4 Electrical and Molecular Mechanisms in the heart and vasculature Flashcards

1
Q

At rest what ion are cardiac myocytes mainly permeable too?

A

Potassium ions

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2
Q

Why is the RMP of the cardiac myocyte not the same as EK?

A

EK= -95
RMP = - 90mV to -85mV
The difference the membrane having a very small permeability to other ion species at rest

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3
Q

What are different phases of a ventricular action potential?

A

4 - RMP due to background potassium ions
0 - Upstroke due to opening of voltage gated sodium channels and sodium influx
1 - initial repolarization due to potassium channels opening
2 - plateau due to opening of calcium channels and balancing of currents
3 - Repolarization due to efflux of potassium ion through voltage gates potassium channels and others

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4
Q

Draw the ventricular action potential

A

Good work

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5
Q

Draw the SA node action potential

A

Niceee

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6
Q

What is the name for the initial slope to threshold on the SA node action potential?

A

The funny current

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7
Q

Talk to me about the funny current

A
  • activated at membrane potentials more negative than 50mV
  • the more negative the more active it is
  • due to HCN channels
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8
Q

What is the full name of the funny current channels

A

Hyperpolarisation activated cyclic nucleotide gated channels

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9
Q

What is responsible for depolarization and repolarization phases of the SA node AP?

A

Upstroke due to voltage gated sodium calcium chanels

Repolarization due to Voltage gated potassium channels

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10
Q

Why did would it not be a good idea to use voltage gated sodium channels as the channel of choice foe the upstroke?

A

they would forever be inactivated, doesn’t ever become negative enough for them to work again

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11
Q

In terms of action potentials describe bradycardia?

A

AP fire to slowly

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12
Q

In terms of action potentials describe asystole?

A

AP fail

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13
Q

In terms of action potentials describe tachycardia?

A

AP fire to quickly

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14
Q

In terms of action potentials describe fibrillation?

A

Electrical activity becomes random

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15
Q

What is the normal potassium range?

A

3.5-5.5

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16
Q

How long is a cardiac action potential?

A

280ms at rest

17
Q

Why are cardiac myocytes so sensitive to changes in the potassium concentration?

A

Potassium permeability dominated the RMP

18
Q

What is the effect of hyperkalaemia on the cardiac action potential?

A

Slower upstroke and narrower action potnetial

19
Q

What are the major risks of hyperkalaemia?

A

The heart stops - Asystole

20
Q

What are some treatments for hyperkalaemia?

A
  • Calcium gluconate

- Insulin and glucose

21
Q

What are the effects of hypokalaemia on the action potential?

A
  • Lengthens the action potential

- delays repolarisation

22
Q

What heart problem can hypokalaemia lead to?

A

Ventricular fibrillation

23
Q

Where is a muscle layer found in blood vessels?

A

Tunica Media

24
Q

How does the smooth muscle in blood vessels contract?

A
  • alpha 1 receptor
  • G-protein Q
  • PIP2 –> IP3 and DAG
  • IP3 = calcium release
  • Calcium binds calmodulin
  • Calmodulin phosphorylates myosin light chain kinase
  • MLCK activates the myosin
  • myosin light chain can now interact with actin