate SV HR X SV = CO b /min X ml /b = ml /min 51!
52 Swan-Ganz Catheter Balloon Deflated Balloon Inflated Distal Port for PCWP hermistor for ardiac Output DEFLATE BALOON FOR CARDIAC OUTPUT 52!
53 CO by Swan - Ganz! 53!
54 New England Journal of Medicine Conclusions: PAC-guided therapy did not improve survival or organ! function but was associated with more complications than CVC-guided! therapy. These results, when considered with those of previous! studies, suggest that the PAC should not be routinely used for the! management if acute lung injury.! (Clinical Trials.gov num, NCT )! 54!
55 PAC! 55!
56 Severity of illness and risk of death associated with pulmonary artery catheter use* by Dean R. Chittock et al! Crit Care Med 2004 Vol. 32, No.4! PDF on web site! 56!
57 thanks for your interest,! i have no problem with you using it as a PDF on the web page..attached is the PDF...in answer to the safety...there are two large trials ongoing...one in the US from NIH and the other in UK...they should answer the outstanding questions for us...ps... there is nothing inherently wrong with the catheter...just with the users!! 57!
58 New England Journal of Medicine Conclusions: PAC-guided therapy did not improve survival or organ! function but was associated with more complications than CVC-guided! therapy. These results, when considered with those of previous! studies, suggest that the PAC should not be routinely used for the! management if acute lung injury.! (Clinical Trials.gov num, NCT )! 58!
59 Cardiovascular System Central Pressures (mmhg) RANGE TYPICAL 1 Right Atrium -1 to Rt. Ventricle Systolic Diastolic 15 to 30 0 to Pulmonary Artery (PAP) Systolic Diastolic Mean 15 to 30 8 to to Pulmonary Capillary Wedge Pressure 8 to Left Ventricle Systolic Diastolic 6 Aorta (Systemic Art.) Systolic Diastolic Mean 90 to to to to to !
60 Matching Question Know all the answers!!!! a! a to b! b! c! d! e! b to c! c to d! Stroke volume! Isovolumetric contraction! Ventricular filling! 1st heart sound! 2nd heart sound! Systolic arterial pressure! Diastolic arterial pressure! Left ventricular end-diastolic P&V! Opening of atria ventricular valve! e 60!
61 Additional Source Information for more information see: Slide 8: Lilly Slide 9: Lilly Pg. 61! Slide 10: Slide 11: Slide 12: Levitzky Slide 14: Slide 15: Slide 16: Slide 17: Slide 22: McGraw-Hill! Slide 23: Slide 24: Slide 25: Slide 26: Slide 27: Slide 28: Slide 29: Lilly Slide 30: Slide 31: Slide 32: Slide 34: Slide 35: Slide 36: Slide 36: Slide 38: Slide 39: ; Slide 40: Slide 41: Lilly Pg. 64, Fig. 3.15! Slide 42: Slide 43: Slide 44: Slide 45: Slide 47: McGraw-Hill! Slide 48: Slide 49: Slide 50: Slide 52: Slide 53: Slide 54: New England Journal of Medicine! Slide 55: Slide 58: New England Journal of Medicine Slide 59: Slide 60:
For more information about how to cite these materials visit
Author(s): Louis D Alecy, D.M.D., Ph.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Non-commercial Share Alike 3.0 License:
For more information about how to cite these materials visit
Author(s): Louis D Alecy, 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Non-commercial Share Alike 3.0 License: http://creativecommons.org/licenses/by-nc-sa/3.0/
For more information about how to cite these materials visit
Author(s): Louis D Alecy, 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Non-commercial Share Alike 3.0 License: http://creativecommons.org/licenses/by-nc-sa/3.0/
For more information about how to cite these materials visit
Author(s): Louis D Alecy, D.M.D., Ph.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Non-commercial Share Alike 3.0 License:
For more information about how to cite these materials visit
Author: Michael Jibson, M.D., Ph.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike 3.0 License: http://creativecommons.org/licenses/by-sa/3.0/
For more information about how to cite these materials visit
Author(s): Prachi Agarwal M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Non-commercial Share Alike 3.0 License: http://creativecommons.org/licenses/by-nc-sa/3.0/
Heart Pump and Cardiac Cycle. Faisal I. Mohammed, MD, PhD
