Cardiac Cycle

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Study Tools For Cardiac Cycle

Heart Beating (Image)
Cardiovascular Circulation (Image)
Vascular System (Image)
Cardiac Anatomy (Image)
Circulatory System (Image)
Cardiac Cycle – Diastole (Picmonic)
Cardiac Cycle – Systole (Picmonic)
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Outline

Overview

  1. Cardiac Cycle
    1. Systole
      1. Contraction
    2. Diastole
      1. Relaxation
    3. Diastasis
      1. Pause between relaxation and contraction
    4. Assumes ventricular, must state atrial if referring to atrial

Nursing Points

General

  1. Cardiac Cycle
    1. Ventricular diastole and diastasis
      1. Blood from vena cava → right atrium
        1. Tricuspid valve open
      2. Blood flows through open valve to R.V.
      3. Blood from PVs → left atrium
        1. Bicuspid valve open
      4. Blood flows through open valve to LV
      5. During diastasis – Ventricles fill to 70% capacity
    2. Atrial systole
      1. Both atria contract simultaneously
      2. Fill remaining 30% of ventricles with blood
    3. Atrial diastole
      1. Both atria relax during ventricular systole
    4. Ventricular systole
      1. Both ventricles contract
      2. Pressure increases in both ventricles
      3. Bicuspid and tricuspid valves close
        1. Papillary muscles contract to hold valves closed
        2. Prevents backflow to atria
      4. Pulmonic and Aortic valves open
        1. Blood from RV flows through open pulmonic valve into pulmonary artery
        2. Blood from LV flows through open aortic valve into aorta
      5. Small amount remains in ventricles
        1. “End Diastolic Volume” (EDV)
    5. Ventricular diastole
      1. Pulmonic and aortic valves close
        1. Prevents backflow of blood
    6. The cycle repeats
  2. Heart sounds
    1. Normal
      1. S1 or systolic
        1. Long duration
        2. Low pitch
        3. Ventricles contract
        4. AV valves close
      2. S2 or diastolic
        1. Ventricles relax
        2. Semilunar valves close
    2. Abnormal — due to diseased heart valves
      1. Stenosis — edges of valves fuse together so that valve cannot open to its fullest extent -OR- presence of vegetation prevents full opening
        1. Creates a murmur (whoosh sound)
          1. Blood is trying to pass through an opening that is smaller than normal
      2. Regurgitation – valves don’t close completely
        1. Loss of substance of heart valves
        2. Blood regurgitates backwards
          1. RV→ RA
          2. PT → RV
          3. Aorta → LV (2nd most common)
          4. LV → LA (most common)

Assessment

  1. Refer to Heart Sounds lesson in Cardiac (Med-Surg) course

References
Betts, J.G., et al. (2017). _Anatomy and physiology_. Houston, TX: OpenStax, Rice University. Retrieved from https://openstax.org/details/books/anatomy-and-physiology?Book%20details

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Transcript

In this lesson we’re going to talk about the cardiac cycle and how blood is pumped throughout the body

Before we get started I want to go over a couple of really important points. These are some terms that you really need to know. The first one is called systole, which is really just a contraction of whatever chambers of the heart squeezing. You need to know is diastole, which is a relaxation. And then you have something called diastasis, which is the pause between relaxation and control. The other thing that you have to know is that if you want to speak to something specifically about the atria, you have to say atrial before it. So it would be, or atrial diastole. Otherwise it’s considered ventricular.

We were talking about the cardiac cycle we’re going to look at the atria first. This is called ventricular diastole, and the ventricles are relaxing and blood is coming in from the vena cava, so the vena cava and the superior vena cava and it’s filling blood in the right atrium and blood is going from the right atrium to the right ventricle through the tricuspid valve. In the left side you have blood pulling in from the pulmonary veins and they’re going to the left atrium. Then it’s going to go from the left atrium to the left ventricle. Is essentially a pause in here and it’s called diastasis. And what happens is this pause allows the ventricles to fill in 70%. In His Image you can see that the Atria fill and the ventricles are relaxing and there’s a pause before anything squeezes. This is the diastasis that I’m talking about.

Now we get to the point where the Atria relax this is called atrial diastole. And you can see it here

When we talk about atrial systole, we’re talking about that the atria contract. And both the right and left atria are going contract simultaneously. This is going to fill the rest of the 30% of the blood is in the ventricles, and this is called atrial kick

Then finally you get to ventricular systole. So both ventricles are going to contract. This causes an increase in ventricular pressure, because this is where the power house of all the blood exiting the heart happens. The bicuspid and tricuspid valves are going to close to keep backflow from happening. At the same time the papillary muscles here are going to contract to keep help keep those valves closed.

