Electrical Activity of the Heart Flashcards

1
Q

Which type of muscle, cardiac or skeletal, can exhibit tetanus?

A

Skeletal muscle

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2
Q

Which type of muscle, cardiac or skeletal, has the longest refractory period?

A

Cardiac

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3
Q

What is a syncytium?

A

A large cell formed by lots of cells with multiple nuclei

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4
Q

How does cardiac muscle form a functional syncytium?

A

The cells are electrically connected by gap junctions and physically connected by desmosomes

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5
Q

What is meant by an intercalated disc?

A

The alternating gap junctions and desmosomes

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6
Q

What ion can regulate contraction?

A

Calcium

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7
Q

How does calcium entry from outside of the cell regulate contraction

A

Calcium release does not fully saturate the troponin, so regulation of calcium release can vary the strength of contraction

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8
Q

What causes the initial depolarisation in a non-pacemaker cell?

A

An increase in PNa+

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9
Q

What causes the plateau in potential in a non-pacemaker cell?

A

An increase in PCa2+(L-type) and a decrease in PK+

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10
Q

What causes the repolarisation of a non-pacemaker cell?

A

A decrease in PCa2+ and an increase in PK+

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11
Q

What causes the action potential in pacemaker cells?

A

An increase in PCa2+ (L-type)

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12
Q

What causes the pacemaker potential in pacemaker cells?

A

Gradual increase in PK+, an early increase in Pf and a late increase in PCa2+ (T-type)

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13
Q

What is meant by Pf

A

Sodium channels that were opened by the previous repolarisation

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14
Q

How do Calcium channel blockers effect electrical activity?

A

They decrease the force of contraction

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15
Q

How d cardiac glycosides effect electrical activity?

A

They increase the force of contraction

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16
Q

How does temperature effect electrical activity?

A

Heart rate increases approx. 10beats/min/ºC

17
Q

How do hyperkalemia and hypokalemia effect electrical activity?

A

Both cause fibrillation and heart block

18
Q

How does hypercalcemia effect electrical activity?

A

It increases the heart rate and the force of contraction

19
Q

How does hypocalcemia effect electrical activity?

A

It decreases heart rate and the force of contraction

20
Q

What is the function of the sinoatrial node?

A

It acts as the main pacemaker

21
Q

How fast does the sinoatrial node conduct?

A

Approx. 0.5m/s

22
Q

Does the annulus fibrosus conduct?

A

No

23
Q

What is the function of the atrioventricular node?

A

It acts as a delay box

24
Q

How fast does the atrioventricular node conduct?

A

0.05m/s

25
Q

What is the function of the purkinje fibres?

A

They are a rapid conduction system

26
Q

How fast do the purkinje fibres conduct?

A

5m/s