Review Material Flashcards
Hemicholinuims
block choline uptake
esamicol
blocks transport of VAT
botulinum toxin
blocks Ca++ calmodulin association with VAMP and SNAP
AchE inhibitors
inhibit AchE, make it so Ach can’t get hydrolyzed
RESERPINE
block catecholamine storage in VMAT
bretylium
inhibits VAMP
What are teh contractile proteins in skeletal muscle
actin
myosin
tropomyosin
troponin
What are the contractile proteins in smooth muscle
actin
myosin
tropomyosin
How does Ca++ participate in skeletal muscle
Ca++ binds to troponin C which exposes an active site on actin so myosin can bind. When you lose the Ca++, tropomyosin moves back, covers the active site again.
How does Ca++ participate in smooth msucle
Starts with an increase in intracellular Ca++. Calcium binds to calmodlun. Calmodulin-Ca++ binds to and activates MLCK
Steps in contraction of smooth muslce
- Increase in intracellular Ca++
- Calcium binds to calmodulin
- Calmodulin-Ca++ binds to and activates MLCK
- MLCK phosphorylates mycoin and allows for activation of mycosin ATPase and thus binding of actin and myosin
Steps in relaxation of smooth muscle
- Intracellular Ca++ conc decrease, preventing further MLCK activation
- Dephosphorylation of myosin by myosin phosphatase
Which has end feet- smooth or skeletal muscle
skeletal
What are the neuronal regulators of smooth muscle contraction
Acetylocholine
NE
NO
How does depolarization happen in spike potentals of smooth muscle
movement of Ca++ and Na+ into the cell
How does depolarization happen in plateued action potentials of smooth muscle
prolonged and slow opening of Ca++ channels
Normal PR interval
0.12 - 0.2
Noraml QRS complex
0.06-0.12
RV interval is longer than normal
heart block
all very large and wide QRS complexes
BBB
What happes in phase 0 of SA AP
Ca++ enters the cell