Lecture 13 - The Cardiac Action Potential And ECG Flashcards

1
Q

What is the only conducting node in the heart

A

The AV node

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2
Q

What does the AV node introduce

A

A considerable delay to the spread of excitation

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3
Q

What have the AV node cells developed

A

Latent powers of rhythmicity and can take over pacemaking if impulses from the SA node fail to reach them

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4
Q

Where are pacemaker cells found

A

The SA node, AV node, Bundle of His and Purkinjie fibres

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5
Q

How many action potentials does the SA node produce per minute

A

70-80

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6
Q

How many action potentials does the AV node produce per minute

A

40-60

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7
Q

How many action potentials does the bundle of His and the Purkinjie fibres produce per minute

A

20-40

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8
Q

What can alter the SA node discharges

A

By parasympathetic and sympathetic stimulation

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9
Q

In pacemaker cells what causes depolarisation

A

The entry of Na+

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10
Q

What channels does the Na+ entry through

A

Fast Na+ channels

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11
Q

What is early depolarisation caused by

A

The closure of the fast Na+ channels

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12
Q

What happens in the plateau stage

A

The slow Ca2+ channels open while most of the K+ channels close

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13
Q

When does late depolarisation close

A

The Ca2+ channels close and the K+ channels open

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14
Q

What happens during the resting potential phase

A

The membrane potential remains more or less constant, but the ion distribution across the membrane is restored to its initial state

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15
Q

What does the P wave in an ECG represent

A

Atrial depolarisation

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16
Q

What does the Q wave represent

A

The left to right depolarisation of the inter ventricular septum

17
Q

What does the R wave represent

A

The depolarisation of the main ventricular mass

18
Q

What is happening during the ST segment

A

It is the time during which the ventricles are contracting and emptying

19
Q

What does the PR segment represent

A

The AV nodal delay

20
Q

What does the TP interval represent

A

The time during which the ventricles are relaxing and filling

21
Q

What does the T wave represent

A

Ventricular repolarisation

22
Q

What does the S wave represent

A

Depolarisation of the purkinje fibres