Heart Pump and Cardiac Cycle Faisal I. Mohammed, MD, PhD 1 Objectives To understand the volume, mechanical, pressure and electrical changes during the cardiac cycle To understand the inter-relationship
For more information about how to cite these materials visit
Author: Michael Jibson, M.D., Ph.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike 3.0 License: http://creativecommons.org/licenses/by-sa/3.0/
For more information about how to cite these materials visit
Author(s): Gerald Abrams, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Non-commercial Share Alike 3.0 License: http://creativecommons.org/licenses/by-nc-sa/3.0/
For more information about how to cite these materials visit
Author: John Williams, M.D., Ph.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Non-commercial Share Alike 3.0 License: http://creativecommons.org/licenses/by-nc-sa/3.0/
*Generating blood pressure *Routing blood: separates. *Ensuring one-way blood. *Regulating blood supply *Changes in contraction
*Generating blood pressure *Routing blood: separates pulmonary and systemic circulations *Ensuring one-way blood flow: valves *Regulating blood supply *Changes in contraction rate and force match blood
Topics to be Covered. Cardiac Measurements. Distribution of Blood Volume. Distribution of Pulmonary Ventilation & Blood Flow
Topics to be Covered MODULE F HEMODYNAMIC MONITORING Cardiac Output Determinants of Stroke Volume Hemodynamic Measurements Pulmonary Artery Catheterization Control of Blood Pressure Heart Failure Cardiac
For more information about how to cite these materials visit
Author: Michael Jibson, M.D., Ph.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike 3.0 License: http://creativecommons.org/licenses/by-sa/3.0/
FUNDAMENTALS OF HEMODYNAMICS, VASOACTIVE DRUGS AND IABP IN THE FAILING HEART
FUNDAMENTALS OF HEMODYNAMICS, VASOACTIVE DRUGS AND IABP IN THE FAILING HEART CINDY BITHER, MSN, ANP, ANP, AACC, CHFN CHIEF NP, ADV HF PROGRAM MEDSTAR WASHINGTON HOSPITAL CENTER CONFLICTS OF INTEREST NONE
Principles of Biomedical Systems & Devices. Lecture 8: Cardiovascular Dynamics Dr. Maria Tahamont
Principles of Biomedical Systems & Devices Lecture 8: Cardiovascular Dynamics Dr. Maria Tahamont Review of Cardiac Anatomy Four chambers Two atria-receive blood from the vena cave and pulmonary veins Two
SIKLUS JANTUNG. Rahmatina B. Herman
SIKLUS JANTUNG Rahmatina B. Herman The Cardiac Cycle Definition: The cardiac events that occur from the beginning of one heartbeat to the beginning of the next The cardiac cycle consists of: - Diastole
For more information about how to cite these materials visit
Author(s): Louis D Alecy, 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Non-commercial Share Alike 3.0 License: http://creativecommons.org/licenses/by-nc-sa/3.0/
For more information about how to cite these materials visit
Author(s): Kathleen A. Stringer, Pharm. D, 2011 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike 3.0 License: http://creativecommons.org/licenses/by-sa/3.0/
THE CARDIOVASCULAR SYSTEM. Heart 2
THE CARDIOVASCULAR SYSTEM Heart 2 PROPERTIES OF CARDIAC MUSCLE Cardiac muscle Striated Short Wide Branched Interconnected Skeletal muscle Striated Long Narrow Cylindrical PROPERTIES OF CARDIAC MUSCLE Intercalated
For more information about how to cite these materials visit
Author: Thomas Sisson, MD, 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Non-commercial Share Alike 3.0 License: http://creativecommons.org/licenses/by-nc-sa/3.0/
SymBioSys Exercise 2 Cardiac Function Revised and reformatted by C. S. Tritt, Ph.D. Last updated March 20, 2006
SymBioSys Exercise 2 Cardiac Function Revised and reformatted by C. S. Tritt, Ph.D. Last updated March 20, 2006 The goal of this exercise to explore the behavior of the heart as a mechanical pump. For
Electrical Conduction
Sinoatrial (SA) node Electrical Conduction Sets the pace of the heartbeat at 70 bpm AV node (50 bpm) and Purkinje fibers (25 40 bpm) can act as pacemakers under some conditions Internodal pathway from
For more information about how to cite these materials visit
