Origin of the heartbeat Flashcards

1
Q

The heart muscle is composed of two major cell types - what are these?

A
  • contractile cells (majority of heart cells) = straited
  • non-contractile cells with unstable membrane potentials (autorhythmic cells) = aid in electrical conduction
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2
Q

Membranes of non contractile cells depolarises slowly until it reaches a threshold value to generate what?

A
  • generates an action potential
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3
Q

Once an action potential has been generated (after slow depolarisation of non-contractile cell membranes) what happens to the action potential?

A
  • Action potential spreads through cellular gap junctions causing contraction of contractile cells
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4
Q

Where is the primary pacemaker region?

A
  • the sinoatrial node (SA node)
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5
Q

The SA node has the fastest rate of depolarisation why?

A
  • sets pace of heart
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6
Q

Pacemaker activity can be regulated by what?

A
  • can be regulated by autonomic NS
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7
Q

What does the heart not need to contract?

A
  • doesn’t need nerves to contract as it has an intrinsic contraction
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8
Q

What is the cardiac skeleton?

A
  • fibrous connective tissue NOT bone
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9
Q

What does the cardiac skeleton provide?

A
  • provides rigidity and site of attachment for musculature and values
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10
Q

The cardiac skeleton electrically insulates each chamber meaning it needs what for AP propagation?

A
  • wiring for AP propagation
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11
Q

What is the wiring for the AP propagation?

A
  • the conduction system
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12
Q

The SA node spontaneously depolarises - resting heart rate does what between species?

A
  • varies
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13
Q

Autorhythmic cells form a specialised conduction system what does this system allow for?

A
  • faster conduction than possible through gap junctions
  • introduce an important delay from atria to ventricles
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14
Q

List the order of conduction through the heart?

A
  1. SA node
  2. Atrial muscle
  3. AV node
  4. Bundle of HIS
  5. Purkinje fibres
  6. Ventricular muscle
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15
Q

The membrane of the SA node is what?

A
  • unstable
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16
Q

How does the SA function as a pacemaker - describe what happens within the node?

A
  • gradual and slow depolarisation of the membrane potential
  • reaches threshold potential triggers rapid depolarisation (action potential)
  • action potential in SA node terminated
  • gradual depolarisation and drift back towards threshold potential
  • these repeated slow depolarisations are called pacemaker potentials
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17
Q

Describe the pattern of a membrane potential (this would be shown on a graph):

A
  • Gradual depolarisation (becomes more positive)
  • peak of depolarisation and termination
  • repolarisation (becomes more negative)
  • starts again
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18
Q

Cell membranes keep ions at different concentrations internally vs externally.
A difference in charge across the membrane does what to it?

A
  • polarizes it
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19
Q

Most animal cells have a stable … what resting membrane potential?

A
  • a stable negative resting membrane
    = inside is negative compared to the outside
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20
Q

If ions were allowed they would diffuse .. their concentration gradient

A
  • if ions were allowed they would diffuse down a concentration gradient
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21
Q

if more ions were diffusing in then out of a cell what would happen?

A
  • depolarisation
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22
Q

If more ions were diffusing out a cell than in what would happen?

A
  • repolarisation
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23
Q

What would sodium moving into the membrane do?

A
  • depolarise
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24
Q

Ca moving in would do what to the membrane?

A
  • depolarise
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25
Q

Potassium moving out would do what to the membrane?

A
  • repolarise
26
Q
  1. What do leaky f channels allow sodium to do?
A
  • allow sodium to diffuse down its concentration gradient = slow depolarisation
    = if or funny current
27
Q

Are cells in the pacemaker impermeable?

A
  • not impermeable
28
Q
  1. As the cell depolarises, f channels close but what happens to continue the depolarisation?
A
  • ca channels open continuing depolarisation
29
Q
  1. When the membrane reaches threshold, another type of ca channel opens allowing for what?
A
  • rapid influx - steep depolarisation (the AP)
30
Q
  1. At the peak of the depolarisation, ca channels close and what happens next?
A
  • slow potassium channels open = slow repolarisation
31
Q
  1. When repolarized, the potassium channels shut and what happens next?
A
  • f channels re-open, starting the next pacemaker potential
32
Q

Spontaneous depolarisation isn’t unique to SA node - what has the second highest rate of depolarisation?

A
  • The AV node
33
Q

These are other autonomic foci with their own intrinsic rate - what are these?

