Electrical Activity of the Heart Flashcards

1
Q

In order for the whole heart to shorten on contraction, what two kinds of connections between the two membranes are needed?

A
  • physical

- electrical

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2
Q

The arrangement of desmosome-gap junction-desmosome is known as

A

intercalated discs

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3
Q

Are action potentials in cardiac muscle longer or shorter than those in skeletal muscle?

A

Longer

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4
Q

The amount of calcium entering the heart from outside can be regulated by cardiac muscle, this allows what to be regulated?

A
  • number of gap junctions

- strength of contraction

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5
Q

During what phase of the action potential does calcium enter the cardiac muscle cell?

A

Plateau phase

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6
Q

Through what channels does calcium enters cardiac muscle cells?

A

L-type voltage-gated calcium channels

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7
Q

Calcium sensitive calcium release channels in the sarcoplasmic reticulum release stored calcium into the cytoplasm though what process?

A

Calcium-induced calcium release

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8
Q

The combination of calcium release and calcium entry across the membrane causes a rapid increase in calcium concentration which

A

initiates contraction

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9
Q

What process is entirely responsible for calcium release from the sarcoplasmic reticulum?

A

Calcium-induced calcium release (CICR)

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10
Q

How are crossbridges formed?

A

Myosin heads protruding from the thick filament bind to sites on actin

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11
Q

At rest, the myosin binding sites on the actin are covered by what regulatory protein?

A

Tropomyosin

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12
Q

When calcium binds to troponin, there is a conformational change involving the dissociation of what?

A

Troponin from actin

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13
Q

What happens regarding tropomyosin when troponin dissociates from actin?

A

Tropomyosin shifts out of actin cleft, uncovering the actin binding sites for myosin

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14
Q

When myosin bridges form, what develops?

A

Tension

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15
Q

Tension is related to the number of

A

active crossbridges

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16
Q

What happens to calcium when ATP-dependent calcium pumps in the tubular part of the sarcoplasmic reticulum are activated?

A

Calcium is sequestered from the cytosol back into the sarcoplasmic reticulum

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17
Q

As the action potential repolarises what happens to the heart muscle?

A

Heart muscle relaxes

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18
Q

Cardiac muscle is electrically connected via

A

gap junctions

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19
Q

Cardiac muscle is physically connected by

A

desmosomes

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20
Q

Why does cardiac muscle not exhibit tetanic contraction?

A

It has a long refractory period

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21
Q

Cells with unstable resting membrane potential act as

A

pace makers

22
Q

In a non-pacemaker action potential, there is a high resting membrane potential for what ion?

23
Q

What changes in permeability to ions occur in the plateau phase in a non-pacemaker action potential?

A
  • increase in permeability to Ca2+

- decrease in permeability to K+

24
Q

What changes in permeability to ions occur in the initial depolarisation of non-pacemaker action potentials?

A

Increase in permeability to Na+

25
What changes in permeability to ions occur in the repolarisation phase of non-pacemaker action potentials?
- decrease in permeability to Ca2+ | - increase in permeability to K+
26
Pacemaker potential is due to what 3 factors?
- gradual decrease in permeability to K+ - early increase in permeability to Na+ - late increase in permeability to Ca2+
27
The action potential in pacemaker action potential is due to what?
Increase in permeability to Ca2+
28
Calcium channel blockers mainly block what type of channels?
L type
29
What effect do calcium channel blockers have on contraction?
Decrease force of contraction
30
Other than calcium channel blockers, give a drug which modulates the electrical activity of the heart
Cardiac glycosides
31
What effect do cardiac glycosides have on contraction?
Increase force of contraction
32
By how many beats/min/degree celsius does the heart increase with increasing temperature?
(around) 10 beats/min/degree celsius
33
What is hyperkalaemia?
High plasma K+
34
What is hypokalaemia?
Low plasma K+
35
What is hypercalcaemia?
High plasma Ca2+
36
What is hypocalcaemia?
Low plasma Ca2+
37
What do hyperkalaemia and hypokalaemia cause in the heart?
Fibrillation and heart block
38
What does hypercalcaemia cause in the heart?
Increased heart rate and force of contraction
39
What does hypocalcaemia cause in the heart?
Decreased heart rate and force of contraction
40
What cells can reach action potentials and release signals in hyperkalaemia?
Non-pacemaker cells
41
What is the only place in the heart where gap junctions are not connecting cells?
Annulus fibrosis
42
What is the only route for action potentials between the atria and ventricles?
Through the atrioventricular node
43
Action potentials travel through the atrioventricular node very slowly which allows what?
The atria to contract and expel blood before the ventricles work
44
What side of the heart has 2 bundle branches?
Left
45
What node is the heart's natural pacemaker?
Sinoatrial node
46
An action potential in a single myocyte evokes
a very small extracellular electrical potential
47
Lots of small extracellular potentials evoked by many cells de/repolarising at the same time can summate to create
large extracellular electrical waves
48
P waves correspond to
atrial depolarisation
49
QRS complex corresponds to
ventricular depolarisation
50
T wave corresponds to
ventricular repolarisation