The pulmonic and aortic valves, so the semilunar valves, are going to open, and the blood is going to rush out of the heart and into either the aorta or the ones. A small amount of blood is left in the ventricles, and this is known as end diastolic volume.

So once the blood is out of the ventricles, the pulmonic and aortic valves are going to close and that’s going to prevent backflow from the pulmonary artery and the aorta back into the ventricles. And then the cycle is going to repeat.

So once the blood is out of the ventricles, the pulmonic and aortic valves are going to close and that’s going to prevent backflow from the pulmonary artery and the aorta back into the ventricles. And then the cycle is going to repeat.

Okay so let’s recap.

When were talking about systole and diastole systole is contraction of whatever chamber were talking about and diastole is the relaxation of that chamber.

Diastasis is the pause between systole and diastole, and it allows the ventricles to fill 70% full.

The valves are like open doors in between each chamber. Those valves are going to remain open while the the blood moves from one chamber to another.
When we talked about normal heart sounds were talking about S1 and S2. That’s one comes from the closure of the tricuspid and mitral valve, and S2 comes from a closure of the semilunar valves.

Normal heart sounds come from incomplete closure or opening of those valves, or a narrowing of the valve so that blood is forced through a small opening.

And that’s our lesson on the cardiac cycle. Make sure you check out all the resources attached this lesson. Now go out and be our best selves today, and as always happy nursing..

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Concepts Covered:

  • Cardiac Disorders
  • Cardiovascular
  • Circulatory System
  • Emergency Care of the Cardiac Patient
  • Shock
  • Shock
  • Disorders of Pancreas
  • Endocrine
  • EENT Disorders
  • Adult
  • Medication Administration
  • Acute & Chronic Renal Disorders
  • Respiratory Emergencies
  • Newborn Complications
  • Disorders of the Adrenal Gland
  • Disorders of the Thyroid & Parathyroid Glands
  • Immunological Disorders
  • Musculoskeletal Trauma
  • Hematologic Disorders
  • Vascular Disorders
  • Microbiology
  • Respiratory Disorders
  • Depressive Disorders
  • Oncology Disorders
  • Noninfectious Respiratory Disorder
  • Nervous System
  • Central Nervous System Disorders – Brain
  • Substance Abuse Disorders
  • Intraoperative Nursing
  • Emergency Care of the Trauma Patient
  • Integumentary Disorders
  • Integumentary Disorders
  • Urinary System
  • Liver & Gallbladder Disorders
  • Eating Disorders
  • Pregnancy Risks
  • Cardiovascular Disorders
  • Terminology
  • Disorders of Thermoregulation
  • Basics of NCLEX
  • Multisystem
  • Upper GI Disorders
  • Studying
  • Neurological Emergencies
  • Postpartum Complications
  • Infectious Respiratory Disorder
  • Renal Disorders
  • Communication
  • Perioperative Nursing Roles
  • Oncologic Disorders
  • Musculoskeletal Disorders
  • Prenatal Concepts
  • Muscular System
  • Proteins
  • Sexually Transmitted Infections
  • Peripheral Nervous System Disorders
  • Disorders of the Posterior Pituitary Gland

