CVS2 Flashcards

(18 cards)

1
Q

What are the gap junctions in cardiac muscle cells called

A

Intercalated discs

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2
Q

What is the area of the heart that contracts from one stimulation event called

A

Myocardium or functional synctium

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3
Q

What separates the atria and ventricles

A

Fibrous skeleton

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4
Q

How does the automatic rhythmicity of the sinus fibers occur

A

The SA node exhibits the degree of self excitation and inherent discharge rate

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5
Q

How does conduction of the heart occur

A

Action potential spread via intercalated discs

SA node to AV node to stimulate atrial contraction

AV node at base of right atrium and bundle of His(collection of heart muscle cells specialized for electrical conduction) conduct stimulation to ventricles

In the nterventricular septum , the bundle of His divides into right and left bundle branches

Branch bundles become Purkinje fibers , which stimulate ventricular contraction

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6
Q

Explain the excitation of nodal fibers

A

Sodium ions naturally tend to leak into sinus nodal fibers- multiple membrane channels

Membrane potential rises to a threshold voltage of -40mV the Ca2+ Na+ channels open

Ca2+ and Ana+ rapidly enter leading to the action potential

It is this inherent leakings to Na+ that causes their self excitation

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7
Q

What is the pacemaker potential

A

This slow depolarization is due to both opening of Na+ channels and closing of K+ channels. Notice that the membrane potential is never a flat line

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8
Q

What causes depolarization

A

It the influx of Ca2+ through calcium channels . Action potential begins when the pacemaker reaches threshold

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9
Q

What causes depolarization

A

It caused by inactivation of Ca2+ and Openning of K+ channels causing effluent of K+ , brings membrane potential back to its most negative voltage

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10
Q

How ask the sinoatrial node depolarize

A

Spontaneously , at a rate at which they do so can be modulated

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11
Q

Which hormones perform the sympathetic activity

A

Epinephrine and norepinephrine

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12
Q

Give the names of the two types of receptors that play a role in sympathetic activity

A

Chronotropic and ionotropic

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13
Q

What the function of chronotropic

A

Increases rate of SA node discharge via Beta 1 receptor and decreases delay of AV node - speeds up signal

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14
Q

What the function of ionotropic receptor

A

Increases in force of cardiac contractility - mainly via Beta 2 receptor increases the production of cAMP , which keeps cardiac pacemaker channels open

Speeds heart rate due to Na+ inflow

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15
Q

What do parasympathetic neurons secrete

A

Acetylcholine

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16
Q

What does the secretion of acetylcholine do

A

Open K+ channels

17
Q

What are the reasons for prolonged action potential

A

Cardiac muscle fast sodium channels as well as slow calcium channels open

The calcium-sodium channel open slower but remain open for longer . Both sodium and calcium flow in for a prolonged period causing the extended plateau phase

18
Q

How does action potential in cardiac muscles take place

A

Resting membrane potential of cardiac muscle is -85 and -90 millivolts

Ventricular membrane potential moves from -85 to +20 millivolts (over shoot