Heart beat

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jayarajgr

Saúde e medicina Negócios

Heart rate ,[object Object],[object Object]

Tachycardia & Bradycardia ,[object Object],[object Object]

Cardiac Cycle ,[object Object],[object Object],[object Object],[object Object],[object Object]

Cardiac Cycle ,[object Object],[object Object]

Electrocardiogram ,[object Object],Electrocardiograph

Factors Affecting Heart Rate ,[object Object],[object Object],[object Object],[object Object],[object Object]

Control of Heart Rate ,[object Object],[object Object],[object Object]

Control of Heart Rate ,[object Object],[object Object],[object Object],[object Object]

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Physiology of Exercise Cardiovascular system deals with heart and blood vessels Blood vessels are divided into three branches – Arteries, Veins and Capillaries Systole: Contraction of the heart – Arterial systole takes – 0.1 seconds and Ventricular systole takes – 0.5 seconds Diastole: Relaxation of the heart – Arterial diastole takes – 0.7 seconds and Ventricular diastole takes – 0.3 seconds Heart beat: One contraction and relaxation of ventricle– Approximately 0.8 seconds Pulse: is the expansion and elongation of the arterials walls passively produced by the contraction and relaxation of the heart. Cardiac Cycle: The sequential change of events that occur in the heart during one beat is repeated in successive beats (Average time of cardiac cycle is 0.8 seconds) Heart rate: Number of systoles and diastoles per minute is approximately 72 beats per minute (Range 70 to 80 beats per minute) Stroke volume: Amount of blood pumped out of left ventricle in one heart beat or stroke is approximately 70 milliliters Volume: amount of blood passed out through ventricle in one minute is usually 5 liters in a minute Minute volume = Stroke Volume X Heart rate Cardiac output: Amount of blood passed out from left ventricle in one minute is usually 5 liters in a minute Cardiac Output = Heart rate X Stroke Volume Cardiac Index: cardiac output per square meter of the body surface per minute Cardiac Index = 5 liters/ 1.7 square meters / minute Cardiac Index = 2.9 liters/ square meters/ minute 5 liters of blood can carry 1200 milliliters of air and 250 to 300 milliliters of Oxygen per minute Blood Pressure: It is the lateral pressure exerted on the walls of the arteries and is normally systolic pressure is 120 mm to 140 mm Hg. and diastolic pressure is 80 mm Hg. (Normally blood pressure = 120/80 mm Hg.) Formula for systolic pressure = 90 + Age Arteries pressure = 120 mm Hg.; Arterioles = 40 to 60 mm Hg.; Capillaries = 15 to 20 mm Hg.; Veins = 0 to 10 mm Hg. Factors that maintain circulation: 1. Force of contraction of the heart 2. Respiration also helps; when we inhale, intra-thoracic pressure decreases in the chest cavity and the pressure in abdomen increases 3. Elastic Recoil of the arteries: the arteries push the blood to all parts of the body and helps in blood circulation. 4. Gravity: The parts located above the heart and the blood in them is pulled towards the heart through the help of gravity 5. Difference in pressure between the arteries, arterioles, capillaries and veins ensure a pressure gradient which helps in the flow of the blood. Factors Maintaining Cardiac Output: 1. Venous return means is that amount of blood which is coming back to right atrium form the body. 2. Force of contraction of heart Sterlings Law: The greater the initial length of the muscle the more is the force of contraction Factors Affecting Cardiac Output: 1. Force of contraction of the heart depends on – respiration, gravity, pressure gradient, elastic recoil

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These are simplified slides discussing the regulation of cardiac output and venous return. Learning objectives: 1. Comprehend the determinants of cardiac output and factors affecting cardiac output 2. Comprehend the factors affecting stroke volume and heart rate and total peripheral resistance 3. Identify the factors regulating venous return 4. Discuss the causes of high and low output cardiac failure 5. Enlist the functions of veins and recognise the significance of venous reservoirs Study Resources: 1. Chapter 20, Guyton and Hall Textbook of Medical Physiology, 14th edition 2. Chapter 30 and 32, Ganong’s Review of Medical Physiology, 26th edition 3. Chapter 10, Human Physiology by Lauralee Sherwood, 9th edition 4. Physiology, Cardiac Output - StatPearls https://www.ncbi.nlm.nih.gov/books/NBK470455/

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