initiating heart contraction Flashcards

1
Q

what is fibrillation

A

uncoordinated contraction of the atria and ventricles

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2
Q

what is myogenic muscle

A

muscle that can initiate its own contraction

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3
Q

what is Purkyne tissue

A

consists of specially adapted muscle fibres that conduct the wave of excitation from the AVN down the septum to the ventricles

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4
Q

what is the sinoatrial node

A

the hearts pacemaker. it is a small patch of tissue that sends out waves of electrical excitation at regular intervals in order to initiate contractions

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5
Q

what can cardiac muscle do

A

initiate muscle contraction

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6
Q

why can heart muscle initiate its own muscle contractions

A

it is myogenic and has its own intrinsic rhythm at around 60 beats per minute

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7
Q

can heart muscle still relax and contract even its not connected to the body

A

yes

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8
Q

which muscle contracts at a higher frequency

A

the atrial muscle

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9
Q

what is the benefit of myogenic contraction

A

it prevents the body wating resources maintaining the basic heart rate

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10
Q

what is the average resting heart rate of an adult

A

70bpm

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11
Q

which factors can affect heart rate

A

exercise, excitement, stress

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12
Q

what can cause inefficient pumping

A

if the contractions of the chambers aren’t synchronised

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13
Q

what is the term for unsynchronised contractions

A

fibrillation

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14
Q

what are myocytes

A

muscle cells

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15
Q

what do myocytes have

A

a slight electrical charge across their membrane - they are polarised

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16
Q

what happens when the electrical charge across the membrane is reversed

A

they are depolarised and this causes them to contract

17
Q

where is depolarisation initiated

A

in the sinoatrial node

18
Q

what is another term for the sinoatrial node

A

the pacemaker

19
Q

where is the SAN located

A

near the point where the vena cava empties blood into the right atrium

20
Q

what does the SAN do

A

initiate a wave of excitation at regular intervals (55-80x a minute in humans)

21
Q

what is the SAN a patch of

A

cardiac muscle that controls the cardiac cycle

22
Q

what are the names of the two nodes

A

the sinoatrial node and the atrioventricular node

23
Q

how are heart muscle contractions coordinated

A

electrical impulses are sent from the SAN to the AVN

24
Q

what do the cell membranes of the two nodes allow

A

a charge to be maintained across the membrane.

25
Q

what happens at rest

A

the nodes in the heart become polarised

26
Q

what happens at polarisation

A

a positive charge builds up on the inside of the node and a negative on the outside. this is caused by ions building up

27
Q

when do the nodes become depolarised

A

when a contraction occurs

28
Q

what happens at depolarisation

A

positively charged ions move out of the nodes stimulating a move in the electrical activity of the heart

29
Q

what happens at atrial systole

A
  • the sinoatrial node sends a wave of depolarisation throughout the atria
  • this causes the walls of the atria to contract almost simultaneously
  • blood is forced through the bicuspid and tricuspid valves into the ventricles
30
Q

what happens at ventricular systole

A
  • the AVN picks up the wave from the SAN and initiates its own wave of depolarisation down the Bundle of His then into the Purkyne tissues
  • this causes the ventricular walls to contract
  • this forces blood out of the semilunar valves through the aorta and the pulmonary artery
31
Q

describe the electrical coordination of the heartbeat

A
  • the sinoatrial node initiates the electrical impulses that set the heartbeat. a wave of depolarisation spreads from the SAN over the atria. the atria depolarise causing them to contract and push blood into the ventricles. an electrical signal reaches the AVN which waits for the atria to fully contract and for the ventricles to fill with blood. the electrical impulses travel down the Bundle of His and along the Purkyne fibres into the ventricles. the Purkyne fibres cause the ventricles to depolarise and contract therefore pumping blood through the arteries to the lungs and the rest of the body. the ventricles repolarise and the heart muscle cells return to their resting state waiting for the next cycle. the heart undergoes diastole and the atria fills with blood from the vena cava and pulmonary waiting for the next systole
32
Q

why is there a brief delay when the impulse reaches the AVN

A

to ensure the atria have emptied completely and stopped contracting

33
Q

what is the bundle of his

A

bundle of conducting tissue made up of Purkyne fibres