week 5 Flashcards
ionotropy
contractility
preload
ventricular filling
PQRST
P wave- atria depolarization
QRS- ventricle depolarization
T- ventricle repolarize
ACXVY
A- atria contract
C- tricuspid buldge
X- atria relax
V- passive filling of atria
Y- empty Atria into ventricles and open AV valves
highest pressure
aorta 120/80= BP
EDV
ESV
SV stroke volume
End diastolic volume (EDV) – the volume in the ventricle at the end of diastole
* End systolic volume (ESV) – the volume in the ventricle at the end of systole
the volume ejected with each heartbeat ▪ SV = EDV – ESV
cardiac output
ejection fraction
Cardiac output is the volume ejected by each systole X heart rate
▪ CO = SV X HR
- Ejection fraction is the proportion of EDV that is ejected
each beat
▪ EF = SV/EDV = (EDV – ESV)/EDV
stroke volume effected by
preload
contractility/ ionotropy
afterloada
afterload
The pressure that the heart must overcome to eject blood into the great arteries.
* Factorsthatincreaseafterload–aorticstenosis,elevatedblood pressure
increase afterload ____ stroke volume and ejection fraction
decreases
if ionotropy decreases then stroke volume
decreases
PRELOAD OF ONE VENTRICLE DEPENDS ON THE CARDIAC OUTPUT OF THE OTHER.
!
SERCA (Sarcoplasmic/Endoplasmic Reticulum Calcium ATPase)
reuptake calcium after contraction
syncytium
cardiac myocytes are interconnected via branches and intercalated disks (gap junctions and desmosomes)
4 types of action potential in the heart
atrial
ventricular
purkinje
automatic(via pacemaker SA and AV nodes)
phase of action potential
▪ Phase 4 – resting membrane potential (RMP)
K+ leaky open
▪ Phase 0 – the rapid depolarization phase (upstroke)
Na+ influx
▪ Phase 1 & 2 – prolonged depolarization/plateau phase
K+ efflux then L type Ca2+ have influx
▪ Phase 3 - repolarization
close ca and open vgc K+
calcium spark
one ca2+ VGC opens and then lets ca2+ out from neighbouring ryandoine receptor
SERCA regulated by
phospholamban
automatic cells
depolarize spontaneously
phase for “resting” is not stable because of funny current- left over Na+ and K+
automatic cell APs
phase 0- depolarize from l type Ca2+
no phase 1 or 2
phase 3 depolarize; K+ efflux
phase 4- leaky resting membrane; funny current
chronotrphy
heart rate
pacmaker
SA- 60-100bpm
bundle of his (AV bundle)
carry AP along septum of the heart
then purkinje bring to apex and base of heart for ventricles
Bachman’s bundle
so left and right atrium contract at same time
- P Wave: Atrial depolarization initiated by the SA node.
- PR Interval: Delay at the AV node allowing for ventricular filling.
- QRS Complex: Rapid depolarization of the ventricles via the conduction pathway (Bundle of His and Purkinje fibers).
- ST Segment: Ventricles in a depolarized state before repolarization.
- T Wave: Ventricular repolarization returning the heart to its resting state.
- QT Interval: Total time for ventricular depolarization and repolarization.