Physiology · Cardiac Physiology (Cycle, Output, ECG, Electrophysiology)

The dicrotic notch (incisura) seen on the aortic pressure tracing is produced by:

  • A Closure of the mitral valve
  • B Opening of the aortic valve
  • C Atrial contraction
  • D Closure of the aortic valve
Correct answer: D. Closure of the aortic valve

Explanation

The dicrotic notch on the aortic pressure curve marks aortic valve closure at the end of ventricular ejection: a brief backflow of blood toward the valve is followed by elastic recoil of the aorta. Mitral valve closure contributes to the first heart sound, not the aortic incisura.

Reference: Guyton & Hall, Textbook of Medical Physiology, 14th ed.

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