A
  • atrial foci (60-80 bpm)
  • junctional foci ( 40-60 bpm)
  • ventricular foci (20-40 bpm)
34
Q

The SA node has the fastest intrinsic rate - so what does it do to others and what are the other important in?

A
  • over rides others to set pace
  • important in cases of arrhythmia
35
Q

What does cardiac muscle look like?

A
  • straited muscle that is involuntary
  • sarcomeres with actin and myosin
  • one central nucleus
  • many mitochondria
  • good blood supply
36
Q

Cardiac muscle is a functional syncytium - how does its structure aid this function?

A
  • branching cells connected by intercalated discs
  • cells (myocytes) are coupled via intercalated discs
    = electrically by gap junctions
    = mechanically by desmosomes
37
Q

Why does the myocardium need a continuous supply of ATP?

A
  • to support contraction
38
Q

What does branching of fibres in the heart help with?

A
  • helps AP spread
39
Q

Cardiac myocytes are driven - what does this mean?

A
  • no slow depolarisation
  • they wait for an action potential to reach them via gap junction
  • the endpoint is contraction
40
Q

What are the characteristics or stages of a membrane potential curve?

A
  1. stable resting potential (more -ve)
  2. rapid depolarisation - fast Na channels open
  3. notch - fast Na channels close
  4. plateau phase - ca2 enters (voltage- sensitive calcium channels) potassium permeability is low
  5. repolarisation - potassium leaves (K channels opens calcium channels close)
41
Q

What is the process required for systole?

A
  1. action potential arrives
  2. plateau phase and ca2 entry
    = directly raises cytosol ca2
    = also mediates ca2 release from SR
  3. binding to troponin, change tropomyosin and reveal myosin binging sites on actin
  4. contraction
42
Q

What is the process required for diastole?

A

-Ca2 - ATPase (enzyme that breaks down ATP) pumps ca2 outside of cell and recycles to SR
- facilitated transport ca2/Na antiporter (exchanger) 3:1

43
Q

Excitable cells have a refractory period - what happens here?

A
  • they are unable to respond to new stimulus
44
Q

In skeletal muscles what is the refractory period like?

A
  • quite short
45
Q

Why is it useful to have short refractory periods in skeletal muscle?

A
  • enables new contraction to be initiated before the force of the old one has subsided = tetnay
  • useful for posture, locomotion
46
Q

In cardiac muscle the long plateau phase and timing of tension development is important.
Why do we need a relatively long refractory period in cardiac muscle

A
  • cannot respond to further stimulation
  • allows atria/ventricles sufficient time to empty and refill before next contraction
47
Q

When the heart in systolic what happens within the chambers?

A
  • they are emptying
48
Q

When the heart is diastolic what is happening in the chambers?

A
  • they are filling
49
Q

What is an electrocardiogram (ECG)?

A
  • measurement of electrical activity of the heart (difference of electricity)
50
Q

Describe the contraction and filling of the heart:

A
  1. atrial contraction
  2. isovolumetric contraction
  3. rapid ejection
  4. reduced ejection
  5. isovolumetric relaxation
  6. rapid filling
  7. reduced filling
51
Q

What are heart sounds associated with?

A
  • associated with valves closing
52
Q

What are S1 and S2 sounds?

A
  • S1 - (lub) = closure of AV valves at (ventricular) systole
  • S2 - (dub) = closure of semilunar valves at (ventricular) diastole
53
Q

What are the other sounds of the heart that can also be heard?

54
Q

Heart sounds depend on what?

A
  • species
  • age
55
Q

What heart sounds do horses have and dogs and cats?

A
  • horses have all 4 sounds
  • cats and dogs usually just S1 and S2
56
Q

Abnormal sounds (murmurs) can be due to what?

A
  • leaky valves
57
Q

What are the main features of an ECG?

A
  • p-wave = atrial depolarisation
  • QRS complex = ventricular depolarisation
  • T-wave - ventricular repolarisation
58
Q

On an ECG what does a PQ interval equal?

A
  • AV conduction time
59
Q

What cells are not reflected on an ECG?

A
  • pacemaker cells
60
Q

What can an ECG give info on?

A
  • heart rate, rhythm, origin of excitation
  • spread and decay of excitation
  • anatomical orientation of heart
  • relative chamber sizes
61
Q

What can an ECG not give you info on?

A
  • cannot give you info on contractile properties or pumping activity of the heart