Cardiac Muscles Flashcards
Relies on BOTH intracellular and extracellular calcium
Cardiac Muscle
d.t. Na influx
PHASE 0
Brief period of REPOlarization
d.t. K efflux and decrease in Na influx
PHASE 1 (Partial Repolarization)
PLATEAU of AP
d.t. Ca influx
PHASE 2
Repolarization
Decreased Calcium influx and increased K efflux
PHASE 3 (Complete Repolarization)
Resting Membrane Potential
PHASE 4
Increase Intracellular Calcium
L type or Slow Calcium Channel: Major and Voltage gated
T type or Fast Calcium Channel
Decrease Intracellular Calcium
3 Na 1Ca Countertransport
Ca ATPase pump
Begins at the upstroke of the action potential and ends after the plateau
No action potential can be INITIATED
Absolute Refractory Period (ARP)
Longer than ARP
Conducted AP cannot be elicited
No AP can be propagated
Effective Refractory Period (ERP)
Occurs after ARP
AP is possible but will require more than usual inward current
Relative Refractory Period (RRP)
SA Node AP
Slow Na influx towards the threshold
PHASE 4 (unstable RMP)
not constant
pwede iincrease or idecrease
If channel
SYMPA - (+) Beta sa SA node –> INCREASED HR
PARA - (+) M2 sa SA node –> DECREASED HR
SA Node AP
Ca INFLUX (DEPOLARIZATION)
PHASE 0
SA Node AP
K EFFLUX (repolarization)
PHASE 3
autorhythmicity
self excitation
opening of K channels in P3 –> triggers opening of If channels (Phase 4)
phase 3 always followed by phase 4