Electrical activity of the heart Flashcards

1
Q

how is the action potential generated?

A

initiated through the movement of ions across a cell membrane.

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2
Q

how are cells normally charged?

A

cells are polarised, negative on outside, positive exterior

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3
Q

how does potassium move across the cell?

A

the cell membrane is permeable to potassium. it can diffuse into the cell [passive] or be removed via voltage gated ion pumps that require energy.

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4
Q

What is the role of catecholamines?

A

open the HCN channels faster

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5
Q

what is the role of acetylcholine?

A

to open the HCN channels slower

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6
Q

how is the generator potential created?

A

sodium diffuses into the cell via diffusion changing the cell from -60mV to -40mV. This causes the voltage gated channels to open.

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7
Q

what is the need for the plateau phase?

A

to prevent tetany in cases of recurrent stimuli and allow the heart to fill with blood.

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8
Q

What is the role of t tubules?

A

to allow the rapid movement of calcium into the cell.

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9
Q

what is the role of the AV node?

A

transmit the electrical impulse between the atrium and the ventricles. It delays this to allow the ventricles to fill by having small fibres and fewer gap junctions.

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10
Q

what is meant by automaticity?

A

the ability of the cell to spontaneously generate an action potential.

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11
Q

what is the effect of sympathetic stimulation?

A

increased heart rate,

increased force of contraction, increase cardiac output

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12
Q

what is the effect of parasympathetic stimulation?

A

decreases heart rate, decreases force of contraction, decreases cardiac output.

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13
Q

What is the main stimulant of sympathetic stimulation?

A

noradrenaline, which binds to Beta 1 adrenoreceptors.

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14
Q

How does noradrenaline increase cardiac output?

A

it binds with the type 1 beta adrenoreceptors which increase the enzyme adenyl cyclase which increase the amount of cAMP.

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15
Q

what is the main stimulant of parasympathetic stimulisation?

A

acetylcholine which bind to M2 receptors.

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16
Q

how does acetylcholine decrease heart rate?

A

Binds to M2 receptors which inhibit the action of adenyl cyclase which reduces the amount of cAMP.

17
Q

what does the P region relate to on an ECG?

A

Atrial depolarisation

18
Q

what does the T region relate to on an ECG?

A

Ventricular repolarisation

19
Q

In which leads are P waves positive?

A

they are positive in every lead apart from aVR.

20
Q

What does QRS relate to on an ECG?

A

Ventricular depolarisation

21
Q

In which leads are T waves positive?

A

in every lead apart from aVR.

22
Q

how many leads are there on the chest?

A

6 chest leads V1-V6.

23
Q

What does aVR measure?

A

records activity to the right arm.

24
Q

what does aVL measure?

A

activity in the left arm.

25
Q

what does aVF measure?

A

activity from an inferior region of the heart.

26
Q

why is the electrical impulse smaller in the atria?

A

because there are less myocytes in the atria.

27
Q

what does the ST segment represent?

A

the time between depolarisation and repolarisation