Lecture 6: Cardiac Muscle Flashcards

(33 cards)

0
Q

What are the AV valves?

A

Tricuspid & Mitral (bicuspid)

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1
Q

What are the Semi-lunar valves?

A

Pulmonary & Aortic

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2
Q

What are the main differences of cardiac muscle compared to skeletal muscle

A
Mononucleated
Central nuclei
Syncytium
Intercalated discs
Branching of cells
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3
Q

What are Purkinje Fibers

A

Cardiac muscle fibers that do not contract, but exhibit an action potential (act as nerves in the heart)

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5
Q

What are the characteristics of “Fast” cardiac action potentials

A

Found in atria, ventricles, and purkinje fibers (conduction system)
Very rapid, but non-contractile in purkinje fibers
Rapid and contractile in atria and ventricles
High amplitude (100mV)

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6
Q

What are the characteristics of “slow” cardiac action potentials?

A

Found in SA and AV nodal tissue
Conduce slowly
Automatically depolarize during resting phase
Low amplitude (60mV)

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7
Q

What are the phases of fast cardiac action potentials?

A
Phase 4- Resting phase
Phase 0- Depolarization phase
Phase 1- Initial repolarization phase
Phase 2- Plateau
Phase 3- Final repolarization
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8
Q

Which ions cause the fast cardiac action potentials?

A

Ca++
Na+
K+

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9
Q

How is the action potential reached in slow cardiac muscle potentials?

A

Slow Ca++ leak into the cell causes the cell to slowly reach its threshold and spontaneously depolarize

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10
Q

What type of muscle cells are fast type, contractile myocytes?

A

Atrial/Ventricle

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11
Q

What type of muscle cells are fast type, non-contractile myocytes?

A

Purkinje Fibers

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12
Q

What type of muscle cells are slow type, non-contractile myocytes?

A

SA/AV nodal tissue

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13
Q

What is the action potential in a ventricular fiber cause by?

A

Opening of fast Na+ channels and slow Ca++/Na+ channels

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14
Q

What causes the release of Ca++ from RyRs channels of SR in the cell?

A

Influx of Ca++ from the extracellular area through the DHP (L-type) receptor

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15
Q

Absolute Refractory

A

Period in which it is impossible to generate another action potential

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16
Q

Relative Refractory

A

Period in which a stronger than normal stimulus can generate an action potential

17
Q

What is considered the pacemaker of the heart, and why?

A

SA node b/c it depolarizes quicker than other spontaneous fibers in the heart

18
Q

What causes the plateau in cardiac muscle cells?

A

The large concentration of K+ and Ca++ due to the Ca++ channels staying open longer than the Na+ channels and the K+ having a delayed opening upon depolarization

19
Q

At what point of the heart beat does SERCA act?

A

During Diastole

20
Q

What does the Na+/Ca++ exchanger in the sarcolemma do?

A

Transports Ca++ out of the cell

21
Q

How much blood goes from atria—>ventricle prior to contraction? How much during contraction?

A

~80% prior to contraction

~20% during contraction

22
Q

Are the AV valves closed during systole or diastole?

23
Q

What is isometric/isovolumic contraction?

A

When the ventricles contract but the semilunar valves do not open for 0.02-0.03 seconds

24
Q

What is the period of rapid ejection?

A

When left ventricular pressure reaches just above 80mmHg and right ventricular pressure is just above 8mmHg…this causes the Semilunar valves to open and about 70% of blood to be ejected

25
What is the period of slow ejection?
Occurs during the last 2/3 of systole...when the remaining 30% of blood is ejected from the ventricles
26
Frank-Starling Law
The greater the heart muscle is stretched during filling, the greater the force of contraction and the greater the quantity of blood pumped into the aorta
27
What are EDV, ESV, & SV and how do you calculate ejection fraction?
EDV- End Diastolic Volume ESV- End Systolic Volume SV- Stroke Volume Ejection Fraction- SV/EDV
28
How can you increase SV?
Increasing EDV or decreasing ESV
29
How does blood flow in the proximal aorta?
It is phasic (moves up and down) and ranges from 120cm/s (during systole) to negative value before aortic valves close in diastole
30
How does blood flow in the distal aorta and arteries?
Velocity is greater in systole than diastole | Forward flow is continuous b/c of elasticity of vessel walls
31
What does the Vagus nerve control on the heart?
Parasympathetic activity of the SA/AV nodes
32
As sympathetic stimulation is increased...
Right atrial pressure also increases
33
What are the main characteristics of Cardiac muscle compared to skeletal?
``` T-tubules along Z-disc, form diads Less extensive SR, fewer RyRs channels Form syncytium (no motor unit arrangement) ```