Lecture 18- cardiovascular foundations I Flashcards

1
Q

99% of the cardiac muscle cells are

A

force-producing

myocardial cells or myocytes

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2
Q

the force producing cells are which muscle fibers?

A

striated muscle fibers

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3
Q

what is the other 1% of cardiac muscle cells?

A

autorhythmic (pacemaker) cells

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4
Q

what do pacemaker cells do?

A

generate spontaneous, rhythmic APs
- the signal for myocyte contraction

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5
Q

do pacemaker cells contribute to the contractile force?

A

very few contractile fibers

no organized sarcomeres

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5
Q

Can both types of cells generate action potentials?

A

yes!!

myocytes and pacemaker cells can generate APs

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6
Q

Autorhythmic cells: 2 characteristics of AP and contraction

A

spontaneously generate APs

do not contribute significantly to the contractile force of the heart

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7
Q

Contractile cells (striated muscle cells): 2 characteristics of AP and contraction

A

generate APs when depolarized

source of contraction force of the heart muscle

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8
Q

Cardiac myocytes: shape and what do they contain?

A

irregularly shaped striated muscle fibers with sarcomeres

-contain actin and myosin
-cross-bridge cycling mirrors skeletal muslce cross-bridge cycling

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9
Q

Cardiac myocytes: how are they connected?

A

connected in series by intercalated disks which contain

  • desmosomes: physical coupling, allows force to be transferred to neighbours
  • gap junctions: electrical coupling
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10
Q

What are 5 differences between cardiac vs skeletal muscle fibers?

A

cardiac:

  1. smaller and have 1-2 nuclei per fiber
  2. irregular, branching cells connected by intercalated disks
  3. T tubules are larger
  4. SR is smaller
  5. mitochondria occupy 1/3 of cell volume
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11
Q

Excitation-contraction coupling in cardiac myocytes: describe the 7 steps

A
  1. action potential enters from adjacent cell
  2. voltage-gated Ca2+ channels open. Ca2+ enters cell
  3. Ca2+ induces Ca2+ release through ryanodine receptor-channels (RyR)
  4. local release causes Ca2+ spark
  5. summed Ca2+ sparks to create a Ca2+ signal
  6. Ca2+ ions bind to troponin to initiate contraction
  7. relaxation occurs when Ca2+ unbinds from troponin
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12
Q

How does Ca2+ induce Ca2+ release through RyR?

A

Ca2+ binds to SR ryanodine receptor-channels (RyR) which triggers channel opening

Calcium-induced calcium release (CICR)

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13
Q

Where is the the summed Ca2+ signal from?

A

90% from SR and 10% from ECF

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14
Q

Mechanism of myocyte relaxation

A
  1. Ca2+ is pumped back into the SR for storage
  2. Ca2+ is exchanged with Na+ by the NCX antiporter
  3. Na+ gradient is maintained by the Na+-K+-ATPase
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15
Q

NCX antiporter=

A

Na+ Ca2+ exchanger

16
Q

SERCA

A

SR Ca2+ ATPase

17
Q

cardiovascular system transport

A

the arteries take blood away from the heart

the veins bring blood back to the heart

18
Q

where is the heart located?

A

on the ventral side of the thoracic cavity
sandwiched between the lungs

19
Q

What is the heart composed of?

A

myocardium (cardiac muscle cells).

there are myocardial cells of the atria and ventricles.

20
Q

4 major blood vessels

A
  1. vena cava (superior and inferior)
  2. pulmonary arteries
  3. pulmonary veins
  4. aorta
21
Q

4 chambers of the heart

A

1,2. right atria and ventricle
3,4. left atria and ventricle

22
Q

4 valves of the heart

A
  1. tricuspid valve (RA and RV)
  2. pulmonary valve (RV to pulmonary artery)
  3. bicuspid (or mitral) valve (LA to LV)
  4. aortic valve (LV to aorta)
23
Q

what do valves do?

A

Valves isolate chambers and ensure unidirectional flow!

–> Atrioventricular valves (AV) between atria and ventricles

–> Semilunar valves between ventricles and arteries

24
Describe a ventricular contraction in terms of valves
AV valves close semilunar valves open
25
how does blood flow in the heart?
veins --> atria --> ventricles --> arteries happens simultaneously on both sides of the heart
26
Describe ventricular relaxation in terms of valves
AV valves open semilunar valves close
27
What do AV valve flaps have to provide stability and prevent backflow?
chordae tendinae (attached to papillary muscles)
28
what do semilunar valves have to prevent backflow?
they are cup shaped!! they don't require tendons to prevent backflow