Study Plan Lessons

02.02 Cardiomyopathy for CCRN Review
02.03 Swan-Ganz Catheters for CCRN Review
02.04 Pulmonary Artery Wedge Pressure (PAWP) for CCRN Review
02.08 Cardiac Catheterization & Acute Coronary Syndrome for CCRN Review
02.14 Shock Stages for CCRN Review
02.16 Cardiogenic Shock for CCRN Review
02.17 Septic Shock for CCRN Review
03.03 Hypoglycemia for CCRN Review
06.05 Wide Complex Tachycardia for CCRN Review
ACE (angiotensin-converting enzyme) Inhibitors
Acetaminophen (Tylenol) Nursing Considerations
ACLS (Advanced cardiac life support) Drugs
Acute Coronary Syndrome (ACS)
Acute Coronary Syndrome for Certified Emergency Nursing (CEN)
Acute Inflammatory Disease (Myocarditis, Endocarditis, Pericarditis) for Progressive Care Certified Nurse (PCCN)
Acute Kidney Injury Case Study (60 min)
Acute Respiratory Distress Syndrome (ARDS) for Progressive Care Certified Nurse (PCCN)
Addicted Newborn
Adenosine (Adenocard) Nursing Considerations
Adrenal and Thyroid Disorder Emergencies for Certified Emergency Nursing (CEN)
Advanced Cardiovascular Life Support (ACLS)
Allergic Reactions and Anaphylaxis for Certified Emergency Nursing (CEN)
Amputation for Certified Emergency Nursing (CEN)
Anemia for Progressive Care Certified Nurse (PCCN)
Aneurysm and Dissection for Certified Emergency Nursing (CEN)
Angiotensin Receptor Blockers
Anti Tumor Antibiotics
Anti-Infective – Antifungals
Anti-Infective – Fluoroquinolones
Antidepressants
Antidepressants
Antineoplastics
Arterial Pressure Monitoring
Aspiration for Certified Emergency Nursing (CEN)
Atrial Dysrhythmias for Progressive Care Certified Nurse (PCCN)
Atrial Fibrillation (A Fib)
Atrial Flutter
Autonomic Nervous System (ANS)
AV Blocks Dysrhythmias for Progressive Care Certified Nurse (PCCN)
AVPU Mnemonic (The AVPU Scale)
Benzodiazepines
Blood Flow Through The Heart
Blood Pressure (BP) Control
Blood Salvage Transfusion Anticipation for Certified Perioperative Nurse (CNOR)
Blunt Thoracic Trauma
Body System Assessments
Brain Natriuretic Peptide (BNP) Lab Values
Bronchodilators
Burns for Certified Emergency Nursing (CEN)
Calcium Acetate (PhosLo) Nursing Considerations
Calcium and Magnesium Imbalance for Certified Emergency Nursing (CEN)
Calcium Carbonate (Tums) Nursing Considerations
Calcium Channel Blockers
Calcium-Ca (Hypercalcemia, Hypocalcemia)
Cardiac (Heart) Disease in Pregnancy
Cardiac (Heart) Enzymes
Cardiac (Heart) Physiology
Cardiac A&P Module Intro
Cardiac Anatomy
Cardiac Arrest Nursing Interventions for Certified Perioperative Nurse (CNOR)
Cardiac Course Introduction
Cardiac Cycle
Cardiac Glycosides
Cardiac Labs – What and When to Use Them – Live Tutoring Archive
Cardiac Labs – What and When to Use Them 2 – Live Tutoring Archive
Cardiac Stress Test
Cardiac Surgery (Post-ICU Care) for Progressive Care Certified Nurse (PCCN)
Cardiac Tamponade for Progressive Care Certified Nurse (PCCN)
Cardiac Terminology
Cardiac Valves Blood Flow Nursing Mnemonic (Toilet Paper my Ass)
Cardiac/Vascular Catheterization (Diagnostic, Interventional) for Progressive Care Certified Nurse (PCCN)
Cardiogenic Shock and Obstructive Shock for Certified Emergency Nursing (CEN)
Cardiogenic Shock For PCCN for Progressive Care Certified Nurse (PCCN)
Cardiomyopathies (Dilated, Hypertrophic, Restrictive) for Progressive Care Certified Nurse (PCCN)
Cardiopulmonary Arrest
Cardiopulmonary Arrest for Certified Emergency Nursing (CEN)
Cardiovascular Trauma for Certified Emergency Nursing (CEN)
Cerebral Metabolism
Chemotherapy Patients
Cirrhosis for Certified Emergency Nursing (CEN)
Cold Temperature-related Emergencies for Certified Emergency Nursing (CEN)
Congenital Heart Defects (CHD)
Congestive Heart Failure (CHF) Labs
Congestive Heart Failure Concept Map
Coronary Artery Disease Concept Map
Creatine Phosphokinase (CPK) Lab Values
Critical Thinking
Cushing’s Syndrome Case Study (60 min)
Day in the Life of a Med-surg Nurse
Day in the Life of a NICU Nurse
Defects of Decreased Pulmonary Blood Flow
Defects of Increased Pulmonary Blood Flow
Digoxin (Lanoxin) Nursing Considerations
Disease Specific Medications
Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)
Dobutamine (Dobutrex) Nursing Considerations
