Myocardium
Cardiac muscle
Myogenic
Heart contracts without neural stimulus
Step 1 of conduction system
SA node initiates cardiac impulse in posterior wall of right atrium
Step 2 of conduction system
AV node collects and delays impulse to allow atrial systole to finish in lower part of right atrium
Step 3 of conduction system
Bundle of His passes impulse down septum so that ventricular systole can start from the bottom to push blood up
Step 4 of conduction system
Bundle branches carry impulse to the base of the ventricle and up the walls
Step 5 of the conduction system
Purkinje fibres distribute impulse through walls of ventricles to cause contraction
3 stages of the cardiac cycle
Atrial systole
Ventricular systole
Diastole
Atrial systole
Atria contract and blood is pushed through the AV valves which then close
Ventricular systole
Ventricles contract from the bottom up to push blood through the semilunar valves
Diastole
Relaxation and refilling phase, slight passive blood flow into ventricles due to pressure
Untrained resting HR
75
Untrained exercise HR
220-age
Untrained resting SV
70ml
Untrained exercise SV
120ml
Untrained resting Q
5l
Untrained exercise Q
20l
Trained resting HR
50
Trained exercise HR
220-age
Trained resting SV
100ml
Trained exercise SV
200ml
Trained resting Q
5l
Trained exercise Q
40l
5 Mechanisms of venous return
Pocket valves
Smooth muscle
Gravity
Muscle pump
Respiratory pump