Drugs Modifying Cardiac Rate and Force Flashcards

1
Q

The ‘funny’ current, If, conducts what ions and in what direction

A

Na+
K+
inward

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2
Q

The background sodium current (Ib) conducts what ions and in what direction

A

Na+

inward

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3
Q

The transient calcium current (ICaT) conducts what ions and in what direction

A

Ca++

inward

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4
Q

The long calcium current (ICaL) conducts what ions and in what direction

A

Ca++

inward

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5
Q

The delayed rectifier potassium current (IK) conducts what ions and in what direction

A

K+

outwards

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6
Q

During phase 4 of action potential in the SA and AV nodes, what channels are acting.

A

Na+, background sodium current (Ib)(inward)
Ca++, transient calcium current (ICaT)(inward)
K+ (normally allow K to flow out of cell – turn off -> less of a hyperpolarising influence, contributes to pacemaker potential)
Delayed rectifier potassium current (IK)
(IF) Funny channel – allows sodium ions to move into cell (activated by hyperpolarisation)

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7
Q

During phase 0 (upstroke) of action potential in the SA and AV nodes, what channels are acting?

A

ICaL open
opening of voltage activated Ca++ channels (NOT Na+ channels)
*Calcium channels open more slowly than Na+ channels

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8
Q

During phase 3 (upstroke) of action potential in the SA and AV nodes, what channels are acting and how does this affect the cell?

A

IK open
Allows potassium to move out of cell
Inside of cell relatively negative
Head back to negative membrane potential

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9
Q

In atrial and ventricular myocytes of the heart, what channels control the action potential and how?

A

IK1 - inward rectifier potassium current (Outward)
INa - sodium current (Inward)
Ito - transient outward potassium current (Outward)
ICaL - long calcium current (inward)
IK - delayed rectifier potassium current (Outward)

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10
Q

Describe phase 4 of an action potential in a myocyte

A

resting membrane potential
at diastolic potential
horizontal on an action potential graph
IS STEADY ~-90mV

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