Ch. 6 Muscle Physiology Flashcards

1
Q

Myofibril

A
  • muscle fiber (striated skeletal)
  • nucleus, mitochondira, glycogen (glucose)
  • structural= contraction proteins
    1. myosin: thick
    2. Actin: thin
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2
Q

Regulatory Proteins

A
  • tropomyosin: hides binding sites of actin
  • toponin: flips tropomyosin when singaled by Ca+ for myosin to bind to actin
  • accessory proteins: titin (stabilize myosin) and Nebulin (stabilizes actin)
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3
Q

Sacrorecticulum

A

SR- ER + Calcium- terminal cisternae/ lateral sacs
- lateral sace- float proteins (ryanodine)
+
- T Tubules (transverse tubules), dihydropyridine receptors (DHP)
= Ca+ release

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4
Q

Sacromere

A
z-line/disc
I- zone: thin filaments (light)
A-band: thin and thick (dark)
H-band: myosin (tail)
M line: center (Mittel)
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5
Q

Sacrolemma

A
  • covers entire muscle fiber
  • forms T tubules
  • action potential falls through T tubules; lateral sacs
  • release Ca+; troponin
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6
Q

Neuromuscular Junction

A
  • action potential (ACh initiates)
  • role of calcium: bind to troponin (excitable)
    tropomyosin “on” position
    actin binds to myosin heads
    = cross bridge (power stroke; ATP)
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7
Q

Sliding Filament Theory

A
  • inward pull towards M-line
  • shorten sacromere:
    Z line shortens
    I band shortens
    H zone shortens
    A band and M line stays the same
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8
Q

Power Stroke

A
  • break down ATP- ADP+Pi
  • energized myosin head
  • Ca+ released from lateral sacs
  • myosin + actin bind to form cross bridge
  • Pi released during binding
  • ADP is released after power stroke
  • New ATP molecule (cyclic process)
  • detachement
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9
Q

Relaxation

A
  • Ca+ leaves (reuptake) into lateral sacs (uses Ca+ATP pump)

- Tropomyosin “off” position (length restored)

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10
Q

Rigor Mortis

A
  • stiffness upon death
  • metabolism stops (ATP unavailable)
    +
  • Ca+ ions bound (remain bound)
    = muscle stiffness (2-4hrs)
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11
Q

Twitch

A
  • brief, single action potential
  • motor unit
  • muscle summation is temporal
  • tetanus: infection, continuous contraction (GABA); spasm where bacteria inhibits GABA
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12
Q

Isotonic and Isometric

A
  • concentric contractions (towards body) and eccentric contractions ( away from body; too fast= injury)
  • not moving (eg. yoga); and no change in measurement
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13
Q

3 sources of energy…

A
  1. Creatinophosphate: + ADP and creatine kinase- creatine + ATP
    - create externally; side effects: weight gain, GI trouble
  2. Glycolysis: glycolysis (2 ATP)- pyruvic acid- minus oxygen- lactic acid
    - Kreb’s cycle (2 ATP)-
  3. Oxidative Phosphorylation (34 ATP)
    = total 36 ATP + CO2 + H2O
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14
Q

Slow and Fast Twitch

A
  • daily activities eg. posture; takes more time
    vs.
  • uses ATP faster, uses Ca+ 9related cycles) faster multiple
  • fine movements eg. piano playing (instruments)
  • m/sec
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15
Q

Glycolytic VS Oxidative Fibers

A
  • slow twitch: slow oxidative
  • fast twitch: fast glycolytic and fast oxidative glycolytic
    Glycolytic:
  • fewer mitochondira
  • fatigues easily
  • fewer capillaires
  • oxygen poor
  • white muscle= white fibers
  • myoglobin poor
  • ex. sprinting
  • anaerobic exercise (lactic acid)
    ** krebs cycle in oxidative and creatine and glycolytic in
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16
Q

Central Fatigue

A
  • CNS no longer activates motor neurons supplying working muscles
  • psychological based
  • boredom
  • monotony or tiredness
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17
Q

Peripheral (neuromuscular Fatigue)

A
  • no longer respond to stimulation with same degree of contractile activity
  • defence mechanism
  • high-intense activities
  • build up of latic acid; depletion of glucose
    Neuro: inability of active motor neurons to synthesize ACh rapidly enough to sustain chemical transmission of action potentials from motor neurons to muscles
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18
Q

EPOC

A
  • replenish creatine-phosphate stores

- remove lactic acid build up

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19
Q

Control of Motor Unit

A
  1. spinal cord: afferent neurons to either somatic neuron or
  2. Brain stem: RAS (muscle tone) and cerebellum to spinocellum
  3. Higher Motor Cortex: basal ganglion and thalamus
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20
Q

