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Flashcards in 093014 electrophysiology Deck (28):
1

in non pacemaker cells of heart, what is responsible for the rapid upstroke of the action potential?

sodium entry-phase zero

2

calcium enters cell through calcium channel during what phase of muscle cell AP?

2

3

what contributes to the resting potential (phase 4) of nonpacemaker cells?

potassium

4

funny channel or HCN is activated during when

hyperpolarization in pacemaker cell--turned on by repolarization of membrane potential and you get increase in sodium conductance

5

after the inactivation gate on a sodium channel closes, what enables the activation gate to close and the inactivation gate to reopen again?

repolarization-as high negative membrane voltages are reachieved

6

resting potential of cardiac muscle cell is determined by

balance btwn concentration gradient and electrostatic forces for potassium b/c only potassium channels are open at rest

7

equilibrium potential of cardiomyocyte

-90mV

8

what is the major current passing through gap jxn in cardiomyoctyes?

Na+ current--spreads depolarization to neighboring cells

9

what contributes to the electrical delay btwn SA and AV nodes?

slower spread of depolarization by Ca2+ to neighboring cells

10

what can decreases pacemaker rate and slow conduction rate through AV node?

G protein activated K+ current (an inward K+ current mediated by GIRK K+ channels and regulated by acetycholine)

11

when is the If channel activated?

by hyperpolarization during phase 3 in pacemaker

12

delayed rectifier channels

allow potassium to flow out of cell and causes you to see the repolarization in phase 3 of cardiac cell AP

13

why is the SA node the dominant pacemaker?

because its cells have the fastest intrinsic spontaneous depolarization. normal resting rate sinus rhythm of 60-100 bpm

14

when does calcium influx occur in pacemaker action potential?

phase zero-once Na+ allows for reaching of threshold

15

why is upstroke of phase zero less rapid than in nonpacemaker cells?

because the current represents calcium influx through the relatively slow calcium channels

16

speed of action potential upstroke divides cardiac cells into two types

slow response cells (SA, AV nodal cells)
fast response cells (atrial and ventricular myocytes, Purkinje cells)

17

compare conduction velocities for fast response and slow response cells in heart

slow response has slow conduction velocity
fast response has faster conduction velocity

18

resting membrane potential of slow response cell

-40 to -70 mV

19

what causes spontaneous depolarization in SA node?

pacemaker channels (HCN channels)

these channels are modulated by ANS (Ach activates Gi inhibitory unit, so suppresses cAMP, so slow down or close off the channel)

20

Ito K+ channel

for early outward K+ current in atrial and ventricular cells. contributes to phase 1

21

effect of Ach on SA node

decreases If current, reducing steepness of phase 4

opens GIRK channels, increasing K+ conductance and making the diastolic potential more negative

reduces calcium current, reducing the steepness of phase zero and moves threshold to more positive value

22

norepinephrine effect on heart

increases calcium current, increases calcium influx, increases ca induced ca release from SR--so INOTROPIC EFFECT

increase If, increases ICa

23

mechanisms for altering heart rate

decrease rate of depolarization
decreas maximum diastolic potential
decrease calcium channel activity-changes upstroke of phase zero

24

effect of beta adrenergic/cholinergic on SA node

conduction velocity
pacemaker rate

25

cholinergics have little effect on what part of the heart?

atrial and ventricular muscle

26

effect of resting potential on speed of depolarization in muscle cardiac cell

if you have more inactivated sodium channels (so higher resting potential), then you have have a slower speed of depolarization

27

calcium channel blockers do what

decrease contractility of heart muscle

decrease entry of calcium and delay depoloarization of SA and AV nodal cells

28

beta blockers do what

prevent calcium entry into the cell--decreases heart rate, conduction velocity and strength of contraction