w2 Electrical Activity of the heart Flashcards

1
Q

What is the driving force of ions?

A

The difference between the membrane potential and the ions equilibrium potential

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2
Q

What is the deal with ions equilibrium potential?
Give some examples of different ions equilibrium potentials

A

Ions would like the membrane potential to be the same as their equilibrium potential.
Equilibrium potential is calculated by the Nernst equation.
E^^K =-95mV
E^^Na = +65mV
E^^Ca= + 120mV

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3
Q

What is an ion current?

A

Ix The movement of an ion across the cell membrane.

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4
Q

What is needed for an ion current to occur?

A

A driving force to encourage movement of the ion
The membrane needs conductance to that ion, e.g open ion channels so the ion can physically move.

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5
Q

What is the resting membrane potential?

A

The potential difference across a cell membrane of an excitable cell at rest.
Is normally around -70 to -80 mV.
(note membrane potential is expressed intracellular to extracellular)

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6
Q

Give some examples of diffusion down a chemical and electrical gradient, with Na+ K+ and Ca2+.
What is different between what needs to be considered for an electrical v a chemical gradient?

A

K+ diffuses out a cell down a concentration gradient, if charges then unbalance as more positive outside will reenter the cell down electrical gradient.
Na+ and Ca2+ diffuse into the cell down a chemical gradient, then would diffuse out of the cell down an electrical gradient.
Note: These electrical gradients only work when ion is considered in isolation. An electrical gradient is affected by other ions, chemical gradient by only the one ion.

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7
Q

Define depolarisation, repolarisation and hyperpolarisation.

A

Depolarisation - membrane potential becomes more positive
Repolarisation - membrane potential becomes more negative, less than zero
Hyperpolarisation - membrane potential becomes more negative than at rest.

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8
Q

What is undershoot and overshoot in relation to the membrane potential?

A

Undershoot - membrane potential is less than zero
Overshoot- membrane potential is more than zero.

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9
Q

What is meant by an inward or outward current in relation to membrane potential?

A

Describes the direction of the flow of positive charge.
Inward - flows into the cell

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10
Q

What is the refractory period in relation to membrane potential?

A

The period when during an action potential another action potential can not be triggered.
Is spilt into absolute or relative refractory periods.

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11
Q

What is threshold potential in relation to membrane potential?

A

The membrane potential at which an action potential becomes innevitable.

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12
Q

What is important about the membrane potential relative to the equilibrium potential of K+ and Na+?
How does this relate to their rate of movement?

A

K+ equilibrium potential is very close to resting membrane potential , so rate of movement of K+ across the membrane in slower.
Na+ equilibrium potential is far way from the membrane potential, so Na+ enter the cell more rapidly when ion channels open when a stimulus is applied.

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13
Q

What are the different types of refractory period?

A

Absolute - from threshold to halfway through the outward current, no action potential can be generated as the inactivation gates on sodium ion channels are closed.
Rellative - from halfway through outward current and all of hyperpolarisation, due to higher than normal K+ efflux, so greater Na+ influx would be needed. This could potentially be triggered by a greater than normal stimuli.

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14
Q

What is propagation in relation to action potentials?

A

The movement of waves of depolarisation between conductive cells due to the movement of ions between cells through gap junctions, this activate voltage gated ion channels in the new cells.

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15
Q

What are the two types of cells found in the heart?

A

Contractile and conducting cells.

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16
Q

What order are conducting cells found in the heart?

A

SAN
AVN
Bundle of His
Left/Right bundle of His
Purkyne Fibres

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17
Q

Why does the AV node have slow conduction?

A

To allow for maximum ventricular filling before contraction.

18
Q

Why does the Bundle of His have fast downwards conduction?

A

For rapid, efficient contraction and ejection of blood, ensures the ventricles contract simultaneously.

19
Q

Compare the action potential duration of different cardiac tissues?

A

SAN and atria- 150ms
Ventricles - 250ms
Purkyne fibres - 300ms
Longer time needed for more contraction

20
Q

What are the different phases of ventricular and atrial action potential?

A

0 - depolarisation by Na+ influx
1 - intial repolarisation by K+ efflux and stopped Na+ influx
2 - plateua - Ca2+ influx = K+ efflux
3 - repolarisation Ca2+ influz stops, K+ efflux continues
4 - resting membrane potential/ electrical diastole
Note: No hyperpolarisation.

21
Q

What are the different stages of an SAN action potential?