Parkinson’s

A
  • abnormal movements; involuntary tremors
  • repitlian stare (unable to blink)
  • posture; gait
  • depression, confusion, sleep disturbances
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21
Q

M.S

A
  • demylination
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22
Q

Muscular Dystrophy

A
  • genetic
  • cardian and resp. failure
  • X- chromosome
  • constant leakage of Ca+; damages cell
  • protein dystrophin (between 2 lines)
  • therapy: gene regeneration
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23
Q

ALS/ Lou Geghrig

A
  • motor movement stops ( worse than MS)
  • cytoskeleton: proteins disorganize
  • free radical
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24
Q

Muscle Spindle

A
  • throughout fleshy part of skeletal muscle and consists of muscle fibres known as i
  • ntrafusal fibres: spindle-shaed connective tissue capsules paraellel to extrafusal fibres
  • extrafusal fibres contains contractile elements throughout entire length
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25
Q

Alpha and Gamma Motor Neuron

A
  • efferent neuron that innervates a muscle spindle intrfusal fibres is known as gamma
  • nerves that supply extrafusal fibres are called alpha motor neurons
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26
Q

Golgi Tendon Organs

A
  • respond to changes in muscle’s tension rather than to changes in its length (sensory neuron)
  • adjustments can be made if necessary
  • made up of connective tissue and collagen fibers
  • warn against excessive tension production
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27
Q

Smooth Muscle Structure

A
  • myosin and actin
  • intermediate filaments (not involved in contraction)
  • tropomyosin but NO troponin
  • no z-lines/unstriated
  • poorly developed S.R.
  • no t-tubules
  • calmodulin (binding site with Ca+)
  • dense irregular bodies (protein molecules)
  • is economical energy-efficient; uses less energy
  • use only when needed
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28
Q

Role Of Ca+

A

S.R. and ECF- calmodium + CA+- inactive myosin kinase- becomes active (ATP-ADP+Pi)- myosin cross bridge (energize)- actin

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29
Q

Single-unit muscle/ syncytium

A

eg. digestive
- controlled by gap junctions, cells contract as a unit
- varicosity (carry neurotransmitters)
- excitation
- visceral smooth muscle
- slow and energy efficient

30
Q

Motor-Unit Muscle

A
  • separate units activated on its own

eg. iris, ciliary muscle and large blood vessels

31
Q

Slow-wave potentials VS Pacemaker Potentials

A
  • gradually alternating hyperpolarizing and depolarizing swings in potential cause by automatic cyclic changes in the rate at which Na+ are actively transported across membrane
  • if threshold is reached, burst of action potentials
    VS
  • membrane potential gradually depolarizes to threshold on a regular periodic basis without any nervous-stimulation; trigger self-induced action potentials
32
Q

Cardiac Muscle Structure

A
  • actin and myosin
  • no intermediate
  • has tropomyosin and troponin
  • Z-lines present
  • intercalated disk- gap junctions and desmosomes
  • fair amount of S.R.
  • large T-Tubules
  • no calmodium or dense bodies
  • mitochondria
  • glycogen granules (glucose): huge amount of ATP
  • use O2 (60%) NO ANAEROBIC MODE
33
Q

Heart Structure

A
  • apex is on left side but rest is in the middle
  • chordea tenindea: prolapse (not including valve down)
  • papillary muscle
    ** never in SV valves
  • pulmonary circuit: superior and inferior vena cave- right atrium- right ventricle- pulmonary artery- lungs
  • systemic circulation: lungs- pulmonary veins- left atrium- left ventricle- aorta-
    coronary (heart), ascending (upwards), descending (down)
34
Q

Heart Wall

A
  • endothelium: infection site; endocarditis
  • myocardium: cardiac muscle
  • epicardium: thin external layer
  • pericardium: double layered sac + fluid (infection); pericarditis (painful friction)
  • autorhymthic: does not contract but sets pace
  • contractile cells (99%)
35
Q

Autorythmic

A

Sinoatrial node: natural pace maker- 70-80 beats
AV node: latent- 40-60 beats
Bundle of His: right and left bundle- 20-40
Purkinje fibres: right and left side- 20-40
- interatrial pathway
- both atria and ventricles contract at same time
- AV node slows down for ventricles to empty
* gap junctions facilitate cell to cell spread (quick)

36
Q

Pacemaker Potential

A
  • 60mV (resting potential)
  • funny channels (na+ and k+; HCN)
  • Ca+ channels- Ca+ transient
  • +0mV
  • repolarization- K+ channels
37
Q

