"//"

, , ,

,

.

.
:,
intercalated disc
,.

(

(
*ATP

- ,

. ATP

1
"//"

0
90 . 70

70 ,
. 40 . 40
. 0-.
0- .

1-

- 2
, . .

3
, ,

4
90 ,

Automaticity , .
, , Pericard -

Conductivity
250- 300'
Contractility - Apex

Excitability : , , .
-Pericard Parietal pericardium and Visceral pericardium :
30-50
Rhythmicity

2 : Atria .

, ,
, ( 3-2") , -2 Ventricles

, 5-10"

70%- .

* 30% - Atrial kick

2
"//"

.
,
Let main coronary artery

-Left Anterior Descending artery-LAD , ,

-

- Right Coronary artery - RCA , ,

* RCA s-a node 55%

- RCA a-v node 90%-

- CIRCUMFLEX , ,

- Diagonal, Marginal, Septal

-
-cardiac output

.

-

stroke volume-

)CO =HR )BEATS/MIN (X SV(L/BEAT

4-8
.

:

Cardiac index CI =CO/BODY SURFACE AREA

CI=2.8-4.2L/MIN/M

Bainbridge reflex

. - -
.

.
. .

a-v node

) )

3
"//"

Aortic reflex
.
.

.
.
.

,

.

)(stroke volume
preload -
Preload -

- stroke volume-
*

stroke volume-
- :

=stroke volume

afterload contractility



,

.
afterload :preload -
.

. :

( E.F=EDV-ESV/EDV )

SVR=)MAP-CVP(/CO
PVR=)PAP-PWCP(/CO

, ,
, ,
BP=CO X PR ,

4
"//"

- .1
- .2
- pulse pressure.3

Mean arterial pressure.4

- , ,
70-100 .

5
"//"

, . :

, .

.

.