Cardiac Cycle and Sounds Flashcards

1
Q

What is the slow action potential of the cardiac AP?

A

from the SA & AV nodes

influx of Ca2+

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2
Q

How are the fast and slow APs of the cardiac AP different?

A

fast AP due to Na+ influx into atrial & ventricular myocytes while slow AP due to Ca2+ influx @ SA/AV nodes

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3
Q

At what phase is the heart @ rest? (fast AP)

What gates are closed?

A

Phase 4

voltage gated Na+, K+ & Ca2+ channels are closed

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4
Q

What is open during phase 0 of fast AP?

A

depolarization: voltage gated Na+ channels open & cell

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5
Q

What is open during phase 1 of fast AP?

A

repolarization: Na+ channels inactivate & voltage gated K+ channels open (K+ will leave)

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6
Q

What is open during phase 2 of fast AP?

A

opening of Ca2+ channels that opposes leaving of K+ so membrane potential stabilized @ more + value

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7
Q

When does repolarization complete of fast AP?

A

Phase 3 (Ca2+ channels close, K+ channels still open)

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8
Q

What occurs during phase 4 of slow AP?

A

steady depolarization b/c opening of “funny” Na+ channels

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9
Q

What controls the heart rate?

A

changing how fast the funny Na+ channels open

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10
Q

Which cardiac tissue has the greatest number of funny Na+ channels?

A

SA node (heart pacemaker that is brought to threshold the fastest)

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11
Q

What is open during phase 0 of slow AP?

A

Ca2+ channels (Ca2+ influx is slower)

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12
Q

Which phase is not present in phase 1 of slow AP?

A

Phase 1 (repolarization)

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13
Q

What is the repolarization phase of the slow AP?

A

Phase 3 (efflux of K+)

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14
Q

On a normal ECG, what does the P wave represent?

A

atrial depolarization (from SA node depolarization)

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15
Q

On a normal ECG, what does the QRS complex represent?

A

phase 0 depolarization of ventricular myocytes

cells are depolarizing b/c influx of Na+

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16
Q

On a normal ECG, what does the T wave represent?

A

ventricular repolarization (efflux of K+)

17
Q

What is the PR interval?

A

starts @ beginning of P wave & ends with start of QRS complex

time it takes for depolarization to pass from atria to ventricles via AV node

18
Q

What most directly influences the PR interval?

A

slow conduction velocity of the AV node

19
Q

What is the ST segment?

A

begins @ end of QRS complex & ends w/ start of T wave

assoc w/ phase 2 of fast AP (prolonged depolarization b/c Ca2+ influx into cell)

20
Q

What is the QR interval?

A

starts w/ QRS complex & ends @ end of T wave

total time any ventricular myocites are depolarized