electricity and the heart Flashcards

1
Q

define electrical potential

A

energy stored in an electric field per unit charge

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2
Q

define voltage

A

energy required to move a particle from one place to another per unit charge

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3
Q

what 2 factors support movement of ions forming an electrochemical gradient

A

charge and concentration

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4
Q

during resting potential, what ion is the cell membrane relatively leaky to

A

potassium

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5
Q

which ion channel is mainly responsible for creating a concentration gradient

A

sodium potassium channel
3 Na+ out 2K+ in

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6
Q

define equilibrium potential

A

voltage required to maintain the concentration gradient

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7
Q

why does the inside of the cell generally have a negative electric potential form

A

it has impermeable negatively charged ions such as phosphate

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8
Q

the movement of positive ions can be enough to change the membrane potential

this can be enough to open voltage gated sodium channels and start an action potential

A

o

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9
Q

compare the time taken for a cardiac and neurone action potential

A

cardiac = 300msec
neurone = 1msec

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10
Q

what are pacemaker cells

A

specialized myocardial cells in atria with an intrinsic ability to depolarize rhythmically and initiate an action potential

automatic firing
SA AND AV NODES

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11
Q

what pump do the SA nodes have to help stimulate an action potential

A

sodium-potassium atp pump

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12
Q

how do pacemaker cells create an action potential

A
  • sodium potassium atp pump in the node which uses ATP to traansport 3 NA+ OUT the cell and 2 k+ IN the cell
  • during that there is additionally leaky potassium pumps pushing K+ out the cell slowly so the resting potential of the cell is around -55mV
  • the nodes are also leaky to sodium and calcium
  • calcium is concentrated outside of the cell and so the leaky channel causes calcium to leak into the cell and channels also cause sodium to leak into the cell
  • because there are positive ions leaking into the cell, it causes the gradual drifting of depolarisation
  • once the threshold voltage of -40mV is hit, this stimulated the opening of another calcium channel (but this one brings calcium into the cell quickly)
  • this generates a fast stimulus up to around +20mV
  • at +20mV more leaky potassium channels open causing heaps K+ to leak out of the cell
  • this makes the voltage drop (repolarisation) to around -45/60mV

then the whole thing continually repeats

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13
Q

how many beats per min does the SA node make

A

60-100

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14
Q

how does the sympathetic system affect cell action potential

A

the leaky/slow Na+ channel permeability increases causing the steeper depolarisation of the beginning of the action potential (where the leaky calcium and sodium enter)

making the threshold reached faster and action potential hit faster so faster heart rate

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15
Q

how does the parasymstem affect cell action potential

A

leaky sodium channel permeability decreases causing less sodium entering the cell

beginning depolarisation trough is lowered and becomes flatter

threshold is slower to be met and this decrease rate of action potential / heart rate

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15
Q

under normal conditions the atria and ventricles are electrically insulated from one another

A
16
Q

in what direction does the bundle of his occur from

A

right to left

17
Q

which does depolarisation happen to first, the epicardium or endocardium

A

endocardium to epicardium

18
Q

which action potential is shorter, epicardium or endocardium

A

epicardium

19
Q

depolarisation and muscle contraction are not simultaneous

A
20
Q

how can you tell theres atrial fibrillation via ECG

A

the spacing between the QRS are irregular and theres a lack of clear p-wave

can cause stroke

21
Q

what is ventricular fibrillation and the issues it brings

A

chaotic and disorganised depolarisation of ventricles

cardiac output is severely reduced and rhythm is incompatible with life

patients put into cardiac arrest and need immediate defibrilisation

22
Q

what is defibrilation

A

external electrodes apply current that simultaneously depolarises all cells in heart (so normal electrical acitvity can continue)

23
Q

what is aystole

A

hearts electrical system fails causing your heart to stop pumping

24
Q
A