amali jantung 3

Upload: busrah-tani-ini

Post on 03-Apr-2018

237 views

Category:

Documents


0 download

TRANSCRIPT

  • 7/29/2019 amali jantung 3

    1/26

    Lab 3: The Mechanical and

    Electrical Activity of the Heart

    (A hodgepodge of the heart vol I

  • 7/29/2019 amali jantung 3

    2/26

    Overview

    Review of arteries and veins

    Electrical signaling in the heart

    Limb leads and the ECG

    Mechanics of the heart

    Unidirectional Flow

    Mechanics of contractionPressure and volume changes in the heart

    Arteries and veins in the cat

  • 7/29/2019 amali jantung 3

    3/26

    Review-Exam in 2 weeks

    Where is the Circle of Willis located?

    Where is the popileatal artery?

    The suprarenal vein collects blood from whichorgan?

    The subclavian vein delivers deoxygenated bloodto which vein?

  • 7/29/2019 amali jantung 3

    4/26

    Overview

    Review of arteries and veins

    Electrical signaling in the heart

    Limb leads and the ECG Mechanics of the heart

    Unidirectional Flow

    Mechanics of contraction

    Pressure and volume changes in the heart Arteries and veins in the cat

  • 7/29/2019 amali jantung 3

    5/26

    What causes contraction of an

    individual muscle fiber?

    1. Negativelycharged cell in its

    resting state.

    2. Ca++ gates are

    closed.

    Electrical

    Impulse

    Depolarization

    1. Positively charged cell

    generates action potential

    2. Ca++ gates are opened

    providing the Ca++ required for

    actin and myosin filaments to

    contract.

  • 7/29/2019 amali jantung 3

    6/26

    SA node (Pacemaker)

    Left and Right Atrium

    AV node (prevents signals from entering to the

    ventricles via another route)

    AV bundles (intraventricular septum)

    Purkinje fibers

    Ventricles

  • 7/29/2019 amali jantung 3

    7/26

    Electrical Conduction in the

    Heart

  • 7/29/2019 amali jantung 3

    8/26

    Electrocardiogram

    Monitors the electrical signals in the heart byapplying electrodes to the skin.

    Each pair of electrodes will reveal informationabout the electrical activity of a SPECIFIC part ofthe heart.

    3 standard limb leads (bipolar) 3 augmented unipolar limb leads

    6 chest leads

  • 7/29/2019 amali jantung 3

    9/26

    3 Standard Limb Leads

    Std I: right arm

    left arm +

    0 across the heart Std II: right arm

    left leg +

    45 across the heart

    Std III: left arm

    left leg +

    90 across the heart

  • 7/29/2019 amali jantung 3

    10/26

    3 Augmented Unipolar Limb

    Leads

    aVR: left arm& left leg

    right arm +

    aVL: right arm& left legleft arm +

    aVF: right arm& left arm

    left foot+

    Measure directions between

    45 and 90

  • 7/29/2019 amali jantung 3

    11/26

    6 Chest Leads

    Start at the sternum and go under the armpitaround the apex of the heart

    3-D view of the heart

  • 7/29/2019 amali jantung 3

    12/26

    Electrocardiogram

    1.P wave: atria contracting

    2.Atrial depolarization

    complete

    3.QRS wave: firing of AVvalve

    4.Ventricular depolarization

    complete5.T wave: ventricular

    repolarization

    6. Repolarization of ventricles

    1

    2

    3

    4

    5

    6

  • 7/29/2019 amali jantung 3

    13/26

    EKGs

  • 7/29/2019 amali jantung 3

    14/26

    Break for Dynamic Human

  • 7/29/2019 amali jantung 3

    15/26

    Overview

    Review of arteries and veins

    Electrical signaling in the heart

    Limb leads and the ECG

    Mechanics of the heartUnidirectional Flow

    Mechanics of contraction

    Pressure and volume changes in the heart

    Arteries and veins in the cat

  • 7/29/2019 amali jantung 3

    16/26

    Unidirectional flow

    Blood must flow one

    direction in the heart.

    The directionality is

    maintained by the

    heart valves.

