Section 48.3.3 (Exam 4) Pacemakers Flashcards

Heart Function Depends on Properties of Cardiac Muscle

1
Q

What is the function of pacemaker cells?

A

Pacemaker cells generate rhythmic sequences of action potentials without input from the nervous system

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2
Q

Do pacemaker cells contract?

A

Pacemaker cells don’t contract

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3
Q

How do action potentials spread through cardiac cells?

A

Cardiac cells are in electrical contact with each other through gap junctions that ion current can flow through

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4
Q

What is essential for pumping blood efficiently?

A

Large groups of cardiac muscle contracting in unison

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5
Q

What is the sinoatrial node and where is it located?

A

It is the primary pacemaker located at the junction of the superior vena cava and the right atrium

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6
Q

Describe the resting membrane potential of primary pacemaker cells in the sinoatrial node.

A

It gradually increases until it reaches the threshold to trigger an action potential

This ensures a constant pumping of the heart

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7
Q

Describe the action potentials triggered by the sinoatrial node.

A

The action potentials are slower to rise, broader, and slower to return to resting potential than those of neurons and other muscle cells

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8
Q

Describe ion channels in pacemaker cells.

A

They are different than in other cardiac cells

There are Na+, Ca2+, and K+ channels

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9
Q

What makes the resting potential in pacemaker cells less negative than other cardiac cells?

A

Na+ leak channels are open contributing to constant depolarization until threshold

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10
Q

The rounder shape of an AP graph shows how it is slower to rise and fall. Why does the AP of pacemaker cells have a rounder shape on its graph?

A

Action potential is due to voltage-gated Ca2+ channels, which open and close more slowly than Na+ channels

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11
Q

What happens as the MP becomes less negative in pacemakers?

A

Some Ca2+ channels open causing the MP to rise further

These are called T-type Ca2+ channels because they open transiently (temporarily)

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12
Q

Which ion channels open in pacemaker when the threshold is reached?

A

L-type (long-lasting) Ca2+ channels, which generate the action potential

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13
Q

In pacemakers, the MP slowly moves upward in between APs. What causes this slow rise?

A

Influx of Na+ followed by Ca2+ (T-type) creating a more positive internal environment

K+ channels are closing, stopping positive charge from leaving the cell

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14
Q

Describe what happens in the AP of a pacemaker.

A

L-type Ca2+ channels open causing an influx of Ca2+

Resting potential returns to normal by opening of K+ channels

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