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WLA 3 Chapter 11-12
Musle and Cardio vascular.
138
Physiology
Undergraduate 1
04/04/2011

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Term
Epimysin
Definition
CT that surrounds entire skeletal muscle - extends at the end of muscle to form tendons.
Term
Endomysium
Definition
CT that surrounds each individual skeletal muscle.
Term
Faciclues
Definition
10-100 muscle cells
Term
Motor unit
Definition
is a motor nuron that are contracted. One motor neuron can control 100 muscle fibers. The lower the number the finer or better the control. All muscle fibers contract together. Increase number of activated more units to increase of force. 1 motor unit = 1musle fiber.
Term
Inner-vation ratio
Definition
is the number of neurons : muscle fibers that very from 1:100 to 1:2000 fine control occurs when motor units are small. Ex: 1 motor neuron innervates small number of fibers.
Term
Since individual motor units fire "all-or-none," how do skeletal muscles perform smooth movements?
Definition
Recruitment.
Term
Recruitment.
Definition
Brain estimates number of motor units required and stimulates them to contract . It keeps recruiting more units until desired movement is accomplished in smooth fashion. More and larger motor units are activated to produce greater strength.
Term
Myofibrils
Definition
are 1min diameter and extend length of fiber .Packed with myofilaments. Myofilaments are composed of thick and thin filaments that give rise to bands which underlie striations A band- is dark, contains thick filaments (mostly made of myosin)
Term
A band
Definition
is dark, contains thick filaments (mostly of myosin)
Term
H band
Definition
Light area at center of A band , area where actin and myosin don’t overlap .
Term
I band
Definition
is light, contains thin filaments(mostly actin)
Term
Z line/disc
Definition
is At center of I band where actins attaches
Term
Sarcomeres
Definition
Are contractile units of skeletal muscle consisting of components between 2 Z discs. From Z disk to Z disk.
Term
M lines
Definition
are structural proteins that anchor myosin during contraction
Term
Titin
Definition
is elastic protein attaching myosin to Z disc that contributes to elastic recoil of muscle
Term
Thick filaments
Definition
Contains Myosin
Term
Thin Filaments
Definition
actin, troponin, and tropomyosin
Term
Sliding Filament Theory of Contraction
Definition
Power storke
Threshols is reached @ the axon hillock of a motor neruron
Action poteinal is generated (VG-NA+ channels OPEN> Inactivate> VG-K+ OPEN > Inactiveted.
Depolarization reches synaptic end bulb
Depolarization opens VG- Ca2+ channels @ the synaptic end bulb
Ca2+ flows in the neuron
Ca2 binds and activates calmodulin > protein kinase actived
Cascade of rxn causes Exocytosis of synaptic vesicles containing ACH (neurotansmitter)
ACH diffuses across synaptic clecft and bind to nicotinc ACH receptors (5 subunits , 2 of which bind ACH ligand ion channel
Ion channel opens and Na+ rushes in to the musle fiber.
Depolarization spreads along the sarcolema and into the musle cell via T tubules
VG-Ca2+ channels on the sarcoplasmic reticulum OPEN
Ca2+ release channels on SR OPEN (via poisitive feel back)
Ca2+ is releasted and diffuses into the sacroplasm
Ca2 binds to troponin > conformational change
Conformational change of the troponin – tropomymyosin complex (exposes myosin –binding sites on the actin)
Myosin head binds to the actin> Pi is released ( assumes “cocked” position to start) (forms cross-bridge)
POWERSTROKE; ADP is released
A new ATP molecule binds to the myosin head and the cross-bride is broken
As the ATP > ADP + Pi, the myosin is “recoked” –resting state
If [Ca2+] > 10-6 M in the sarcoplasm, contraction continues
- REPEAT-steps starting when myosin binds to actin ^
once AP’s STOP, Ca2+ is returned to the SR.
Muscle relaxtion
Ca+ Binds to tripion
Ca]<10-6 Moleltor will equal relaxtion
Term
Cross Bridges
Definition
Are formed by heads of myosin molecules that extend toward and interact with actin . Sliding of filaments is produced by actions of cross bridges . Each myosin head contains an ATP-binding site which functions as an ATPase . Myosin can’t bind to actin unless it is “cocked” by ATP. After binding, myosin undergoes conformational change (power stroke) which exerts force on actin . After power stroke myosin detaches
Term
Control of Contraction
Definition
Control of cross bridge attachment to actin is via troponin
tropomyosin system . Serves as a switch for muscle contraction and relaxation. The filament tropomyosinlies in grove between double row of G-actins (that make up actin thin filament) Troponin complex is attached to tropomyosin at intervals of every 7 actins. In relaxed muscle, tropomyosin blocks binding sites on actin so cross bridges can’t occur.This occurs when Ca++ levels are low (<10-6 M). Contraction can occur only when binding sites are exposed.
