Cardiac Muscle Cell Excitation and Contraction Flashcards

1
Q

What are calcium channels dependent on?

A

Time-dependent

Voltage-dependent

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2
Q

What characterizes L-type calcium channels?

A

Long opening time, sensitive to dihydropyridines (DHPs) open at a more positive membrane potential -30 mV

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3
Q

What characterizes T-type calcium channels?

A

Short opening time, less ion conductance, insensitive to DHPs and open at a more negative MP -50 mV (found in atria pacemaker cells)

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4
Q

What do DHPs do to L-type channel?

A

Decreases its activity inhibit it

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5
Q

What causes spontaneous action potentials in cardiac tissue?

A

The SA node

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6
Q

What is calcium induced calcium release?

A

Calcium entering through the DHP (L-type) causes the RyR2 receptor to release more calcium from the sarcoplasmic reticulum

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7
Q

What is the difference in mechanism of RyR1 and RyR2 and DHP mechanism?

A

RyR1 is mechanically uncoupled by DHP

DHP always calcium into the cell which then activates RyR2

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8
Q

What troponin does calcium bind to?

A

Tn-C

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9
Q

What gives cardiac muscle its higher passive tension and length-tension curve?

A

The protein titin

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10
Q

What are mutations in titin associated with?

A

Hereditary myopathy

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11
Q

What effect does sympathetic stimulation have on titin?

A

Titin becomes phosphorylated and becomes more compliant and less resistance to diastolic filling

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12
Q

How does calcium affect myocytes?

A

It is a graded scale not all or nothing

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13
Q

What happens to velocity and force of contraction when there is greater preload/increased fiber length?

A

Increased velocity

Increased force of contraction

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14
Q

What happens to calcium channels when the myocytes are stretched?

A

It increases the sensitivity of the contractile apparatus to Ca2+ causing it to develop more tension and also opens more Ca2+ stretch channels

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15
Q

What is force-frequency relation?

A

Increases in HR increases the force of contraction up to high rates after which there is a negative effect

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16
Q

What are three factors that regulate the myocardial contractile state?

A

Starling mechanism
Heart rate
Autonomic system
(all three involve Ca2+)

17
Q

What are the four factors that cardiac performance depends on?

A
  1. ) Pre-load: vent filling/sarcomere length
  2. ) After-load: arterial pressure
  3. ) Chronotropism: frequency of heart contraction
  4. ) Sympathetic stimulation (protein phosphorylation)