CONTRACTION

MODULE 9
PERICARDIUM

SYSTOLE
CARDIOVASCULAR SYSTEM I: THE HEART 0.3 SECS

FIBROUS PERICARDIUM
BLOOD SUPPLY

GROUP 1
PARIETAL LAYER PERICARDIUM

SEROUS PERICARDIUM LAYERS RELAXATION/ FILLING

PERICARDIAL CAVITY
SEROUS PERICARDIUM Abucejo, Adiong, Bambao, Benting, Enriquez,
DIASTOLE
Flores, Gador, Macadato, Pangadapun, Singh, 0.5 SECS
DIAPHRAGM
NERVE SUPPLY Suson, Taib
RAPID FILLING
STAGE
RIGHT ATRIUM

ATRIAL SEPTUM
LEFT ATRIUM BRANCHES OF VAGUS SLOW FILLING
CHAMBERS FILLING STAGE AV VALVE OPEN
NERVE STAGE
SLV VALVE CLOSE
CARDIAC CYCLE
RIGHT VENTRICLE
ATRIAL
VENTRICULAR SEPTUM P WAVE
GROSS STRUCTURE,
GROSS STRUCTURE DEPOLARIZATION
LEFT VENTRICLE SYMPATHETIC TRUNK COMPONENTS AND CIRCUIT
A WAVE

RIGHT ATRIUM
4TH SOUND

RIGHT VENTRICLE SURFACES QRS COMPLEX

LEFT ATRIUM C WAVE

PHASES OF CARDIAC
AV VALVE CLOSE
LEFT VENTRICLE CYCLE
ISOVOLUMETRIC
CONTRACTION SLV VALVE CLOSE

ANTERIOR SURFACE 1ST SOUND

(STERNOCOSTAL) HEART
INFERIOR SURFACE
(DIAPHRAGMATIC) QRS COMPLEX
Your paragraph text
BORDERS
LATERAL SURFACE
(PULMONARY) V WAVE
CAPILLARIES COMPONENTS EJECTION
POSTERIOR SURFACE
AV VALVE CLOSE
(BASE)

SLV VALVE OPEN

BLOOD
3RD SOUND

T WAVE

ARTERIES AV VALVE CLOSE

BLOOD VESSELS ISOVOLUMETRIC
SUPERIOR VENA CAVA
RELAXATION
SLV VALVE CLOSE
VEINS
INFERIOR VENA CAVA
2ND SOUND

PULMONARY CIRCUIT
GENESIS
CIRCUITS
SYSTEMIC CIRCUIT

S1 - ISOVOLUMIC CONTRACTION

CORONARY CIRCUIT
S2 - ISOVOLUMIC CONTRACTION

TIME OF OCCURENCE S3 - RAPID FILLING OF VENTRICLES

S4 - ATRIAL SYSTOLE

ORDINARY S1 - TRICUSPID
CARDIOMYOCYTES
MYLOCARDIAL CELLS
LOCATION S2 - MITRAL
PURKINJE BUNDLE OF HIS
SINOATRIAL MODIFIED
AV NODE
FIBERS (SA) NODE
MYOCARDIAL CELLS MICROSCOPIC S3 - PULMONARY
FEATURES
Separated by ATRIAL AND
S4 - AORTIC
FIBROUS CT VENTRICULAR SYNCYTIA

ADHERENS
DESMOSOMES GAP JUNCTION MEMBRANE JUNCTIONS DURATION
JUNCTION

AUTORHYTHMICITY PHYSIOLOGIC FREQUENCY

(Chronotropic Property) PROPERTIES

CHARACTERISTICS PITCH
EXCITABILITY
(Bathmotropic Property)
QUALITY
HEART SOUNDS
CONTRACTILITY
SINOATRIAL NODE
(Inotropic Property)
PHYSIOLOGIC NORMAL
ATRIOVENTRICULAR
CONDUCTIVITY NODE
(Dromotropic Property) WIDE
COMPONENTS OF NORMAL AND
PURKINJE FIBERS
PATHWAYS OF CARDIAC ABNORMAL SPLITTING
IMPULSE FIXED ABNORMAL
ATRIOVENTRICULAR
BUNDLE (BUNDLE OF HIS)

