lecture 18 Flashcards

1
Q

The cardiac muscle cells

A
  1. myocytes:
    - force producing cells
    - striated muscle fibers
    - can generate and action potential
  2. pacemaker cells
    - they are autorythmic
    - they self excite
    - generate spontaneous muscle action potential
    - have lots of voltage gated ion channels
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2
Q

why in this case are they called cells and not fibres

A

they are not long and cylindrical

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3
Q

intercalated disks

A
  • muscle cells are connected at these regions
  • the provide physical coupling so they’re structural they keep 1 muscle cell attached to its neighbour and this is made possible by desmosones
    -bthey provide functional coupling made possible by gap junctions so when 1 cell excites all cell excites because we want heart to function has a whole
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4
Q

Cardiac muscle cells vs. skeletal muscle fibers

A
  • called cells because they are not long cylindrical cells that resulted from a fusion event
  • they are smaller and have 1 or 2 nucleus
  • they irregular shaped (branch or y shape)
  • have intercalated disks
  • skeletal muscle have larger t-tubules
  • smaller sarcoplasmic reticulum
  • have lots of mitochondria
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5
Q

excitation-contraction coupling in cardiac myocytes

A
  1. Action potential started from a pacemaker cell arrive and enters from adjacent cell (gap junction)
  2. that wave of excitation will cause voltage gated K+ and Na+ channels to open
  3. Action potential moves along plasma membrane of our cardio myocytes
  4. Action potential will travel down the t-tubule
  5. which will activate “L type Ca2+ channels”
    - calcium will move from ECF to in and bind to the “RyR Ca2+ channel” in the SR
    - RyR channel is ligand gated
    - in cardiac muscle calcium from ECF is critical
  6. RyR channels open and now we get a bulk of Ca2+ release from SR
    - this is call “calcium induced calcium release”
  7. we get a Ca2+ spark that leads to Ca2+ signal
  8. Ca2+ signal
    - Ca2+ binds to troponin which pulls tropomyosin our of the way and tropomyosin is no longer blocking myosin binding sites
    - we get high force cross bridge and crossbridge cycling and heart will contract
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6
Q

What is the ration of calcium from ECF and SR

A

90% from SR
10% from ECF

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7
Q

Mechanism of myocyte relaxation

A

Relaxation occurs when Ca2+ is put away of kicked out
Put away: SERCA is a pump that requires energy that moves calcium back into SR
Kicked out: NCX
- sodium-calcium exchanger
- secondary active transport because Na+ move down its electrochemical and using that energy to remove Ca2+

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8
Q

3 key differences between skeletal and cardiac excitation-contraction coupling

A
  1. Calcium induced calcium release
  2. NCX
  3. Lack of summation in cardiac muscle. They contract then relax rather than entering a fused or unfused tetanus
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9
Q

arteries take blood ________ from the heart

A

away

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10
Q

veins bring blood _______ to the heart

A

back

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11
Q

pericardium

A

minimizes friction

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12
Q

The coronary artery

A
  • branch right off the aorta that comes right back to the heart and feeds the heart muscle
  • provides a blood supply for the heart
  • related to cardiovascular diseases
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13
Q

The 4 major blood vessels

A
  1. Pulmonary veins: bring back oxygenated rich blood from the lungs to heart.
  2. Pulmonary arteries: carrying oxygen poor blood from the heart to the lungs
  3. Aorta: carries oxygen rich blood from the heart to the circulatory system
  4. Vena cava (inferior/superior): entry point, both drain into right atrium
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14
Q

Valves open and close to

A

prevent back flow

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15
Q

Valves between the atria and ventricles are called

A

Atrioventricular valves
1. Tricuspid valve (RA to RV)
2. Bicuspid (mitral) valve (LA to LV)

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16
Q

Valves between ventricles and arteries

A
  1. Pulmonary semilunar valve (RV to pulmonary artery
  2. Aortic valve (LV to aorta)
17
Q

chordae tendineae

A
  • heart strings
  • close AV valves not explode
18
Q

During ventricular contraction

A
  • AV valves are closed to prevent back flow
  • SV are open to eject blood to lungs or body
19
Q

During ventricular relaxation

A
  • AV are open
  • SV are closed to prevent back flow of blood that has entered the arteries