Lecture 2 and 3 Unit 1 Flashcards

1
Q

what does cardiac muscle consist of?

A

branched, striated fibers with one or two centrally located nuclei

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2
Q

what are actin and myosin packaged in and how are they arranged?

A

they are packaged in myofibrils and arranged in sarcomeres (just like skeletal muscle)

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3
Q

what does the branching pattern in cardiac muscle form?

A

a network that can facilitate the transmission of electrical impulses in all directions

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4
Q

what are gap junctions?

A

small channels which allow electrical impulses to pass quickly from one cell to the next

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5
Q

where are gap junctions located?

A

in intercalated disks which lie between adjacent muscle fibers

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6
Q

what are the two structures that intercalated disks have?

A

desmosomes and gap junctions

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7
Q

what is the function of desmosomes?

A

they hold adjacent cells together

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8
Q

what is the pacemaker in the heart?

A

the SA node

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9
Q

what is the SA node?

A

a mass of cells in the right atrial wall

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10
Q

what do pacemaker cells do?

A

spontaneously discharge action potentials at a rate of 100-120 per minute or more

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11
Q

what do autonomic nerves do in the intact animal?

A

modify the rate of discharge so that the resting heart rate is ~70 beats per minute

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12
Q

how must the atria and ventricles contract?

A

in a coordinated fashion

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13
Q

what is the first event in cardiac muscle excitation?

A

depolarization of the SA node

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14
Q

what is the second event in cardiac muscle excitation

A

the impulses travel down and across both atria causing atrial muscle fiber contraction

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15
Q

what is located at the AV border?

A

poorly conducting tissue (small fibers, few gap junctions)

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16
Q

what happens in the presence of poorly conducting tissue?

A

the impulse is slowed by about 0.1 seconds

17
Q

why is it beneficial for the impulse to be slowed by the poorly conducting tissue?

A

it gives the atria time to fully empty before the ventricles begin to contract

18
Q

what are right and left AV bundles connected by?

A

the short Bundle of His

19
Q

where does the bundle of his transmit action potential?

A

bundle branches, purkinje fibers, and the muscle of both ventricles

20
Q

What happens in the sequence of excitation? (what part of the heart contracts first)

A

the lower portions of the ventricles contract first, pushing the blood upwards

21
Q

what are the steps of action potentials of contractile fibers?

A
  1. rapid depolarization due to Na+ inflow when voltage-gated fast Na+ channels open
  2. plateau due to Ca2+ inflow when voltage gated slow Ca2+ channels open and K+ outflow when some K+ channels open
  3. depolarization due to closure of Ca2+ channels and K+ outflow when additional voltage gated K+ channels open
22
Q

what does refractory mean

A

unresponsive or stubborn

23
Q

what does refractory mean in physiology?

A

refers to a period of time when the muscle or nerve cell is unresponsive to stimulation

24
Q

what is the absolute refractory period?

A

it refers to the time when the cell will not respond regardless of the strength of the stimulus

25
what is the relative refractory period?
refers to the time when the cell will respond only if the stimulus is "supra threshold"
26
how long does the absolute refractory period last?
~250 ms in heart muscle, in skeletal and heart muscle the absolute refractory period lasts about as long as the action potential
27
what are pacemaker cells called?
autorhythmic
28
what do pacemaker cells do
they auto initiate action potentials
29
what are pacemaker potentials?
unstable resting membrane potentials in pacemaker cells
30
what do pacemaker cells use for the rising phase of the action potential?
calcium influx (rather than sodium)
31
what does ECG stand for?
electrocardiogram
32
what does an ECG do?
records hearts electrical currents
33
what is an ECG?
a composite record of action potentials of all active cells at points in time during a heartbeat
34
what is a P wave?
atrial depolarization
35
what is a P to Q interval?
conduction time from atrial to ventricular excitation
36
what makes up a QRS complex?
atrial repolarization and ventricular depolarization
37
what is a T wave?
ventricular repolarization
38
what are the steps of the cardiac events recorded by and ECG?
1. depolarization of atrial contractile fibers produces P wave 2. atrial systole (contraction) 3. depolarization of ventricular contractile fibers produces QRS complex 4. ventricular systole (contraction) 5. repolarization of ventricular contractile fibers produces T wave 6. ventricular diastole (relaxation)