CARDIAC PARADOXICAL
LEFT AND RIGHT AV
BUNDLE
NORMAL PACEMAKER CONDUCTION SYSTEM

ANATOMICAL AND
AUSCULTATION
EXHIBITS PACEMAKER PROJECTIONS
PACEMAKER CELLS
POTENTIAL BIPOLAR LIMB LEADS
(LEAD I, II, III)
CELL TYPES
TRANSITION CELLS
LIMB LEADS
UNIPOLAR LIMB LEADS
ECG LEADS (AVF, AVR, AVL)
BUNDLE OF HIS CELLS
PRECORDIAL LEADS (V1,
V2, V3, V4, V5, V6)

PURKINJE FIBERS

ELECTROCARDIOGRAM P WAVE

NORMAL FIRING RATE CONFIGURATION OF

QRS COMPLEX
ECG
R & L Branhes
Purkinjie Fibers AV BUNDLE OF HIS AV NODE SA NODE
Bundle of His
15-40bpm 40-60bpm 40-60bpm 60-100bpm T WAVE
20-30bpm

ORIGIN AND DIRECTION

OF IMPULSE

ECG TRACING

THRESHOLD POTENTIAL RESTING MEMBRANE POTENTIAL

-65 mV -85 mV

ATRIAL AND VENTRICULAR CARDIAC OUTPUT

NORMAL VALUES RMP
AND THRESHOLD
POTENTIAL
SA NODE AND AV NODE HEART RATE
DETERMINANTS OF
CARDIAC OUTPUT
THRESHOLD POTENTIAL RESTING MEMBRANE POTENTIAL
-40 mV -50 mV
STROKE VOLUME

CALCIUM SODIUM POTASSIUM PARASYMPATHETIC

PATHWAYS

IONS AND SYMPATHETIC

DETERMINANTS ON RMP PATWAYS

TRANSMEMBRANE CONTROL BY HIGHER

MEMBRANE PERMEABILITY
CONCENTRATION GRADIENT CENTERS
FACTORS AFFECTING
PHASE 3 PHASE 1 PHASE 0 HEART RATE BARORECEPTOR
PHASE 4 (RMP) PHASE 2 (PLATEAU) FAST RESPONSE ACTION CARDIAC POTENTIALS
(FINAL REPOLARIZATION) (INITIAL REPOLARIZATION) (DEPOLARIZATION) REFLEX
POTENTIAL (FRAP)
CONTROL OF
TYPES OF CARDIAC CARDIACACTIVITY BAINBRIDGE REFLEX
POTENTIAL
SLOW RESPONSE ACTION ATRIAL RECEPTORS
POTENTIAL (SRAP) & ANP
PHASE 4
RESPIRATORY SINUS
ARRYTHMIA
PACEMAKER
PHASE 0
POTENTIALS

PHASE 3

EFFECTIVE REFRACTORY BASED ON PROPERTIES OF INTRINSIC REGULATION

REFRACTORY PERIOD
PERIOD SODIUM CHANNELS

RELATIVE REFRACTORY
PERIOD FACTORS AFFECTING
STROKE VOLUME SYMPATHETIC INFLUENCES

NERVOUS CONTROL
PARASYMPATHETIC INFLUENCES

EXTRINSIC REGULATION

OXYGEN
ADRENOMEDULLARY HORMONES ADRENOCORTICAL HORMONES GLUCAGON

CHEMICAL CONTROL BLOOD GASES

INSULIN ANTERIOR PITUITARY HORMONE THYROID HORMONES CARBON DIOXIDE AND ACIDOSIS