chapter 9- cardiac pump Flashcards

1
Q

what is syncytium

A

mass resulting forma fusion of cell

- atrial and ventricular syncytium

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2
Q

what is the fibrous insulator

A

by fibrouds tissue, exists btwn atrium and ventricle

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3
Q

what do cardic cells have

A
  • actin and myosin

- intercalated disk

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4
Q

what are intercalated disk

A

low resistance disk btwn the cells

1/400 the resistance of cell membrane

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5
Q

what is the resting membrane potential of cardiac muscles

A

-85 to 95 millivolts

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6
Q

what is the volts of the action potential

A

105 millivolts total ( from -85 to +20 mV)

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7
Q

how long does the plateau last

A

.2 to -.3 sec in ventricular muscle ( but is much longer than skeletal m.)

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8
Q

how do you power the heart

A

action potentials

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9
Q

what is phase 0 of the ventricular ap

A

fast na channel open

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10
Q

what is phase 1 of the ventricular ap

A

transient outward K channels open

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11
Q

what is phase 2 of the ventricular ap

A

ca channels open more this ca is used for muslces contractions

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12
Q

what is phase 3 of the ventricular ap

A

k channels open more

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13
Q

what is phase 4 of the ventricular ap

A

resting membrane potential

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14
Q

where is ca released from

A

saroplasmic reticulum

extracellular fluid

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15
Q

what does the the released of the extracellular fluid ca do

A

1 works with the contractions

2 stimulated the sarcoplasmic reticulum to make mroe Ca++

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16
Q

how does the Ca come form the extracellular fluid

A

through t tubules

17
Q

what is tid

A

slide 7

18
Q

what is diad

A

slide 7

19
Q

how does skeletal m. increase force development in the m.

A

recruit more motor units via motor neurons

20
Q

how does cardia m. increase the force of contraction

A

increase intracellular calcium unmask more binding sites

21
Q

how long is the conduction of the ap along both atrial and ventriclar m.

A

is about .3 to .5 m/sec

22
Q

how long is the conduction of the ap in the purkinje fibers is

A

about 4 m/sec

23
Q

what is the absolute refractory

A

this is during this time cardiac m. cannont be re excited

24
Q

how long is the absolute refractory in the ventricles

A

.25-30 sec

25
Q

how long is the absolute refractory in the atria

A

.15 sec

26
Q

what is the relative refracotry

A

.05 sec are more difficult to excite

27
Q

what is the absolute refracotry period

A

cell is completely unexcitable to a new stimulus

28
Q

what si effective refractory period

A

absolute refracotry period + short segment of phase 3 during which a stimulus may cause the cell to depolarize minimally but will not result in a propagated action potential

29
Q

what is relative refaractory period

A

a greater than normal stimulus will depolarized the cell and cause and action potential

30
Q

what is the supranormal period

A

hyper excitable period during which a weaker than normal stimulus will depolarize the ells and cause an ap

31
Q

what can supranormal period cause

A

can cause arrhythmias when exposed to an inappropriate timed stimulus

32
Q

what is the cardiac cycle

A

beginning of one heart beat to the beginning of the next heart beat

33
Q

what is the timing o the cardiac cycle related too

A

THE HR

34
Q

what is systole

A

ventricular m. stimulated by action potential and contracting

35
Q

what is diastole

A

ventricular m. reestablishing NA/ K/ CA gradient and is relaxing

36
Q

what is p wave

A

atrial wave

37
Q

what is QRS

A

ventricular wave

38
Q

What is T

A

ventricular repolarization