Abnormal Pacemaker

A

SA falls apart: heart beats at AV node (40-60)
SA is normal but AV derails: bundle of His/P. Fibers (20-40)
SA and AV is normal: Bundle of his/P. fibres misbehave (140)= ecotopic focus: abnormally excitable

38
Q

Contractile Cell

A
  • 80mV (resting potential)
  • Na+ increases
  • +50mV: PK+ and PCa+ increases
  • plateau
  • PK+ increase (delayed rectifier)
  • Ca+ comes from S.R. and ECF
39
Q

Refractory Period

A
  • 250 msec

- no tetanus (no summation)

40
Q

Heart Sounds

A

Lub: low pitch; soft
- marks closure of AV valves, onset of ventricular systole
Dup: high pitch; sharp
- closure of Sv valves; start of onset of ventricular diastole
Turbulent: pathology
- heart murmurs
eg. infections: rheumtic fever caused by bacteria (strep)

41
Q

Heart Murmurs

A
  • stenotic valve: narrowed valve (does not open properly); stiff, creates turbulence
  • whistle sounds
  • insufficient valve: does not close properly; scarred valve
  • swishing sound
  • Mitral Stenosis: bicupsid or left AV (surgery)
42
Q

Timing of Murmur

A
  1. systolic: between lub- murmur- dup
    eg. lub- whistle- dup; lub-swish- dup
  2. diastolic: lup- dup- murmur- lub
    eg. lub- dup- swishing; lub- dup- whistle
43
Q

ECG Record

A

P wave: atrial depolarization
QRS complex: ventricular depolarization
T wave: ventricular repolarization
PR segment: AV nodal delay
ST segment: time during which ventricles are contracting and emptying
Tp interval: ventricles are relaxing and filling

44
Q

Tachycardia and Bradycardia

A
  • fast; more than 100 beats

- slower than 60 beats per minute

45
Q

Atrial Fibrillation

A
  • rapid, irregular, uncoordinated depolarizations of the atria with no definite P waves
  • QRS complex are normal in shape but occur sporadically
  • little filling can occur between beats; less filling= weaker contraction
46
Q

Ventricular Fibrillation

A
  • very serious; ventricular musculature is uncoordinated and choatic conditions
  • no detectable pattern
  • brain can not get enough blood
47
Q

Heart Block

A
  • ventricles occasionally fail to be stimulated and do not contract following atrial contractions
  • 2:1 or 3:1 block
  • complete heart block: complete dissociation between atrial and ventricular activity with impulses from the atria not being conducted to the ventricles at all
48
Q

Mid Ventricular Diastole

A
  • atrial pressure is higher
  • volume in ventricle is increasing
  • AV valves are open
49
Q

Late Ventricular Diastole

A
  • SA node reaches threshold and fires; P wave
  • atrial depolarization brings about atrial contraction; atrial pressure is higher
  • rise in ventricular pressure occurs stimultaneously with rise in atrial pressure due to additional blood added
  • volume of ventricluar increases
  • AV is still open because atria pressure is slightly higher
50
Q

End of Ventricular Diastole

A
  • end-diastolic volume (135mL)
51
Q

Ventricular Excitation and Onset of Ventricular Systole

A
  • QRS is ventricular depolarization
  • v.p. increases signalling onset of ventricular systole
  • slight delay between QRS and ven. systole is required
  • v.p exceeds a.p.
  • AV valve forced closed
52
Q

Isovolumetric Ventricular Contraction

A
  • v.p. exceeds aortic pressure to force open aortic valve
  • ventricle remains a closed chamber for a brief amount of time
  • no blood leaving or entering while v.p. rises
53
Q

Ventricular Ejection

A
  • v.p.exceeds aortic pressure aortic valve is forced open and ejection begins
  • stroke volume: 70 mLs pumped out
  • aoritc pressure continues to rise as well
  • ventricular volume decreases
54
Q

End of Ventricular Systole

A
  • end-systolic volume: 65 mLs is left over

- cardiac output= ESVxSV

55
Q

Ventricular Repolarization and onset of Ventricular Diastole

A
  • T wave at end of ventr. systole
  • ventricle starts to relax, on repolarization, ventricular pressure falls below aortic pressure and AV closes
  • dicrotic notch: closure of AV causes notch on arotic pressure
56
Q

Isovolumetric Ventricular Relaxation

A
  • ventricular pressure exceeds atrial pressure so AV valve is closed
  • all valves closed
  • no blood enters or leaves as ventricular relaxs and pressure falls
57
Q

Ventricular Filling

A
  • when v.p. falls below artial pressure the AV valve opens and filling begins
  • diastle includes both isovolumetric ventricular relaxtion and filling phase
  • atrial repolarization and ventricular depolarization occur stimultaneously
58
Q

