Heart Muscle Flashcards

1
Q

How many litres of blood does the heart pump a day?

A

8000L

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2
Q

What causes striations in cardiac muscle?

A

Actin- light and myosin-dark

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3
Q

Why is cardiac muscle branched and ordinated in different directions?

A

The heart must pull in many different directions to become as small as possible when contracting.

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4
Q

How are neighbouring cells in the heart bonded together physically and electrically?

A

Intercalated discs and desmosomes

Mechanical - folds, Electrical - gap junctions

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5
Q

How do we know that the heart is good at oxidative metabolism ?

A

Many mitochondria

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6
Q

What are the main cations inside and outside of the cells?

A

Inside - K+ (Leaks out)

Outside Na+

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7
Q

What is the chief characteristic of the non pacemaker action potential ?

A

Long period of depolarisation AP (0.25s)
Normal AP (<10msec)
Contains RMP of -92mV

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8
Q

What is the chief characteristic of pacemaker action potential ?

A

It is self excitable and doesn’t have a RMP.

Rises and falls.

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9
Q

Describe the phases of non pacemaker AP?

A

Phase 0 - Na + channels open at -70mv and has a slower slowing gate at -30 - -40 mv allowing the mV to get to 20mV before the channel is fully closed

Phase 1 - Closer of Na+ channels, small opening of K+ channels and opening of Cl- channels allows some chlorine into the cell

Phase 2 - Slow prolonged opening of Ca++ channels which allow calcium into the cell very slowly, responsible for the plateau

Phase 3 - 2K+ channels (Ikr and Iks) Ikr allows K+ into the cell until half way through phase 2 and then allows K+ to leave the cell. Iks allows K+ to leave the cell during phase 2. Causes large drop in MP back to -90mV

Phase 4- RMP

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10
Q

Describe the phases of pacemaker AP?

A

Phase 0 - Long lasting Ca++ channels open at -40 mV.

No phase 1 or 2

Phase 3 - K+ channel allows K+ to flow out of the cell causing MP to drop.

Phase 4 - (creep potential) slow rise in Ca++ flowing out of the cell and K+ leaks out of the cell at a reduced amount. I’f’allows Na+ into the cell but K+ out of the cell but less K+ leaves the cell than Na+ enters.

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11
Q

What type of stimulus can activate a muscle during the relative refractory period?

A

Supra Normal Stimulus

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12
Q

Can a muscle be stimulated during absolute refractory period?

A

No

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13
Q

Why would you not want to be able to activate a muscle many times a second on the heart?

A

The heart would be in spasm and wouldn’t function effectively as the heart beat is a muscle twitch in many fibres at the one time. We do not want summation because we do not want a sustained contraction.

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14
Q

When does contraction of the heart muscle begin in relation to calcium concentration?

A

When calcium concentrations go from 10-7 to 10-4 inside of cells

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15
Q

Why would lengthening the cardiac muscle fibres be useful?

A

When the muscle gets longer it gets bigger

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16
Q

What is hypertrophy cardiomyopathy?

A

Genes cause the muscle to lay down in different directions and and the electrical signals in the heart can travel all over the place which can be arrhythmogenic

17
Q

Basal caloric needs in the heart are many provided by what?

A

Fats 60%