HANUY MATHEN

tuBIGLT PVACLOGy
DATE 2o lo8l2020
CVS-1
Ans
ww

i Caudioe yelt ptola +i diashdlo

ATPLA CNTRACTON : (LEFT)
SLRPYE VeNTRICOLAR ILUNG
alha
1taum contrack Atum wori ug a
Miko valve openc Conduit (Pasaqe as tuu blood fro
Aorie valve qtt cdoced
ugs qeks f f tu yeuticl

tuse is
LEFT VNT 2ICOLAR CONT RACTiON F ours lowy a no

ww
aLumulaHon ok Blood

IsovoLUMETRC cONNTRATON
RAPID PASIVE VCNTRICULAR
Lonet vertiodar conwocfion, FILLNLG PtE
aDihc valve reaint closed
Pasive uing,tu bloal npidly fu
Llun veaticlas LDutact t t u venhícl wtou auy outachio
pregruTe beeomes mote an
Let aial thamber
1savo METPIC RELAATON PE
LSo VOwMETRIC CONTRA CTION Pres sure al batll fy venhicl
Bloccro Aosta Ctia Prut ue
L 4t u t fiue, Hoe vencu teuo to hews batl bu ovhc valve.
prevente0 dut to
ungs,Ru tut
(alaed abia) ouich vosta adhaut cound CDue): Sa
Coluse oaorhc s pulmona
asa ank vatve
LEFT V6NTRICLE RELAXANON (DIASTOLE
Ventide contracks as a cloued
CCLambes
Closue ok uihal valve a thupcied
ve
Va
G(uub)
61Lasttourd)
VENFRICULAR RAPID ETecT[ON PHASE
WW Stou VeATRICULAe eTecrlonN PHHSE
a h a acumu ata erous blod bp
Ac veubiclt totinus chonq Systoli
luqs uihsal valve yemalal closed.
Quuo nCreases u passure ou Ly Tue blood ejauttd out at a
81-120 uu glouo vate
e AEia aurnulate mora and Peuuve stauf Pectiug y
Move blo0d anc om a Voechiclt
wave

*Poeguure also falt i Aohic auty

buat acit eoils te btood ges
puhed auo.
 -

CARDIA cLE brol toehroRou

(ahnal ehols
LECTRONaICHC
EMEANIT

Povounl el
ovelumehi
(whrodhba

Atial Syrtol
Veuhieulay
Cabuio
(vuhhculon
AySiole-

VesmRICOLA
F1ING
(veutial o Venianay
dfostolu-lale) PAIPIPL DI TDLE euboy
euhicadan
pfolu
Second
plase

Ltovoumic/icovo une tit

elarahon
yewbiustoY dostola)oauly

VeNTPICU R VITO LE

se
Plase o 1oiolurnit (21oua hie) Duniga Rapid ttug Pusst a
CoutsacHo Rhase
l o chonge u venhiuular
FRU
venhncular volume changs sapidly.
oluhe Abeut
aud ten slocoly u peckvel
During-Venhiula 2ih 15% venhiculo fuirg ocurt during
haY8om ol bleod i
venide Hue hase
ejeukad ou by tath
Mbut boml ol bloocd du at
t e end o "2ate veuhu
sytolic "end-ytblitvolume" VOLuME CHANGEs DURIN
VENTRICLE SYStOLE
oditde god phoge
aip w

1ovlunic Paloxaioo.
tur no dionge fy
venhi culo voumt
 VouUME CHAN es pURIN
ATRLEBLA o
4bial stole coincidt uwilt laut
apiol fiuing phose vertiaudos diostole
Atsal Couochioutaucet addbiora 25m
ufng n verhiclus.
a - end
aa- Vericdav dioole vonmcelav volume it 180ml.

sestuse CHANGE
Dung ial stola
Ouig dia dastk tu preuure Yuslelt ven tl GH above Taro ad durirg
ohal stshblu clight Mce fy preure
uing venm culay Suchole
valves ase closed
Venhicles conhsat a a clesedl thauber as AV aud seuilunok valwer oun

Opey tuL Poeture seg.

