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физиология

сердечный

цикл

систола

диастола.#28

00:00:02

the topic will be 28

00:00:04

this is the cardiac cycle the cardiac cycle and in

00:00:07

turn James one system Dias there we will

00:00:17

first figure out about the sister then our

00:00:21

radio first the track what processes are

00:00:24

happening what all the forces so the

00:00:27

remedy itself consists of 2 phases

00:00:29

this is called voltage and there is

00:00:38

called

00:00:39

exile, which means the phase of tension and the phase of

00:00:46

which

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expulsion is its turn the phase of tension

00:00:50

it is divided into two periods, these are wasps and

00:00:55

if you write here from synchronously and

00:00:59

contraction and isometric contraction,

00:01:01

asynchronous contractions and

00:01:04

isometric contraction of expulsion

00:01:07

are also fast and slow, that is,

00:01:14

fast and what is slow spirko

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as in the heart what happens during an

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asynchronous contraction with an

00:01:23

isometric contraction and in both that

00:01:27

is, from the fast and slow what is expelled

00:01:30

means this will be what we will have what the heart

00:01:36

will be like a bicuspid this is a

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tricuspid trials 2 this will be

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the oorta this is the pulmonary trunk this is the aorta

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this is the league of chinois, then this is the aorta

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and this is the pulmonary trunk of the internal between the

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ventricles there is what about the lunar valves,

00:01:59

this is called what about the lunar valve

00:02:03

and now to answer this question,

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that is, what to answer the question of what

00:02:11

what comes from synchronously

00:02:13

isometric and expulsion you need to

00:02:16

know 5 question and if you

00:02:20

answered each of these 5 questions you

00:02:23

will understand the essence of it look at the first question what is this something

00:02:27

when they show in your drawing

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what it is what it is what it looks like

00:02:35

asynchronous contraction for metric

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contraction and the phase of which is expelled the second

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state of the valves of the

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valves the state of the valves, that is, with

00:02:51

quietness and contraction of the valves opening

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or semi on such that is, the state of the

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valves, some valves should be

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open and some should be

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closed, the third physiological value is a

00:03:05

logical value or some of it

00:03:10

as a physiological role is a function, that is, the

00:03:12

values are somehow not maiden what's

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going on here, what's going on here, what's going on here 4 this is the

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duration duration

00:03:23

or time or intermediate

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that is, this and the heel this is the record

00:03:33

how can you determine them this

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record we'll just put it so that they

00:03:40

growl in the tests but

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we'll go through the photo in more detail about the record g and

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Sergey that is, a complete cardiogram and from the

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film gram that is, we will speak

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from synchronously and the contraction is recorded

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this

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and the VKG effect that is, with synchronous

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recording

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ege-gay fixes, isometric crumbling

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with synchronous recording river g and yourself, you

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will just study it like that, but remember

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so that the test can decide and when we are pros ggg

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we will burn

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you stick it there you will understand it means for each

00:04:17

this you must answer 5 questions what

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will answer then you will already understand what is

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going on and now we will go through the

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first one in order this is how we go from synchronously and

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abbreviation during asynchronous contractions

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look semilunar valves are closed

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leaf valves open let's

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first what are you burning

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this figure reflects asynchronous

00:04:43

contractions the second state of the valve you are

00:04:47

burning semilunar valves are closed

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leaf valves are open third question

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physiological significance

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look here there is blood yes but since

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the pressure here is not increased how

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will you understand that here the pressure is not increased

00:05:07

since the flap valves are open

00:05:09

istituto the pressure would be greater if it

00:05:12

were in the back but since there is no

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more pressure here so the flap open

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here comes from synchronous

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excitation of the walls of the stomach are not the same,

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that is, without the shape changing but the pressure

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of which does not increase that is, how do you

00:05:30

answer physiologically very much and you

00:05:33

say

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with asynchronous contraction that is, in the

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ventricles it occurs asynchronously and

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contractions here the shape of the ventricles

00:05:41

changes but the pressure of which does not

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increase 4

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viewers how long does it last you

00:05:48

burn 0 04 00 5 seconds 0 04 00 5 seconds

00:05:55

and 5 this is a recording, a recording, what can we

00:05:58

say, this is a synchronous recording, etc. and

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so on.