Author(s): Gerald Abrams, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Non-commercial Share Alike 3.0 License: http://creativecommons.org/licenses/by-nc-sa/3.0/
For more information about how to cite these materials visit
Author(s): Peter Hitchcock, PH.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Non-commercial Share Alike 3.0 License: http://creativecommons.org/licenses/by-nc-sa/3.0/
For more information about how to cite these materials visit
Author: Jonathan Trobe, MD, 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution 3.0 License: http://creativecommons.org/licenses/by/3.0/
For more information about how to cite these materials visit
Author(s): Gerald Abrams, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Non-commercial Share Alike 3.0 License: http://creativecommons.org/licenses/by-nc-sa/3.0/
Cardiovascular Physiology. Heart Physiology. Introduction. The heart. Electrophysiology of the heart
Cardiovascular Physiology Heart Physiology Introduction The cardiovascular system consists of the heart and two vascular systems, the systemic and pulmonary circulations. The heart pumps blood through
IP: Regulation of Cardiac Output
ANP 1105D Winter 2013 Assignment 9: The Heart, part 2: Chap... Assignment 9: The Heart, part 2: Chapter 18 Signed in as Alex Sokolowski Help Close Resources Due: 11:59pm on Monday, March 25, 2013 Note:
Chapter 9, Part 2. Cardiocirculatory Adjustments to Exercise
Chapter 9, Part 2 Cardiocirculatory Adjustments to Exercise Electrical Activity of the Heart Contraction of the heart depends on electrical stimulation of the myocardium Impulse is initiated in the right
Collin County Community College
Collin County Community College BIOL. 2402 Anatomy & Physiology WEEK 5 The Heart 1 The Heart Beat and the EKG 2 1 The Heart Beat and the EKG P-wave = Atrial depolarization QRS-wave = Ventricular depolarization
For more information about how to cite these materials visit
Author(s): Peter Hitchcock, PH.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Non-commercial Share Alike 3.0 License: http://creativecommons.org/licenses/by-nc-sa/3.0/
During exercise the heart rate is 190 bpm and the stroke volume is 115 ml/beat. What is the cardiac output?
The Cardiovascular System Part III: Heart Outline of class lecture After studying part I of this chapter you should be able to: 1. Be able to calculate cardiac output (CO) be able to define heart rate
For more information about how to cite these materials visit
Author: John Williams, M.D., Ph.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Non-commercial Share Alike 3.0 License: http://creativecommons.org/licenses/by-nc-sa/3.0/
For more information about how to cite these materials visit
Author(s): Silas P. Norman, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Noncommercial Share Alike 3.0 License: http://creativecommons.org/licenses/by-nc-sa/3.0/
BUSINESS. Articles? Grades Midterm Review session
BUSINESS Articles? Grades Midterm Review session REVIEW Cardiac cells Myogenic cells Properties of contractile cells CONDUCTION SYSTEM OF THE HEART Conduction pathway SA node (pacemaker) atrial depolarization
Cardiac Cycle MCQ. Professor of Cardiovascular Physiology. Cairo University 2007
Cardiac Cycle MCQ Abdel Moniem Ibrahim Ahmed, MD Professor of Cardiovascular Physiology Cairo University 2007 1- Regarding the length of systole and diastole: a- At heart rate 75 b/min, the duration of
Approximately the size of your fist Location. Pericardial physiology
Heart Anatomy Approximately the size of your fist Location Superior surface of diaphragm Left of the midline Anterior to the vertebral column, posterior to the sternum Wednesday, March 28, 2012 Muscle
The Cardiovascular System
Essentials of Human Anatomy & Physiology Elaine N. Marieb Seventh Edition Chapter 11 The Cardiovascular System Slides 11.1 11.19 Lecture Slides in PowerPoint by Jerry L. Cook The Cardiovascular System
For more information about how to cite these materials visit
Author(s): Arno Kumagai, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Noncommercial Share Alike 3.0 License: http://creativecommons.org/licenses/by-nc-sa/3.0/
The circulatory system