Burng Papld auton Phase

25wwu iu Piph
Psetcese iseg o wouu Youh cl avd
venhicle
Dunng slo echon Phoge
No fus tur venhicular tonrauh oy pvecue laukt duulin

Durirg Vernhneuulas Duple

Pauro ou Zntovonhudor pretue xapidly dppt.
Ceuuilunad voweg are
due to tus do seel
Durdg Lulorabion a
hence, sapid fall tu fuba veutsiular
3loa a ctuted chambey

Pseusus& Bou 7 2,3 mutg

tu futsavenhi'icudo preure
Duing Papid fau've FUi ese
w
Cegmen
blocd. it
Cince u e Ventocoly a oelaxia umugh
furtuuy

be d y tum.

4Duaingduted Paxive uirg Phase

No uybulonte arcl blooo Tbuot veny SlbuolyA suogily aud
venhicula fWg.
V'ntually tue o u
cetaHouy o
 -
AD O-1s

VDO-1 Vs 03 V D 0.f

120

fpohe poesre
CuYe
I00 Peexur
uVenuuley
pneae cusye
60- RGut otral p e ChoNq
0 Ce OYJuP
20
O
AB H

luo- 130 nd djotic vou

120 1B0 haventioula
00
105 volume

bo- enl Syshotie valume

donqe
40 50
 An

Nonnol plasma 4 5 5.5 utalu

+Hy pes kaleonia aswa p a,

Twawe Pal) ptaloed betau alteud

Yapoloxisakion
extsa celluta fu, t PMP ol mutds bre

dee br becoue iuexciatu g wast

Stos oliashole

candior mutcle A
-u0t
A Nocte 4P

uo

SD

Laceuater poleuhial
CPe poleufiol)

doo 900
fu (n
3 00

PacenaKer fbes houevks

s H uhuq mem potutal souly
55v Ho 60u
Qud is wet eddd
veh dd 4omy S eacud
vemslodYsnyid dipolam tahouy
upto 5uvV

Yapid vepo lonceho

ageity
C4 ) wenbvo
stfug (pluse 3)
pteuhal
 8-Aut
STPAE ADAM SYNDPOME5
s uexeased Censtvi y CaLolid tiuus n fu Souo oldery iudividuall
uD expeue n Vaqaly liated
cope
siuuy ayeu w l u c Cauue
pblorgae teuod veigsoulay aub
teatrnent Onh-amytuual treatent
pa t u wa palut becauge oPoo ceubal baed loo
ccoveys due tob venhrcalon estape

qAns
w

-P Nosual

pooxysual
Oveutoeydo
lacly tad ia
Veuhncutov
fbiUahou
Poroxytra Venhiceular tachyaaig wen wnfmulay ite diychagd
Couseyerkieular tathycaudi odaud sepeh Huely
cL
t
Usuatly Lcu atea
seious luau di sease 07
dunngox ity
tG toidu, bi zave Q Coup at otu ala sapi d sate
puCU veg fudistiuguidable
woe seuicut becaute cagdiat Outpuf it dluceaed tu
fakuol verhule
tachycandloe aie Hgeateu9 olen i dguenate futo a veahitula
AUlahouL
10 Aue * Cical arficanse
Larqe a wave in
l0- aovhi prusuye danges
lo0 tcue pid
Piqbt artuial paeiust Venoiul

69 ulenhiculas tpretue. Gif patiens

aut awave
wity
Coupute laast
20- Tuaulor venosul pulke bloce
a wave is abseut
 sites e awutation: 54 ulex coalhal pal ttenuu)
chest Oves uwikal Cuspro aual

f e t futemosted cpace juu

iutena to uid clovitudai

4ohit pulyoray aual

tercoattal spatet Close to
teymum

i e fy tue - aud iutebcotta

Lpace nea He stemun'

Hea Sound Ogi CCLaTa ctaic h. Cliucal Sigiante

t CH) vibraions ef up lorq opt Sustouc uuly

udds) ceue
sudde) closues
V valves at
duen lua
oate 1s low
iu aofc chauoik
aud misa aausgitabon-
t a u o venmeule Y
ete uqy
LUBB
O15s
dura tho n
y25-M5 H2
diastolic iy
HsCHe vibraHou auotiated Cuort, loud
o i clocuye oseuúluay a pltclu aooht equ ah o
j u t at ontat ounc CoutiDUU
valvo
DUBB uusmu
oVentritulardiastou durahon=0 2s

