Unit 4 - Cardiac Contraction and Relaxation Flashcards

1
Q

Explain the excitation-contraction coupling reaction.

A
In response to the action potential, Ca enters the cell across the sarcolemma from the extracellular space
Ca binds to the cisternae
Ca is released from the sarcolemma
ATP is hydrolyzed
Cross bridges between actin-myosin forms
the myosin head flexes
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2
Q

What is the excitation-contraction coupling reaction also known as?

A

physiologic systole

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3
Q

Explain the process of relaxation.

A

longitudinal tubules of the SR accumulate Ca which removes it from the site of interaction with contractile proteins
Once Ca is removed, cross bridge formation ceases
the sarcomere returns to its resting length

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4
Q

What is relaxation of the myocyte also known as?

A

physiologic diastole

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5
Q

What is afterload?

A

the amount of work needed to eject blood

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6
Q

What is the major component of afterload for the left ventricle?

A

systolic aortic pressure

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7
Q

What is the major component of afterload for the right ventricle?

A

systolic pulmonary artery pressure

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8
Q

If aortic pressure is increased, how does this affect afterload and stroke volume?

A

afterload will increase, stroke volume will decrease

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9
Q

How does decreasing afterload effect velocity and length by which the muscle contracts?

A

it increases the velocity and the length

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10
Q

What is preload?

A

preload is the end diastolic volume that stretches the right or left ventricle of the heart to its greatest dimensions under variable physiologic demand.

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11
Q

What does preload determine?

A

the amount of muscle stretch before contraction

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12
Q

What does increasing the preload of an isolated muscle cause?

A

an increased force on contraction

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13
Q

When does preload occur?

A

during diastole

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14
Q

How is the resting muscle fiber length determined?

A

by ventricular end-diastolic pressure or volume

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15
Q

How does increasing preload affect stroke volume or work?

A

it increases it

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16
Q

What is the Frank-Starling relationship related to?

A

the resting length of the sarcomeres

17
Q

What does the Frank-Starling relationship describe?

A

the relation between energy output and ventricular diastolic size

18
Q

What is increased contractility characterized by?

A

increased velocity of contraction and an increase in peak tension development

19
Q

What does increased contractility generally mean (in relation to Ca and systolic rate)?

A

increase in systolic rate and increased peak cytosolic Ca

20
Q

What increases Ca flow?

A

sympathetic stimulation, catecholamines, thyroid hormone and some other drugs

21
Q

What decreases Ca flow?

A

beta blockers and Ca entry blocker drugs

22
Q

What determines contractility at the cellular level?

A

cytosolic Ca, contractile proteins, sensitivity to Ca ions present

23
Q

What does increased contractility lead to in relation to stroke volume and ESV?

A

increased stroke volume and smaller ESV