ion channels Flashcards

1
Q

electrical activity of the heart

A
  1. Varies between Regions
  2. Generates repetitive firing in pacemaker regions
  3. Propagates within myocardium and via specialized conductive pathways
  4. Trigger for contraction
  5. Can Malfunction (AV block, Arrhythmias)
  6. Measured via EKG (aka ECG)
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2
Q

Heart rate controlled by:

A

pacemaker cells in the sinoatrial node (SA node)

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3
Q

SA nodal cells fire

A

intrinsically at ~100/min. Rate modulated by ANS.

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4
Q

SA nodal cell rate is modulated by

A

ANS

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5
Q

Parasympathetic tone effect on rate?

A

slows rate to 60-80/min.

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6
Q

atrioventricular node (AV node) cell activity?

A

spontaneous activity.

but fire at lower frequency than SA nodal cells

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7
Q

AV cells are normally driven by?

This is called?

A

action potentials originating in the SA node (overdrive suppression).

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8
Q

Under abnormal circumstances, AV cells can?

A

take over initiation of the heartbeat, becoming ectopic pacemakers

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9
Q

Pumping of the heart depends upon propagation of the

A

action potential from the SA node to other regions.

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10
Q

where does SA node propagation occur?

A

both within the myocardium and via specialized conducting pathways.

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11
Q

cell to cell propagation occurs via

A

gap junctions

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12
Q

The direction of propagation is controlled by

A

gap junction position and by connective tissue “insulation” (e.g., between the atria and ventricles).

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13
Q

where is the only place where action potentials can propagate from the SA node to the ventricles?

A

The atrioventricular node (AV node)

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14
Q

Cardiac APs categories

A

fast and slow.

They vary by region

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15
Q

slow regions

A
  1. SA node

2. AV node

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16
Q

fast regions

A
  1. atrial muscle (R and L)

2. ventricular muscle (R and L)

17
Q

ion channel: direction of current flow depends on

A
  1. membrane potential (Vm)

2. ion gradient (Nernst Potential, Eion)

18
Q

If Vm<Eion, current flows

A

into cell

19
Q

If Vm>Eion, current flows

A

out of cell

20
Q

Current flowing into cell will cause

A

depolarization

21
Q

Current flowing out of cell will cause

A

hyperpolarization

22
Q

Ena is

A

+58

23
Q

Eca is

A

+124

24
Q

Ek is

A

-90

25
Q

Sodium current

A
  1. (INa) – (NaV1.5)

2. Voltage-dependent inactivation

26
Q

Calcium currents:

A
  1. ICa-L

2. ICa-T

27
Q

ICa-L

A
  1. L-type current;
  2. dihydropyridine receptor,
  3. DHPR (CaV1.2, CaV1.3)
  4. High Voltage Activated (HVA)
  5. Both voltage- and calcium-dependent inactivation
28
Q

ICa-T

A
  1. T-type current
  2. (CaV3.1, CaV3.2)
  3. Low-Voltage Activated (LVA)
  4. Voltage-dependent Inactivation
29
Q

Time-dependent potassium currents

A
  1. IKto
  2. IKr
  3. IKs