Introduction to Physiology (Course # 72336) 1 הלב עקרונות בסיסיים (הכנה למעבדת לב) Adi Mizrahi mizrahia@cc.huji.ac.il Textbook Chapter 12 2 The circulatory system To the heart Away from the heart 3 L 2.5
For more information about how to cite these materials visit
Author(s): Michael Heung, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Noncommercial Share Alike 3.0 License: http://creativecommons.org/licenses/by-nc-sa/3.0/
Introduction to Physiology (Course # 72336) 1. Adi Mizrahi Textbook Chapter 12
Introduction to Physiology (Course # 72336) 1 עקרונות בסיסיים (הכנה למעבדת לב) הלב Adi Mizrahi mizrahia@cc.huji.ac.il Textbook Chapter 12 2 The circulatory system To the heart Away from the heart 3 L 2.5
The Cardiovascular System
11 PART A The Cardiovascular System PowerPoint Lecture Slide Presentation by Jerry L. Cook, Sam Houston University ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY EIGHTH EDITION ELAINE N. MARIEB The Cardiovascular
Lab 16. The Cardiovascular System Heart and Blood Vessels. Laboratory Objectives
Lab 16 The Cardiovascular System Heart and Blood Vessels Laboratory Objectives Describe the anatomical structures of the heart to include the pericardium, chambers, valves, and major vessels. Describe
For more information about how to cite these materials visit
Author(s): John G. Younger, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike 3.0 License: http://creativecommons.org/licenses/by-sa/3.0/
For more information about how to cite these materials visit
Author(s): Rachel Glick, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Noncommercial Share Alike 3.0 License: http://creativecommons.org/licenses/by-nc-sa/3.0/
IB TOPIC 6.2 THE BLOOD SYSTEM
IB TOPIC 6.2 THE BLOOD SYSTEM THE BLOOD SYSTEM TERMS TO KNOW circulation ventricle artery vein 6.2.U1 - Arteries convey blood at high pressure from the ventricles to the tissues of the body Circulation
The Cardiovascular System
Chapter 18 Part A The Cardiovascular System 1/19/16 1 Annie Leibovitz/Contact Press Images Similarities of Cardiac and Skeletal Muscle RMP Ion concentration Deploarization Action Potential Repolarization
Cardiac Cycle. Each heartbeat is called a cardiac cycle. First the two atria contract at the same time.
The Heartbeat Cardiac Cycle Each heartbeat is called a cardiac cycle. First the two atria contract at the same time. Next the two ventricles contract at the same time. Then all the chambers relax. http://www.youtube.com/watch?v=frd3k6lkhws
Author(s): Rockefeller A. Oteng, M.D., University of Michigan
Project: Ghana Emergency Medicine Collaborative Document Title: Pulmonary Embolism Part 2 (2012) Author(s): Rockefeller A. Oteng, M.D., University of Michigan License: Unless otherwise noted, this material
Chapter 13 The Cardiovascular System: Cardiac Function
Chapter 13 The Cardiovascular System: Cardiac Function Overview of the Cardiovascular System The Path of Blood Flow through the Heart and Vasculature Anatomy of the Heart Electrical Activity of the Heart
From PV loop to Starling curve. S Magder Division of Critical Care, McGill University Health Centre
From PV loop to Starling curve S Magder Division of Critical Care, McGill University Health Centre Otto Frank 1890 s Frank-Starling Relationship ( The Law of the Heart ) The greater the initial stretch
TEACH Lesson Plan Manual for Herlihy s The Human Body in Health and Illness 5 th edition
TEACH Lesson Plan Manual for Herlihy s The Human Body in Health and Illness 5 th edition Chapter 17 Function of the Heart Lesson 17.1 Function of the Heart 1. Define cardiac cycle with respect to systole
Circulation: Chapter 25. Cardiac Output. The Mammalian Heart Fig Right side of the heart
Circulation: Chapter 25 1. Limits of Diffusion A. Small organisms use diffusion B. rapid over small distances 2. Most animals have circulatory systems A. Blood B. Pump (Heart) or propulsive structures
Relax and Learn At the Farm 2012
Relax and Learn At the Farm Session 9: Invasive Hemodynamic Assessment and What to Do with the Data Carol Jacobson RN, MN Cardiovascular Nursing Education Associates Function of CV system is to deliver
The Cardiac Cycle Clive M. Baumgarten, Ph.D.
