ELECTROPHYSIOLOGY

OF THE HEART

Dr. Alma Sorrera-Banua

Faculty, BUCN
 Electrophysiology: Cardiac
electrical activity
• result of movement of (+) and (-)
charged ions such as: Na, Ca & K
across the cell membrane.
• Therefore change in serum Ca & K
concentration may alter heart’s
contraction
• Cardiac action potential- electrical
changes recorded within a single cell
 Electrophysiology

Bundle
60-100/ min of his
SA Node

AV Node
40-60/min

Purkinjie Fibers 30-40/min

ECG: Record
P wave- Atrial
contraction
QRS
–ventricular
contraction
T wave –
reporalization/
resting
CARDIAC CYCLE
DIASTOLE
üRelaxation,
fills with blood
from coronary
arteries
üS2 (dub)
üAortic &
pulmonary
valves close
 CARDIAC CYCLE
§ Ventricular
contraction/ejection
(CO)
§ 1st heart sound-
S1(lub)
§ Mitral & tricuspid
valves close
§ Aortic & Pulmonary
valves open & blood is
ejected to PA into
lungs then to Aorta
then to BODY.
 Cardiac Cycle
Diastole/repolarization Systole/depolarization
ü Relaxation, fills with blood • Ventricular
from coronary arteries contraction/ejection (CO)
ü S2 (dub) • 1st heart sound- S1(lub)
ü Aortic & pulmonary • mitral & tricuspid valves
valves close close
• Aortic & Pulmonary valves
open & blood is ejected to
PA into lungs then to Aorta
then to body.
Normal Heart Sounds: S1 S2
Extra heart Sounds: S3 S4