The Heart and Cardiac Cycle
Mammals have a double circulation: pulmonary (right ventricle → lungs) and systemic (left ventricle → body). The left ventricle wall is thickest to pump blood at high pressure. Cardiac cycle: atrial systole (atria contract, AV valves open), ventricular systole (ventricles contract; pressure rises; AV valves close when ventricular pressure exceeds atrial; semilunar valves open when it exceeds arterial), diastole (relaxation; semilunar valves close; atria fill). Valves open and close only due to pressure differences. Heartbeat is myogenic: the SAN (pacemaker) sends a wave of excitation over the atria; the AVN delays it, then passes it down the bundle of His and Purkyne fibres so ventricles contract from the apex up. Cardiac output = stroke volume × heart rate.
Learning objectives
- Describe heart structure and double circulation.
- Explain pressure and valve changes in the cardiac cycle.
- Describe how heartbeat is initiated and coordinated.
- Calculate cardiac output and heart rate from ECGs.
Why is there a short delay at the AVN?
Core idea
A heart removed from the body keeps beating for a while. Its rhythm comes from within.
The SAN starts each beat; pressure differences open and close valves so blood flows one way.
The AVN delay lets the atria empty first.
Stroke volume 70 cm³; ECG R–R interval 0.80 s. Cardiac output?
- Goal
- cm³ min⁻¹.
- Strategy
- HR = 60/t, then CO = SV × HR.
- Beats per minute.
- Multiply.
Summary
- Valves follow pressure.
- SAN, AVN, Purkyne.
- CO = SV × HR.
- Myogenic
- Contraction starts in the muscle itself.
- Systole
- Contraction phase of the cardiac cycle.
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