cardiac muscle Flashcards

1
Q

Describe the structure of the heart

A

left atrium
left ventricle

right atrium
right ventrical

aorta

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2
Q

what are the heart cells termed as

A

Ventricular muscle cells

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3
Q

What structures are located at the intercalated disc

A

desmosomes

gap junctions

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4
Q

describe the feature of desmosomes

A

prevents separation of cardiac muscle during contraction

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5
Q

describe the function of gap junctions

A

allows action potenital to be carried from one cell to the next

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6
Q

what to desmosomes and gap junctions allow the heart to do

A

allows coordination

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7
Q

Describe action potential within the heart

A

long

has a plateau phase as there is a presence of Ca

membrane potential depolarized throughout most of the twitch phase

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8
Q

Does summation/ tetanus occur within the ventricular myocute

A

No

unlikely

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9
Q

what are the three major phases of the Action potential in cardiac muscle cells

A
  1. Rapid depolarisation
  2. Plateau
  3. Repolarisation
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10
Q

Rapid depolarization

A

Fast opening of voltage gated NA channels

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11
Q

Plateau

A

Slow voltage voltage gated Ca channel

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12
Q

Depolarisation

A

Closing of Ca channels opening of K channels (influx of K outward)

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13
Q

What does the Ca influx cause

A

triggers the opening of Ca sensitive channels in the SR= burst of Ca

CALCIUM INDUCED CALCIUM RELEASE

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14
Q

What does Calcium cause the Cardiac muscle to do

A

CONTRACTION

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15
Q

What controls and regulates the Ca2+ back into the SR for a ventricular myocute

A

Na+/Ca+ exchanger

Ca2+ ATPase active pump

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16
Q

State the equation for cardiac regulation

A

CO= SV x HR

17
Q

who is HR set by

A

set by the pacemaker in the sinoatrial node

18
Q

Who affects the HR

A

Autonomic nerves releasing neurotransmitters

19
Q

Describe the SA + AV node potential

A

unstable membrane potential

Depolarisation due to relatively slow Ca2+ current

20
Q

Vagus nerve

A

Parasympathetic
decreases HR releases Ach

slows down depolarisation & hyperpolarises the resting membrane potential

21
Q

Sympathetic cardiac nerve

A

increases heart rate
and force of contraction
releases noradrenaline

increases rate of depolarisation

22
Q

what is stroke volume

A

tension developed by the cardiac muscle fibres

23
Q

what increases stroke volume

A

increased HR

increases stretch of the ventricles

neurotransmitters (noradrenaline)

24
Q

Increasing Heart rate causes what to stroke volume

A

increases stroke volume as their is less time for Ca2+ to be released from the cell

25
Q

Describe the length tension relationship within ventricular myocyte

A
  • increased stretch
    = increase volume
    = increase contraction
26
Q

What does increased noradrenaline cause

A

leads to increased cytosol calcium

therefore there in increased output

increased inotropy and heart rate