Term
Ca++Control of Contraction
Definition
- When Ca++levels rise (>10-6M), Ca++binds to troponin causing conformational change which moves tropomyosin and exposes binding sites .Allowing crossbridges and contraction to occur. Crossbridge cycles stop when Ca++ levels decrease (<106M) Ca++levels decrease because it is continually pumped back into the sarcoplasmic reticulum(SR -a calcium reservoir in muscle) Most Ca++in SR is in terminal cisternae Running along terminal cisternae are T tubules.
Term
Excitation-Contraction Coupling
Definition
Skeletal muscle sarcolemma is excitable .Conducts APs just like axons. Release of ACh at NMJ causes large depolarizing end-plate potentials and APs in muscle. APs race over sarcolemma and down into muscle via T tubules. T tubules are extensions of sarcolemma. Ca++channels in SR are mechanically linked to channels in T tubules. APs in T tubules cause release of Ca++from cisternae via Vgated and Ca++release channels Called electromechanical release channels are 10X larger than V-gated channels.
Term
Metabolism of Skeletal Muscles
Definition
- Skeletal muscles respire anaerobically 1st 45-90 sec
of moderate-to-heavy exercise. Cardiopulmonary system requires this time to increase O2 supply to exercising muscles. If exercise is moderate, aerobic respiration contributes majority of muscle requirements after 1st 2 min . During light exercise, most energy is derived from aerobic respiration of fatty acids. During moderate exercise, energy derived equally from fatty acids and glucose. During heavy exercise, glucose supplies 2/3 of energy. Liver increases glycogenolysis GLUT-4 carrier is moved to muscle cell’s plasma membrane Liver increase membrane.
Term
Smooth Muscle Contraction
Definition
Controlled by Ca++but different from striated. Has little SR and no troponin/tropomyosin. Ca enters thru channels in plasma membrane. Binds with calmodulin Ca calmodulin complex activates myosin light chain kinase(MLCK). Which phosphorylates and activates myosin. Myosin forms crossbridges with actin. Which phosphorylat
Term
Increase
Definition
.Motor unit recruitment allows for _______ contraction strenth.
Term
Titin
Definition
What structure runs the length of the sarcomere through the thick filments and contributes to the elastic recoil in muscle.
Term
Sarcomere
Definition
What structure runs from Z line to Z line
Term
A Band
Definition
The thick fliments is also called the ____
Term
False
Definition
True or False Z line are found bisecting the A bands.
Term
I-band
Definition
The light band of the skeletal muscle is known as the_______
Term
perimysium.
Definition
Each fascicle of a muscle is surrounded by the___________.
Term
Motor unit.
Definition
Each somatic motor neuron with all the muscle fibers it innervatates is a ______
Term
Perimysium
Definition
CT that surrounds each fascicle.
Term
Saracolemma
Definition
plasma membrane of a skeletal muscle fiber.
Term
sarcoplasma
Definition
cytoplasma of a skeletal muscle fiber.
Term
Skeletal muscle
Definition
Moves bones
voluntary movement
peripherally located in the nuclei
multinucleated
during development , multiple myoblasts fuse to form skeletal muscle fibers
striated (alternation light and dark bands)
Term
Compositon of blood
Definition
Plasma protein
Term
Albumin
Definition
accounts from 60-80% - Creates colloid osmotic pressure that draws H
2O from interstitial fluid into capillaries to maintain blood volume and pressure.
Term
Golbulins
Definition
Carry lipids (Gamma Golbuilins) anti-bodies.
Term
Fibrinogin
Definition
serves as a clotting factor, converts to fibrin, and Serum is left when blood clotting.
Term
Erythrocytes (RBC)
Definition
are flattened biconcave discs, Shape provides increased surface area for diffusion ,Lack nuclei and mitochondria. ,Each RBC contains 280 million hemoglobins ,About 300 billion RBCs are produced each day.
Term
Leukocytes (WBC)
Definition
Have a nucleus, mitochondria, and amoeboid ability, Can squeeze through capillary walls (diapedesis)
Term
Granular leukocytes
Definition
help detoxify foreign substances and release heparin.
Term
Eosinophils
Definition
Helps fight viral infections parasitic worms.
Term
Basophils
Definition
responsible for allergic responces release heparin and sertonin, also help fight parasitic infections.
Term
Newtrophils
Definition
most abundant WBC and are the first responders and usually die.
