Cardiac action potential Flashcards

1
Q

What are the different types of cardiac fibers?

A
  1. Fast response fibers
  2. Slow response fibers
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2
Q

What is the primary difference between fast and slow response action potentials?

A

Fast response action potentials are characterized by rapid depolarization, while slow response action potentials have a gradual depolarization.

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3
Q

What is the role of intercalated discs in cardiac muscle?

A

Intercalated discs allow cardiac muscle to act as a functional syncytium by facilitating mechanical and electrical connections between fibers.

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4
Q

What is autorhythmicity in cardiac muscle?

A

The ability of cardiac muscle to initiate its own rhythm regularly without extrinsic stimulus.

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5
Q

What are the phases of the action potential of nodal tissues?

A
  1. Resting membrane potential (RMP) - phase 4
  2. Depolarization - phase 0
  3. Repolarization - phase 3
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6
Q

What is the significance of spontaneous depolarizations in the heart?

A

To trigger the excitatory wave of the heart.

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7
Q

What is the resting membrane potential (RMP) in fast response action potentials?

A

-90 mV

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8
Q

Fill in the blank: The SA node is the _______ pace-maker of the heart.

A

[primary]

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9
Q

What are the three types of pacemakers in the heart?

A
  1. Primary pacemaker - SA node
  2. Secondary pacemaker - AV node
  3. Tertiary pacemaker - Purkinje fibers
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10
Q

What is the mechanism of cardiac muscle contraction?

A

Excitation-contraction coupling involving Ca++ influx and interaction between actin and myosin.

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11
Q

What triggers the release of Ca++ ions from the sarcoplasmic reticulum?

A

Inward Ca++ current from the extracellular fluid.

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12
Q

What is the absolute refractory period (ARP)?

A

The period during which no new action potential can be triggered, preventing tetanization.

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13
Q

What is the relative refractory period (RRP)?

A

The period during which a stronger stimulus can excite the heart.

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14
Q

What does the strength of cardiac muscle contraction depend on?

A

The intracellular Ca++ concentration.

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15
Q

What is the effect of the sympathetic nervous system on heart contractility?

A

Increases contractile force.

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16
Q

What is the significance of voltage-dependent ion channels?

A

They are involved in action potential generation and can be pharmacological targets for drug therapies.

17
Q

Fill in the blank: The _______ is responsible for the initiation of the excitation wave at a regular rhythm.

18
Q

What is the role of the Ca++ pump in cardiac muscle relaxation?

A

Pumps Ca++ back into the sarcoplasmic reticulum, reducing intracellular Ca++ concentration.

19
Q

True or False: Cardiac muscle acts as a true syncytium.

20
Q

What is the effect of antiarrhythmic drugs on action potentials?

A

They inhibit spontaneous action potential generation, decreasing frequency.

21
Q

What are the components of the cardiac conductive system?

A
  1. SA node
  2. AV node
  3. His Bundle
  4. Bundle Branches
  5. Purkinje Fibers
22
Q

What does the term ‘functional syncytium’ refer to in cardiac muscle?

A

The heart acts as a single unit due to intercalated discs despite the absence of protoplasmic continuity.

23
Q

What is the significance of the ECG in relation to cardiac action potentials?

A

It correlates the electrical events of the heart with cardiac action potentials.

24
Q

What is the normal heart rate range for adults?

A

60 - 90 beats per minute.

25
Q

What is the effect of parasympathetic nervous system on heart rate?

A

Decreases heart rate.

26
Q

What is CICR in the context of cardiac muscle contraction?

A

Calcium-induced calcium release from the sarcoplasmic reticulum.

27
Q

Fill in the blank: The _______ are sites of attachment between cardiac muscle cells.

A

[intercalated discs]

28
Q

What is the primary function of contractile fibers in the heart?

A

Perform the mechanical work of pumping.

29
Q

What happens during the plateau phase of fast response action potentials?

A

There is a balance between K+ efflux and Ca++ influx.