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d we so when the cardiogram field will

00:06:07

go through all this you are there and you will see 2 2

00:06:12

isometric contraction

00:06:13

now the first question is what does it look like

00:06:16

on this diagram is reflected what

00:06:18

isometric contraction is reflected in the second

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state of the valves you are burning there is a courtyard and the

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semilunar valves are closed from the quart and the

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valves are closed there is blood here now the

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question is why these valves

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closed, we are talking because here

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the pressure increases in the ventricles

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the pressure increases

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if it is the right ventricle without

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pressure increases to 77 excuse me to

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10 15 millimeters of mercury and here it is

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7 780 so why are these valves

00:07:00

closed and why are these valves

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closed if your question will

00:07:05

look like if the pressure in the aorta is 100

00:07:08

and the pressure in the pulmonary trunk is 20,

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so seventy to eighty is not

00:07:17

enough force to come out, for the blood to come out, it

00:07:19

needs more than a hundred, there should be

00:07:22

120 130 140 for it to come out,

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so this pressure closes these

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valves valves and the pressure of

00:07:30

the main vessels close the

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vacuum valve

00:07:33

so the physiological meaning means the

00:07:36

physiological initial you are burning the

00:07:37

pressure in the ventricles increases in the

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right ventricle then ten to fifteen

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miters here on the very left live up to 70 80

00:07:46

meters it has become difficult but here you can’t miss the expulsion

00:07:48

now the expulsion phase the expulsion phase

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first the question is what is it you are burning phase

00:07:56

expel state of the valves burn out

00:08:01

leaflet closed semilunar open and

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here is what happens before the

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expulsion phase the expulsion phase there are two

00:08:13

types fast and slow fast that is

00:08:17

fast expulsion the pressure in the

00:08:19

ventricles continues to increase that is

00:08:23

here if here the pressure in the

00:08:25

pulmonary trunk was 20 to know for the

00:08:28

expulsion to happen it is necessary what 2530

00:08:31

means and here the pressure how much it cost

00:08:34

means here it is necessary 130 it cost 40

00:08:39

therefore with rapid expulsion the pressure

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continues to increase in the ventricles

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on the left they live will give 130 140 it increases

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especially difficult for them and in the right they live 25-30

00:08:52

and as a result it happens quickly

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expulsion is slow and expulsion is slow and

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expulsion occurs through gifts of pressure in the

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ventricles and in the great

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vessels from here we can say from

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synchronous

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and isometric contraction they

00:09:08

prepare the ventricle for the

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expulsion phase to make it easier to remember look

00:09:13

at the start attention march to the start attention

00:09:17

march

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therefore asynchronously isometric

00:09:20

contraction is like at the start, attention, the

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expulsion will be what is your so over everyone,

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this is what we answered the 5th question and

00:09:30

the duration of it is how long is the expulsion phase

00:09:33

you are burning 026

00:09:37

029

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026 0 29 seconds now records where

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it happens you only speak to us of the film

00:09:47

gramme szege recording us because on the verge of

00:09:50

isometric contractions duration

00:09:52

how long are you burning 00 2003 se que records

00:09:59

where is happening look like figs and g.i.