The Cardiac Cycle Clive M. Baumgarten, Ph.D. OBJECTIVES: 1. Describe periods comprising cardiac cycle and events within each period 2. Describe the temporal relationships between pressure, blood flow,
Hemodynamics: Cardiac and Vascular Jeff Davis, RRT, RCIS
Hemodynamics: Cardiac and Vascular Jeff Davis, RRT, RCIS Program Director, Cardiovascular Technology Florida SouthWestern State College Fort Myers, FL Disclosures Speaker s Bureau: None Stockholder: None
Impedance Cardiography (ICG) Method, Technology and Validity
Method, Technology and Validity Hemodynamic Basics Cardiovascular System Cardiac Output (CO) Mean arterial pressure (MAP) Variable resistance (SVR) Aortic valve Left ventricle Elastic arteries / Aorta
Anatomy Review: The Heart Graphics are used with permission of A.D.A.M. Software, Inc. and Benjamin/Cummings Publishing Co.
Anatomy Review: The Heart Graphics are used with permission of A.D.A.M. Software, Inc. and Benjamin/Cummings Publishing Co. Anatomy Views Label the diagrams of the heart below: Interactive Physiology Study
11/10/2014. Muscular pump Two atria Two ventricles. In mediastinum of thoracic cavity 2/3 of heart's mass lies left of midline of sternum
It beats over 100,000 times a day to pump over 1,800 gallons of blood per day through over 60,000 miles of blood vessels. During the average lifetime, the heart pumps nearly 3 billion times, delivering
Practice Exercises for the Cardiovascular System
Practice Exercises for the Cardiovascular System On the diagram below, color the oxygen-rich blood red and the oxygen-poor blood blue. Label the parts: Continued on the next page... Label the parts on
AS Level OCR Cardiovascular System
AS Level OCR Cardiovascular System Learning Objectives The link between the Cardiac Cycle and the Conduction system of the heart. The relationship between Stroke volume, Heart rate and Cardiac Output.
For more information about how to cite these materials visit
Author(s): Rachel Glick, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Noncommercial Share Alike 3.0 License: http://creativecommons.org/licenses/by-nc-sa/3.0/
Attribution: University of Michigan Medical School, Department of Microbiology and Immunology
Attribution: University of Michigan Medical School, Department of Microbiology and Immunology License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution
IB TOPIC 6.2 THE BLOOD SYSTEM
IB TOPIC 6.2 THE BLOOD SYSTEM TERMS TO KNOW circulation ventricle artery vein THE BLOOD SYSTEM 6.2.U1 - Arteries convey blood at high pressure from the ventricles to the tissues of the body Circulation
Document Title: The Management of Acute Ischemic Stroke & TIA
Project: Ghana Emergency Medicine Collaborative Document Title: The Management of Acute Ischemic Stroke & TIA Author(s): Rashmi U. Kothari, M.D. (KCMS/MSU), 2012 License: Unless otherwise noted, this material
Cardiac output and Venous Return. Faisal I. Mohammed, MD, PhD
Cardiac output and Venous Return Faisal I. Mohammed, MD, PhD 1 Objectives Define cardiac output and venous return Describe the methods of measurement of CO Outline the factors that regulate cardiac output
Lecture 13: The Cardiovascular System ref: Cardiovascular Physiology, D. Mohrman and L. Heller, 4th ed. McGraw-Hill (1997)
Lecture 13: The Cardiovascular System ref: Cardiovascular Physiology, D. Mohrman and L. Heller, 4th ed. McGraw-Hill (1997) Blood Heart Blood Vessels Arteries - capillaries - Veins Ventilation-Perfusion
4. The two inferior chambers of the heart are known as the atria. the superior and inferior vena cava, which empty into the left atrium.
