Cardiac conduction system Flashcards

1
Q

list down the properties of Cardiac muscle

A

1- automaticity/ rhythmicity
2- conductivity
3-excitability
4- contractility

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2
Q

The ability of heart to beat spontaneously and regularly is known as_______
A- automaticity/ rhythmicity
B- conductivity
C-excitability
D- contractility

A

A- automaticity/ rhythmicity

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3
Q

The ability of the heart to transmit excitation wave is known as______
A- automaticity/ rhythmicity
B- conductivity
C-excitability
D- contractility

A

B- conductivity

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4
Q

The ability of the heart to receive adequate stimulus is known as______
A- automaticity/ rhythmicity
B- conductivity
C-excitability
D- contractility

A

C-excitability

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5
Q

The ability to contract and to pump the blood into circulatory system is known as______
A- automaticity/ rhythmicity
B- conductivity
C-excitability
D- contractility

A

D- contractility

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6
Q

list down the components of the cardiac conduction system

A

1- SA NODE
2- AV NODE
3- BUNDLE OF HIS
4- LEFT AND RIGHT BUNDLE BRANCHES
5- PURKINJ FIBERS

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7
Q

SA node is known as the “ heart natural pacemaker”_____
true
false

A

TRUE

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8
Q

where is the SA node located

A

superior lateral wall of right atrium near the superior vena cava

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9
Q

what is the function of SA node

A

initiates the electrical impulse that causes the atria to contract and SETS THE HEART RATE

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10
Q

the normal heart rate is ____ beats/min
A- 70-120
B- 50-80
C-60-100
D- 60-120C

A

C- 60-100

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11
Q

what is the name of the tracts that connects the SA node and AV node

A

internodal tracts

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12
Q

list the name of the 3 internodal tracts

A
  • anterior
  • middle
  • posterior
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13
Q

the only conducting pathway between the atria and ventricles is called

A

AV node

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14
Q

where is the av node located

A

posterior septal wall of right atrium behind tricuspid valve

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15
Q

what is the function of the AV node

A

it delays to ensure the ventricle is filled up before contracting

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16
Q

the delay that happens at the AV node is called

A

Nodal delay

17
Q

what happens if the SA node got damaged

A

the AV node acts as a pacemaker but generate slower impulses

18
Q

what is the function of bundle of his

A

group of fibers that carries electrical impulses from the Av node to ventricles

19
Q

where is the bundle of his located

A

originates from Av node then travels down through the interventricular septum and divides into the right and left bundle branches, which continue down the septum toward the ventricles.

20
Q

the left branch divides into

A

anterior and posterior fasciculus

21
Q

known as the fastest and largest conducting fiber

A

purkinje fibers

22
Q

location of purkinje fiber

A

spread throughout ventricular walls

23
Q

function of purkinje

A

conduct the electrical impulse rapidly, ensuring coordinated ventricular depolarization and contraction, which is essential for efficient blood pumping

24
Q

where do the purkinje fibers pass the impulse

A

to ventricular myocytes in ventricular walls

25
steps of SA node AP
1- pacemaker potential: na will flow in and set rate of heart 2- depolarization : happens after na flows in and then reaches the threshold then depolarization occurs ca gate channels open 3- repolarization occurs then and its caused by K+ outflow
26
steps of ventricular AP
1- Depolarization is due to Na influx through fast gated channels 2-Plateau phase is due Ca influx through slow channels 3- Repolarization Ca channels closes and K + channels opened so K efflux which brings membrane potential back to its resting voltage
27
why cardiac muscles cant be tetanized
due to long refractory period
28
what are the two components of autonomic NS that affect heart function
-sympathetic -parasympathetic(vagal)
29
how does the vagal tone affect the heart rate at rest
reduces the resting heart rate 60-80 beats per minute
30
what affect does sympathetic stimulation have on heart function
-increases heart rate and strength of heart contractions - maximal stimulation can triple the frequency of heartbeat and double contraction
31
name two hormones that affect the heart function
thyroid hormone catecholamines
32
which ions are important for heart function
calcium potassium
33
three drugs that can affect heart function
- calcium channel blockers - beta androgenic blockers -adenosine
34
characteristics of normal sinus
1-AP originates in sa node 2- regular sa node impulses at 60-100 impulses /min 3- correct sequence and timing for heart activation
35
at rest which is dominant vagal or sympathetic
vagal
36
define intrinsic heart rate
rate at which the heart would beat if there were no external influences. For a typical healthy person, this rate is around 100-110 beats per minute
37
what happens if stimulation of right vagus occurred
the heart slows down by inhibiting the sa node
38
what happens if stimulation of left vagus occurred
will slow down Av conduction
39
parasympathetic initiated cardiac responses are mediated by what
acetylcholine