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Cardiac Muscle and the Heart
Ch. 12
39
Physiology
Undergraduate 3
07/06/2012

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Term
Number of Chambers in The Heart
-Atria
-Ventricles
Definition
4 chambers
2 Atria
2 Ventricles
Term
Septum
Definition
Interatrial and Interventricular
Term
Other parts of the heart
Definition
base
apex
Term
Where are cardiac muscles found?
Definition
In the heart
Term
Types and % of Cardiac Muscle cells
Definition
1. Contractile (99%)
2. Auto-ryhthmic (1%)
Term
Size of Contractile Cells
Definition
Smaller than skeletal, often branch
Term
Do they have thick and thin filaments?
Definition
Yes, they are arranged into sarcomeres and is also striated
Term
Contractile mechanism
Definition
similar to skeletal muscle except--
-AP traveling across surface of membrance and down T tubules cause Voltage gated ca channels in the membrance to open and ca enters the cells from the ECF
Term
Ca entering from ECF causes
Definition
The ca channels on SR to open, known as Ca induced, calcium release from SR
Term
Which Calcium (from ECF or SR) binds to troponin?
Definition
Ca from SR binds to troponin and the contraction occurs like skeletal
Term
Is Ca released from SR by AP in T tubules?
Definition
Yes
Term
Relaxaction of Cardiac Muscle
Definition
Removal of Ca from cytosol allows troponin and tropomyosin to return to covering myosin binding site on actin. Ca removed by:
-Ca ATPase in SR
-Ca ATPase in plasma membrane
- Na-Ca exchanger in plasma membrane
Term
Digitalis:
Definition
A drug that decreases heart contraction strength by increasing intercellular calcium by decreasing Na-Ca exchange. More Ca remains in cells.
Term
How are Contractile Cells connected
Definition
They are all connected to one another by gap junctions
Term
Intercalated disks
Definition
Areas of contact between cells with a high concentration of gap junctions which allows for the spread of action potentials between cells. Contract as a unit.
Term
How many demosomes, which do what?
Definition
A large number, resist stress of beating.
Term
Contractile Cell metabolism-
Definition
Oxidative (aerobic) metabolism
Term
When do cells grow?
Definition
No cell division after infancy, growth by hypertrophy (increased cell size, exercise)
Term
When cells die (heart attack) when are they replaced?
Definition
They are not replaced.
Term
Function of Contractile Cells:
Definition
Rythmic contraction and relaxation generates heart pumping action.
Contraction pushes blood out of heart
relaxation allows heart to fill with blodd.
Term
Autorythmic Cells:
Definition
initiate and propogate the AP responsible for contraction of the contractile cells
Term
Very few myofilaments in Autorythmic cells mean-
Definition
They don't contract
Term
Types of Autorythmic Cells:
Definition
Pacemaker Cells: Initiate AP
Conducting Cells: Propagate AP
Term
Where are Pacemaker cells
Definition
1. sino-atrial (SA) node: collection of PM cells in right atrium. Initiate heart beat (automatic), Primary- sets rate
2. Atrio-ventricular (AV) node: located between atria and ventricles
Term
Pacemaker potentials:
Definition
spontanesous depolarizations of membrane to threshold. results from spontaneous opening of ion channels
Term
Chemical and Neural Signaling of PaceMaker cells
Definition
None required.
Term
How are depolarizations of pacemaker cells transmitted to contractile?
Definition
Via gap junctions.
Term
What is a Heart beat?
Definition
Wave of contraction through cardiac muscle, as contractile cells are depolarized to threshold they contract.
Atria contracts as a unit and the ventricles contract as a unit
Term
Order of Spread of Excitation between cells:
Coordination due to:
Definition
atria contracts first followed by ventricles.
Presence of Gap junctions and conduction pathways.
Term
Conducting Cells speed:
Definition
AP spreads rapid.
Term
Major pathways of conducting cells
Definition
-internodal pathways: between SA and AV nodes
-Bundle of His (ventricles)
-Purkinje fibers (ventricles)
Term
Speed of Excitation
Definition
Interatrial Path
SA node-R. atrium-L.atrium
Rapid
Simultaneous contraction of R&L atria
--Internodal Path
SA node-AV node
--AV node Transmission
only path from atria to ventricals
slow conduction
atria contracts before ventricles
Term
Spread of Excitation into Ventricles
Definition
down bundle of his
up purkinje fibers
Term
Electrocardiogram (ECG)
Definition
external measure of electrical activity of the heart
non invasive
used for clinical abnormalities in conduction of electrical activity in heart
Term
Is the body a good conductor of electricity?
Definition
Yes, currents in body can spread to surface
Term
How is electrical activity measured?
Definition
electrodes (leads) placed on skin, arranged so one positive and one negative. When eletrical current travels toward the + there is upward deflection and when travelling away there is a down deflection.
The view waves of depolarization that pass through muscle. Leads are positioned so center is the heart
Term
P wave
QRS wave
T wave
Definition
P- atrial depolarization
QRS- ventricle depolarization
T- ventricle repolarization
Term
Abnormal Heart Rates
Definition
Sinus rhythm- generated by SA node
Tachycardia- fast
Bradycardia-slow
Term
Ventricular Fibrillation
Definition
Loss of coordination of electrcal activity
-Atrial fibrillation=weakness
Ventricular fib=death within minutes
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