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SREERAM (RAM) DHURJATY, PHD,
     DHURJATY@AYA.YALE.EDU
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
Basic Pump
     Volume delivered/stroke
     = V-VR
     VR /V is called the ejection fraction




                       SREERAM (RAM)
DHURJATY, PHD, DHURJATY@AYA.YALE.EDU
FIRST MATH SLIDE




             SREERAM (RAM) DHURJATY, PHD,
                  DHURJATY@AYA.YALE.EDU
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
Coupled pumps: both pumps are actuated at the same time




                                                    SREERAM (RAM)
                             DHURJATY, PHD, DHURJATY@AYA.YALE.EDU
OVERVIEW O9F THE CARDIOVASCULAR SYSTEM




                       SREERAM (RAM) DHURJATY, PHD,
                            DHURJATY@AYA.YALE.EDU
70 ML/ BEAT PER VENTRICLE




SREERAM (RAM) DHURJATY, PHD,
     DHURJATY@AYA.YALE.EDU
SREERAM (RAM)
DHURJATY, PHD, DHURJATY@AYA.YALE.EDU
MAJOR TYPES OF BLOOD VESSELS




                       SREERAM (RAM) DHURJATY, PHD,
                            DHURJATY@AYA.YALE.EDU
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
P




What happens to the pressure, P, if the balloon is encased in Jello?




                                            SREERAM (RAM)
                     DHURJATY, PHD, DHURJATY@AYA.YALE.EDU
SREERAM (RAM) DHURJATY, PHD,
     DHURJATY@AYA.YALE.EDU
ASYNCHRONOUS PUMPING




                                   SREERAM (RAM)
            DHURJATY, PHD, DHURJATY@AYA.YALE.EDU
SREERAM (RAM) DHURJATY, PHD,
     DHURJATY@AYA.YALE.EDU
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
CONDUCTION SYSTEM OF THE HEART




                       SREERAM (RAM) DHURJATY, PHD,
                            DHURJATY@AYA.YALE.EDU
SREERAM (RAM) DHURJATY, PHD,
     DHURJATY@AYA.YALE.EDU
CORONORY CIRCULATION




                                SREERAM (RAM)
         DHURJATY, PHD, DHURJATY@AYA.YALE.EDU
ANGIOGRAM OF A HEALTHY HEART




                                         SREERAM (RAM)
                  DHURJATY, PHD, DHURJATY@AYA.YALE.EDU
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
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
INFLUENCE DIAGRAM IN SUDDEN DEATH




                                         SREERAM (RAM)
                  DHURJATY, PHD, DHURJATY@AYA.YALE.EDU

More Related Content

The human heart

  • 1. SREERAM (RAM) DHURJATY, PHD, DHURJATY@AYA.YALE.EDU
  • 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
  • 8. 70 ML/ BEAT PER VENTRICLE SREERAM (RAM) DHURJATY, PHD, DHURJATY@AYA.YALE.EDU
  • 9. 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
  • 13. SREERAM (RAM) DHURJATY, PHD, DHURJATY@AYA.YALE.EDU
  • 14. ASYNCHRONOUS PUMPING SREERAM (RAM) DHURJATY, PHD, DHURJATY@AYA.YALE.EDU
  • 15. 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
  • 18. SREERAM (RAM) DHURJATY, PHD, DHURJATY@AYA.YALE.EDU
  • 19. CORONORY CIRCULATION 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