CARDIAC CYCLE ANALYSIS
Physiological cardiac cycle begins with atrial systole, and the clinical with
the ventricular systole. Atrial systole takes 0.1 seconds and is concomitant
with ventricular diastole; ventricular systole takes 0.27 seconds and is
concomitant with atrial diastole; and general diastole takes 0.43 sec.
Right atrial systole start before the left (due to being the starting point
of the stimulus contraction). Ventricular systole start early to the left (for
that is activated first before left ventricular septum); period in which the
left ventricle (Vs) is enclosed cavity is longer than the right ventricle (Vd)
is closed cavity (due to differences in the aorta and pulmonary pressure).
In ventricular systole, open the pulmonary valve and aortic valve then; in
diastole, aortic valve closes first and then pulmonary valve. It follows from
the foregoing that periods ejection of the two ventricles differ (Vs <Vd).
Supine normal sinus rhythm is between 60-90 beats / minute; tachycardia cardiac
cycle shortens (0.6 sec.), with greater reduction of diastole, systole
compared.
The duration depends on the intrinsic systole of myocardium (the power of
contractile, actin-myosin interaction). Shortens systolic tachycardia by
increasing inotropic state. The length of the fibers depends on the contraction
degree of synchronization of electrical activation. The duration of systole
also depends on the extracardiac factors (in particular hemodynamic) to preload
ventricular diastolic blood during the previous (end-diastolic volume).
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