Physiology 2- Force Generation by the Heart Flashcards

1
Q

How are cardiac myocytes electrically coupled?

A

Gap junctions

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2
Q

Where does cardiac excitation reach?

A

All the myocytes

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3
Q

What is the contractile unit of a cardiac muscle?

A

Microfibril

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4
Q

What filaments do microfibrils contains?

A

Thick myosin and thin actin

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5
Q

What causes muscle tension?

A

Actin sliding on myosin

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6
Q

What is required for both contraction and relaxation of cardiac muscle?

A

ATP and calcium

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7
Q

What does troponin do?

A

Covers the myosin binding site on actin

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8
Q

What does calcium do to troponin?

A

Calcium binds to troponin which produces a conformational change to move the tropomyosin complex out of the way to allow actin and myosin to interact

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9
Q

When are where is calcium released in cells?

A

Sarcoplasmic reticulum when there is already calcium in the extracellular fluid- Ca++ induced Ca++ release

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10
Q

When actin and myosin can interact to allow contraction, what does this induce?

A

Ventricular systole

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11
Q

What is the refractory period?

A

The period following an action potential during which no ore action potentials can take place

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12
Q

Where does the refractory period take place?

A

Plateau phase in myocytes

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13
Q

When ventricular muscle contracts, it ejects what?

A

The stroke volume

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14
Q

What is the stroke volume defined as?

A

The volume of blood ejected by the each ventricle per heartbeat

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15
Q

How can you work out stroke volume?

A

End diastolic volume- end systolic volume

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16
Q

The diastolic length/end diastolic volume is defined as what?

A

The volume of blood within each ventricle at the end of diastole

17
Q

What is the Frank Starling law in simplified terms?

A

Increasing end diastolic volume/venous return will increase stroke volume

18
Q

What is afterload?

A

The resistance into which the heart is pumping- imposed after the heart has contracted

19
Q

If an increased afterload is continuous, what does this result in?

A

Hypertrophy (from increased force of contraction)

20
Q

What is an inotropic effect?

A

Something that affects the force of contraction

21
Q

Ventricular myocytes are controlled by which nerves?

A

Sympathetic nerves

22
Q

Force of contraction increases because of Ca++ influx which is mediated by what?

A

cAMP

23
Q

What is the cardiac output?

A

The volume of blood pumped by each ventricle per minute (SV x HR)

24
Q

What is the cardiac output approximately?

A

5l