Module 8 ML-4 Flashcards

1
Q

SA node

A

-where AP begins
-true pacemaker because it reaches threshold first

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2
Q

What is located at the bottom of the right atrium?

A

AV node

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3
Q

What is the purpose of the AV node

A

it is the only electrical connection between the atria and ventricles; it slows down the AP propagation

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4
Q

How does the AV node slow down the propagation

A

Cells are in a chain and there is less ion channel density

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5
Q

What makes AP propagate faster?

A

Bundle of His, bundle branches, and Purkinje fibers

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6
Q

What is the purpose of the bundle of his, bundle branches, and purkinje fibers

A

Make sure the mass is excited at the same time

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7
Q

What is located on the right side of the hear

A

Superior vena cava, SA node, AV node, right bundle branch, bundle of his, RV,, purkinje fibers, inferior vena cava

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8
Q

What is located on the left side of the heart?

A

Left atrium, left ventricle, left bundle branch

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9
Q

What is the conduction pathway steps

A
  • SA node
    -Atrial contractile cells
    -AV node
    -bundle of his
    -bundle branches
    -purkinje fibers
    -ventricular contractile cells
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10
Q

Ventricular contractile cells

A

-these do the work
- all cells are connected by gap junctions

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11
Q

Implications of gap junctions/electrical syncytium

A

-one cell starts each AP (heartbeat)
-one diseased cell can cause fatal arrhythmia
-artifical pacemakers are possible to install
-no recruitment for strong heartbeats; every cell contracts with every heartbeat

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12
Q

P wave

A

represents atrial depolarization (SA node gets to threshold and triggers)

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13
Q

Why is there a flat line following the ECG tracing

A

AV node is too small to show anything on the ECG

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14
Q

What does the QRS complex represent

A

ventricular depolarization

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15
Q

Ventricular depolarization begins with

A

atrial relaxation and ends with excitation of both ventricles

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16
Q

Q

A

interventricular septum is being depolarized by bundle branches

17
Q

R

A

ventricular walls excite

18
Q

S

A

excitation of the base

19
Q

Why is there no ECG record of atrial repolarization

A

it is overwhelmed by the QRS signal

20
Q

T wave

A

ventricular repolarization

21
Q

Ventricular excitation

A

systole (contraction of ventricles)

22
Q

Ventricular relaxation

A

relaxation of the myocardium and ventricles can be filled with blood