autonomic regulation of cell AP Flashcards

1
Q

how does ANS mediate cardiac contractions

A

through hormones released in vicinity

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2
Q

what does symp and para do to CO

A

symp - incr.

para - decreae

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3
Q

what part of heart can para and symp affect?

A

symp - node and myocytes

para -nodes only

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4
Q

what are used by symp and para to signal

A

para - Ach

symp - NA (noradrenaline)

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5
Q

speed at which symp and para work

A

para - fast on and off

symp - slow on and off

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6
Q

what receptors are activated by symp and para

A

para - M2

symp - a and B receptors

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7
Q

what are M2 channels directly couples to?

A

ion channels - fast

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8
Q

what do a and B receptors work by

A

enzyme cascade - cAMP and PKA

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9
Q

what does symp do to AP

A

increase rate of repolarization

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10
Q

what does para do to AP

A

hyperpolarizes cell, which leads to slower contractions

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11
Q

what are 4 effector pathways of para

A
  1. GIRK activation - K out - hyperpolarize cell
  2. inhibits cAMP
  3. less cAMP means less Cav - less upstroke
  4. less cAMP means less funny current activation - longer pacemaker potential
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12
Q

what are 3 effectors of symp.

A
  1. M2 receptor means more cAMP
  2. more cAMP means increased funny channel - smaller pacemaker potential
  3. more cAMP means more Cav activity
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13
Q

where does most heart rate control come from

A

vagal tone (60-70%)

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14
Q

what would happen without vagus

A

heart rate up to 100-110

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15
Q

what are 2 ways to increase CO

A
  1. pump faster

2. pump harder

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16
Q

how does symp increase stroke force

A

cAMP>PKA> pathway to phospholamban means SERCA can uptake more Ca - bigger stroke and more frequent

17
Q

what is an extrinsic way on increasing cardiac contractility

A

stretch the myocytes - more venous return

18
Q

5 factors affecting venous return

A
  1. blood volume
  2. vein compliance
  3. muscle activity
  4. venous contraction and venous valves
  5. negative thoracic pressure