Answer each statement true or false. If the statement is false, change the underlined word to make it true. 1. The heart is located approximately between the second and fifth ribs and posterior to the
Cardiac Output (C.O.) Regulation of Cardiac Output
Cardiac Output (C.O.) Is the volume of the blood pumped by each ventricle per minute (5 Litre) Stroke volume: Is the volume of the blood pumped by each ventricle per beat. Stroke volume = End diastolic
Cardiovascular System
Cardiovascular System The Heart Cardiovascular System The Heart Overview What does the heart do? By timed muscular contractions creates pressure gradients blood moves then from high pressure to low pressure
Chapter 18 - Heart. I. Heart Anatomy: size of your fist; located in mediastinum (medial cavity)
Chapter 18 - Heart I. Heart Anatomy: size of your fist; located in mediastinum (medial cavity) A. Coverings: heart enclosed in double walled sac called the pericardium 1. Fibrous pericardium: dense connective
The Cardiovascular System (Heart)
The Cardiovascular System The Cardiovascular System (Heart) A closed system of the heart and blood vessels The heart pumps blood Blood vessels allow blood to circulate to all parts of the body The function
The Cardiovascular System
The Cardiovascular System The Cardiovascular System A closed system of the heart and blood vessels The heart pumps blood Blood vessels allow blood to circulate to all parts of the body The function of
CARDIAC CYCLE CONTENTS. Divisions of cardiac cycle 11/13/13. Definition. Badri Paudel GMC
CARDIAC CYCLE Badri Paudel GMC CONTENTS Ø DEFINATION Ø DIVISION OF CARDIAC CYCLE Ø SUB DIVISION AND DURATION OF CARDIAC CYCLE Ø SYSTOLE Ø DIASTOLE Ø DESCRIPTION OF EVENTS OF CARDIAC CYCLE Ø SUMMARY Ø ELECTROCARDIOGRAPHY
Cardiovascular System Notes: Physiology of the Heart
Cardiovascular System Notes: Physiology of the Heart Interesting Heart Fact Capillaries are so small it takes ten of them to equal the thickness of a human hair. Review What are the 3 parts of the cardiovascular
Cath Lab Essentials: Basic Hemodynamics for the Cath Lab and ICU
Cath Lab Essentials: Basic Hemodynamics for the Cath Lab and ICU Ailin Barseghian El-Farra, MD, FACC Assistant Professor, Interventional Cardiology University of California, Irvine Department of Cardiology
BIOL 219 Spring Chapters 14&15 Cardiovascular System
1 BIOL 219 Spring 2013 Chapters 14&15 Cardiovascular System Outline: Components of the CV system Heart anatomy Layers of the heart wall Pericardium Heart chambers, valves, blood vessels, septum Atrioventricular
Hemodynamic Monitoring
Perform Procedure And Interpret Results Hemodynamic Monitoring Tracheal Tube Cuff Pressure Dean R. Hess PhD RRT FAARC Hemodynamic Monitoring Cardiac Rate and Rhythm Arterial Blood Pressure Central Venous
CARDIOVASCULAR MONITORING. Prof. Yasser Mostafa Kadah
CARDIOVASCULAR MONITORING Prof. Yasser Mostafa Kadah Introduction Cardiovascular monitoring covers monitoring of heart and circulatory functions It makes it possible to commence interventions quickly in
IABP Timing & Fidelity. Pocket Reference Guide
IABP Timing & Fidelity Pocket Reference Guide Correct IABP Timing A = One complete cardiac cycle R B = Unassisted aortic end diastolic pressure P T C = Unassisted systolic pressure D = Diastolic augmentation
BME 5742 Bio-Systems Modeling and Control. Lecture 41 Heart & Blood Circulation Heart Function Basics
BME 5742 Bio-Systems Modeling and Control Lecture 41 Heart & Blood Circulation Heart Function Basics Dr. Zvi Roth (FAU) 1 Pumps A pump is a device that accepts fluid at a low pressure P 1 and outputs the
Cardiovascular Physiology
Cardiovascular Physiology Introduction The cardiovascular system consists of the heart and two vascular systems, the systemic and pulmonary circulations. The heart pumps blood through two vascular systems
Ejection across stenotic aortic valve requires a systolic pressure gradient between the LV and aorta. This places a pressure load on the LV.
