exam Flashcards

(44 cards)

1
Q

the pacemaker potential occurs during

A

diastole

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2
Q

diastole

A

relaxation/resting peroid of heart

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3
Q

diastole

A

relaxation/resting period of heart

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4
Q

systole

A

contraction of the heart

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5
Q
  1. SA node (pacemaker)
  2. AV node
  3. bundle of His
  4. R & L bundle branches
  5. Purkinjie fibers
A

conduction system of the heart

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6
Q
  • pacemaker of the heart
    -sends signals to AV
    -located in R atrium near the superior vena cava
    -parasympathetic & sympathetic
A

SA node

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7
Q

pacemaker potential

A

slow, spontaneous depolarization

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8
Q

SA nodes do not have

A

a maintained RMP

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9
Q
  • Resting membrane Potential = -85mV
    -long phase (slow) (200-300ms)
    -plateau phase
  • no summation or tetanus
A

Myocardial action potential

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10
Q

Source of calcium in muscle

A
  • sarcoplasmic reticulum
  • extracellular fluid
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11
Q

sarcoplasmic reticulum

A

stores calcium in muscle cells

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12
Q
  • fast
  • all Ca2+ comes from the sarcoplasmic reticulum
    -somatic (voluntary)
  • striated, nuclei pushed to edges
A

skeletal

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13
Q

-Ca2+ comes from the sarcoplasmic reticulum and out of the cell
-autonomic (involuntary)
-striated, nuclei scattered, intercalated disks, branching

A

cardiac muscle

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14
Q

-almost all Ca2+ comes extracellular
-autonomic (involuntary) (slowest)

A

smooth muscle

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15
Q

Main differences between skeletal and cardiac muscle

A

cardiac branches and has intercalated disks (gap junction)

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16
Q

HCN channels

A

open in response to hyperpolarization

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17
Q

HCN channels (broken down)

A

H: hyperpolarization
CN: cyclic nucleotide (AMP)

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18
Q

threshold in heart

19
Q

once the heart reached the threshold…..

A

opens voltage regulated Ca2+ channels

20
Q

calcium induced

A

calcium released

21
Q

calcium from sarcoplasmic reticulum

A

causes muscle contractions

22
Q

repolarization occurs (in heart)

A

with the opening of voltage-gated potassium channels

23
Q

plateau phase

A

caused by slow calcium channels
potassium gives plateau
correlated to S-T segment

24
Q

summation or tetanus is prevented by?

A

long refractory period

25
A recording of the electrical activity of the heart
ECG/EKG (electrocardiogram)
26
ventricular depolarization and atrial repolarization
QRS complex
27
T wave
ventricular repolarization
28
bipolar leads
Lead I, II, III (R&L wrist, L ankle)
29
thick middle muscle layer of the heart
Myocardium
30
membrane surrounding the heart
Pericardial sac
31
volume of blood in each ventricle at end of ventricular diastole
End diastolic volume (EDV)
32
volume of blood remaining in each ventricle after systole
end-systolic volume (ESV)
33
the volume of blood pumped forward with each ventricular contraction SV=EDV-ESV
stroke volume
34
what is the most important factor in examination of a single cardiac cycle?
Stroke volume
35
- the amount of blood pumped in 1 minute (mL/min) - an indication of blood flow through peripheral tissue (blood) - provides information about ventricular efficiency
cardiac input
36
what does cardiac output provide?
information about ventricular efficiency.
37
cardiac output can be adjusted by
changes in either stroke volume or heart rate
38
says the greater the volume of blood within the ventricle the greater the force of contraction
Frank Sterling Law (of the Heart)
39
systolic pressure
1st of Korotkoff occurs when the cuff pressures120
40
diastolic pressures
last sound of Korotkoff is heard when the pressure 80
41
pressure forcing blood into tissues averaged over the cardiac cycle MAP = diastolic pressure +1/3 pulse pressure
Mean Arterial Pressure (MAP)
42
difference between systolic and diastolic pressure =systolic pressure-diastolic pressure
pulse pressure
43
the primary reflex pathway for homeostatic control of blood pressure
baroreceptor
44
Baroreceptors consist of
1. Sensors: aortic arch and carotid sinus baroreceptor 2. Control center: vasomotor cardiac control centers of medulla oblongata 3. Effectors: parasympathetic and sympathetic axons to heart and blood vessels