Exam 3 Lecture Notes Flashcards
heart depolarizes and contracts completely on its own
achieved via …: holes made of proteins called … which form portal between adjacent cells
allows for spreading of …
gap junctions; connexins; change in voltage
overall contraction of heart is similar to those in …:
action potentials
important to have more than … heartbeats per second because of the long …
skeletal muscle;
4;
absolute refractory period
heart has same basic overall architecture as in skeletal muscle:
…, resting membrane potential in cardiac muscle is a little lower than in neurons (… mV) but is still depolarized to … mV
the fact that calcium channels stay open longer means that the cell can take longer to …
fast sodium gated channels;
-90;
30;
reset for another contraction
for the heart, there is … for depolarization (not actually a … rise)
very few ms; vertical
the plateau of the action potential is not a
completely flat region
total length of action potential is longer as is the contractile phase:
must wait for … to inactivate and for … to open– won’t open for at least … ms
slow calcium channels;
very slow voltage gated K+ channels;
100
at least … longer delay for K+ channels in cardiac muscle as compared to neurons
100x
… cells that allow for automated contractility have … channels that never …
autorhythmic; slow sodium; fully close
autorhythmicity referred to as …
pacemaker
slow sodium channels allow sodium to leak into cell constantly and one it reaches threshold, … open, yielding rising phase of action potential
calcium channels
unlike every other action potential trace we’ve seen, there’s no … at resting membrane potential because we’re always … into these cells
“resting”; leaking some sodium
these slow sodium channels are much more numerous and are open in large enough numbers to allow the pacemaker cells to hit threshold all the time
… reach threshold
gradually
depolarization here is primarily due to … rather than sodium
repolarization again due to …, but there’s no undershoot because by the time repolarization is complete, some … are open again
influx of calcium;
K+ efflux;
slow sodium channels
different cell types have different rhythms:
channels only differ in … among pacemaker cells but overall mechanism is the same
how long they’re open/closed
(pacemakers of the heart) SA node: in … – mostly concerned with contraction of …
right atrium;
atria
(pacemakers of the heart) SA node:
… for the heart - sets … for the rest of the pacemaking cells within the heart
major pacemaker; rhythm;
(pacemakers of the heart)
SA node:
capable of … – about … timex/min –> falls into normal range for heartbeat
… pacemaker cell in the heart
contracting spontaneously; 75;
fastest
(pacemakers of the heart) AV node:
located just underneath groove that separates … from … - primarily concerned with contracting …
atria;
ventricles;
ventricles
(pacemakers of the heart) AV node:
smaller than SA node
takes longer to spread rhythmic signal due to the fact that there are …
receives direct input from …
fewer gap junctions;
SA node
(pacemakers of the heart)
AV node:
When SA node fires action potential directly on AV node, it doesn’t do anything for about tenth of second - delay is such that atria can be … enough that most of the blood has been squeezed into … before the ventricles contract
squeezed closed enough;
ventricles
(pacemakers of the heart)
AV node:
depolarization rate is about …% slower than SA node
50;
(pacemakers of the heart)
AV node:
damage to SA node will not necessarily result in death because … will take over
extreme damage to SA will ensure that without implantation of pacemaker, .. beats/min not typically sufficient for people, so individuals will be winded just from low intensity exertion like walking
AV node;
50
(pacemakers of the heart)
larger … per heartbeat in those that are physically fit which is why lower heartbeat occurs in athletes
cardiac output
(pacemakers of the heart) Atrioventricular bundle (...): no ... at border between atria and ventricles because we want that .. s delay between SA and AV firing so we don't want these electrically coupled, otherwise, contraction would occur in the entire heart at the same time
bundle of His;
gap junctions;
0.1
(pacemakers of the heart) right and left bundle branches:
carry electrical signals through … to … and then back up towards top of each …
branch into …
interventricular septum;
apex;
ventricle;
purkinje fibers
(pacemakers of the heart)
purkinje fibers:
these are what go from … up to …
… but extremely slow
apex; ventricular wall;
autorhythmic
(pacemakers of the heart) arrhythmia may be result of … to heart, …, or just naturally occurring:
can run in families
typically not life threatening
damage; infection
(pacemakers of the heart)… in bundle of His or AV bundle itself such that atrial and ventricular contractions aren’t coupled normally
disturbances
(pacemakers of the heart) …: heart loses ability to coordinate regular contractions and heart flutters such that there is no … - not ejecting any blood out of the heart
fibrillation; ‘
full contraction
(pacemakers of the heart)
almost no SA innervation reaches AV when AV node is damaged and so relying almost completely on … which can’t sustain sufficient rate - more harmful than SA node damage
… not contracting enough to keep you alive
branches; ventricles
(pacemakers of the heart) opening to atria are only places in heart where there are no …
heart valves
cardioacceleratory innervate both … and … itself - allows contraction to be more forceful:
innervates … as well
each beat ejection more …/beat
pacemaker cells; heart tissue;
coronary arteries;
fluid
cardioinhibitory center only innervates …, not heart muscle because you can’t tell hear to contract less forcefully:
… bypasses spinal column itself and directly innervates
pacemakers;
vagus nerve
heart beat trace gives us direct information about how well different areas of the heart are … and … with one another
electrically coupled;
coordinated
P wave: initial … in cardiac cycle - when … node fires
small plateau in … interval: where delay occurs between AV and SA firing
depolarization;
SA;
P-Q;
ventricular contraction when AV node fires indicated by …
buried in there is another wave when … occurs - if heart is working properly you never see this
QRS complex;
repolarization
… wave is for ventricular repolarization
T
another flat line in heart trace when … and then cycle begins again
fully repolarized
can dissect altered ECG to obtain information about what tissue has been … in the patient
damaged
no P waves in … because no wave of depolarization is spreading across atria
junctional rhythm
2nd degree heart block: … is damaged, small … - some atrial contraction, some ventricular contraction, but they aren’t … with one another – EKG where essentially getting … atrial contractions/ventricular contractions:
2 …/..
AV node; QRS complexes; coordinating; 2; 2 P waves/QRS wave
those struck by lightning experience the following as far as 60 mins after the strike:
ventricular fibrillation: wild fluctuation in …, waves …
contraction intensity; closely spaced together
defibrillator only … does not start new …
stops fibrillation; heartbeat
restart heart by … stimulating and giving dose of …;
mechanically; adrenaline