sem 2: contractility and ionotropic effects Flashcards
1
Q
what is the chronotropic effect
A
heart rate
2
Q
what is the ionotropic effect
A
contractility
3
Q
what is the lusitropic effect
A
relaxation
4
Q
what is the dromotropic effect
A
conduction
5
Q
what happens in cardiac contraction
A
in phase 2 - calcium is released activated RYR on SR CICR troponin system activated myosin binds to actin and crossbridge formation
6
Q
3 ways of reducing Ca
A
Na/Ca exchanger
SERCA
uptake into mitochondria
7
Q
how does the sympa system inc contractility
A
B1 adrenoreceptors
PKA pathway
phosphorylates Vg Ca
greater contractility
8
Q
what does PKA also phosphorylate
A
K channels - more effluc
SERCA( calcium ATPase)
greater relaxation
9
Q
3 things which would reduce the iontropic effect
A
hyperkalaemia
acidic- H+ competes with Ca for TnC binding sites
Hypoxia- effects ion channels