Lecture 26 10/19/23 Flashcards

(34 cards)

1
Q

What does each cardiomyocyte contain?

A

bundles of myofibrils enclosed by the sarcolemma

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2
Q

Why do myofibrils have a striated appearance?

A

repeated pattern of sarcomeres

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3
Q

What are sarcomeres?

A

functional units of myocardial contraction

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4
Q

What are the characteristics of sarcomeres?

A

-bounded by Z lines
-actin and myosin filaments form A and I bands
-contraction pulls Z bands together and shortens muscle

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5
Q

What are the functionally important proteins in a sarcomere?

A

-actin
-myosin
-tropomyosin
-troponin

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6
Q

What are cytoskeletal proteins important for?

A

force transmission

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7
Q

What three molecules make up the troponin complex?

A

-troponin-I
-troponin-C
-troponin-T

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8
Q

What are the characteristics of the sarcoplasmic reticulum and T tubule structure?

A

-surrounds contractile elements
-T-system open to extracellular environment
-tubules extend into cells to increase sarcolemma surface area
-SR stores intracellular calcium

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9
Q

What initiates contraction?

A

Ca2+ binding to troponin-C

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10
Q

What structure connects individual myocytes?

A

intercalated discs

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11
Q

What happens in excitation-reaction coupling?

A

-Ca2+ binds troponin-C
-tropomyosin-actin complex undergoes conformational change
-myosin can now bind to actin

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12
Q

What is the function of ATP?

A

provides the energy needed for myosin head to move and shorten myofibril

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13
Q

What impacts the contractility/velocity of shortening?

A

intracellular calcium concentration

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14
Q

What is calcium-induced calcium release?

A

small amount of calcium enters cell and triggers release of larger quantity from SR

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15
Q

What are the general steps of excitation-contraction coupling?

A

-AP and Ca influx
-Ca-induced Ca release
-Ca binding troponin
-actin-myosin interaction
-removal of cytosolic Ca

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16
Q

What are the characteristics of the mechanical activity of the heart?

A

-initiated by electrical activity
-cyclic

17
Q

What is systole?

18
Q

What is diastole?

19
Q

What are the phases of the cardiac cycle?

A

-early diastolic filling
-diastasis
-atrial contraction
-isovolumic contraction
-AV valve closure/S1
-ejection
-semilunar valve closure/S2
-isovolumic relaxation

20
Q

What do S1 and S2 mark?

A

the beginning and end of systole

21
Q

Which sound is AV valve closure/S1?

22
Q

Which sound is semilunar valve closure/S2?

23
Q

What does pressure in the CV system depend on?

A

-anatomical site
-phase of the cardiac cycle?

24
Q

What is preload?

A

the force that stretches the muscle prior to contraction

25
How is preload approximated?
end-diastolic volume or wall stress
26
How does preload impact contraction?
increased preload = increased force of contraction
27
What is afterload?
forces that oppose myocardial shortening (velocity and extent)
28
How is afterload approximated?
wall stress
29
What is contractility?
-load-independent potential to do work -intrinsic strength of the myocardium
30
How does contractility impact stroke volume?
increased contractility = increased stroke volume
31
What is the length-tension relationship?
stretch optimizes actin-myosin interaction
32
What is diastolic function?
ability of ventricle to fill at low pressure
33
What does diastolic function depend on?
myocardial relaxation -ventricular compliance
34
What is compliance?
volume/pressure relationship