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Lesson Aims • To examine the cardiac cycle • To p12 “the pressure gets less and less…” At the end of atrial systole, the volume of blood in the ventricles is such that the AV valves are forced closed There is now a situation where the AV and the semilunar valves are both closed, the atria are relaxed and the ventricles enter a phase of contraction or SYSTOLE The ventricles are now contracting but the sheer load of blood on the ventricle muscles prevents them from shortening Ventricular systole is taking place but the muscle cells are unable to change in length When muscles contract without changing in length, this is known as isometric contraction Muscle contraction involving the shortening of muscle fibres is known as isotonic contraction The ventricles are undergoing isometric contraction with the volume of blood in the ventricles remaining constant and the pressure building up When the rising pressure exceeds that in the aorta and pulmonary arteries, the semilunar valves are forced open and blood is ejected from the heart as the ventricle muscles shorten This phase of the heartbeat is known as This phase of the heartbeat is known as VENTRICULAR ISOMETRIC VENTRICULAR CONTRACTION EJECTION To summarise: Ventricular Systole involves two phases Isometric ventricular contraction when; • the ventricle muscles contract without changing in length • the volume of blood in the ventricles remains constant • pressure builds up in the ventricles Ventricular ejection when; • the semilunar valves are forced open • the ventricle muscles contract in an isotonic fashion (they shorten) • blood is ejected into the aorta and pulmonary arteries At the end of ventricular systole, the ventricles begin to relax and the pressures drop below those in the aorta and pulmonary arteries A brief backflow of blood in the arteries closes the semilunar valves As the ventricles relax, closure of the semilunar valves occurs due to a brief backflow of blood from the aorta and pulmonary arteries The pressures in the ventricles continue to fall and reach very low values When the pressures in the ventricles fall below those of the atria, the AV valves open This phase of the heartbeat is known as VENTRICULAR RELAXATION (Early Diastole) As the ventricles relax, closure of the semilunar valves occurs due to a brief backflow of blood from the aorta and pulmonary arteries The pressures in the ventricles continue to fall and reach very low values This phase of the heartbeat is known as VENTRICULAR RELAXATION (Early Diastole) When the pressures in the ventricles fall below those of the atria, the AV valves open Passive filling of the ventricles (late diastole) occurs as the cycle begins again Late Diastole & Atrial Systole Ventricular Systole (Isometric Phase) AV valves close at the end of atrial systole All valves closed Passive filling as the ventricle of the ventricles muscles contract followed by without shortening atrial systole (Isometric Contraction) Pressure builds up in the ventricles Ventricular Systole (Ejection) Semi-lunar valves Semi-lunar valves close as the ventricles open and blood begin to relax is ejected into the aorta and Pressure in the pulmonary artery ventricles falls to a very low Muscles shorten value and the as they contract AV valves open AV valves open, semi-lunar valves closed Ventricular Relaxation Throughout the cardiac cycle, pressure changes take place in the atria, ventricles and arteries Pressures in the right and left atrium, right and left ventricle, aorta and pulmonary arteries can be recorded and illustrated in graphical form The graph on the next slide shows pressure changes in the left side of the heart and the aorta A similar graph can be drawn for the right side of the heart and the pulmonary arteries Such a graph is similar in shape to that obtained for the left side of the heart but all the pressures readings are of a lower value Pressure Changes in the Left Side of the Heart During One Cardiac Cycle 120 aortic pressure pressure (mm Hg) 100 The pressure changes in the left ventricle, left atrium and aorta can be related to the phases of the cardiac cycle 80 left ventricular pressure 60 40 20 left atrial pressure 0 0 0.1 0.2 0.3 0.4 time (s) 0.5 0.6 0.7 0.8 Pressure Changes in the Left Side of the Heart A WX Y A Z 120 aortic pressure pressure (mm Hg) Period Z to A represents the phase of Passive Filling of the ventricles when the AV valves are open and 100 the semi-lunar valves are closed Period A to W represents the phase of Atrial Systole when the atria contract 80 and the ventricles are filled to full capacity Period W to X represents the first phase of 60 Ventricular Systole when the ventricles contract in an isometric fashion; the greatest rise in ventricular 40 pressure occurs during this phase and the ventricular volume remains constant Period X to Y represents the 20 second phase of Ventricular Systole when ejection of blood takes place and pressure in the aorta rises 0 Period Y to Z represents relaxation 0 of the ventricles (diastole) when the ventricular pressure drops sharply left ventricular pressure left atrial pressure 0.1 0.2 0.3 0.4 time (s) 0.5 0.6 0.7 0.8 The facts you need to know • From p11 “systole is the term used…” • To p12 “the pressure gets less and less…”