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O2

A 95

T I(S) M I(S)
T S(D) M
S(D)

23

40

CO2
A

45

40

46

40 V

45 V
A/V = 104

P I(D) A I(D)
P S(S) A
S(S)
Systole:
MIASTIPS

To Lungs

O2 from
lungs

Systole: TMC PAO (S1)


Diastole: TMO PAC (S2)

CARDIAC CYCLE
1. Isometric relaxation: PAC
2. Rapid filling: TMO
3. Diastasis: Slowing of outflow
from atria to ventricles
4. Atrial systole: onset of atrial
contraction
5. Isometric contraction: onset
of ventricular contraction
6. Maximum ejection: PAO
7. Reduced ejection: peak
intraventricular pressure
8. Proto diastole: onset
ventricular relaxation

TM AV valve
AP SL valve
S3 end of rapid ventricular
filling
S4 high atrial pressure

Ventricular Action Potential


Out (+)
(-)
0
1
2
3
4

In
-85 to -95 mV Normal Action
Potential

Na
K

CO = SV x HR

Ca
K

K
Na

Chest Leads:
V1 4th ICS Right
V2 4th ICS Left
V3 b/w V2 & V3
V4 5th ICS Left midclav
V5 5th ICS ant axillary
V6 5th ICS mid axillary

SA Node Action Potential


Ca
Na

K
Small square: 0.04
sec
Big square: 0.20 sec

mV
time

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