P:5oHz
dias olu c
He Vibrahon cet up fu Suort, soPtAloup LLymu

HSS) f4Tuuy
duraHoy- u uihal
Candial ua by pi'tlutd Jheuois

Fung tabt
Canuo be a u c u l t a t e
oos ilaho
bloo c) dlufug api with seu cope
pbas o ven culay D couhinouk
diauto utuYmid-

audiblu olias tolie

Not
44e Cttu) vibraions et up duriry Cuovl gloup
ousmu
which Cn aoi he
tue atiod syctolu pitcung gtah o

lat ropi urati o =O03 Te brap

Cansid toity
FUing phaue ovaticda) Steuocek)8
V-3Hx Coeuh uo cy
diastole
CPu patut
ou aut cul teby diue tuy
atlop u um ma 3 0 4 sounds
quteybXu

uwith in cludu
soyernbluing t sound bat! op.
3 heatt onlaing arotur Couno Sz s S4 dupuncdenF po
ycll tuL odde sOund Comes
Sounds wluye iu tue
 -

4An
O S ANode 2 A-V Node distd porkoy 4V burdle t audPrqb
burdle bsanclus

CA Nodein ol ight atsum

walt
upeuoy Vena Cava.
u squt to tu
opeuing o Rartiuge
Pbvet
Lspautanessautumial elechta pulte oice pec all diracfiou
AVlod t beneod -t eudocandiun bu u
ight Sidu
lou pat o
Oafed o Cepkum tricuupld value
uulated by Tutesrodal tacls.
AV bundlt oric ae Prou Av Noda.
Lduend uouah foYous clelty oua cdivido uto Pt Lt
bundle bvart u fute nen mauad sephum
-P. Burdle bsanch v AV Bundl
L 6veal u to ou pukiuje fined
touduet
Pulcinie bru sprod ou deep to endo todiu g Teahoell paut

euhiclu iuchuolirg 4u bases papiuay eela

XOv Suprecsion Owdnyinga bterst ell

pocnab45
tiic
faste tua
ate dat tue slope plage 4, wediated wosb

enhanced achuhy o tua Na ee hange runp colud4

it edu eye f qradual s e k to u iuge

tune u roduad Yehuru o utintle fug nate calliel

tu bao paiod

LwOvexdive suprtly
 RppeHe e Codiat Musd
oahiy luupute is gmeatao by a

Phyuituly +Cchoropitu a htuval shylug o iopulte itcen

condauchi it dorotnpunsptad e t uile t cat
ExiAbilty (Batuo uchopisu b uduty eperte to CHuut usae

Consac hthy Cluohpisu) (ontsaclon is tees

a oy Foiod paiol duirg cohih eaudo mude de re agarnd te a tiel

lbrq (250 30ms fu veubicu, 15ou iu abia)

Absculute PP PelahiveP
does notsuow any Suouwt eporseitue Stoenqtly
sesponte af a
oShuulu fuCveased fouuo

3 au gud hal o pLavea b phoue 444P

rouy O to halfd phaj
4P cuyatiou varmcu-50uis
duyaKion -
1 -20ous

+20

-80-

C o n h r ah
con

Pularahon

ARP RRP

systole Dlasole
100 300
 Vogal Tens
CANods Aie y inner valed b
pouasydtehe bre tnu Pt
vaga
UOvmalu 40
mederaleat aql oticl
Tut te riLab iGlihy o A nNo dal
6oL
aPavasympaube
hret fov Epreducin hyenclovo ion
Sloust ving oke o S

automah ae o -no iupulsa mi-0

4 72 6ekmin.
-60
CympedtueH
E Parmumpateeht
aloase Stiulaion
noveplaitehne oNerve
evdinq fue
pse3unobUky o 3leas e Ach at agal Newa
COudia t musdyg endira
brs cd by du Hoat rate b dac nci tafio
Open tu p lCa channelu
Tue vate conducting ctem
vafe oceudustioy tua eveD Ceuuputhty blecic u
eitabiuty att pau oheast rousuiCsioy aud venfreley
fovce e coutocfo4 ahña ay stop beahihq 4-osec
yectnid olto iLeeal t t s hieut Ppusefye 6 r
reaty
Caustng enhmicula Contsacho
5-40 ni
Vonat escape