Cardiology Lectures 1-3 : The Cardiac Cycle Flashcards
What electrically couples the cardiac mycocytes?
Gap junctions
What provides the mechanical adhesion between the adjacent cardiac cells?
Desmosomes
What is the thin filament in the heart myofibrils calles?
Actin
What is the thick filament of the heart myofibrils called?
Myocin
How are actin and myocin arranges in myfibrils
As sacromeres
How is muscle tension in the heart produced?
Sliding of actin and myosin filaments
What two things are required for muscle contraction in the heart?
ATP and calcium
True or False: ATP is required for muscle relaxation.
True
Why is calcium required?
Switches on the cross bridge formation
What is the importance of having a long refractory period?
Prevents tetanic contraction
What is a refractory peroid?
Peroid following an action potential in which it is not possible to produce another action potential
What is stroke volume?
The volume of blood ejected by each ventricle per heart beat
What is the end diastolic volume?
The volume of blood withn each ventricle at the end of diastole
What determines the end diastolic volume?
the venous return to the heart
What is afterload?
The resistance the heart is pumping into
What is the preload?
How much blood is loaded in the heart before contraction
What is the consequence to the heart of chronically increased afterload?
Ventricular hypertrophy
What effect on the heart in cAMP mediated?
The increased inotropic affect of sympathetic stimulation to the heart
What effect do parasympathetic nerves have on heart contractility?
LIttle effect- little innervation by the vagus
Vagus stimulates rate not force
What is the cardiac output?
The volume of blood pumped by each ventricle of the heart per minute
What is the resting CO in a healthy adult typically?
5 litres ( 70 x 70ml= 4900ml)