Cardiac Action Potentials Flashcards

1
Q

How is an electrochemical gradient established?

A

Established due to a potassium leak.

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2
Q

What is a potassium leak?

A

When some of the K+ ions leave the negative side and becomes positive.

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3
Q

How is a potential difference established?

A

This is when there is MORE NEGATIVE charged molecules inside the cell relative to the outside.

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4
Q

How does depolarisation occur?

A

When the membrane is MORE permeable : positive charged ions flow into the cell and make the membrane potential MORE positive.

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5
Q

What is the equilibrium potential?

A

Membrane potential at which FORCES ARE BALANCED and so there is NO net movement.

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6
Q

What is depolarisation?

A

When membrane potential becomes MORE positive than the resting membrane membrane potential.

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7
Q

What is repolarisation?

A

When the depolarised membrane potential returns back to the resting membrane potential.

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8
Q

What is the cell a cardiac action potential is seen in?

A

A ventricular cardiac myocyte.

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9
Q

What is the resting membrane potential for potassium and sodium?

A
Potassium = -90mV 
Sodium = +60mV
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10
Q

What is the difference between a cardiac and neuronal action potential?

A

There is a longer duration for the cardiac action potential compared to the neuronal action potential.

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11
Q

Why is a calcium influx so important?

A

This allows a contraction to occur.

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12
Q

Explain how the calcium influx can aid contraction.

A

Calcium binds to troponin (troponin is binded to tropomyosin).
A conformational change occurs and thus, the myosin binding site on actin is exposed.
Myosin BINDS to actin and thus, a myosin - actin crossbridge is formed.
The crossbridges link together and thus, initiates contraction.

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13
Q

What blocks the myosin - actin binding site?

A

Tropomyosin blocks the binding site.

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14
Q

How does electrical activity spread from cell to cell?

A

Coupled to muscle cells by INTERCALATED DISCS with gap junctions.

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15
Q

Where do action potentials initiate?

A

They initiate in the SA node.

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16
Q

Name the steps of a cardiac action potential.

A

Phase 0 = Depolarisation : caused by opening of Na+ channels.
Phase 1 = Transient Repolarisation : Na+ channels CLOSE and K+ channels OPEN.
Phase 2 = Plateau Phase : Ca2+ channels open and enter. K+ channels are still open. THERE IS NO NET MOVEMENT.
Phase 3 = Ca2+ channels CLOSE. K+ channel is open. Membrane repolarisation as K+ leaves the cell.
Phase 4 = Resting potential.