A

0- Rapid depolarisation by Ca2+ influx
3- repolarisation, Ca2+ influx stops and K+ efflux starts
4- Funny channels means no true resting potential as always slow influx of Na+. Ca2+ ion channels recover. (This determines the speed that a new action potential can be generated)

22
Q

What are some features of the SAN action potential?

A

Autonomic generation of AP without neural input.
Only pacemakers have funny channels
Has no sustained plateau so no phase 1 or 2.

23
Q

What are some important features of the phase 4 in an SAN action potential?

A

Also known as the prepotential phase.
Funny channels = HCN-gated channels are activated by phase 3 repolarisation.
Open to allow Na+ influx, this is more than K+ efflux causing a small increased in membrane potential, the larger the increase the quicker the action potential is generated when calcium ion channels open.

24
Q

What is a latent pacemaker?

A

A pacemaker that is not the SAN.
These pacemaker has a slower rate of conduction, will become primary if the SAN is damaged.
Latent pacemakers do not generate phase 4 funny currents.

25
Q

What controls when certain pacemakers are in control of the heart?

A

The SAN has the fastest rate of impulse generate, so suppresses the other contractile cells which are slower.
This is known as overdrive suppression.

26
Q

What are the different firing rates of contractile cells in the heart?

A

SAN - 60-100 per minute
AVN - 40-60 per minutes
Purkyne - 15-20 per minute

27
Q

What effect does the sympathetic nervous system have on the heart rate?
What is the mechanism behind this?

A

Increases the heart rate, conduction velocity and contractility.
Beta 1 receptors
Increases the influx of calcium ions.
Heart rate - funny current involvement
Contractility - phosphorylation of phospholamban

28
Q

What are the effects of the sympathetic nervous system on blood vessels?
What is the mechanism behind this?

A

Causes constriction of peripheral blood vessels in the skin and digestive system. Uses alpha 1 receptors
Causes dilation of blood vessels for essential organs such as the brain, Uses Beta 2 receptors.

29
Q

What are the effects of the parasympathetic nervous system on blood vessels?
What is the mechanism behind this?

A

Causes vasodilation of blood vessels in the digestive system.
Dilation of vascular smooth muscle by M3 receptors.
Releases Endothelial Derived Relaxing Factor to enduce these changes.

30
Q

What effect does the parasympathetic nervous system have on heart rate?
What is the mechanism behind this change?

A

Decreases the heart rate, contractility and conductivity.
Uses M2 receptors.
Decrease in calcium influx and increase in actelycholine-activated outward K+ currents.
Heart rate - decrease in funny currents

31
Q

What is meant by chronotropic effects?

A

The effects of the ANS on heart rate.
Positive - increased heart rate
Negative - decreased heart rate

32
Q

What is meant by dromotropic effects?

A

The effects of the ANS on conduction velocity through the AV node.
Positive - increase in conduction velocity
Negative - decrease

33
Q

What is the basic myocardial cell structure?

A

Think actin filaments and thick myosin filaments.
Form a sacromere between two z discs
Titin is present between actin filaments
Cardiomyocytes have one central nucleus, they are branched cells, linked by intercalated disks (gap junctions and desmosomes)
Store more calcium and are more disorganised arrangement than skeletal muscle.

34
Q

What is meant by excitation-contraction coupling?

A

The translation of an action potential into muscle contraction
During phase two of an action potential when calcium enters the cell, causes calcium ion induced calcium ion release from the SR.
Ca2+ binds to troponin allows crossbridges to form between myosin and actin.

35
Q

What determins the amount of calcium ions released from the SR by calcium ion induced calcium ion release?

A

The amount of calcium ions stored in the SR
The size of the influx of calcium ions during phase 2 of the action potential

36
Q

What is inotropism?

A

Contractility - the intrinsic ability of a cardiac myocyte to develop force at a given muscle length.

37
Q

What is the mechanism behind contractility?

A

Higher level of intracellular calcium leads to stronger contractility.

38
Q

What are inotropic effects?

A

The effects of the ANS on contractility.
Positive - stronger contractility
Negative - weaker contractility

39
Q

What is the difference between heart rate, contractility and conductivity?

A

Heart rate - how often SAN fires impulses and ventricles contract
Conductivity - how easily and quickly action potentials spread between cells
Contractility - How strong the contraction (force applied) is of the sacromere

40
Q

What of the effects of cardiac glycosides on contractility?

A

Has an positive inotropic effect.
Inhibits the sodium potassium pump so intracellular Na+ accumulates.
This reduces the efflux of Ca2+ at rest as less functioning of the Ca2+ Na+ exchanger.
Ca2+ increases so stronger contraction.