Lecture 9: Cardiac APs Flashcards

(30 cards)

1
Q

What is the circle of Willis?

A

Arteries on the brains inferior surface organised into a circle

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2
Q

What % of CO is used for kidneys?

A

20-25%

Kidneys are 0.5% of body weight - 50 fold over perfused vol/weight

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3
Q

Where is ACE made?

A

Kidney

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4
Q

Where is renin made?

A

Kidney

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5
Q

What % of adult body mass is skeletal muscle?

A

40%

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6
Q

What is isovolumic contraction?

A

When the left ventricle is contracting but its pressure is below that of the aorta

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7
Q

What is isovolumic relaxation?

A

When the LV is relaxing and its pressure falls below aortic pressure

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8
Q

Which valve opens at the end of IVC?

A

Aortic

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9
Q

Which valve opens at the end of IVR?

A

Mitral

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10
Q

Which valve closes at the beginning of IVC?

A

Mitral

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11
Q

Which valve closes at the beginning of IVR?

A

Aortic

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12
Q

What valve pathology causes decrease in preload and decrease in afterload?

A

Mitral stenosis

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13
Q

What valve pathology causes increase in afterload?

A

Aortic stenosis

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14
Q

What valve pathology causes increase in preload and decrease in afterload?

A

Mitral regurgitation

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15
Q

What valve pathology causes increase in preload?

A

Aortic regurgitation

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16
Q

When do delayed rectifier K+ channels open?

A

When the membrane depolarises

17
Q

When do inward rectifier K+ channels open?

A

When the Vm goes below -60mV
(more open when the cells are at rest)

Anchors near Ek

18
Q

What voltage is the threshold for an AP?

19
Q

At what voltage do the Na channels close?

20
Q

What is the difference between the after-hyperpolarisation and the refractory period?

A

After-hyperpolarisation = description of the membrane voltage

Hyperpolarisation = description of the cells functional state

21
Q

What happens to permeability during AHP?

A

Increases K+ permeability and decreases Na+ permeability

22
Q

What is the duration of a ventricular myocyte AP?

A

up to 500ms

Vary in duration and size - long refractory period so no tetany

23
Q

What is the duration of a neural AP?

24
Q

What causes the upstroke of the AP in SA node and AV node?

A

Ca (not Na like in ventricular myocytes)

25
What causes the instability of the resting potential of SA node?
Lack of inward rectifiers
26
What determines the rate of AP firing in the SA node or AV node?
Slope of the pacemaker potential
27
What type of channel is the If channel?
HCN
28
When does If current increase?
During hyperpolarisation Leads to net inward current
29
What effect does a Na channel block have on the heart?
Reduced conduction velocity No effect on HR
30
What effect does a Ca channel block have on the heart?
Decreased heart rate and decreased contractile force