Dopamine (Inotropin) Nursing Considerations
Dysrhythmia Emergencies
Dysrhythmias for Certified Emergency Nursing (CEN)
Dysrhythmias Labs
Echocardiogram (Cardiac Echo)
Electrical A&P of the Heart
Electrical Activity in the Heart
Electrolyte Imbalances for Progressive Care Certified Nurse (PCCN)
Electrolytes Involved in Cardiac (Heart) Conduction
Endocarditis Case Study (45 min)
Endocarditis for Certified Emergency Nursing (CEN)
Envenomation Emergencies for Certified Emergency Nursing (CEN)
Epinephrine (EpiPen) Nursing Considerations
Flight Nurse
General Anesthesia
GERD (Gastroesophageal Reflux Disease)
Goal Setting
Heart (Cardiac) and Great Vessels Assessment
Heart (Cardiac) Failure Module Intro
Heart (Cardiac) Failure Therapeutic Management
Heart (Cardiac) Sound Locations and Auscultation
Heart (Heart) Failure Exacerbation
Heart Failure (Acute Exacerbations, Chronic) for Progressive Care Certified Nurse (PCCN)
Heart Failure Case Study (45 min)
Heart Failure for Certified Emergency Nursing (CEN)
Heart Sounds Nursing Mnemonic (APE To Man – All People Enjoy Time Magazine)
Heat Temperature-related Emergencies for Certified Emergency Nursing (CEN)
Hemodynamics
Hemorrhagic Fevers for Certified Emergency Nursing (CEN)
Hiatal Hernia
Hydrocodone-Acetaminophen (Vicodin, Lortab) Nursing Considerations
Hyperemesis Gravidarum for Certified Emergency Nursing (CEN)
Hyperkalemia – Management Nursing Mnemonic (AIRED)
Hyperkalemia – Signs and Symptoms Nursing Mnemonic (Murder)
Hypertension (Uncontrolled) and Hypertensive Crisis for Progressive Care Certified Nurse (PCCN)
Hypertensive Crisis Case Study (45 min)
Hyperthyroidism Case Study (75 min)
Hypokalemia – Signs and Symptoms Nursing Mnemonic (6 L’s)
Hypoparathyroidism
Hypovolemic and Distributive Shock for Certified Emergency Nursing (CEN)
Hypovolemic Shock Case Study (OB sim) (60 min)
Influenza for Certified Emergency Nursing (CEN)
Intake and Output (I&O)
Interdisciplinary Team Participation for Certified Perioperative Nurse (CNOR)
Intraoperative Positioning
Invoicing Process
Lactate Dehydrogenase (LDH) Lab Values
Leukemia
Lorazepam (Ativan) Nursing Considerations
Lung Cancer
Magnesium-Mg (Hypomagnesemia, Hypermagnesemia)
Malignant Hyperthermia
Marfan Syndrome
Maternal Risk Factors
Meds for Postpartum Hemorrhage (PPH)
Meds for PPH (postpartum hemorrhage)
MI Surgical Intervention
Midazolam (Versed) Nursing Considerations
Minimally-Invasive Cardiac Surgery (Non-Sternal Approach) for Progressive Care Certified Nurse (PCCN)
Mixed (Cardiac) Heart Defects
Muscle Anatomy (anatomy and physiology)
Muscle Cytology
Musculoskeletal Terminology
Myocardial Infarction (MI) Case Study (45 min)
Myoglobin (MB) Lab Values
Neurogenic Shock for Certified Emergency Nursing (CEN)
Newborn Physical Exam
Noncardiac Pulmonary Edema for Certified Emergency Nursing (CEN)
Norepinephrine (Levophed) Nursing Considerations
Nursing Care and Pathophysiology for Anaphylaxis
Nursing Care and Pathophysiology for Cardiogenic Shock
Nursing Care and Pathophysiology for Cushings Syndrome
Nursing Care and Pathophysiology for Gonorrhea (STI)
Nursing Care and Pathophysiology for Heart Failure (CHF)
Nursing Care and Pathophysiology for Hyperthyroidism
Nursing Care and Pathophysiology for Hypothyroidism
Nursing Care and Pathophysiology for Hypovolemic Shock
Nursing Care and Pathophysiology for Ischemic Stroke (CVA)
Nursing Care and Pathophysiology for Myasthenia Gravis
Nursing Care and Pathophysiology for Pneumothorax & Hemothorax
Nursing Care and Pathophysiology for Pulmonary Edema
Nursing Care and Pathophysiology for SIADH (Syndrome of Inappropriate antidiuretic Hormone Secretion)
Nursing Care and Pathophysiology for Valve Disorders
Nursing Care and Pathophysiology of Acute Kidney (Renal) Injury (AKI)
Nursing Care and Pathophysiology of Angina
Nursing Care and Pathophysiology of Chronic Kidney (Renal) Disease (CKD)
Nursing Care and Pathophysiology of Coronary Artery Disease (CAD)
Nursing Care and Pathophysiology of Endocarditis and Pericarditis
Nursing Care and Pathophysiology of Hypertension (HTN)
Nursing Care and Pathophysiology of Myocardial Infarction (MI)
Nursing Care and Pathophysiology of Myocarditis