The heart is sometimes referred to as a double pump. It pumps blood through 2 separate circulatory systems:
• Pulmonary - the right side of the heart receives deoxygenated blood from the body and it pumps it to the lungs
• Systemic - the left side of the heart receives oxygenated blood from the lungs and pumps it to the rest of the body.
Cardiac cycle :
The flow of blood is called the cardiac cycle. This takes place, on average, about 70 times a minute.
The part of the cycle when the ventricles are contracting is known as systole ie ventricles are contracting with the atrio-ventricular valves closed and the semilunar valves open.
Diastole is when both ventricles and atria are relaxed, the atrio-ventricular valves are open, the semilunar valves are closed and the heart fills with blood
Cardiaccycle
Regulated by electrical signals
Sinoatrial node (SA)
Located in the upper wall of the right atrium
Known as the 'pacemaker'
Responsible for setting the rhythm of the heart
Ensures both atria contract at the same time
Atrioventricular node (AV)
Situated at the bottom of the right atrium of the heart
Responsible for delaying the electrical impulses from the SA node to allow time for blood to flow from the atrium into the ventricles
Purkinje / Purkyne fibres
Fine specialised cardiac muscle fibres
Rapidly transmit impulses from the AV node to the ventricles
Bundles of this take the impulse from the AV node to the bottom of the ventricles
Sinoatrial (SA) node
A mass of specialised cells in the wall of the right atrium near the opening of the vena cava. The SA node is the pacemaker of the heart as it sets the heart rate and triggers contractions.
Atrioventricular (AV) node
is in the wall which separates the twoventricles. This allows the current to passthrough.
Purkyne fibres (or Purkinje fibres OR bundle of this)
Fibres that carry the currentdownthemiddle of the ventricles to the base of the heart, causing contractions.
Cardiaccycle
• Heartcontracts then relaxes
• contractions are known as systole and relaxation is diastole
• An ECG shows the spread of the electrical signal generated by the SA node as it travels through the atria, the AV valves and the ventricles.
• A normal ECG trace shows 5 waves, named P,Q.R,S, and T • The waves represent the differentelectricalactivity of the heart.
• The differentsections represent differentactivities in the heart.