Electrical Activity of the Heart Flashcards

1
Q

What acts as a large calcium store?

A

Sarcoplasmic reticulum

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2
Q

What does calcium bind to?

A

Troponin

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3
Q

What does cardiac muscle act as?

A

A massive functional syncytium

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4
Q

How are cells linked together?

A
  • Desmosomes
  • Intercalated discs
  • Gap junctions
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5
Q

What kind of connection to desmosomes provide?

A

Physical connection

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6
Q

What kind of connection do gap junctions provide?

A

Electrical connection

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7
Q

How is the strength of contraction regulated?

A

Control of the amount of calcium entering the cell

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8
Q

What kind of refractory period do cardiac muscle cells experience?

A

Very long

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9
Q

Why do you not want tetanic muscle contraction in your heart?

A

It would mean that your heart would beat once and there would not be another bet causing asystole

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10
Q

What form the intercalated discs?

A

Gap junctions and desmosomes

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11
Q

How does the action potential in cardiac muscle compare to that in skeletal?

A

It is much longer

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12
Q

What does the long refractory period of cardiac muscle mean?

A

It cannot exhibit tetanic contraction

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13
Q

Why can regulation of Ca release be used to vary strength of contraction?

A

Ca release does not saturate troponin

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14
Q

What do cells which have unstable resting membrane potentials act as?

A

Pacemaker cells

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15
Q

What is responsible for the resting membrane potential of non-pacemaker action potentials?

A

High resting PK

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16
Q

What is responsible for the initial depolarisation in non-pacemaker action potentials?

A

Increase in PNa

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17
Q

What is responsible for the plateau in non-pacemaker action potentials?

A

Increase in PCa (L-type) and decrease in PK

18
Q

What is responsible for the repolarisation in non-pacemaker action potentials?

A

Decrease in PCa and increase in PK

19
Q

What is responsible for the action potential in pacemaker action potentials?

A

Increase in PCa (L-type)

20
Q

What is the pacemaker potential?

A

Pre-potential

21
Q

What is the pacemaker potential due to?

A
  • Gradual decrease in PK
  • Early increase in PNa
  • Late increase in PCa (T-type)
22
Q

What does pacemaker explain?

A

Auto rhythmicity and basis of understanding modulation of the activity of the heart

23
Q

What are modulators of electrical activity? (7)

A
  • Sympathetic and parasympathetic systems
  • Drugs
  • Temperature
  • Hyperkalaemia
  • Hypokalaemia
  • Hypercalcaemia
  • Hypocalcaemia
24
Q

How do drugs modulate electrical activity?

A
  • Ca channel blockers decrease force of contraction

- Cardiac glycosides increase force of contraction

25
Q

How does temperature modulate electrical activity?

A

Increases HR by 10 beats/min/degree

26
Q

How does hyperkalaemia modulate electrical activity?

A

Fibrillation and heart block

27
Q

How does hypokalaemia modulate electrical activity?

A

Fibrillation ad heart block (anomalous)

28
Q

How does hypercalcemia modulate heart activity?

A

Increased HR and force of contraction

29
Q

How does hypocalcaemia modulate electrical activity?

A

Decreased HR and force of contraction

30
Q

What is the only area of the heart which is non-conducting?

A

Annulus fibrosis

31
Q

Where are the fastest pacemaker cells found?

A

Sinoatrial node

32
Q

How does the sinoatrial node contribute to the special conducting system?

A
  • Pacemaker

- ~0.5m/sec

33
Q

How does the atrioventricular node contribute to the special conducting system?

A
  • Delay box

- ~0.05m/sec

34
Q

How do the Purkinje fibres contribute to the special conducting system?

A
  • Rapid conduction system

- ~5m/sec

35
Q

What does an action potential in a single myocyte evoke?

A

A very small extracellular (cf transmembrane) electrical potential

36
Q

How are large extracellular electrical waves evoked?

A

By lots of small extracellular electrical potentials evoked by many cells depolarising and repolarising at the same time can summate

37
Q

Where can large extracellular electrical waves by recorded?

A

At the periphery as and ECG

38
Q

What do P waves correspond to?

A

Atrial depolarisation

39
Q

What do QRS complexes correspond to?

A

Ventricular depolarisation

40
Q

What do T waves correspond to?

A

Ventricular repolarisation

41
Q

What are the components of the special conducting system?

A
  • Sinoatrial node
  • Annulus fibrosus
  • Atrioventricular node
  • Bundle of His
  • Purkinje fibres