cardiac AP 1: ventricular muscle Flashcards

(35 cards)

1
Q

what is cardiac muscle contraction triggered by

A

action potential at the membrane plasma (sarcolemma)

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2
Q

where does electrical excitation originate from

A

SAN and spreads throigh atria and ventricles

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3
Q

what separates electrical charge

A

plasma membrane of cells

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4
Q

what sets up a membrane potential

A

an uneven distribution of ions

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5
Q

what determines the uneven distribution of ion

A

fx of ions pumps

ion exchangers

ion channels

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6
Q

what are the main ions in the modulation of membrane potential

A

calcium

potassium

sodium

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7
Q

at rest what channels are closed

A

sodium

calcium

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8
Q

how does potassium leak out durin rest

A

through inward rectifier k+ channels

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9
Q

what does the inward rectifier k+ channels generate

A

it generates -90mV current

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10
Q

how long is an AP duration

A

~250-300msec

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11
Q

what occurs during upstroke of graph

A

sodium influx

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12
Q

what happens during plateau

A

calcium influx

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13
Q

what occurs doing repolarisation

A

potassium efflux

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14
Q

what is refractory period

A

electrically inexcitable period

  • no summation of contractions
  • no tetanic contractions
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15
Q

what occurs during refractory period

A

permits filling of the ventricles between contractions

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16
Q

ventricular AP has how many phases

17
Q

what happens at phase 0 (4)

A

action potential reaches adjacent myocyte

depolarisation begins

fast sodium channels open beyond their threshold of -65mV but inactivates rapidly

*channels are voltage dependent & tome dependent

sodium drive the mb potential in a positive direction, generates overshoot

18
Q

when fast sodium channels are in inactivated confoguration, what occurs

A

refractory period

*AP cannot be triggered in inactive state

19
Q

what occurs during phase 1

A

brief period of repolarisation caused by transient outward current

20
Q

how are currrnt in phase 1 carried

A

thru voltage gated potassium chanels

they are activated by depolarisation and inactivate quickly

21
Q

what occurs during phase 2

A

a plateau period with inward current thru voltage gated calcium channels called L type calcium channels

L= long opening

inward current counterbalanced the small K+ efflux that occurs throughout the AP

22
Q

what occurs during phase 3

A

plateau period progresses K+ efflux increases due to opening of voltage dependent K+ chanels

known as delayed rectifier or slow K+ channels (Kv or Ks)

when repolarisation occurs Kir reopen to complete repolarisation and Kv (or Ks) are closed when resting Vm is reached

23
Q

what occurs in phase 4

A

75-90% of rasied calcium in the cytosol is pumped to SR via calcium ATPase

remainder is extruded from the cel mainly by 3Na+/Ca2+ exchangers with a small contribution from sarcolemmal Ca2+ ATPase

inward background current reduces Vm

24
Q

what does removal of ca2+ from ECF do

A

prevent contraction

25
why removal of ca2+ prevent contraction
because no calcium entry to trigger calcium-induced calcium release from the sarcoplasmic reticulum no long plateau phase in AP
26
adrenergic stimulation of cardiac myocytes leads to increase in i(Ca). what does this do
increases contractility
27
L type calcium are blocked by antagonist such as
verapamil diltiazem
28
what do L type ca2+ antagonist do
reduce plateau duration and cardiac contractility
29
restong membrane potential is established by
k+ efflux small background of na+ influx
30
what determines the form of AP
magnitude direction time of na+ ca2+ and k+
31
what does prolonged AP provide
extended refractory period
32
what does extended refractory period do
avoids tetanic contraction
33
AP is influenced bu
autonomic nerves
34
what does shorter duration of AP do
allows more AP to occur per minute
35
brief current of repolarisation in phase 1 has contribution from
Cl- influx thru Cl- channels