cardiac contractility Flashcards

1
Q

how much greater are the cardiac muscle cell T tubules in diameter in comparison with skeletal muscle cells?

A

5 times greater (25 times more volume)

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2
Q

what other factor of cardiac muscle cells allow them to accumulate more calcium ions?

A

the cardiac T tubule mucopolysaccharides

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3
Q

what activates the ryanodine receptors to release calcium ions from the SR in cardiac muscles?

A

extracellular calcium ions that enter through the voltage gated DHP receptors

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4
Q

how does the sympathetic NS innervate the heart?

A

innervates the heart muscle and the nodal tissue

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5
Q

what neurotransmitter is released from the sympathetic NS which acts on Beta 1 receptors?

A

noradrenaline

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6
Q

what does stimulation of the beta 1 receptors result in?

A

increases cAMP release, enhances Calcium influx into the muscle cell
promotes storage and release of Ca from SR
ULTIMATELY increases force of contraction and speed of relaxation

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7
Q

how is the heart innervated by the parasympathetic NS?

A

mostly to the SA node
innervates the atria
ULTIMATELY slows the RATE of contraction

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8
Q

can a summation occur in cardiac or skeletal muscle cells?

A

only in skeletal, not cardiac

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9
Q

what is the absolute refractory period of skeletal muscle cells and cardiac muscle cells?

A

skeletal muscle cells - 1-2ms

cardiac muscle cells - 245 ms

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10
Q

what is the period of contraction in skeletal muscle cells and cardiac muscle cells?

A

skeletal muscle cells - 20-100ms

cardiac muscle cells - 250ms

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11
Q

what happens in the relative refractory period?

A

contraction can occur but the signal has to be stronger to cause an electrical event and the force generated will be smaller

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12
Q

what happens in the period of supernormal excitability?

A

it takes a smaller signal to cause depolarisation which causes an equal force of contraction

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13
Q

what is diastole?

A

period of relaxation

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14
Q

what is systole?

A

period of contraction

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15
Q

what is the percentage of blood filling the ventricles during systole from the atria compared to passively?

A

80% of ventricular filling is passive

20% is from atrial contraction

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16
Q

what is isovolumnic contraction of the ventricles?

A

a period of contraction when the AV valve is shut and so is the aortic valve

17
Q

what is isovolumnic period of relaxation?

A

when the AV valves are closed but so are the aortic valves but relaxation is still happening without a change in the volume

18
Q

what is the pulmonary systolic and diastolic pressures?

A
systolic = 30 mmHg
diastolic = 12mmHg
19
Q

what is End systolic volume (ESV)?

A

volume in vertical at the end of systole

20
Q

what is End diastolic volume?

A

volume in ventricle at the end of diastole

21
Q

what is stroke volume?

A

EDV-ESV (quantity of blood expelled per beat in litres)

22
Q

what is cardiac output?

A

SV X HR (volume of blood pumped by the heart (L/min)