Cardiac Cycle - Reduced Ejection (Phase 4)
Aortic and Pulmonic Valves Open; AV Valves Remain Closed
- Approximately 200 msec after the QRS and the beginning of ventricular contraction, ventricular repolarization occurs as shown by the T-wave of the electrocardiogram. Repolarization leads to a decline in ventricular active tension and pressure generation; therefore, the rate of ejection (ventricular emptying) falls. Ventricular pressure falls slightly below outflow tract pressure; however, outward flow still occurs due to kinetic (or inertial) energy of the blood.
- Left atrial and right atrial pressures gradually rise due to continued venous return from the lungs and from the systemic circulation, respectively.
Jump to other phases:
- Phase 1 - Atrial Contraction
- Phase 2 - Isovolumetric Contraction
- Phase 3 - Rapid Ejection
- Phase 5 - Isovolumetric Relaxation
- Phase 6 - Rapid Filling
- Phase 7 - Reduced Filling