This lecture covers the fundamentals of heart function from an engineering perspective. The objectives are to understand the heart as a pump using gradual explanations, explore the relationship between electrical conduction and pumping, examine how chemistry affects pumping, analyze abnormalities using engineering principles, and relate medical terminology to engineering concepts. Key topics include the heart's electrical conduction system, factors influencing pumping efficiency, and exploring sudden cardiac death in athletes.
2. OBJECTIVES OF THIS LECTURE
Understanding the heart as a pump and blood flow using a gradual
approach going from simple analogies to the more complex
Relationship between the electrical conduction in the heart and the role
in pumping
Relationship between chemistry and some of its effect on pumping
Abnormalities in the heart and relationship to disease and
understanding them using engineering principles
Medical terminology and its relationship to engineering parameters
SREERAM (RAM)
DHURJATY, PHD, DHURJATY@AYA.YALE.EDU , 2
3. Basic Pump
Volume delivered/stroke
= V-VR
VR /V is called the ejection fraction
SREERAM (RAM)
DHURJATY, PHD, DHURJATY@AYA.YALE.EDU
4. FIRST MATH SLIDE
SREERAM (RAM) DHURJATY, PHD,
DHURJATY@AYA.YALE.EDU
5. LAST MATH SLIDE
P2 = 留h
P1 = 硫(留h * L *亮 * V)/(AREA
OF PIPE)
Calculate 留 and 硫 based on
what you have learned from
Laminar flow theory
SREERAM (RAM) DHURJATY, PHD,
DHURJATY@AYA.YALE.EDU
6. Coupled pumps: both pumps are actuated at the same time
SREERAM (RAM)
DHURJATY, PHD, DHURJATY@AYA.YALE.EDU
7. OVERVIEW O9F THE CARDIOVASCULAR SYSTEM
SREERAM (RAM) DHURJATY, PHD,
DHURJATY@AYA.YALE.EDU
10. MAJOR TYPES OF BLOOD VESSELS
SREERAM (RAM) DHURJATY, PHD,
DHURJATY@AYA.YALE.EDU
11. P
What happens to the pressure P if the complete cardiovascular
System is represented as a balloon?
SREERAM (RAM) DHURJATY, PHD,
DHURJATY@AYA.YALE.EDU
12. P
What happens to the pressure, P, if the balloon is encased in Jello?
SREERAM (RAM)
DHURJATY, PHD, DHURJATY@AYA.YALE.EDU
16. The SA node
is the pacemaker
The time delay at the
AV node ensures
That the atria contract
First and then the
ventricles
SREERAM (RAM) DHURJATY, PHD,
DHURJATY@AYA.YALE.EDU
17. CONDUCTION SYSTEM OF THE HEART
SREERAM (RAM) DHURJATY, PHD,
DHURJATY@AYA.YALE.EDU
20. ANGIOGRAM OF A HEALTHY HEART
SREERAM (RAM)
DHURJATY, PHD, DHURJATY@AYA.YALE.EDU
21. SOME ENGINEERING FACTORS
EFFICIENCY OF THE PUMP
HEART MUSCLE, PARAMETERS
CONDUCTION SYSTEM
EFFICIENCY OF CONVERSION OF ENERGY
CORONORY CIRCULATION
RESISTANCE TO BLOOD FLOW
OBSTRUCTIONS
VISCOSITY OF BLOOD
DIAMETER OF VESSELS
HORMONAL FACTORS
SREERAM (RAM) DHURJATY, PHD,
DHURJATY@AYA.YALE.EDU
22. SUDDEN DEATH IN ATHLETES
CARDIOMYOPATHY AND ITS RELATION TO
EXERCISE
Hypertrophic cardiomyopathy (HCM) is a
condition in which the heart muscle
becomes thick. The thickening makes it
harder for blood to leave the heart, forcing
the heart to work harder to pump blood.
Sudden death is associated with vigorous exercise and has
occurred to some professional and collegiate athletes
Other factors, maybe the decrease in conduction velocities due to
Anaerobic metabolism leading to Arrythmias
SREERAM (RAM) DHURJATY, PHD,
DHURJATY@AYA.YALE.EDU
23. INFLUENCE DIAGRAM IN SUDDEN DEATH
SREERAM (RAM)
DHURJATY, PHD, DHURJATY@AYA.YALE.EDU