00:10:04

tags

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that is, synchronous recording in which and for yourself

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you have more questions about the

00:10:11

voltage phase now question 5 but these 5

00:10:15

questions for the voltage phase

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first there are if you know these two and

00:10:21

it’s already easier

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that this is well the voltage phase the

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voltage phase both the whole garden the state of

00:10:29

the valves you say the composition of the state of the

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clan during the voltage phase depends on the

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period during the voltage phase the

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semilunar valves are always closed

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but during the voltage phase they are not always closed

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which

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leaf valve it depends on what

00:10:46

period of action in your tests the

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prophase voltage will be constantly closed the

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leaf valve you are not burning

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but the leaflet valves can close,

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you are burning yes it depends on what

00:10:58

period the physiological meaning you

00:11:01

are talking about physiothe phase of tension

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prepares the ventricle for the phrase of what

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expulsion duration look there is this

00:11:10

003 if this 005 means 00 3 + 0 05 this

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will be zero zero eight seconds that's

00:11:18

long and 5 this recording we are watching

00:11:21

asynchronous these gays and kegs of

00:11:23

isometric fics gay saga means the

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beginning and end of perina

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means it will be both kg and ourselves this is us on a

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synchronous recording and spearmen g c g or in

00:11:36

another way the cardiogram field is

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called this we will talk in more detail

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now we have us, the exile phase

00:11:44

happens 026 029

00:11:48

026 029

00:11:51

we are that is, zero zero eight plus 0

00:11:56

26 if we do this somewhere there will be 0 33

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seconds from here we can say 030 to the trend

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but up to 0 36 139 it means to sit down then I will survive

00:12:13

points lasting

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30 30 30 seconds what is it depend on what

00:12:19

time we will take what to take it will be

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like you have a racist you these are telling you

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grandson mechanism systole tell me what is

00:12:31

happening there you this whole mechanism is

00:12:34

burning and bellows sister it consists of a

00:12:37

voltage phase and a zina phase

00:12:39

voltage phase social networks asynchrony

00:12:41

abbreviation read synchronously and contraction

00:12:43

digitization occurs asynchronously and

00:12:45

contraction of the ventricular wall from

00:12:47

unequal while the shape changes the

00:12:50

pressure does not increase and so on and so on and so

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on this will be a lot of

00:12:55

words now we asked to

00:12:56

sort it out goes about dio became so now

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for the sake of deans she has a cold

00:13:06

Greek perry

00:13:07

isometric relaxation and the

00:13:10

filling phase is simply the diastolic period

00:13:13

here for css and also from two periods and

00:13:16

one phase now look also 5 questions

00:13:20

for these that is five questions you know it

00:13:23

will be easier the first simply

00:13:26

diastolic period about the details

00:13:29

means what it looks like this is the

00:13:31

diastolic rod in front of the semilunar valves like

00:13:34

this club we are able to burn them out here the

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valves are closed along the lunar open so the

