Q.What do the terms 'systole' and 'diastole' mean with reference to the cardiac cycle?
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The Cardiac Cycle
Think of the heart as a two-storey pump with four rooms. The two upper rooms (atria) are receiving chambers that collect blood returning from the body and lungs. The two lower rooms (ventricles) are the powerful pumping chambers that push blood out to the lungs and the rest of the body.
These four rooms cannot all squeeze at once — if they did, blood would simply slosh around instead of moving in one direction. The heart needs a precise, timed sequence of contraction and relaxation to keep blood flowing forward only. That full sequence, from the start of one heartbeat to the start of the next, is the cardiac cycle.
Systole and Diastole
Every chamber alternates between two states:
- Systole — the chamber contracts, pushing blood out
- Diastole — the chamber relaxes and fills with blood
The atria and ventricles never go through systole and diastole at the same moment — they work in a carefully timed relay.
The Sequence of One Cardiac Cycle
At a resting heart rate of about 72 beats per minute, one full cardiac cycle takes roughly 0.8 seconds, made up of the following stages.
1. Joint Diastole (about 0.4 seconds)
Both atria and both ventricles are relaxed together. Blood flows passively from the veins into the atria, and from the atria through the open atrioventricular valves (the mitral valve on the left, the tricuspid valve on the right) into the ventricles. This passive flow alone fills the ventricles to about 70% of their capacity. The semilunar valves (aortic and pulmonary) stay shut because arterial pressure is still higher than the pressure in the relaxed ventricles.
2. Atrial Systole (about 0.1 seconds)
The atria contract — a gentle squeeze that pushes the remaining 30% of blood into the ventricles, topping them off completely. The ventricles are still relaxed at this point. By the end of atrial systole, the ventricles are full.
3. Ventricular Systole (about 0.3 seconds)
Now the ventricles contract — the powerful squeeze that actually drives blood forward. It happens in two stages:
- Isovolumetric contraction (very brief): The ventricles begin squeezing and pressure inside them rises sharply. The atrioventricular valves slam shut, producing the first heart sound ("lub"). The semilunar valves stay shut too, because ventricular pressure has not yet exceeded arterial pressure — so the ventricles contract against a closed system, and pressure rises while volume stays constant.
- Ejection phase: Once ventricular pressure exceeds arterial pressure, the semilunar valves open and blood is forced into the aorta (from the left ventricle) and the pulmonary artery (from the right ventricle). Throughout this stage the atria are back in diastole, filling again from the veins.
4. Ventricular Diastole (about 0.4 seconds, overlapping the start of the next cycle) …
Systole is chamber contraction; diastole is chamber relaxation. …
Step 1. The cardiac cycle alternates each chamber between two states.
Step 2. Systole refers to the contraction phase, during which a chamber actively pumps blood out; diastole refers to the relaxation phase, during which the chamber passively fil …
- CBSE 2024Set ANNUAL1 markMCQQ.Duration of the Cardiac Cycle:(a) 0.5 seconds(b) 0.6 seconds(c) 0.7 seconds(d) 0.8 seconds
›Reveal solutionSolution
One cardiac cycle lasts about 0.8 seconds at a normal heart rate of 72 beats/min, made up of atrial systole, ventricular systole and joint diastole.
The cardiac cycle is the sequence of events (contraction and relaxation) that occurs in one heartbeat. Its duration can be found from the heart rate: duration = 60 seconds / heart rate (beats per minute) = 60/72 = 0.8 seconds.
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- CBSE 2024Set ANNUAL1 markMCQQ.Dub sound of heart is caused by:(a) closure of semi-lunar valves(b) closure of atrio-ventricular valves(c) opening of atrio-ventricular valves(d) opening of semi-lunar valves
›Reveal solutionSolution
The 'dub' sound marks the closure of the semilunar valves (aortic and pulmonary) at the start of ventricular diastole; the 'lub' sound marks closure of the atrio-ventricular valves at the start of ventricular systole.
During the cardiac cycle, the heart produces two audible sounds through a stethoscope. The first sound, 'lub', is a longer, lower-pitched sound caused by the sudden closure of the atrio-ventricular (AV) valves — tricuspid and bicuspid (mitral) — at the beginning of ventricular systole, preventing backflow of blood into the atria.
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- CBSE 2020Set ANNUAL1 markMCQQ.Doctors use stethoscope to hear the sound, produced during each Cardiac cycle. The second sound is heard when __________.(a) AV node receives signals from SA node(b) AV valves get closed(c) Ventricular wall vibrate due to gushing of blood from atria(d) Semilunar valves close down after the blood flows into vessels from ventricles
›Reveal solutionSolution
The heart produces two main sounds per cardiac cycle: the first ("lubb") from AV valve closure at the start of ventricular systole, and the second ("dub") from semilunar valve closure at the end of ventricular systole — option (d).
During the cardiac cycle, two valve-closure events generate the classic "lubb-dub" sounds heard through a stethoscope:
- The first heart sound ("lubb") is produced by the closure of the atrioventricular (AV) valves (tricuspid and bicuspid), which occurs at the start of ventricular systole to prevent backflow of blood into the atria as the ventricles contract. …
- CBSE 2019Set ANNUAL1 markQ.What is Sinus arrhythmias?
›Reveal solutionSolution
Sinus arrhythmia is a normal, mild variation in heart rate linked to breathing — the SA-node-driven heart rate rises slightly during inspiration and falls slightly during expiration — due to changing vagal tone, and i...
Sinus arrhythmia is a normal breathing-linked variation in heart rate, not a disorder.
Sinus arrhythmia refers to a small, cyclical variation in heart rate that occurs in step with the phases of breathing: the heart rate speeds up slightly during inspiration and slows down slightly during expiration. It originates at the sino-atrial (SA) node — the heart's natural pacemaker — and is caused by breathing-related fluctuations in vagal (parasympathetic) nerve activity acting on the SA node. Unlike pathological arrhythmias, sin …
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