B3.2.16 (HL)—Cardiac cycle stages

The cardiac cycle coordinates diastole, atrial systole, ventricular systole, valve movements and electrical conduction to produce one-way blood flow continuously.

Syllabus
First assessment 2025
Objective
B3.2.16
Level
HL

Exam analysis

Chance of appearing8%of analysed past papers
Latest appearanceNovember 2024
Most common paperPaper1
Typical marks1–4

Common command terms

  • Identify
  • State
  • Label
  • Outline
  • Describe
  • Explain

Scoring notes

Common mistake
Describing blood flow without linking it to chamber contraction or pressure changes.

Recent exam appearances

November 2024Paper3 ["HL"] · TZ022(a)[ 1 ]B3.2.16 (HL)—Cardiac cycle stages
May 2023Paper2 ["HL"] · TZ26(b)[ 4 ]B3.2.16 (HL)—Cardiac cycle stages
November 2021Paper1 ["HL"] · TZ024[ 1 ]B3.2.16 (HL)—Cardiac cycle stages
May 2019Paper1 ["HL"] · TZ229[ 1 ]B3.2.16 (HL)—Cardiac cycle stages
May 2018Paper1 ["HL"] · TZ232[ 1 ]B3.2.16 (HL)—Cardiac cycle stages
Practice this objective

Coverage 2013–2024 · Updated 15 Jul 2026

The Cardiac Cycle Alternates Filling and Ejection

HL only

The cardiac cycle is a pressure-driven sequence initiated by the sinoatrial node: atrial systole, ventricular systole and diastolic refilling.

The SAN excitation spreads across atria, causing atrial systole. After a conduction delay, ventricles contract; left ventricular pressure closes the AV valve and then opens the aortic semilunar valve when it exceeds aortic pressure.

As ventricles relax, pressure falls, semilunar valves close and the AV valves reopen when atrial pressure exceeds ventricular pressure. During diastole the chambers refill before the next SAN impulse.

Systolic arterial pressure is the peak reached during ventricular ejection; diastolic pressure is the lower arterial pressure during ventricular relaxation. A reading is reported systolic over diastolic in mmHg.

Systole and diastole must be assigned to a chamber: atrial and ventricular systole are offset. Valve movements follow pressure gradients rather than causing the pressure changes.

Cardiac cycle stages

HL only

Assessment in practice

1–2 marks
How it is assessed

This objective is assessed through essay response, commonly using Identify / State / Label.

Command terms

Identify / State / Label / Outline / Describe / Explain

What earns marks

Build the answer around this relationship: The SA node initiates the heartbeat and atrial contraction.

Watch for

Describing blood flow without linking it to chamber contraction or pressure changes.

Representative question

Question 1

[Maximum number: 6]

Explain the events of the cardiac cycle, including the heart sounds.

Pressure, Heart, Lymph, And Phloem

HL only

HL transport adds pressure and route systems. Tissue fluid forms by capillary pressure and returns by osmotic pull or lymph. Double circulation separates pulmonary and systemic routes. The heart creates directional pressure with chambers, septum, valves, and cycle timing. Plants add root pressure and phloem pressure-flow translocation.

  • Tissue fluid: hydrostatic pressure out, osmotic pull back, lymph drains excess.
  • Heart: double circulation, one-way valves, thick left ventricle, cardiac cycle sequence.
  • Plant HL: root pressure by active ion loading and osmosis; phloem by source-to-sink pressure flow.

Concept essentials

  • The SA node initiates the heartbeat and atrial contraction.
  • The AV node delays the impulse before ventricular contraction.
  • Atrioventricular valves close when ventricular pressure exceeds atrial pressure.
  • Semilunar valves open when ventricular pressure exceeds arterial pressure.
  • Heart sounds are linked to valve closure during the cardiac cycle.