Cardiac Electrophysiology and cardiac metabolism Flashcards

to have intercourse with jodie

1
Q

What cells make up the SAN

A

myocytes

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

Do the myocytes have a resting potential

A

No it is called the pacemaker potential

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

What does the heart use as a back up in the first few minutes that there is no O2 from aerobic respiration

A

Phosphocreatine

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

What happens after phosphocreatine has been used up

A

aerobic metabolism switches on however it produces lactate

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

What does the lactic acid do to the heart and where does it build up

A

reduced ph and accumulates in extracellular space and cytosol

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

What is a rigor mortis contraction

A

rigor mortis is the stiffening of the body due to a lack of ATP after death. Only temporary

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

What is Ischaemia

A
anoxia (absence of O2)
No removal of lactate 
loss of K+ pumping ext due to ion pumps have no fuel 
No flow 
Just bad tings
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What does calcium do to the heart

A

stimulates contraction

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

What happens if calcium isn’t stored in the right places at low concentrations

A

it may trigger apoptosis

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

do the kidneys like low perfusion

A

“absolutely not”

jodie 2019

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

What happens if you inhibit fibrinolysis

A

Prevent fibrin breakdown

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

What does HDL increase

A

increase fibrinolysis

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

What is fibrinolysis

A

the enzymatic breakdown of the fibrin in blood clots.

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

what prevents absorption of dietary cholesterol

A

ezetimibe

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

What are statins

A

competitive inhibitors that similar in structure which lowers cholesterol which leads to more ldl receptors which increases the removal of LDL from plasma and increases HDL and lowers triglycerides

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

What do statins competitively inhibit

A

HMG-CoA reductase

17
Q

What causes a cardiac action potential

A

membrane excitation

18
Q

What does a cardiac action potential trigger

A

L-type Ca current which initiates the excitation of contraction coupling

19
Q

How does the action potential in the ventricle and the SAN differ

A

ventricle is an influx of Na and the SAN is Ca

20
Q

What is the repolarisation phase brought about by in the SAN and the ventricles

A

K+ efflux

21
Q

What are the pacemaker potential currents

A

INWARDIf (funny current) Na influx slow
INWARDCa channels open (T type and then L-type((bigger))
OUTWARD - k channels close slowly

22
Q

How many connexins form an GAP junction

A

there are 6 subunits that form an ion channel

23
Q

what does gap junctions allow

A

ions to move

24
Q

Can Gap junctions close

A

yes

25
Q

what is the amplitued of an ECG relative to

A

tissue mass

26
Q

How does the sympathetic nerve stimulation affect heart rate

A

Noradrenaline —> beta receptors —> increase in cAMP—-> depolarizing currents eg funny and ca current