Right coronary artery emerges from R side of aorta, descends in coronary sulcus between R atrium and R ventricle, supplies R atrium, most of R ventricle, and 80% of the time, the inferior portion of the L ventricle as well
Left coronary artery arises from L side of Aorta, VERY SHORT, major branches are Circumflex A and Anterior interventricular A (= anterior descending A) which supplies anterior wall of both ventricles and Circumflex which supplies L atrium and posterior part of L ventricle
The Cardiac Cycle
It is the period of time that commences with the contraction of the atria and ends with ventricular relaxation
It is a carefully regulated sequence of steps that we think of as beating of the heart
Four Stages: 1) Atrial systole (0.1 sec) - both atria contract, forcing blood into the ventricles 2) Ventricular systole (0.3 sec) - both ventricles contract forcing blood out 3) Atrial diastole (0.7 sec) - ventricles remain contracted, atria begin refilling 4) Ventricular diastole (0.5 sec) - relaxation of ventricles, allowing them to fill with blood from the atria
Systole and Diastole
Systole = the period of ventricular contraction
Diastole = the period of ventricular relaxation
Heart Sounds
Closure of heart valves causes vibrations in adjacent heart walls and blood; these vibrations constitute the heart sounds
"Lubb": Produced by the closing of AV valves at the start of ventricular systole
"Dupp": Produced by the closing of the semilunar valves at the end of ventricular systole
Systole = 1st heart sound, A-V valves close = "lubb"
Diastole = 2nd heart sound, pulmonic and aortic semi-lunar valves close = "dupp"
Maintaining the Heart's Rhythmic Beat
A region of the heart called the sinoatrial (SA) node, or pacemaker, sets the rate and timing at which all cardiac muscle cells contract
Impulses from the SA node travel to the atrioventricular (AV) node
At the AV node, the impulses are conducted through the bundle of His and then travel to the Purkinje fibers that make the ventricles contract
The impulses that travel during the cardiac cycle can be recorded as an electrocardiogram (ECG or EKG)
The pacemaker is influenced by nerves, hormones, body temperature, and exercise
Blood Vessel Structure and Function
The "infrastructure" of the circulatory system is its network of blood vessels
All blood vessels are built of similar tissues and have three similar layers
Maintaining the Heart's Rhythmic Beat
Impulses during cardiac cycle can be recorded as an electrocardiogram (ECG or EKG)
Pacemaker
Influenced by nerves, hormones, body temperature, and exercise
Systolic Pressure
The pressure in the arteries during ventricular systole, the highest pressure in the arteries
Diastolic Pressure
The pressure in the arteries during diastole, lower than systolic pressure