Heart Innervation

A

Sympathetic:
Sa node: increases rate of depolarization to threshold; increases heart rate
AV node: increaes excitability; decreases the AV nodal delay
Ventr. Conduction Pathway: increases excitability; hastens conduction through the bundle of his and p fibres
Atrial Muscle: increases contractility; strengthens contraction
Ventricular Muscle: increases contractility and contraction
Adrenal Medulla: Epinephrin
Veins: increase venous return, increases strength of cardiac contraction through Frank-Starling mechanism

59
Q

Intrinsic Control

A

increase stroke volume by increasing strength of heart contraction

  • extent of venous return
  • resting cardiac muscle is less than optimal length; cardiac muscle DOES NOT stretch beyond optimal length
60
Q

Frank-Starling Law of Heart

A
  • length is the degree of diastolic filling
  • greater the filling= larger the EDV and more the heart is stretched= greater stroke volume
  • intrinsic relationship between stroke volume and EDV
61
Q

Extrinsic Control

A
  • actions of cardiac sympathetic nerves and epinephrine
  • enhance heart’s contractility
  • increased Ca+ influx; more force through greater cross-bridge cycling
  • shirt Frank cure to left
  • also enhances venus return; constricts veins
62
Q

Heart Failure

A
  • intrinsic ability of heart to develop pressure and eject a stroke volume is decreased
  • Frank curve shifts downward and to the right; smaller stroke volume
63
Q

Compensated for Heart Failure

A
  • sympathetic activity to heart is reflexly increased, increases heart contractility to normal
  • only for limited time; heart becomes less responsive to norepinephrine
  • kidneys retain extra salt and water in body during urine formation to expand blood volume
  • increase in circulating blood volume increases EDV
64
Q

Decompensated Heart Failure

A
  • forward failure: occurs as heart fails to pump adequate amount of blood forward to tissues
  • backward failure: occurs simultaneously as blood that cannot enter be pumped out by heart continues to dam up the venous system (congestive failure)
  • left-sided failure is more serious; backward= pulmonary oedema because blood backs up in lungs
  • left-sided failure in forward= inadequate flow to kidneys
65
Q

Nourishing the Heart

A
  • abundance of mitochondria
  • O2 dependent energy organelles
  • abundance of myoglobin
66
Q

Blood Supply

A
  • coronary circulation
  • extra blood is delivered by vasodilation, mainly during diastole
  • removes up to 65% of oxygen available
  • more oxygen made available by increasing coronary blood flow
  • adenosine is released when cardiac activity increases and heart is using more ATP nd needs more oxygen
  • adenosine induces dilation to blood vessels
  • relies on oxidative process to generate energy
67
Q

Coronary Artery Disease

A
  • coronary blood flow may not be able to keep pace with rising oxygen needs
  • pathological changes within the coronary artery walls that diminish blood flow through vessels
  • heart attacks
  • vascular spasms, atherosclerotic plaques and thromboembolism
68
Q

Vascular Spasm

A
  • narrows coronary vessels
  • early stages of CAD and triggered by cold, anxiety or physical exertion
  • too less of oxygen; releases platelet-activating factor which exerts a variety of actions
69
Q

Atherosclerosis

A
  • blockage of affected vessels
  • lipid rich core + smooth muscle + connective tissue cap + Ca+
    1. injury to blood vessle wall which triggers inflammatory response; plaque formation
  • oxidized cholesterol, bacteria and free radicals
    2. excessive amounts of low-density lipoprotein (bad cholestrol) with protein carrier
  • becomes oxidized
    3. in response to LDL, produce chemicals that attract monocytes, trigger immune response
    4. monocytes settle and enlarge; macrophages become foamy= foam cells
  • leave a fatty streak
    5. progresses as smooth muscle within blood vessel wall migrate to a position on top of lipid accumulation
  • smooth muscle cells divide producing atheromas (benign tumors) of smooth muscle
    6. plaque bulges into lumen
    7. oxidized LDL inhibits release of nitric oxide which is a local chemical messenger that relaxes smooth muscle cells
    8. invaded by fibroblasts which form a connective tissue cap over plaque
    9. calcium precipitates in plaque; becomes hard and cannot distend easily
70
Q

Agina Pectoris

A

agina pectoris: pain of chest

  • limited ability to perform anaerobic metabolism
  • treated by nitroglycerin; vasodilation by metabolically converted to nitric oxide which relaxes smooth muscle
71
Q

Thromboembolism

A
  • enlarging atherosclerotic plaque can break through endothelial lining exposing blood to underlying collagen
  • foam cells release chemicals that weaken cap of a plaque
  • embolus= free floating clot may completely plus smaller vessel