Heart 2 Flashcards

1
Q

beta adrenergic receptor: transduction mec

A

Gs: adenylyl cyclase, cAMP and PKA activation

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2
Q

beta adrenergics: effects on ion currents? (4)

A

ICa,L: Calcium influx. Ik: shortens AP. If: activates at more positive potentials. increased slope of pacemaker

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3
Q

beta-adrenergics also have other effects: 3?

A

phosphorylase kinase, glycogen synthetase. increased rate of Ca dissociation from myofilaments. accelerated pumping of Ca pumping back into SR.

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4
Q

phosphoyrlase kinase/glycogen synthetase?

A

phosphorylated especially in presence of high Ca = faster glycogen breakdown, slower glycogen synthesis = more energy for heart

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5
Q

beta-adrenergics: long term?

A

long term effects can alter gene expression so that heart responds better to sympathetic stimulation

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6
Q

ACh: receptors where? effects in 3 places?

A

only in supraventricular tissue. SA node, atria and AV node.

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7
Q

ACh effect on SA node?

A

slows sinus rate, decreases slope of pacemaker = bradycardia

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8
Q

ACh effect on atria?

A

shortens AP duration, reduces refractory period

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9
Q

ACh effect on AV node?

A

attenuates conduction

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10
Q

ACh cellular effects? (transduction pathway)

A

muscarinic receptor, coupled to Gi. inhibits AC = less cAMP = reduced Ca + L currents. direct activation of Gk, ACh channels

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11
Q

mammals: cardioacceleration initiated by? and then what?

A

initiated by vagal withdrawal. sympathetic activation has a slower onset

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12
Q

minute to minute regulation controlled by? so heart rate variability is an index of?

A

controlled by vagus. index of vagal function

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13
Q

cardiac pacemaking: what kind of process? involves balancing?

A

important, very delicate. balance between variety of ionic conductances. slight chang ein one conductance = profound effect on cardiac activity

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14
Q

how does ANS deal with slight changes in conductances having large effects?

A

negative feedback loops, baroreceptor reflex, receptor desensitization

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15
Q

too much sympathetic drive: turned off by?

A

muscarinic adrenergic interactions at level of adenylyl cyclase

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16
Q

too much parasympathetic drive: turned off by?

A

sympathetic inhibition of cardiac ganglia