D4 The heart Flashcards

1
Q

what is cardiac muscle?

A

striated muscle found in the wall of the heart

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what is the structure of the cardiac muscle

A
  • thick and thin muscle fibres with myofibrils
  • cell nuclei in centre
  • rich in mitochondria and glycogen granules
  • “all or none” effect – once activated, max contraction
  • long refractory period (cannot contract again)
  • intercalated discs
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

how does the cardiac muscle structure ensure that the contraction/systole of the heart is seperated by a rest/diastole

A

long refractory period of cardiac muscle = cannot contract for a second time

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

in cardiac muscle structure: what are intercalated discs?

A
  • transverse cross-bands
  • attachment site between cardiac muscle cells
  • contain adhering junctions (gap junctions – arrays of densely packed protein channels that permit intercellular passage of ions and small molecules)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what do intercalated discs do? (cardiac muscle)

A
  • allows communication between cells
  • allows electrical impulses to pass rapidly from cell to cell, so the linked cells contract almost simultaneously
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what are gap junctions (cardiac muscle)

A
  • arrays of densely packed protein channels that permit intercellular passage of ions and small molecules
  • electrical activation of the heart requires cell-cell transfer of current thru these
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

4 similarities between cardiac muscle and skeletal muscle

A
  1. SARCOLEMMA (a membrane that surrounds and encloses muscle fibres) + from which transverse tubules tunnel in and around sarcomeres
  2. SARCOPLASMIC RECTICULUM – modified form of ER
  3. STRIATED in appearance + similar arrangement of actin and myosin filaments
  4. all muscle tissue consists of FIBRES that can SHORTEN by a HALF to a THIRD of their length
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

differences between cardiac muscles and skeletal muscle 7

A
  1. C much shorter and wider than S
    *2. C have a single nucleus, S multicellular
  2. C are branching and joined end to end in a complex 3D network, ?
    *4.C many mitochondria, makes up more of cell vol vs S
  3. C have transverse tubular system consistings of wider invaginations of the cell surface than S (C more abundant branching sarcoplasmic recticulum)
    *6. C contract even in absence of stimulation by a nerve, not voluntary (unlike S)
  4. C is unique to heart (unlike S)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

how does the structure of cardiac muslce cells (CMC) allow for propogation of stimuli throughout the heart wall 4

A
  1. intercalated discs at junctions between CMC
  2. direct electrical coupling between cells – allows waves of depolarisation to pass thru – syncing contraction of the muscle (As if in a single cell)
  3. cardiac muscle fibres form an interconnected network
  4. CSC network of walls of atria – seperate from that of ventricles = transmission delay
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

define the cardiac cycle

A

The sequence of events of a heartbeat, by which blood is pumped around the body.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

two stages of cardiac cycle

A
  1. systole – contraction of heart muscle
  2. diastole – relaxation of heart muscle
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what is a myogenic activity, and how is the heart an example

A
  • no need for nerve stimulus
  • heart beats rhythmically throughout life without need to be stimulated by and external nerve
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what triggers heartbeats in hearts (they are myogenic!) and how

A

the sinoatrial node/’pacemaker’
- a network of specialised, self-excitable cardiac muscle fibres
- located in the right atrial wall
- each elec charge is propped thru the network of muscle fibres in both atria walls (via gap junctions in the intercalated discs)
- muscle of both atrial walls contract simultaneously (atrial systole)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what is the function of the atrioventricular node

A

picks up the signal originating from the SAN (it cannot pass directly from the atria to the ventricles)
- at the base of right atrium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

why is there a delay at the atriovetricular node (Essentially AV node structure vs SA node structure)

A
  • cells of AV node take longer to get excited than the SA node
  • smaller diameter of AV cells = slowing conduction results
  • fewer sodium ion channels in membranes of AV + more negative resting potential
  • fewer gap junctions in intercalated discs in AV
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what is the purpose of the delay of transmission in the AV node

A
  • gives atria time to contract fully (= more blood to ventricles)
  • prevents atria and ventricles from contracting simultaneously
17
Q

very long but coordination of the heartbeat full prose

A
  1. The beat of the heart is initiated in the sinoatrial node (SA)
  2. Signals from the sinoatrial node that cause contraction cannot
    pass directly from atria to ventricles. Instead the impulse spreads along the atria to the atrioventricular node (AV), from where it spreads to the ventricle. There is a delay between the arrival and passing on of a stimulus at the atrioventricular node. This delay allows time for atrial systole before the atrioventricular (tricuspid and bicuspid or mitral) valves close. Thebloodthereforeleavestheatriatotheventricleswhenthe atrial systole occurs.
  3. The blood is now in the ventricles and the atrioventricular valves are closed. In the interventricular walls there are specialised fibres grouped to form a bundle called Bundle of His. This bundle splits into two branches that go to the left and right ventricles, leading to other specialised cells called Purkinje fibres.
  4. Conducting fibres ensure coordinated contraction of the entire ventricle wall. The ventricules contract. Blood then flows out of the heart as the semilunar (pulmonary and aortic) valves open and give access to the aorta and pulmonary artery.
  5. The heart is now relaxed.
18
Q

outline contraction of ventricle wall (involving conducting fibres)

A
  1. From the atrioventricular node, a bundle of fibres (the AV bundle) conducts the signal into the ventricles
    to a point where it splits into right and left branches.
  2. Purkinje fibres deliver the signal to the base of each ventricle via conducting fibres – these ensure coordinated contraction of entire ventricle walls (ventricular systole)
19
Q

how do conducting fibres speed up contraction of ventricular walls

A

○ large diameter
○ numerous voltage-gated sodium ion channels
○ well supplied with mitochondria + glycogen store – provides direct source of glucose for respiration