Understanding the Cardiac Cycle: Diastole & Systole

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SUMMARY

The cardiac cycle consists of distinct phases: atrial and ventricular diastole, followed by atrial systole and ventricular systole. At the beginning of the cycle, both the atria and ventricles are relaxed, allowing for passive blood flow into the ventricles, which fills them to 70% capacity. The AV valves close when ventricular pressure exceeds atrial pressure, preventing backflow and producing the "lub" sound. The cycle concludes with ventricular relaxation and the closure of the semi-lunar valves, resulting in the "dub" sound.

PREREQUISITES
  • Understanding of cardiac anatomy, including atria, ventricles, and valves.
  • Knowledge of blood flow dynamics during the cardiac cycle.
  • Familiarity with terms such as diastole, systole, and pressure gradients.
  • Basic grasp of heart sounds and their physiological significance.
NEXT STEPS
  • Study the phases of the cardiac cycle in detail, focusing on atrial and ventricular diastole.
  • Learn about the role of the coronary sinus in cardiac physiology.
  • Explore the mechanisms behind heart sounds, specifically "lub" and "dub".
  • Investigate the effects of various conditions on the cardiac cycle, such as hypertension and valve disorders.
USEFUL FOR

Medical students, healthcare professionals, and anyone interested in cardiovascular physiology will benefit from this discussion.

Daniel2244
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I am unsure about the underlined parts of the cardiac cycle. I was taught that the cardiac cycle started when the blood flowed into the atrium, but wouldn't there be a period when both artia and ventricles are at diastole simultaneously?

For the second underlined part I was taught and read that 70% of blood flows unimpeded into the ventricles during diastole. However, they never mentioned how they shut for when they opened again during atrial systole. So, I used what I knew to make a guess, but I am unsure.

1. At the start of the cardiac cycle the atria and ventricles are relaxed. atrial and ventricular diastole.
2. Both atria fill with blood from the pulmonary vein and vena cava.
3. Blood travels passively down into the ventricles filling them to 70% of their capacity, pressure in the ventricles increase above the pressure of the atria closing the AV valves.
4. Both atria contract and blood flows down through the atrioventricular vales into the ventricles (to 100% their capacity). The AV valves open due to an increase in pressure in the both atria. Atrial Systole
5. The Atria relax. Atrial Diastole
6. The AV valves close due to the ventricles having a higher pressure than both atria, preventing back flow and creating the heart beat sound “lub”.
7. The ventricle walls contract from the apex of the heart upwards increasing the pressure in the ventricles forcing the semi-lunar valves to open. This forces blood to flow up into the pulmonary artery and aorta. Ventricular systole
8. The ventricles relax. Ventricular diastole
9. Pressure in the ventricles fall below that in both atria.
10. High blood pressure in the aorta and pulmonary artery rise causing the semi-lunar valves to shut preventing back flow. This produces the second heart sound “dub”.
11. Blood flows once more from the vena cava and pulmonary veins into the left and right atrium, starting the whole cycle again.
 
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Source: Wikipedia
Daniel2244 said:
At the start of the cardiac cycle the atria and ventricles are relaxed. atrial and ventricular diastole.
You are referring to Early Ventricular Diastole as in the above diagram. #1 and #2 are related, in the sense that atria start getting filled in #1 itself. You cannot clearly distinguish where #1 ends and #2 starts.

In #2, also include the coronary sinus.
Daniel2244 said:
pressure in the ventricles increase above the pressure of the atria closing the AV valves
I cannot confirm this, because I haven't read it before. I believe before the valve closes, the systolic of atria starts. Some doctor-cum-professor can confirm this.
 

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Wrichik Basu said:
You are referring to Early Ventricular Diastole as in the above diagram. #1 and #2 are related, in the sense that atria start getting filled in #1 itself. You cannot clearly distinguish where #1 ends and #2 starts.

In #2, also include the coronary sinus.

Thanks for clearing it up for me.
 
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