00:13:44

physiological meaning is that here

00:13:47

the blood begins in the opposite direction from the

00:13:52

main vessels of the ventricles but it is

00:13:55

as if the blood is filled in the pockets of the

00:14:00

semilunar valves here the

00:14:03

semilunar valves begin to close but here

00:14:05

it is not closed it begins

00:14:08

if in more detail physiology the meaning

00:14:11

you are talking about is from the moment the

00:14:13

expulsion stops, the expulsion stops until the

00:14:19

semilunar valves close, this period

00:14:22

is called what is cool diastolic

00:14:24

before the

00:14:25

physiology meaning they said the duration the

00:14:27

duration of it is 00 1400 2 seconds where you

00:14:37

can write down you burn only on this day

00:14:43

only us witch edge duration

00:14:47

zero we have already figured out now about

00:14:50

isometric time with you isometric that

00:14:52

it is you who are burning isometric time it and

00:14:54

the state of the valve you are burning means the

00:14:58

institute too the valve can mean the

00:15:00

state of the valve all the valves are closed that

00:15:02

is, both the leaflet and semilunar valves are

00:15:05

closed here the pressure decreases to 0

00:15:09

millimeters of mercury to 0

00:15:12

millimeters of mercury why because

00:15:15

that here the blood is gradually filling up

00:15:18

in the sight

00:15:19

here the blood is already becoming larger and as a

00:15:23

result here in the atria there is

00:15:26

already a lot of blood and the pressure of which

00:15:28

increases for the blood to move from the

00:15:31

atria to the vein what

00:15:34

pressure is needed 0 so again what are you

00:15:37

saying isometric relaxation

00:15:39

state valves burn out leaflet

00:15:42

semilunar valves are closed

00:15:44

physiological significance the pressure in the

00:15:46

ventricles of both the right and left decreases to

00:15:49

0

00:15:50

millimeters of mercury here is the

00:15:52

duration duration this is zero zero

00:15:55

eight seconds now prophase filling so

00:15:59

that the filling phase knows I’ll delete these

00:16:02

two to make it easier to understand we Harry the

00:16:07

filling phase look here phases in

00:16:11

direction but there are two types:

00:16:13

passive and active proxy passive

00:16:21

and active state look what is happening

00:16:24

here and there is a lot of blood

00:16:31

when there is a lot of blood here the pressure in the left

00:16:37

atrium increases to 5 8

00:16:39

millimeters of mercury the pressure in the

00:16:41

left atrium is up to 23 that is, plus 7

00:16:46

types plus 58 and our labor plus 2 3 millimeters of

00:16:49

mercury and as a result of which the

00:16:53

first expulsion occurs due to

00:16:56

pressure, that is, here the atrium does not

00:16:59

contract because under the influence of pressure

00:17:02

it was called what passive filling is,

00:17:05

filling is what I live for.

00:17:07

and when the blood in the atrium decreases and

00:17:12

in the ventricles of which the

00:17:16

filling rate increases as a result of which the filling rate

00:17:19

decreases when the filling rate

00:17:21

fits in,

00:17:24

atrial systole comes to help when the atrium

00:17:27

contracts the rest of the blood conducts

00:17:31

where into the ventricle

00:17:32

therefore when the contraction occurs,

00:17:35

energy is needed for contraction

00:17:37

and when energy is needed it will be something

00:17:39

active why

00:17:41

transport therefore and Harry the first question is

00:17:45

what is it burn out phase filling phase

00:17:48

filling state of the valves you are burning

00:17:51

flaps open semilunar closed

00:17:53

that's what happens background physiological

00:17:58

meaning filling happens what veins good luck

00:18:00

filling stomach go from 2

00:18:02

types these are passive and active-passive

00:18:05

this is due to high pressure in the

00:18:08

atrium in the left atrium plus 5 8

00:18:11

millimeters but weakly

00:18:12

to the left and right squat this plus 2 3

00:18:16

millimeters of mercury and the second is

00:18:18

active transport active trans but the

00:18:20

queues are also divided into active

00:18:23

transport occurs when the system of which is the

00:18:27

stomach 6 sight since the

00:18:30

filling rate of which the

00:18:33

duration decreases so that the duration responds the

00:18:38

duration responds passively in

00:18:41

turn and is divided into fast and slow

00:18:46

two mechanisms, then the same first

00:18:49

pressure more on the backs decreases

00:18:51

slowly

00:18:52

it then arises and so this is to

00:18:54

determine the long duration of

00:18:57

passive fast filling

00:18:59

under very slow filling and active

00:19:03

filling this will be zero zero

00:19:05

eight seconds this will be 0 17 seconds and

00:19:09

this is 0 10 seconds or you can light up 01

00:19:14

if we combine 020 80 seconds 028

00:19:19

what seconds arises what

00:19:22

during the filling phases so the duration we have

00:19:26

determined and recording recording there are two

00:19:30

types of dependence this is passive or

00:19:32

actyon if it’s passive you say only

00:19:36

in FIG game

00:19:37

and if it’s active you say fay g&g

00:19:45

when there’s only one thing you look like in a tailcoat when

00:19:48

here from 2 you call active and the

00:19:51

filling is recorded when

00:19:54

recording synchronously in hockey and

00:19:56

pegs and taiga at the beginning you won’t

00:19:59

only stand in front because it starts from

00:20:02

fa ke the day ends with what

00:20:04

in the end this is how you go what syst

00:20:09

cardiac cycle that is,

00:20:12

you will answer 5 questions easier for you and to train on yourself

00:20:16

to remember this you

00:20:20

take you take 6 circles like this you

00:20:25

draw 1 2 3 4

00:20:29

[music]

