conducting system Flashcards

cardiac conduction pathways: explain cardiac conduction pathways

1
Q

location of SAN

A

lies just below epicardial surface at boundary between right atrium and superior vena cavae

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2
Q

what marks start of conduction pathway

A

specialised cells comprising SAN spontaneously depolarising membrane to generate own rhythm (autorhythmicity)

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3
Q

what does the SAN consist of

A

specialised cluster of autorhythmic cells

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4
Q

when the SAN depolarises where does the wave of excitation spread to and what do these stimulate

A

internodal fibres (rapid contraction tracts) which stimulate atrial myocardium to contract in atrial bundles

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5
Q

where does the wave of excitation then spread to

A

AVN

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6
Q

what is the function of the AVN

A

specialised cells to delay wave of excitation and insulate from superior ventricular myocardium, allowing blood to be propelled from atria into ventricle

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7
Q

what is the function of the bundle of His

A

rapid conduction cells (slightly insulated) to transport wave of excitation from atria down apex to base of ventricles

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8
Q

what is the function of ventricular fibres (ventricular Purkinje system)

A

bundle branches which propagate impulse across ventricular myocardium from apex, pushing blood into artery (afterload)

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9
Q

what causes impulse propagation

A

combination of passive spread of current (local currents) and reach of threshold potential

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10
Q

outcome of wave of depolarisation exceeding threshold

A

cause an ation potential, but keeps spreading and diminishing

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11
Q

what junction is used to allow impulse propagation and where

A

gap junctions at intercalated discs

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12
Q

how do gap junctions allow impulse propagation

A

reduce resistance between cells to allow current to leak

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13
Q

what do connexons (consist of connexins) in gap junctions do

A

join to form a tube between cells

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