Force generation Flashcards

1
Q

What are the striations in the cardiac muscle caused by?

A

Regular arrangement of contractile proteins- the alternating of action and myosin.

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2
Q

What are gap junctions?

A

Protein channels that form low electrical communication pathways between neighbouring monocytes.

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3
Q

What do the intercalated discs contain?

A

Desmosomes

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4
Q

What do the desmosomes do?

A

Provide mechanical adhesion between neighbouring cells and spread tension from one cell to the next.

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5
Q

What do muscle fibres contain?

A

Myofibrils

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6
Q

What are myofibrils?

A

Contractile unit of the heart

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7
Q

What protein filaments are contained in myofibrils?

A

Actin (thin and light)

Myosin (dark and thick)

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8
Q

What are myosin and actin arranged in?

A

Sarcomeres

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9
Q

What is a sarcomere?

A

Functional unit of the heart

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10
Q

What causes muscle tension?

A

The sliding of action and myosin

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11
Q

What is force generation dependent on?

A

ATP interaction between actin and myosin.

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12
Q

What must be present before interaction?

A

Calcium.

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13
Q

What does calcium do to allow myosin to bind to actin?

A

Bonds to troponin which causes the troponin tropomysin complex to slide away exposing the myosin binding site on the actin.

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14
Q

Where is calcium stored?

A

In the lateral sacs of the sacroplasmic reticulum.

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15
Q

What is required for calcium to be released from the lateral sacs?

A

Extra cellular calcium.

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16
Q

In the plateau phase how does calcium enter the cardiac muscle cell?

A

Through l type Ca channels.

17
Q

What is intrinsic mechanisms?

A

Within the heart muscle itself

18
Q

What are extrinsic mechanisms?

A

Nervous and hormonal control

19
Q

What is the refectory period?

A

The period following an action potential in which it is not possible to produce another action potential.

20
Q

What is the importance of the refractory period?

A

It is protective of the heart, preventing the generation of tetanic contractions in the cardiac muscle.

21
Q

What is the stroke volume?

A

The volume of blood ejected by each ventricle per heart beat.

22
Q

How is the SV regulates?

A

By intrinsic and extrinsic mechanisms.

23
Q

How are changes in the SV brought about?

A

By changes in the diastolic length of the myocardial fibres. The more the heart is stretched the greater the SV.

24
Q

What does the end diastolic volume determine?

A

The cardiac preload and it’s determined by the venous return to the heart.

25
What does the frank-Starling mechanism state?
The greater the End Diastolic Volume the greater the SV.
26
What else does stretching the heart muscle achieve?
It increases the affinity of troponin for Ca.
27
What is the preload?
The amount of blood lodged into the heart before contraction.
28
What is the afterload?
The resistance into which the heart is pumping. Extra load imposed after contraction.
29
What is the sympathetic neurotransmitter?
Noradrenaline
30
What does sympathetic stimulation of the ventricular muscle achieve?
Increases force of contraction (positive inotropic effect).
31
What is a positive inotropic effect?
Increasing the rate of contraction.
32
On a graph of ventricular contraction, where would a positive inotropic effect lie?
To the left.
33
On a graph of ventricular contraction, where would a negative inatropic effect lie?
To the right.
34
What effect does adrenaline and noradrenaline have on the heart?
Both a inotropic and chronotropic effect.
35
What is the cardiac output?
The volume of blood pumped by each ventricle per minute.
36
How do you calculate the cardiac output?
CO=SV x HR
37
What is the resting CO in a normal adult?
5 litres a minute.
38
How is the CO regulated?
By regulated the SV (intrinsic and extrinsic) and by regulating the HR (sympathetic and parasympathetic)