00:20:30

6 now look right away to start this

00:20:42

wasps let's draw this is called synchronicity

00:20:45

or rather the state of the valve burn out the

00:20:49

flap valves of which are open on the

00:20:52

lunar ones which are

00:20:53

closed here what is happening is

00:20:56

asynchronous contraction of the old ones live

00:21:00

its duration is 0 04 00

00:21:03

5 seconds and it is determined then on the egege

00:21:07

torch 2 isometric contraction

00:21:10

this figure reflects the

00:21:12

isometric contraction of the leaflet and

00:21:16

semilunar valves which are closed here the

00:21:19

pressure in the left ventricle increases

00:21:21

to 780 millimeters here in the right ventricle

00:21:26

alive up to 10-15 but why expulsion does not

00:21:30

occur because the pressure in the

00:21:32

great vessels is greater

00:21:34

therefore then there are 10 15 his strength is not

00:21:38

enough to overcome 20 for it to

00:21:42

happen in exile it is necessary 25 33 this

00:21:46

phase and where can you write down you are burning VCG

00:21:53

and tags it’s just in the diagram field

00:21:56

cardiogram

00:21:57

eco gates eggs agent easier to remember

00:22:00

through this remember well, we haven’t

00:22:03

gone through it yet fakeagent Magra me a recording of the

00:22:06

arterial pulse from the situation

00:22:07

heart you have not yet led to the

00:22:10

fifth question you are stupid and take a tooth and

00:22:12

cram and yes, that is, remember and the

00:22:14

third is the filling phase the expulsion phase expulsion of

00:22:22

the eyes and knowledge you burn fast and

00:22:24

slow and then the leaf valve

00:22:27

why the semilunar valves are closed

00:22:29

quickly and knowledge of the pressure increases the

00:22:31

pressure continues to increase

00:22:33

alive up to 130 140 millimeters of mercury

00:22:37

to the right live up to 7 to 25 30 as a

00:22:41

result of which rapid

00:22:43

expulsion occurs and in a slow change it will pass until the

00:22:45

pressure in the main ventricle is equal the

00:22:48

same goes what in diastole

00:22:52

successive children and its peculiarity

00:22:54

is that this is how it goes like a figure eight

00:22:58

when it fills, fill and then

00:23:04

start back why there is

00:23:06

no filling happening here and it is already filled

00:23:09

when it begins after which the

00:23:11

filling phases are the essence of this drawing so that we

00:23:14

will explain this to you, that is after the

00:23:17

filling phase, asynchronous

00:23:20

contraction begins and preparing means both of

00:23:23

them prepare the ventricle

00:23:25

for the ejection phase, and during dias you are

00:23:29

preparing the filling so that the

00:23:31

vol 6 ventricle will arise again,

00:23:36

this topic was about the cardiac cycle,

00:23:38

if you study this topic in more detail

00:23:41

and it will be easier for you about

00:23:43

auscultation auscultation iPhone

00:23:47

cardiograms auscultation Ivan that is,

00:23:49

murmurs pontoons as a mechanism of occurrence

00:23:52

producing everything so Michal goes if

00:23:56

someone asks you a question, well, what are the mechanics of

00:23:58

systole and diastole Harry, you can do all this

00:24:01

or another question, well, about the cardiac cycle,

00:24:03

tell me, God forbid, it grew up is burning

00:24:06

remember this so that the photo of the genius

00:24:10

cult is something you can remember more easily,

00:24:14

so thank you for your attention, support

00:24:18

my channel everyone

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