have you ever thought about the sound you hear on a stethoscope. what is the “lub dub” sound?

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Have you ever thought about the sound you hear on a stethoscope. What is the “lub dub” sound?

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Page 1: Have you ever thought about the sound you hear on a stethoscope. What is the “lub dub” sound?

Have you ever thought about the sound you hear on a stethoscope. What is the “lub dub” sound?

Page 2: Have you ever thought about the sound you hear on a stethoscope. What is the “lub dub” sound?
Page 3: Have you ever thought about the sound you hear on a stethoscope. What is the “lub dub” sound?
Page 4: Have you ever thought about the sound you hear on a stethoscope. What is the “lub dub” sound?

Fig. 42-7

Pulmonary artery

Rightatrium

Semilunarvalve

Atrioventricularvalve

Rightventricle

Leftventricle

Atrioventricularvalve

Leftatrium

Semilunarvalve

Pulmonaryartery

Aorta

Page 5: Have you ever thought about the sound you hear on a stethoscope. What is the “lub dub” sound?

The heart contracts and relaxes in a rhythmic cycle called the cardiac cycle

The contraction, or pumping, phase is called systole

The relaxation, or filling, phase is called diastole

Page 6: Have you ever thought about the sound you hear on a stethoscope. What is the “lub dub” sound?

Fig. 42-8-1

Semilunarvalvesclosed

0.4 secAVvalvesopen

Atrial andventriculardiastole

1

Page 7: Have you ever thought about the sound you hear on a stethoscope. What is the “lub dub” sound?

Fig. 42-8-2

Semilunarvalvesclosed

0.4 secAVvalvesopen

Atrial andventriculardiastole

1

2

0.1 sec

Atrial systole;ventriculardiastole

Page 8: Have you ever thought about the sound you hear on a stethoscope. What is the “lub dub” sound?

Fig. 42-8

Semilunarvalvesclosed

0.4 secAVvalvesopen

Atrial andventriculardiastole

1

2

0.1 sec

Atrial systole;ventriculardiastole

3

0.3 sec

Semilunarvalvesopen

AV valvesclosed

Ventricular systole;atrial diastole

Page 9: Have you ever thought about the sound you hear on a stethoscope. What is the “lub dub” sound?
Page 10: Have you ever thought about the sound you hear on a stethoscope. What is the “lub dub” sound?

Some cardiac muscle cells are self-excitable contract without any signal from the nervous

system

Page 11: Have you ever thought about the sound you hear on a stethoscope. What is the “lub dub” sound?

Fig. 42-9-1

Pacemakergenerates wave ofsignals to contract.

1

SA node(pacemaker)

ECG

Page 12: Have you ever thought about the sound you hear on a stethoscope. What is the “lub dub” sound?

Fig. 42-9-2

Signals aredelayed atAV node.

2

AVnode

Page 13: Have you ever thought about the sound you hear on a stethoscope. What is the “lub dub” sound?

Fig. 42-9-3

Signals passto heart apex.

3

Bundlebranches Heart

apex

Page 14: Have you ever thought about the sound you hear on a stethoscope. What is the “lub dub” sound?

Fig. 42-9-4

Signals spreadthroughoutventricles.

4

Purkinjefibers

Page 15: Have you ever thought about the sound you hear on a stethoscope. What is the “lub dub” sound?
Page 16: Have you ever thought about the sound you hear on a stethoscope. What is the “lub dub” sound?

Velocity of blood flow is slowest in the capillary beds, as a result of the high resistance and large total cross-sectional area

Blood flow in capillaries is necessarily slow for exchange of materials

Page 17: Have you ever thought about the sound you hear on a stethoscope. What is the “lub dub” sound?

• The critical exchange of substances between the blood and interstitial fluid takes place across the thin endothelial walls of the capillaries

Page 18: Have you ever thought about the sound you hear on a stethoscope. What is the “lub dub” sound?

• Two mechanisms regulate distribution of blood in capillary beds:– Contraction of the

smooth muscle layer in the wall of an arteriole constricts the vessel

– Precapillary sphincters control flow of blood between arterioles and venules

Page 19: Have you ever thought about the sound you hear on a stethoscope. What is the “lub dub” sound?

• Blood pressure is the pressure that blood exerts against the wall of a vessel

• Systolic pressure is the pressure in the arteries during ventricular systole; it is the highest pressure in the arteries

• Diastolic pressure is the pressure in the arteries during diastole; it is lower than systolic pressure

• A pulse is the rhythmic bulging of artery walls with each heartbeat

Page 20: Have you ever thought about the sound you hear on a stethoscope. What is the “lub dub” sound?

Blood pressure is generally measured for an artery in the arm at the same height as the heart

Blood pressure for a healthy 20 year old at rest is 120 mm Hg at systole and 70 mm Hg at diastole

Page 21: Have you ever thought about the sound you hear on a stethoscope. What is the “lub dub” sound?

Fig. 42-13-1

Pressure in cuffgreater than120 mm Hg

Rubbercuffinflatedwith air

Arteryclosed

120

Page 22: Have you ever thought about the sound you hear on a stethoscope. What is the “lub dub” sound?

Fig. 42-13-2

Pressure in cuffgreater than120 mm Hg

Rubbercuffinflatedwith air

Arteryclosed

120 120

Pressure in cuffdrops below120 mm Hg

Soundsaudible instethoscope

Page 23: Have you ever thought about the sound you hear on a stethoscope. What is the “lub dub” sound?

Fig. 42-13-3

Pressure in cuffgreater than120 mm Hg

Rubbercuffinflatedwith air

Arteryclosed

120 120

Pressure in cuffdrops below120 mm Hg

Soundsaudible instethoscope

Pressure in cuff below70 mm Hg

70

Blood pressure reading: 120/70

Soundsstop

Page 24: Have you ever thought about the sound you hear on a stethoscope. What is the “lub dub” sound?

Vasoconstriction is the contraction of smooth muscle in arteriole walls; it increases blood pressure

Vasodilation is the relaxation of smooth muscles in the arterioles; it causes blood pressure to fall

Page 25: Have you ever thought about the sound you hear on a stethoscope. What is the “lub dub” sound?
Page 26: Have you ever thought about the sound you hear on a stethoscope. What is the “lub dub” sound?

Blood is moved through veins by smooth muscle contraction, skeletal muscle contraction, and expansion of the vena cava with inhalation

One-way valves in veins prevent backflow of blood