Page 350 - Anatomy and Physiology of Farm Animals, 8th Edition
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Physiology of the Heart and Circulation / 335

                                         Isovolumic
                                         relaxation
  VetBooks.ir           contraction  Ejection  Rapid inflow  Atrial systole
                         Isovolumic
                                                    Diastasis


                      120   Aortic              Aortic valve
                            valve                closes
                      100   opens                                            Aortic pressure
                     Pressure (mmHg)  60  A-V valve  A-V valve
                       80

                                               opens
                       40
                       20   closes                                            Atrial pressure
                                                           a  c
                        0                                                    Ventricular pressure
                      130
                     Volume (mL)  90                       R                 Ventricular volume


                       50
                                                      P
                                                                   T         Electrocardiogram
                                                         Q
                                    1st      2nd  3rd         S
                                                                             Phonocardiogram
                                     Systole      Diastole      Systole
               Figure 18-3.  The cardiac cycle for left ventricular function. Changes in aortic pressure, atrial pressure,
               and left ventricular pressure are shown in contrast to changes in left ventricular volume, events in the
               electrocardiogram, and the audible sounds of the heart (phonocardiogram). Source: Guyton and Hall,
               2006. Reproduced with permission of Elsevier.

               same sequence, but the magnitude of pres­  activity. Thus, when the heart is said to be in
               sure changes in the right ventricle and   systole or the systolic phase of the cardiac
                 pulmonary trunk are much lower. The    cycle, it is usually understood that this refers
               unique characteristics of the pulmonary   to ventricular systole. (Note in Figure 18‐3
               circulation are discussed in Chapter 19.  the atrial  contracts  while  the  ventricle
                  Diastole (dilation, from the Greek dia,   remains relaxed, i.e., ventricular diastole.)
               apart;  stello, place or put) refers to the   Two distinct heart sounds can be heard
               relaxation of a chamber of the heart just   during  each  cardiac  cycle  in  all  domestic
               prior to and during the filling of that cham­  species, and these are typically described as
               ber.  Systole (contraction, from Gr.  syn,   lub (first sound, or S ) and  dub (second
                                                                            1
               together;  stello, place) refers to the con­  sound, or S ). When listening to the heart
                                                                  2
               traction of a chamber of the heart that   and lungs with a stethoscope (auscultat­
               drives blood out of the chamber. The     ing),  the  first  two  heart  sounds  are  sepa­
               adjectives  atrial and  ventricular can be   rated by a short interval and followed by
               used with diastole or systole to describe   a  longer pause (Fig.  18‐3). The pause
               the  activity of  specific  cardiac  chambers   increases with slower heart rates and in
               (e.g., atrial systole refers to atrial contrac­  some species all four heart sounds can be
               tion in Figure  18‐3). However, when the   heard. These sounds are used clinically to
               cardiac cycle is divided into only two gen­  determine normal contraction and func­
               eral phases (diastole and  systole) without   tion of the cardiac cycle. The first two heart
               specifying a chamber, it is generally    sounds divide the cardiac cycle into two
               assumed that division is based on ventricular   phases, systole (ventricular) and diastole
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