Cardiac Muscle Structure & Function Flashcards

1
Q

Cardiac muscles have a much longer ________ phase than skeletal muscle (to prevent tetanus).

A

repolarization

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2
Q

About ______ percent of cardiac myocytes cell volume is occupied by myofibrils and mitochondria.

A

85

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3
Q

What two proteins prevent actin-myosin interaction in the resting state of the myocyte?

A

Troponin and tropomyosin; when calcium is released into the cytoplasm, calcium binds troponin and troponin then pushes tropomyosin out of the way, allowing for myosin to walk along actin.

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4
Q

Cardiac output is given by __________.

A

stroke volume x heart rate

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5
Q

Like skeletal muscle, cardiac muscle is also ________.

A

striated

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6
Q

Cardiac muscle cells are connected both ________ and ______.

A

electrically; mechanically

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7
Q

Cardiac myocytes occupy about _____ the space of the heart, but they comprise only ______ of the number of cells.

A

2/3; 1/3

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8
Q

_________ forms an elastic spring, allowing for resting tension.

A

Titin

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9
Q

The ______ isoform of titin is more stiff.

A

N2B

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10
Q

What are some features that distinguish cardiac myocytes from skeletal myocytes?

A

Cardiac myocytes are striated and mono-nucleated, like skeletal myocytes, but cardiac myocytes are shorter, autonomous (i.e., they don’t need neural stimulation), and they are thin-filament regulated.

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11
Q

Only the ______ isoform of tropomyosin is found in cardiac muscle.

A

alpha

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12
Q

List the steps of sarcomere contraction.

A

(1) An action potential, originally from the sinoatrial node, causes calcium to release inside the cell; (2) calcium binds troponin; (3) troponin changes conformation and pushes tropomyosin out of the way; (4) once tropomyosin is out of the way, myosin can bind to actin and contraction proceeds.

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13
Q

Explain preload.

A

Preload is one of the factors that determines how much blood is ejected from the heart during systole; put simply, the heart muscles contract more depending on their initial length, so if more blood enters the heart during diastole, then more will exit it in systole.

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14
Q

Myocyte response can also be influenced by ___________.

A

calcium sensitivity–the more sensitive, the more force in response to a given amount of calcium

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15
Q

What is afterload?

A

It is the systemic pressure; the heart must pump over the baseline arterial pressure, so the stroke volume will increase in response to a decreased afterload.

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16
Q

What is an inotropic effect?

A

Something that increases the peak tension that a muscle can achieve is said to have a positive inotropic effect; in the body, norepinephrine is the most important regulator of inotropic contractility.

17
Q

What is the main determinant of myocyte contractility?

A

Calcium sensitivity