Cardiovascular System - Lecture 6 Flashcards

1
Q

What kind of coupling is found in the heart?

A

excitation - contraction coupling

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2
Q

What are the 5 steps involved in contraction of cardiac muscle after there is depolarization of the plasma membrane?

A
  1. opening of plasma membrane L type Ca channels in T-tubules
  2. flow of calcium in cytosol
  3. calcium binds to calcium ryanodine receptors on the sarcoplasmic reticulum
  4. flow of calcium into the cytosol
  5. cytosolic calcium concentration increases
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3
Q

What is the calcium concentration transient sensitive to?

A

voltage

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4
Q

Mechanical activity always ___ electrical activity and can have complete dissociation.

A

lags

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5
Q

What is the normal sinus rhytm?

A

70 bpm

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6
Q

What is bradycardia?

A

abnormally slow rhythm (<60 bpm)

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7
Q

What is tachycardia?

A

abnormally fast rhythm (>100 bpm)

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8
Q

What happens during respiratory sinus arrhythmia?

A

sinus rate increases as you breathe in and slows as you breathe out

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9
Q

What is pathological sinus tachycardia?

A

at rest and heart rate >100 bpm

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10
Q

What is blocked during an AV block?

A

the AV node

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11
Q

How can you treat AV blocks?

A

with pacemakers

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12
Q

What are premature ventricular complexes?

A

heartbeats that begin in one of the ventricles (ectopic pacemaker)

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13
Q

What are ectopic pacemakers?

A

pacemaking sites that can originate in tissues that are beating out of sync with the normal rhythm of the heart

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14
Q

What 2 conditions can premature ventricular complexes produce?

A

ventricular parasystole and ventricular tachycardia

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15
Q

Is ventricular parasystole dangerous?

A

no, it is often untreated

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16
Q

What is ventricular tachycardia?

A

rapid contraction of the ventricles at 300 bpm instead of 60 bpm

17
Q

What does ventricular tachycardia cause?

A

fibrillation

18
Q

What do we treat ventricular tachycardia with?

A

AED

19
Q

What can we treat atrial fibrillation with?

A

pulmonary vein isolation

20
Q

How can we map tachycardia?

A

sock array

21
Q

What is sock array?

A

attaching electrodes to the surface of the heart

22
Q

What are the 2 descriptors of reentrant ventricular tachycardia?

A
  1. dangerously low blood pressure due to inadequate filing
  2. can transition to ventricular fibrillation
23
Q

What did George Mines discover?

A

reentry