The physiology of cardiac function L8 Flashcards

(42 cards)

1
Q

what is special about cardiac muscle

A

intercalated discs

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2
Q

functional muscle cells

A

myocyte

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3
Q

what is a sarcomere between

A

2 Z lines

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4
Q

what is a sarcomere made up of

A

overlapping contractile proteins myosin and actin

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5
Q

what is the thin filament made up off

A

actin

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6
Q

what is the thick filament made up off

A

myosin

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7
Q

H zone=

A

just myosin

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8
Q

I band=

A

just actin

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9
Q

A band=

A

actin and myosin

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10
Q

Myosin molecule structure=

A

long molecule, 2 heads containing ATPase, alpha helix chain with a hinge region

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11
Q

what is needed for cross bridge formation

A

hydrolysis of ATP

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12
Q

Troponin C=

A

binding site for Ca2+ ions

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13
Q

Troponin I=

A

inhibits actin and myosin coupling

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14
Q

Troponin T

A

attaches to tropomyosin

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15
Q

3 parts of troponin complex

A

TnT
TnC
TnI

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16
Q

what transmitter is released at SA and AV nodes during sympathetic stimulation

A

noradrenaline

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17
Q

what does noradrenaline bind to at SA and AV nodes

18
Q

what types of protein do B1 receptors trigger

19
Q

what is the overall result of sympathetic stimulation on the SA and AV nodes

A

Ca2+ channels open and increase speed and force of contraction

20
Q

relaxation is also called

21
Q

what does an increase in returning to resting level more quickly

A

allows contractile machinery to relax faster more time for ventricle filling

22
Q

what modulates Ca2+ binding to Tnc

A

PKA phosphoylation (increased dissociation)

23
Q

where does parasympathetic control come from

A

cardioinhibitory center cardioacceleratory

24
Q

what transmitter is used in parasympathetic control

A

acetyl choline

25
What does acetyl choline bind to
muscarinic M2 cholinergic receptors
26
what effect does acetyl choline have
hyperpolarising the cell decreasing muscle contraction
27
inotropy=
contraction of myocardium
28
lusitropy=
relaxation of myocardium
29
chromotropy=
firing of sinoatrial nerve
30
dromotropy=
conduction velocity of atrioventricular node
31
cardiac output calculation
heart rate x stroke volume
32
cardiac output=
volume of blood pumped from one ventricle each minute
33
ejection fraction=
fraction of end diastolic volume (EDV) ejected out by each ventricle/ beat
34
EDV=
end diastolic volume
35
ESV=
end systolic volume
36
stroke volume can be calculated by
EDV- ESV
37
ejection fraction calculation
stroke volume/ EDV
38
normal ejection fraction=
55%-75%
39
2 types of action potential in the heart
fast response | slow response
40
where is the fast response
cell to cell depolarisation in cardiac myocytes
41
where is the slow response
SA and AV nodes
42
what is the trigger for SA and AV nodes depolarisation
Calcium