Beruflich Dokumente
Kultur Dokumente
Part B
Cardiovascular
Physiology
Lecture Presentation by
Myriam Alhadeff Feldman
Lake Washington Institute of
Technology
Action potentials
of autorhythmic cells
Cells of
SA node
Contractile cell
Intercalated disk
with gap junctions
SA node depolarizes.
SA node Purple shading in
steps 25 represents
AV node depolarization.
Depolarization spreads
more slowly across
atria. Conduction slows
through AV node.
THE CONDUCTING SYSTEM
OF THE HEART
Depolarization moves
rapidly through ventricular
conducting system to the
SA node apex of the heart.
Internodal
pathways Depolarization wave
spreads upward from
the apex.
AV
node
AV
bundle
Bundle
branches
Purkinje
fibers
FIGURE QUESTION
What would happen to conduction
if the AV node malfunctioned and
could no longer depolarize?
SA node depolarizes.
SA node
AV node
SA node
Internodal
pathways
AV
node
AV
bundle
Bundle
branches
Purkinje
fibers
SA node depolarizes.
SA node Purple shading in
steps 25 represents
AV node depolarization.
SA node
Internodal
pathways
AV
node
AV
bundle
Bundle
branches
Purkinje
fibers
SA node depolarizes.
SA node Purple shading in
steps 25 represents
AV node depolarization.
Depolarization spreads
more slowly across
atria. Conduction slows
through AV node.
THE CONDUCTING SYSTEM
OF THE HEART
SA node
Internodal
pathways
AV
node
AV
bundle
Bundle
branches
Purkinje
fibers
SA node depolarizes.
SA node Purple shading in
steps 25 represents
AV node depolarization.
Depolarization spreads
more slowly across
atria. Conduction slows
through AV node.
THE CONDUCTING SYSTEM
OF THE HEART
Depolarization moves
rapidly through ventricular
conducting system to the
SA node apex of the heart.
Internodal
pathways
AV
node
AV
bundle
Bundle
branches
Purkinje
fibers
SA node depolarizes.
SA node Purple shading in
steps 25 represents
AV node depolarization.
Depolarization spreads
more slowly across
atria. Conduction slows
through AV node.
THE CONDUCTING SYSTEM
OF THE HEART
Depolarization moves
rapidly through ventricular
conducting system to the
SA node apex of the heart.
Internodal
pathways Depolarization wave
spreads upward from
the apex.
AV
node
AV
bundle
Bundle
branches
Purkinje
fibers
FIGURE QUESTION
What would happen to conduction
if the AV node malfunctioned and
could no longer depolarize?
5 mm 25 mm = 1 sec
P-R S-T
segment segment
Q S
P wave T wave
FIGURE QUESTION
0
1. If the ECG records at a speed of
25 mm/sec, what is the heart
rate of the person?
(1 little square = 1 mm) PR interval* QT interval QRS complex
*Sometimes the Q wave is not seen in the ECG. For this reason, the segments and intervals are
named using the R wave but begin with the first wave of the QRS complex.
START
P wave: atrial
depolarization
P
End
QS
P
Atria contract
T wave:
ventricular
repolarization
R ELECTRICAL EVENTS
OF THE
Ventricular CARDIAC CYCLE
T repolarization
P
QS
Q wave
P
Atrial
repolarization
S-T segment Q
R wave
P
R
QS
Ventricles contract R
P
P S wave
QS
10 sec
R R
P T P T
R R R R
P P P P P P P P P P P P P P
FIGURE QUESTIONS
2. Three abnormal ECGs are shown at right.
Study them and see if you can relate the
ECG changes to disruption of the normal (4) Ventricular fibrillation
electrical conduction pattern in the heart.
3. Identify the waves on the ECG in part (5).
Look at the pattern of their occurrence and
describe what has happened to electrical
conduction in the heart.
START
Isovolumic ventricular
relaxationas ventricles Atrial systoleatrial contraction
relax, pressure in ventricles forces a small amount of
falls. Blood flows back into additional blood into ventricles.
cusps of semilunar valves
and snaps them closed.
S1
S2
START
START
START
S1
START
S1
START
Isovolumic ventricular
relaxationas ventricles Atrial systoleatrial contraction
relax, pressure in ventricles forces a small amount of
falls. Blood flows back into additional blood into ventricles.
cusps of semilunar valves
and snaps them closed.
S1
S2