chapter 13 Flashcards

1
Q

What is the electrical signaling of the heart?

A
  1. Sinoatrial node (SA node)
  2. Atrioventricular node (AV node)
  3. Bundle of His
  4. Right and Left bundle branches
  5. Purkinjie fibers
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2
Q

Why don’t we have erratic action potentials throughout the heart?

A

The SA node has the highest frequency therefore setting the pace, faster rate than others

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3
Q

Why is there a .1 delay in the signaling of the SA node and AV node?

A

To allow enough time for the ventricles to fill up

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4
Q

What are the first 3 steps of the cAMP 2nd messenger system?

A
  1. Ligand binds to G- Proteinreceptor
  2. G- proteins are activated, GDP is swapped for GTP
  3. Alpha subunit and GTP dissociate from beta and gamma units and bind with Adenylate cyclase
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5
Q

What are the steps 4 and 5?

A
  1. Adenylate cyclase is activated, catalyzes ATP into cAMP

5. cAMP activates PKA (Protein Kinease A)

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6
Q

Which enzyme is activated?

A

Adenylate Cyclase

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7
Q

Which second messenger is increased?

A

cAMP

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8
Q

What does that second messenger do?

A

Activates PKA (Protein Kinase A)

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9
Q

What does PKA do in cardiac muscle?

A

Phosphorylates the protein phospholammban increasing activation of CA2+ ATPase pump in sarcoplasmic reticulum of cardiac muscle

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10
Q

How does phospholamban affect cardiac contractions?

A

Makes stronger contractions

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11
Q

What are the differences between the action potentials in autorhythmic cells vs. cardiac myocytes?

A
  • Autorhythmic cells DO NOT need an external stimulus to fire, steady resting potentials
  • Cardiac Myocytes DO need a stimulus to fire, steady resting potential
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12
Q

What ion is important in Phase 0 (depolarization) during the action potentials for cardiac myocytes?

A

Sodium

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13
Q

What ion is important in Phase 1 (early repolarization) during the action potential for cardiac myocytes?

A

potassium

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14
Q

What ion is important in Phase 2 (Plaeau) during the action potential for cardiac myocytes?

A

potassium and calcium

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15
Q

What ion is important in Phase 3 (Repolarization) during the action potential for cardiac myocytes?

A

potassium

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16
Q

What ion is important in the drift (slow depolarization) of the action potential for autorhythmic cells?

A

Sodium

17
Q

What ion is important in depolorization of the action potential for autorhythmic cells?

A

Calcium

18
Q

What ion is important in the repolorization of the action potential for autorhythmic cells?

A

Potassium

19
Q

What causes the drift in slow depolarization for the action potential of the autorhythmic cells?

A

Sodium influx outpacing potassium efflux

20
Q

What causes heart valves to open and close ?

A

Open- pressure on “proximal” side if valve is higher than the pressure on the “distal” side

Close- pressure on the “proximal” side is is less than the pressure on the “distal” side