Cardiac Action Potential: Lecture 5 Flashcards

1
Q

Are cardiac muscle cells autorhythmic or non-autorithmic?

A

non-autorithmic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is relaying the pace of the heart?

A

SA node

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What do the cardiac cells do?

A
  • they receive a signal
  • then they initiate contraction that is going to happen in the cardiac muscle
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the primary purpose of cardiac muscle?

A

contraction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the membrane potential range? (FULL RANGE IE GRAPH)

A

-90 to +30

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What value is the threshold potential for action potentials in a cardiac muscle cell?

A

-70

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the resting membrane potential in a cardiac muscle cell?

A

-90 mv

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Why is it -90?

A

because the resting membrane is very permeable to K+, K+ channels are open

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

True or False
Resting cells have a high concentration of K+ inside the cell and a low concentration of Na+ inside the cell

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What regulates the resting cells ion (K+, Na+) concentrations?

A

Sodium-Potassium pump

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What happens when we have a “leaky K+” channel?

A

cell becomes more negative as we are losing positive ions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the key ion that maintains the rest of the membrane potential in cardiac cells?

A

K+

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

In resting membrane cells, which ion begins to initiate a rise of the resting membrane potential? (Going from -90 and getting to a less negative number)

A

sodium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

How does Na+ come into the cells?

A

via the gap junction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

True or False
Sodium influx into the cell is going to increase the permeability of the sodium channels which will in turn bring in more sodium, raising the membrane potential

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Na+ permeability describes what kind of feedback process?

A

positive feedback

17
Q

Once the sodium rises the membrane potential is enough to hit the threshold the membrane will do what?

A

depolarize

18
Q

What are the 3 phases in Cardiac Action Potentials?

A
  1. Atrial/Ventricular action potentials
  2. Membrane depolarization and plateau phase
  3. Membrane repolarization
19
Q

At the membrane depolarization and plateau phase what is the ion’s permeability?

A
  • decrease sodium permeability
  • increased calcium permeability
  • decreased potassium permeability
20
Q

How does Ca2+ start increasing in the cell?

A

via voltage-gated calcium channels
- detecting the voltage change in the membrane due to the previous influx of sodium

21
Q

What is the voltage-gated Ca2+ channel called that is open at the plateau phase?

A

L-type Ca2+ channel
- stays open for a LONG time

22
Q

Via the L-type Ca2+ channel, how fast does the Ca2+ move into the cell?

A

not fast, SLOW

23
Q

What is happening at membrane repolarization?

A
  • Ca2+ channels close, decreasing Ca2+ permeability
  • K+ rapidly leaves the cell
24
Q

What is responsible for the slow movement of the Ca2+? (THE DIP IN THE GRAPH, plateau phase)

A

There is a balance between the Ca2+ moving into the cell and the K+ ions moving outside of the cell

25
Q

To repolarize the cell, K+ will rapidly leave the cell until the cell gets back to what?

A

-90 mv, resting

26
Q

What is the time that it takes to start and end a cardiac action potential?

27
Q

In Atrial muscle cells, what is the time it takes for a full action potential to occur?

28
Q

What are the processes involved in Excitation-Contraction Coupling

A
  1. Membrane depolarization
    - action potentials down T-tubules
  2. Entry of Ca2+ into the cell
    -through L-type Ca2+ channels
  3. Ca2+ binds to ryanodine-receptor and regulates the exit of Ca2+
  4. Increase Ca2+ being stored in the sarcoplasmic reticulum
    - gets released into the cytosol (via calcium-induced calcium release
    - Ca2+ will initiate contraction with the actin and myosin
    - Ca2+ is pumped back into the sarcoplasmic reticulum (via SERCA)
29
Q

What is the role of the sarcoplasmic reticulum?

A

store calcium

30
Q

True or False
Cardiac muscle cell regulates Ca2+ entry into the cell

31
Q

What is the refractory perisod

A

cannot have another action potential occurring at this time

32
Q

How long is the refractory period?

33
Q

How could we calculate the max heart rate given the refractory period being 250 ms?

A
  • 4 possible action potentials that can happen in one second

4 x 60 = 240 beats per minute

34
Q

What is the primary purpose of the plateau phase of the cardiac action potential?

A

To cause Ca2+ induced-Ca2+ release
- The primary purpose is to cause contraction

35
Q

What are all the steps involved in creating an action potential in cardiac cells?

A
  1. Sodium influx from gap junction
    - membrane reached -70 threshold potential
    - K channels are closed
  2. Sodium influx from voltage-gated channels
    - membrane reached +30 then closes
    - positive charges travel down the membrane doing two things:
    ( i ) activates K transient channels
    ( ii ) activates Ca L-type channels
  3. K efflux and Ca influx
    ( i ) repolarizes cell
    ( ii ) allows for excitation-contraction coupling via calcium-induced calcium release
  4. K efflux
    - all channels are closed
    - after muscle contraction K voltage channels open getting the cell back to the resting membrane
  5. Leaky K channels open
    - everything else is closed
36
Q

What is responsible for the dip in the graph after the peak?

A

Increased K permeability as K transient tare open trying to repolarize the cell

37
Q

What is responsible for the plateau part of the graph?

A
  • K leaky and transient channels are open but trying to close
  • Ca L type is open

meaning K leaving the cell in counteracting Ca entering the cell