Cardiovascular system reading 3 Flashcards

1
Q

List in order the events of the cardiac conduction system, starting with the first at the top.

A
  1. The SA node fires.
  2. Excitation spreads through the atrial myocardium.
  3. AV node fires
  4. Excitation spreads down the AV bundle.
  5. Purkinje fibers distribute excitation through the ventricular myocardium
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2
Q

The structure that relays excitation from the atria to the ventricles is known as the _____.

A

atrioventricular node

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3
Q

The electrical pathway by which signals leave the AV node to move to the interventricular septum is the atrioventricular _______.

A

bundle

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4
Q

The sinoatrial node is located in the wall of the ______.

A

right atrium

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5
Q

True or False: Action potentials from the SA node travel to all cells in the atria and the AV node at the same rate.

A

False

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6
Q

Purkinje fibers _____.

A

are terminal branches of the cardiac conduction system

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7
Q

What is the importance of the action potential delay at the AV node?

A

Allows the completion of atrial contraction before ventricular contraction

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8
Q

The terminal branches of the conduction system that distribute the electrical signals throughout the ventricles are called ______.

A

Purkinje fibers

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9
Q

Where does ventricular contraction begin?

A

Apex

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10
Q

The resting membrane potential primarily depends on the plasma membrane permeability of all of the following ions EXCEPT ______.

A

chloride

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11
Q

The membrane potential when a cardiac muscle cell is relaxed is the resting ______.

A

membrane potential

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12
Q

Which occurs during the repolarization phase of a cardiac muscle cell but not in a skeletal muscle cell?

A

Calcium channels begin to open

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13
Q

At rest, what ion is abundant inside of the cardiac cell membrane, helping to establish the resting membrane potential?

A

Potassium

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14
Q

How is action potential propagation different in cardiac muscle cells than in skeletal muscle cells?

A

Action potentials are conducted from one cardiac cell to another.

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15
Q

The action potential of a cardiac muscle has a plateau due to the opening of ______ channels.

A

calcium

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16
Q

What is the first step in an action potential in a cardiac muscle cell?

A

Sodium channels open

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17
Q

Initial depolarization of a cardiac muscle cell is due to the opening of ______ channels.

A

sodium

18
Q

The action potential of a cardiac muscle has a plateau primarily due to the diffusion of _____ the cell.

A

calcium into

19
Q

Electrical changes across the membrane cause the opening and closing of what-gated ion channels.

A

voltage

20
Q

Repolarization of a cardiac muscle cell is due primarily due to the diffusion of ______ the cell.

A

potassium out of

21
Q

Depolarization of the cardiac muscle cell is primarily due to the diffusion of ______ the cell.

A

sodium into

22
Q

What controls the opening of the ion channels in cardiac muscle cells during phases of the action potential?

A

Electrical changes

23
Q

The movement of calcium into a cardiac muscle cell through the membrane results in calcium release from the ______.

A

sarcoplasmic reticulum

24
Q

Calcium-induced calcium release occurs when ______.

A

calcium entering through the plasma membrane stimulates release of calcium from sarcoplasmic reticulum

25
Q

The cardiac muscle cells are described as ______ because individual cells can depolarize on their own without outside stimulation.

A

autorhythmic

26
Q

A spontaneously developing local potential that generates action potentials in the SA node is called the _____ potential.

A

pacemaker

27
Q

The pacemaker potential of SA node cells is due to the influx of what ions through special non-gated channels?

A

sodium or Na

28
Q

The depolarization of the SA node (from threshold to peak) is mainly due to the inflow of ______ ions.

A

calcium

29
Q

A pacemaker potential and an action potential are the same thing.

A

False

30
Q

Calcium-induced calcium release occurs when ______.

A

calcium entering through the plasma membrane stimulates release of calcium from sarcoplasmic reticulum

31
Q

What ions cause the depolarization of the SA node (from threshold to peak) through their movements into the cell?

A

Sodium

Calcium

32
Q

If another region of the heart other than the SA generates a heartbeat, this region is called a(n) what focus?

A

ectopic

33
Q

The strongest stimulus will not cause muscle contraction during the ______ refractory period.

A

absolute

34
Q

What is a normal firing rate of the SA node for a healthy person at rest?

A

75

35
Q

What causes the long refractory period in cardiac muscle cells?

A

Plateau phase

36
Q

The frequency of action potential generation in the SA node is ______ than in other foci of the heart.

A

higher

37
Q

What is an ECG?

A

A recording of cardiac action potentials measured at the body’s surface

38
Q

An ectopic focus is a region of the heart that generates a heartbeat other than the ______.

A

SA node

39
Q

The what is a composite recording of all cardiac action potentials?

A

electrocardiogram, ECG, or EKG

40
Q

The QRS complex is the ECG recording of depolarization of the ______.

A

ventricles

41
Q

Why does atrial repolarization not appear as a separate wave on an ECG?

A

It is obscured by ventricular contraction.