Electrical Activity of the Heart Flashcards

1
Q

Describe the T-tubles in cardiac muscle cells compared to skeletal
muscle cells

A

The t-tubules of myocardial cells are larger than those of skeletal muscle, and they branch inside the myocardial cells.

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2
Q

Describe the sarcoplasmic reticulum in cardiac muscle compared to skeletal muscle and explain why this difference exists

A

Myocardial sarcoplasmic reticulum is smaller than that of skeletal muscle, reflecting the fact that cardiac muscle
depends in part on extracellular Ca2+ to initiate contraction. - In cardiac muscle Ca2+ from outside the cell regulates contraction.

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3
Q

Describe how Ca2+ can regulate contraction of myocardial cells

A

If cytosolic Ca2+ concentration decrease then less Ca2+ will enter the cell snd less troponin will be saturated so the force of the contraction will low. vice-versa if cytosolic Ca2+ conc. is high

In terms of action potential, the plate duration is determined by Ca2+

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4
Q

Describe the intercalated disk

A

Cell junctions that connect neighbouring cardiac muscle cells end-to-end

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5
Q

What are the two components of intercalated disks?

A
  • Desmosomes

- Gap junctions

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6
Q

What is the role of desmosomes?

A

Physical connection between the cells that keep the muscle cells connected even when action potentials are fired

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7
Q

What is the role of gap junctions?

A

Electrical connections that allow wave of depolarisation to spread rapidly from cell to cell so that all the cardiac muscle cells contract simultaneously

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8
Q

What feature allows the cardiac muscle to exhibit no tetanus?

A

The refractory period of the heart muscle is much longer after an action potential has fired. This is due to the the longer period of time that the cardiac action potential lasts for

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9
Q

How long does the action potential of cardiac muscle last for?

A

250 msec

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10
Q

How long does the action potential for skeletal muscle last for?

A

2 msec

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11
Q

What are pacemaker cells?

A

Auto-rhythmic cells that can spontaneously fire action potentials without the need of the nervous system. They usually have a RMP of -60, making them unstable.

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12
Q

Describe how the non-pacemaker action potential is fired?

A

Resting membrane potential
-high resting PK+

Initial depolarisation
-increase in PNa+ by the opening of Na+ voltage-gated channels

Initial Repolarisation
-Na+ channels close

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

Repolarisation
-decrease in PCa2+, and increase in PK+

P=permeability

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13
Q

Describe how the pacemaker action potential is fired?

A

Action potential
-increase in PCa2+ (L-type)

Pacemaker potential 		(= pre-potential)
not a simple story! Due to a ...
gradual decrease in PK+
early increase in PNa+ (= PF)
late increase in PCa2+ (T-type)

Pacemaker explains autorhythmicity - the heart is able to beat even when there is neural input

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14
Q

Modulators of electrical activity - drugs

A
  • Ca2+-channel blockers – decrease force of contraction

- cardiac glycocides – increase force of contraction

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15
Q

Modulators of electrical activity - Temperature

A

increases ~10 beats/min/ºC

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16
Q

Modulators of electrical activity - Hyperkalemia

A

fibrillation & heart block ap from atria to ventricles

17
Q

Modulators of electrical activity - Hypokalemia

A

fibrillation & heart block (anomalous)

18
Q

Modulators of electrical activity - Hypecalcemia

A

increased HR & force of contraction

19
Q

Modulators of electrical activity - Hypocalcemia

A

decreased HR & force of contraction

20
Q

Describe how the action potential is conducted throughout the heart (the special conducting system)|

A

Sinoatrial node – fastest
-pacemaker
~ 0.5 m/sec

Atrioventricular node
delay box
~ 0.05 m/sec

Bundle of His and
Purkinje fibres
rapid conduction system
~ 5 m/sec

21
Q

What part of the heart is non-conducting?

A

Annulus fibrosus – not connected by a gap junction

22
Q

Describe the waves measured by an ECG

A

P- atrial depolarisation
QRS complex - ventricular depolarisation
T- ventricular repolarisation