    Bicuspid

    Tricuspid

    Pulmonary

    Aortic

  • 7/29/2019 amali jantung 3

    17/26

    Mechanics of heart contraction

    The four chambers act

    as 2:2

    Both atria contracttogether, both

    ventricles contract

    together

    The contraction iscontrolled by electrical

    impulses in the heart.

  • 7/29/2019 amali jantung 3

    18/26

    Pressure and Volume Changes in

    the Heart Pressure (P) and Volume (V) are always moving

    towards equilibrium

    P1

    V1

    = P2

    V2

    In general, if P then V must

    If the volume in your atrium is decreasing, how isthe volume in your ventricle changing?

    Volume will be increasing

  • 7/29/2019 amali jantung 3

    19/26

    Phases of the Cardiac Cycle

    Ventricular filling: blood trickles into the atriumand ventricle from the vena cavas

    Atrial Contraction

    Isovolumetric Contraction: atria relax and theventricles begin to contract

    Ventricular Ejection: Ventricles contract andblood moves into arteries

    Isovolumetric Relaxation: Ventricles relax andexpand

  • 7/29/2019 amali jantung 3

    20/26

    Pressure and Volume Changes in

    the Cardiac Cycle

    V= volume

    PL= Low pressure

    PM= Medium pressure

    PH= High pressure

    Atrium AV

    Valve

    Ventricle SL

    Valve

    Artery

    Ventricular

    Filling PL

    V

    Loose

    PL

    V

    Closed

    PH

    V

  • 7/29/2019 amali jantung 3

    21/26

    Atrium AV

    Valve

    Ventricle SL Valve Arter

    y

    Ventricular

    Filling

    PL

    V

    Loose PL

    V

    Closed PH

    V

    AtrialContraction

    PM

    V Open PL

    V Closed PH

    V

  • 7/29/2019 amali jantung 3

    22/26

    Atrium AV Valve Vent. SL

    Valve

    Artery

    Ventricular

    Filling

    PL

    V

    Loose PL

    V

    Closed PH

    V

    Atrial Contraction PM

    V

    Open PL

    V

    Closed PH

    V

    Isovolumetric

    Ventricular

    Contraction

    PL

    V Closed PM

    Vconstant

    Closed PH

    V

  • 7/29/2019 amali jantung 3

    23/26

    Atrium AV Valve Vent. SL

    Valve

    Artery

    VentricularFilling

    PLV

    Loose PLV

    Closed PHV

    Atrial Contraction PM

    V

    Open PL

    V

    Closed PH

    V

    Isovolumetric

    VentricularContraction

    PL

    V

    Closed PM

    V constant

    Closed PH

    V

    Ventricular

    Ejection

    PL

    V

    Closed PH

    V

    Open PM

    V

  • 7/29/2019 amali jantung 3

    24/26

    Atriu

    m

    AV Valve Vent. SL

    Valve

    Artery

    Ventricular

    Filling

    PL

    V

    Loose PL

    V

    Closed PH

    V

    Atrial Contraction PM

    V

    Open PL

    V

    Closed PH

    V

    Isovolumetric

    Ventricular

    Contraction

    PL

    V

    Closed PM

    V constant

    Closed PH

    V

    Ventricular

    Ejection

    PL

    V

    Closed PH

    V

    Open PM

    V

    IsovolumetricRelaxation

    PLV

    Closed PMVconstant

    Closed PHV

  • 7/29/2019 amali jantung 3

    25/26

    Overveiw

    Review of arteries and veins

    Electrical signaling in the heart

    Limb leads and the ECG

    Valves of the heart

    Unidirectional Flow

    Mechanics of contraction

    Pressure and volume changes in the heart

    Arteries and veins in the cat and the human heart

  • 7/29/2019 amali jantung 3

    26/26

    Cat Dissection

    Artery

    Aortic Arch

    Left Common Carotoid Descending Aorta

    Renal Artery

    Superior Mesenteric

    Artery

    Veins

    Branchiocephalic

    Subclavian

    External Jugular

    Inferior Vena Cava

    Renal Vein

    Great Saphenous

    Femoral

    Deep Femoral

    Popliteal