This presentation is an overview of the description of the 4 stages of the cardiac cycle (atrial diastole, atrial systole, ventricular systole, ventricular diastole) as well as explaining the mechanism of the cardiac cycle.
2. Definition
Cardiac cycle is the complete cycle of events in the
heart from the beginning of one heart beat to the
beginning of the next
Cardiac muscle differs from all other muscles of the
body
It is myogenic
Heart muscle has its own built in mechanism for
bringing about: contraction & relaxation
4. Mechanism
Heart muscle cells cannot contract by their own
natural rhythms
So, cardiac cycle is initiated in a specialised patch
of muscle
Found in the right atrium called the sino-atrial node
(SAN)
Located near the opening of venae cavae
Consists of a small number of cardiac muscle fibres and
few nerve endings
Stimulus for contraction of the heart is originated in the
SAN
5. Mechanism
However, there is a band of fibres between the
atria and ventricles which does not conduct the
excitation wave of the SAN
The only route through is via a patch of conducting
fibres
Called the atrio-ventricular node (AVN) situated in the
septum
6. Mechanism
AVN picks up excitation wave as it spreads across
the atria and passes it on to a bunch of conducting
fibres
called the Purkyne tissue
This transmits the excitation wave rapidly down to
the base of the septum and then to the walls of the
ventricles
Thus, causing the cardiac muscle in these walls to
contract. Squeezing blood upwards and into
arteries
8. Stage 1 – Atrial diastole
Bicuspid and tricuspid valves are closed
Muscles in the atria relaxes and the pressure
decreases while volume increases inside
Blood returns to the heart under low pressure in the
veins and enters the two atria
The venae cavae carry deoxygenated blood to the
right atrium
The pulmonary veins carry oxygenated blood to the
left atrium
9. Stage 2 – Atrial systole
It is the time when the heart is filled with blood
The muscle in the atrial walls contracts with the help
of SAN
The pressure increases and the atrio-ventricular
valves open so the blood found in atria is forced
into the ventricles
Blood from atria does not go back into the
pulmonary veins or the venae cavae because of the
semilunar valves which prevent backflow
10. Stage 3 – Ventricular systole
0.1 second after the contraction of the atria, the
ventricles also contract
Thick muscular walls of the ventricles squeeze inwards
on the blood, increasing pressure and pushing it out of
the heart
As pressure in ventricles become greater than that in
atria, the atrio-ventricular valves shut, preventing
backflow to the atria
Instead, blood rushes upwards into the aorta and the
pulmonary artery, pushing open the semilunar valves
11. Stage 4 – Ventricular diastole
Here, the muscles relaxes
As this happens, pressure in ventricles drops
The high-pressure blood which has just been pushed
into the arteries would flow back into the ventricles
But, this is prevented by the presence of the
semilunar valves which snap shut as the blood fills
their cusps