Week 16: (A) The origin of cardiac electrical activity Flashcards

1
Q

What is autorhythmicity?

A

The heart contracting rhythmically as a result if its own AP

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2
Q

What are the 2 specialised types of cardiac cell?

A

1) contractile cells (99%)

2) auto-rhythmic cells

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3
Q

What type of specialised cardiac cell do not contract but do initiate or conduct APs?

A

auto-rhythmic cells

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4
Q

Do autorhythmic cells display pacemaker activity?

A

YES

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5
Q

What is pacemaker potential?

A

-Cell membrane’s slow drift to threshold slow, –Positive increase in voltage across the cell’s membrane

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6
Q

Do auto-rhythmic cells initiate APs without any nervous stimulation?

A

YES no nervous stimulation

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7
Q

Where are the 4 locations of the non-contractile cells that demonstrate auto-rhythmically?

A

1) The sinoatrial node (SA node)
2) The atrioventricular node (AV node)
3) The bundle of His (atrioventricular bundle)
4) Purkinje fibres

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8
Q

What is the normal pacemaker of the heart?

A

sino atrial node

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9
Q

How are the cells of the heart linked?

A

electrically

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10
Q

What cell generates the fastest AP in the heart?

A
SA node (pacemaker) 
70-80 AP/min
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11
Q

What cell generates the 2nd fastest AP in the heart?

A

AV node (40-60 AP/min)

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12
Q

What cell generates the slowest rate of AP in the heart?

A

bundle of His and purkinje fibres (20-40 AP/min)

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13
Q

What would take over. if the SA node became inactive?

A

AV node

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14
Q

What is the rate of AP discharge in the atrial and ventricular myocardium?

A

0 APs per min normally

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15
Q

What can alter SA node discharge frequency?

A

para and sympathetic stimulation

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16
Q

What controls heart rate?

A

SA node

17
Q

What node forms the only conducting pathway between the atrial muscle and bundle of His?

A

AV node

18
Q

Why dies the AV node induce considerable delay to spread of excitation?

A

~100ms

allows time for blood to move from the atria to the ventricles