| Term 
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        | single contraction of heart |  | 
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        | first the ___ contract then the___ |  | Definition 
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        | The 2 types of cardiac muscles cells are |  | Definition 
 
        | cells that form a conducting system contractile cells
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 | Definition 
 
        | a system of specialized cardiac muscle cells that initate and distrubute electrical impulses that stimulate contraction. |  | 
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 | Definition 
 
        | propel contractions that propel blood |  | 
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        | automaticity (autorhythmicity) def |  | Definition 
 
        | property of cardiac muscle tissue that causes them to contract automatically without neural or hormonal stimulation. |  | 
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        | components of conducting system, |  | Definition 
 
        | Sinoatrial node (SA) Atrioventriuclar node (AV)
 R & L bundle branches
 Purkinje fibers
 conducting cells
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 | Definition 
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 | Definition 
 
        | btwn atria and ventricles |  | 
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        | R & L bundle branches located |  | Definition 
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        | conducting cells location |  | Definition 
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        | what is the fcn of the conducting cells |  | Definition 
 
        | interconnect SA & AV node 
 distrubute stimulus throughout myocardium
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        | conducting cells distribute electrical stimulus in atria through |  | Definition 
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        | conducting cells distribute electrical stimulus in ventricle through |  | Definition 
 
        | AV bundle (aka bundle of His) & bundle branches
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        | What is an electrocardiogram? |  | Definition 
 
        | record of the electrical events in the cardiac cycle |  | 
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        | abbrevations for electrocardigram |  | Definition 
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        | What is a unique feature of the cells of the SA & AV node?, |  | Definition 
 
        | they cannot maintain a stable resting potential and have what is called a pre-potential or pacemaker potential. |  | 
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        | Term 
 
        | pre-potential/ pacemaker potential def |  | Definition 
 
        | no stable resting potential 
 after each repolarization the membrane gradually drifts toward threshold
 
 aka this is a gradual depolarization
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        | Which node establishes the heart rate? |  | Definition 
 
        | SA node because it depolarizes first due to the fact its rate of spontaneous depolarization is the fastest the SA node is able to generate action potentials at a rate of,80-100 per minute
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        | The sinoatrial node contains what type of cells & fcn |  | Definition 
 
        | pacemaker, spontaneously depolarize the SA node is connected to the AV node by,internodal pathways.
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        | Activation of the AV node leads to |  | Definition 
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        | what slows the heart rate?, |  | Definition 
 
        | parasympathetic nervous system |  | 
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        | AV node generates action potentials at what rate?, |  | Definition 
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        | What would occur if any of the atrial pathways or the SA node becomes damaged?, |  | Definition 
 
        | the heart beat would depend on AV node at a rate of 40-60 beats per minute 
 or if cells in the Purkinje fibers begin to depolarize spontaneously it will be at a rate of 20-40 beats per min.
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        | True or false: in the state of disease cells in AV bundle/bundle branches/Purkinje fibers can depolarize spontaneously although blood is still not being pumped efficently., |  | Definition 
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        | give sequence of electrical excitation throughout the heart, |  | Definition 
 
        | SA node AV node
 AV bundle
 bundle branches
 Purkinje fibers
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        | bradycardia, tachycardia def |  | Definition 
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        | Term 
 | Definition 
 
        | contains abnormal cells that generate high rate of action potentials that bypass conducting system and disrupt ventricular contractions |  | 
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        | the contractile cells recieve their impulse from |  | Definition 
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        | the resting potential for a ventricular cell is |  | Definition 
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        | the resting potential for a atrial cell is about |  | Definition 
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        | t or f: both cardiac and skeletal muscle undergo rapid depolarization?, |  | Definition 
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        | t or f: both cardiac and skeletal muscle have a plateau phase |  | Definition 
 
        | no, in skeletal muscle rapid depolarization is quickly followed by rapid replorization
 
 in cardiac muscle there is an extended period in which CA2+ enters til potential remains near 0mV for an extended period.
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        | t or f: both cardiac and skeletal  muscle undergo repolarization |  | Definition 
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        | give 3 stages of action potential in cardiac muscle cells: |  | Definition 
 
        | rapid depolarization 
 the plateau
 
 repolarization
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        | rapid depolarization caused by:
 ends with:
 |  | Definition 
 
        | Na+ entry closure of voltage gated sodium channels
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        | the plateau caused by:
 ends with:
 |  | Definition 
 
        | CA+ entry closure of slow calicum channels
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        | repolarization caused by:
 ends by:
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        | K+ loss closure of slow potassium channels
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        | define refractory period (in general): |  | Definition 
 
        | as with any muscle contraction: for a time after the action potential has occured the membrane will not be able to respond normally to a second stimulus
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        | the refractory occurs in what phase? |  | Definition 
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        | absolute refractory period def |  | Definition 
 
        | long membrane cannot respond at all
 
 b/c Na+ channel are:
 open or closed or inactivated
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        | Term 
 
        | relative refractory period def |  | Definition 
 
        | shorter, membrane can only respond to a stronger stimulus
 
 b/c they are less channels available to iniate a response
 or Na+ channels are closed but can open
 
 aka membrane is hyperpolarized
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        | order of refractory periods |  | Definition 
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        | the time btwn depolarization & repolarization is ___ in cardiac muslce than in skeletal muscle |  | Definition 
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        | why do cardiac cells have a long refractory period?, |  | Definition 
 
        | prevents: summation tetanic muscle contractions
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        | what are tetanic muscle contractions?, |  | Definition 
 
        | high frequency stimulations leading to a constant contractile state |  | 
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        | when does refractory period end?, |  | Definition 
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        | how does Ca2+ relate to muscle contractions? |  | Definition 
 
        | action potential = contraction in cardiac muscle plasma membrane  due to an increase Ca2+ around myofibrils |  | 
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        | where does the Ca2+ come from to produce muscle contractions? |  | Definition 
 
        | 20% of Ca2+ is outside cell and enters pm of muscle cell during plateau phase 
 the presence  of extracelluar Ca2+ causes the release of addn ca2+ from reserves in sacroplasmic reticulum
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        | what does a beta blocker do? |  | Definition 
 
        | prevents Ca2+ from entering cell with intention of producing less contraction to reduce blood pressure. |  | 
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        | what happens if you stimulate a Beta 1 receptor?, |  | Definition 
 
        | increases ca2+ conc which causes more contractions and increases blood pressure As calcium channels close where does ca2+ go,absorbed by sarcoplasm reticulum
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        | aerobic energy for heart comes from? |  | Definition 
 
        | fatty acids glucose
 O2 from hemoglobin
 myogloblin
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        | the cardiac cycle is the period btwn |  | Definition 
 
        | start of  1 heartbeat to the beginning of the next 
 includes contraction & relaxation
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        | diastole (pressure falls) |  | 
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