electrical activity of the heart Flashcards

1
Q

what are electrical properties of the heart

A
Excitation contraction coupling
Ionic basis of the non-pacemaker action potential
Ionic basis of the pacemaker potential
Modulators of electrical activity
The special conducting system
The electrocardiogram
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2
Q

do skeletal muscle and cardiac muscle exhibit tetanus

A

skeletal does, cardiac doesn’t

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3
Q

in extraction-contraction coupling, how is cardiac muscle formed into a functional syncytium

A

electrically connected via gap junctions
physically connected by desmosomes
these form the intercalated discs

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4
Q

does cardiac muscle have a long or short action potential

A

long

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5
Q

why cant cardiac muscle exhibit tetanic contraction

A

long refractory period

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6
Q

what regulates the contraction?

A

calcium

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7
Q

what happens to pk and pca in non pacemaker when its a resting membrane potential?

A

high resting pk

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8
Q

what happens to pk and pca and pna in non pacemaker when its a initial depolarisation

A

increase in PNa+

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9
Q

what happens to pk and pca and pna in non pacemaker when its plateau

A

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

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10
Q

what happens to pk and pca and pna in non pacemaker when its Repolarisation

A

decrease in PCa2+, and increase in PK+

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11
Q

what happens to pk and pca and pna in pacemaker when its action potential?

A

increase in PCa2+ (L-type)

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12
Q

what happens to pk and pca and pna in pacemaker when its pacemaker potential?

A

gradual decrease in PK+
early increase in PNa+ (= PF)
late increase in PCa2+ (T-type)

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13
Q

what are the modulators of electrical activity?

A
Sympathetic & parasympathetic systems – see later
Drugs
Temperature
Hyperkalemia 
Hypokalemia 
Hypercalcemia 
Hypocalcemia
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14
Q

what drugs modulate electical activity

A

Ca2+-channel blockers – decrease force of contraction

cardiac glycocides – increase force of contraction

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15
Q

in what way does temperature effect electrical activity?

A

increases ~10 beats/min/ºC

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16
Q

in what way does Hyperkalemia effect electrical activity?

A

(high plasma K+)

fibrillation & heart block

17
Q

in what way does Hypokalemia effect electrical activity?

A

(low plasma K+)

fibrillation & heart block (anomalous)

18
Q

in what way does Hypercalcemia effect electrical activity?

A

(high plasma Ca2+)

increased HR & force of contraction

19
Q

in what way does Hypocalcemia effect electrical activity?

A

(low plasma Ca2+)

decreased HR & force of contraction

20
Q

is annulus fibrosis conducting

A

no

21
Q

whats in the Sinoatrial node and how quickly does it conduct

A

pacemaker

~ 0.5 m/sec

22
Q

whats in the Atrioventricular node

and how quickly does it conduct?

A

delay box

~ 0.05 m/sec

23
Q

whats in the Purkinje fibres

and how quickly does it conduct

A

rapid conduction system

~ 5 m/sec

24
Q

whats the order of the conducting system?

A

arterial excitation, ventricular excitation, ventricular relaxation