The physiology of cardiac function L8 Flashcards

1
Q

what is special about cardiac muscle

A

intercalated discs

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2
Q

functional muscle cells

A

myocyte

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3
Q

what is a sarcomere between

A

2 Z lines

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4
Q

what is a sarcomere made up of

A

overlapping contractile proteins myosin and actin

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5
Q

what is the thin filament made up off

A

actin

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6
Q

what is the thick filament made up off

A

myosin

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7
Q

H zone=

A

just myosin

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8
Q

I band=

A

just actin

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9
Q

A band=

A

actin and myosin

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10
Q

Myosin molecule structure=

A

long molecule, 2 heads containing ATPase, alpha helix chain with a hinge region

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11
Q

what is needed for cross bridge formation

A

hydrolysis of ATP

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12
Q

Troponin C=

A

binding site for Ca2+ ions

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13
Q

Troponin I=

A

inhibits actin and myosin coupling

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14
Q

Troponin T

A

attaches to tropomyosin

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15
Q

3 parts of troponin complex

A

TnT
TnC
TnI

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16
Q

what transmitter is released at SA and AV nodes during sympathetic stimulation

A

noradrenaline

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17
Q

what does noradrenaline bind to at SA and AV nodes

A

B1 receptors

18
Q

what types of protein do B1 receptors trigger

A

G protein

19
Q

what is the overall result of sympathetic stimulation on the SA and AV nodes

A

Ca2+ channels open and increase speed and force of contraction

20
Q

relaxation is also called

A

lusitropy

21
Q

what does an increase in returning to resting level more quickly

A

allows contractile machinery to relax faster more time for ventricle filling

22
Q

what modulates Ca2+ binding to Tnc

A

PKA phosphoylation (increased dissociation)

23
Q

where does parasympathetic control come from

A

cardioinhibitory center cardioacceleratory

24
Q

what transmitter is used in parasympathetic control

A

acetyl choline

25
Q

What does acetyl choline bind to

A

muscarinic M2 cholinergic receptors

26
Q

what effect does acetyl choline have

A

hyperpolarising the cell decreasing muscle contraction

27
Q

inotropy=

A

contraction of myocardium

28
Q

lusitropy=

A

relaxation of myocardium

29
Q

chromotropy=

A

firing of sinoatrial nerve

30
Q

dromotropy=

A

conduction velocity of atrioventricular node

31
Q

cardiac output calculation

A

heart rate x stroke volume

32
Q

cardiac output=

A

volume of blood pumped from one ventricle each minute

33
Q

ejection fraction=

A

fraction of end diastolic volume (EDV) ejected out by each ventricle/ beat

34
Q

EDV=

A

end diastolic volume

35
Q

ESV=

A

end systolic volume

36
Q

stroke volume can be calculated by

A

EDV- ESV

37
Q

ejection fraction calculation

A

stroke volume/ EDV

38
Q

normal ejection fraction=

A

55%-75%

39
Q

2 types of action potential in the heart

A

fast response

slow response

40
Q

where is the fast response

A

cell to cell depolarisation in cardiac myocytes

41
Q

where is the slow response

A

SA and AV nodes

42
Q

what is the trigger for SA and AV nodes depolarisation

A

Calcium