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

18
Q

what is diad

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
how long is the absolute refractory in the atria
.15 sec
26
what is the relative refracotry
.05 sec are more difficult to excite
27
what is the absolute refracotry period
cell is completely unexcitable to a new stimulus
28
what si effective refractory period
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
what is relative refaractory period
a greater than normal stimulus will depolarized the cell and cause and action potential
30
what is the supranormal period
hyper excitable period during which a weaker than normal stimulus will depolarize the ells and cause an ap
31
what can supranormal period cause
can cause arrhythmias when exposed to an inappropriate timed stimulus
32
what is the cardiac cycle
beginning of one heart beat to the beginning of the next heart beat
33
what is the timing o the cardiac cycle related too
THE HR
34
what is systole
ventricular m. stimulated by action potential and contracting
35
what is diastole
ventricular m. reestablishing NA/ K/ CA gradient and is relaxing
36
what is p wave
atrial wave
37
what is QRS
ventricular wave
38
What is T
ventricular repolarization