Lecture 5: Cardiac Muscle Electro/Mechano Coupling Flashcards

1
Q

How wide is the fuzzy space?

A

10-15nm

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2
Q

What is the gradient between the calcium in the SR and ECF compared to the cytosol?

A

10,000 fold

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3
Q

What are the features of pumps?

A

Need energy

Only go one way

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4
Q

What are the features of exchangers?

A

No energy

Reverse

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5
Q

What provides the potential energy for contraction initiation?

A

Calcium concentration differences

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6
Q

Why does the heart go into diastole?

A

Calcium reuptake by SR and release via SL pump

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7
Q

How does the Na/Ca exchanger work?

A

3 Na in, 1 Ca out - counterproductive as it makes cell more positive

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8
Q

What is the ratio of internal and external calcium cycling?

A

Internal calcium cycling = 4 x external calcium cycling

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9
Q

After sodium moves in via the Na/Ca pump, how is the excess removed?

A

Na/K pump - 3Na out, 2K in - makes internal more negative

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10
Q

What happens when there is more metabolic activity in the cell?

A

More H ion build up - more acidic cell - less affinity between the myofilaments and calcium - reduced contraction

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11
Q

How is excess hydrogen removed from the cell?

A

Na/H exchanger

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12
Q

When will the Na/Ca exchanger reverse?

A

If there is a high sodium concentration in that region, sodium will want to move out so the pump will reverse (happens after depolarisation)

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13
Q

Why does potassium move out via potassium channels?

A

To get rid of potassium brought in via Na/K pump and to repolarise the cell

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14
Q

What do foxglove leaves do?

A

Inhibit Na/K ATPase

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15
Q

What happens when the Na/K pump is inhibited?

A

Excess Na, more Ca moves in than out - increased contraction

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16
Q

What happens if the Na/K pump is inhibited too much?

A

SR calcium overload
Spontaneous dump
Big inward current
Ectopic Arrhythmia

17
Q

What is the condition where there is a leaky SR release channel and why does this happen?

A

CPVT - genetic autosomal dominant condition

18
Q

How often does CPVT occur and who does it occur to?

A

1 in 100,00

Young people

19
Q

What is mutated in CPVT and what are the consequences of this?

A

RYR2 mutated - hypersensitive to calcium -excess depolarisation - excess APs - increased HR - death

20
Q

What can be used to treat CPVT?

A

Beta blockers (block sympathetic activity)