Valvular Heart Disease Etiology General Principles Cellular and molecular mechanism of valve damage Structural pathology Functional pathology - stenosis/regurgitation Loading conditions - pressure/volume
Electrocardiography Abnormalities (Arrhythmias) 7. Faisal I. Mohammed, MD, PhD
Electrocardiography Abnormalities (Arrhythmias) 7 Faisal I. Mohammed, MD, PhD 1 Causes of Cardiac Arrythmias Abnormal rhythmicity of the pacemaker Shift of pacemaker from sinus node Blocks at different
10. Thick deposits of lipids on the walls of blood vessels, called, can lead to serious circulatory issues. A. aneurysm B. atherosclerosis C.
Heart Student: 1. carry blood away from the heart. A. Arteries B. Veins C. Capillaries 2. What is the leading cause of heart attack and stroke in North America? A. alcohol B. smoking C. arteriosclerosis
PROBLEM SET 2. Assigned: February 10, 2004 Due: February 19, 2004
Harvard-MIT Division of Health Sciences and Technology HST.542J: Quantitative Physiology: Organ Transport Systems Instructors: Roger Mark and Jose Venegas MASSACHUSETTS INSTITUTE OF TECHNOLOGY Departments
10/23/2017. Muscular pump Two atria Two ventricles. In mediastinum of thoracic cavity 2/3 of heart's mass lies left of midline of sternum
It beats over 100,000 times a day to pump over 1,800 gallons of blood per day through over 60,000 miles of blood vessels. During the average lifetime, the heart pumps nearly 3 billion times, delivering
P215 SPRING 2019: CIRCULATORY SYSTEM Chaps 13, 14 & 15: pp , , , I. Major Functions of the Circulatory System
P215 SPRING 2019: CIRCULATORY SYSTEM Chaps 13, 14 & 15: pp 360-390, 395-404, 410-428 433-438, 441-445 I. Major Functions of the Circulatory System 1. 2. 3. 4. II. Structure of the Heart 1. atria 2. ventricles
(D) (E) (F) 6. The extrasystolic beat would produce (A) increased pulse pressure because contractility. is increased. increased
Review Test 1. A 53-year-old woman is found, by arteriography, to have 5% narrowing of her left renal artery. What is the expected change in blood flow through the stenotic artery? Decrease to 1 2 Decrease
Ch.15 Cardiovascular System Pgs {15-12} {15-13}
Ch.15 Cardiovascular System Pgs {15-12} {15-13} E. Skeleton of the Heart 1. The skeleton of the heart is composed of rings of dense connective tissue and other masses of connective tissue in the interventricular
Ejection across stenotic aortic valve requires a systolic pressure gradient between the LV and aorta. This places a pressure load on the LV.
Valvular Heart Disease General Principles Etiology Cellular and molecular mechanism of valve damage Structural pathology Functional pathology - stenosis/regurgitation Loading conditions - pressure/volume
Circulatory system ( 循环系统 )
Circulatory system ( 循环系统 ) Circulatory system: heart + blood vessels Function: nutrient transportation and metabolites returning Blood: carrier Heart: pump Blood vessels: route, substance communications
Cardiovascular system
BIO 301 Human Physiology Cardiovascular system The Cardiovascular System: consists of the heart plus all the blood vessels transports blood to all parts of the body in two 'circulations': pulmonary (lungs)
CATCH A WAVE.. INTRODUCTION NONINVASIVE HEMODYNAMIC MONITORING 4/12/2018
WAVES CATCH A WAVE.. W I S C O N S I N P A R A M E D I C S E M I N A R A P R I L 2 0 1 8 K E R I W Y D N E R K R A U S E R N, C C R N, E M T - P Have you considered that if you don't make waves, nobody
The Heart. C h a p t e r. PowerPoint Lecture Slides prepared by Jason LaPres Lone Star College - North Harris
C h a p t e r 20 The Heart PowerPoint Lecture Slides prepared by Jason LaPres Lone Star College - North Harris Copyright 2009 Pearson Education, Inc., publishing as Pearson Benjamin Cummings Introduction