Electrical activity in the heart Flashcards

1
Q

define automaticity

A

cells that can spontaneously generate action potentials

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2
Q

what is AVN

A

route where action potential can pass from atrium to ventricles
- electricity can only pass through here (insulation)

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3
Q

what is SAN

A

most excitable cells in the heart

  • cells become depolarised
  • they have the least negative RMP
  • have the largest pacemaker current
  • threshold is the most negative (-30mV)
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4
Q

what is the pacemaker current

A

time it takes to go from resting potential to action potential

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5
Q

what do all excitable cells have

A

all excitable cells have a refractory period

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6
Q

what is a refractory period

A

period during which cell can’t be excited again

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7
Q

describe how fast electrical events are in comparison to mechanical events

A

electrical events are faster than mechanical events

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8
Q

why are action potentials different

A

because there are different ion channels in the membranes of these cells

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9
Q

give an example of a pacemaker and what it is targeted by

A
  • cyclic nucleotide gated channel
  • targeted by Ivabradine (used for treatment of angina)
  • allows Na+ ions into cell
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10
Q

what is the role of verapamil and diltiazem

A
  1. block L type ca2+ current

2. verapamil reduces cardiac output

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11
Q

what is the range of intracellular and extracellular Na

A
Extracellular= 135-145mM
intracellular= 5mM
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12
Q

what is the range of intracellular and extracellular Ca2+

A
extracellular= 2mM
Intracellular= 1um
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13
Q

what is the range of intracellular and extracellular K+

A
Extracellular= 3.5-5mM 
Intracellular= 140mM
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14
Q

what do gap junctions allow and what are the proteins involved

A

gap junctions allow electricity/action potential to pass through
- connexins are the proteins that form gap junctions

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15
Q

what is an electrocardiogram

A

measures changes in the membrane potential of cells in the heart
- doesn’t measure mechanical changes

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16
Q

what is the QRS complex

A

due to the depolarisation/excitation of ventricles

- represents spread of stimulus through ventricles

17
Q

what does the T wave represent

A

depolarisation of ventricles

18
Q

what does the P wave represent

A

electrical depolarisation of atria

19
Q

what must be noted when conducting an electrocardiogram

A
  1. lead must be between a positive and negative charge
    - reference point between electrode
  2. the more leads, the greater the detection