Term
Agranular leukocytes
Definition
are phagocytic and produce antibodies.
Term
T-cells
Definition
responsible for all mediated immunity
Term
B-cells
Definition
responsible for antibody mediated immunity
Term
Monocytes
Definition
mature into macrophages , eaters – destroy baterial , and dead / dying cells.
Term
Platelets (thrombocytes)
Definition
Are smallest of formed elements, lack nucleus. Constitute most of mass of blood clots,Release serotonin to vasoconstrict and reduce blood flow to clot area, Secrete growth factors to maintain integrity of blood vessel wall Survive5-9days.
Term
Megakaryocetes
Definition
Are amoeboid fragments from bone marrow.
Term
Agglutiate
Definition
If different blood types are mixed, antibodies will cause mixture to agglutinate reaction.
Term
RBC Antigens
Definition
antigens are present on RBC surface specify blood type.
Term
ABO system
Definition
Type A blood has only A antigens, Type B has only B antigens, Type AB has both A and B antigens, Type O has neither A or B antigens. Type O is the universal donor and AB is the universal recipient.
Term
Rh Factor
Definition
Is another type of antigen found on RBCs, Rh+has Rho(D) antigens; Rh-does not, Can cause problems when Rh-mother has Rh+ babies ,At birth, mother may be exposed to Rh+ blood of fetus, In later pregnancies mom may produce Rh antibodies
In Erythroblastosis fetalis, this happens and antibodies cross placenta causing hemolysis of fetal RBCs.
Term
Hemostasis
Definition
Is cessation of bleeding, Promoted by reactions initiated by vessel injury:
Vasoconstriction restricts blood flow to area, Platelet plug forms, Plug and surroundings are infiltrated by web of fibrin, forming clot.
Term
Role of Platelets
Definition
Platelets don't stick to intact endothelium because of presence of prostacyclin(PGI2- a prostaglandin) and NO. Keep clots from forming and are vasodilators. Damage to endothelium allows platelets to bind to exposed collagen. Von Willebrand factor increases bond by binding to both collagen and platelets. Platelets stick to collagen and release ADP, serotonin, and thromboxane A2 =platelet release reaction. Serotonin and thromboxane A2stimulate. vasoconstriction, reducing blood flow to wound. ADP and thromboxane A 2 cause other platelets to become sticky and attach and undergo platelet release reaction. This continues until platelet plugs formed.
Term
Role of Fibrin
Definition
Platelet plug becomes infiltrated by meshwork of fibrin ,Clot now contains platelets, fibrin and trapped RBCs. Platelet plug undergoes plug contraction to form more compact plug.
Term
Fibrous skeleton
Definition
Between atria and ventricles is layer of dense connective tissue. Which structurally and functionally separates the two.
Term
Myocardium
Definition
Myocardial cells of atria attach to top of fibrous skeleton and forms 1unit. Cells from ventricles attach to bottom and form another unit.
Term
Atrioventricular Valves
Definition
(AV valves)- Opening and closing of valves results from pressure differences. High pressure of ventricular contraction is prevented from enterting AV valves by contraction of papillary muscles which are connected to AVs by chordae tendineae.
Term
Systole
Definition
contraction
Term
Diastole
Definition
relaxtion
Term
End-diastolic volume
Definition
is volume of blood in ventricles at end of diastole.
Term
Stroke volume
Definition
is amount of blood ejected from ventricles during systole.
Term
End-systolic volume
Definition
is amount of blood left in ventricles at end of systole.
Term
isovolumetric contraction
Definition
As ventricles contract, pressure rises, closing AV valves. all valves are closed .
Term
isovolumetric relaxation
Definition
When pressure in ventricles exceeds that in aorta, semilunarvalves open and ejection begins, As pressure in ventricle falls below that in aorta, back pressure closes semilunars, All valves are closed and ventricles.
Term
Atrial systole
Definition
When pressure in ventricles falls below atria, AVs open
and ventricles fill and sends its blood into ventricles.
Term
Lub
Definition
(1st sound) produced by closing of AV valves
Term
Dub
Definition
(2nd sound) produced by closing of semilunars
Term
SA Node Pacemaker
Definition
In normal heart, SA, node functions as pacemaker Depolarizes spontaneously to threshold (= pacemaker potential) . Membrane voltage begins
at -60mV and gradually depolarizes to -40 threshold Spontaneous depolarization is caused by Na+flowing through channel that opens when hyperpolarized (HCN channel)
At threshold V-gated Ca2+ channels open, creating upstroke and contraction Repolarization is via opening of V-gated K+ channels.
Term
Myocardial APs
Definition
Myocardial cells have RMP of 90 mV, Depolarized to threshold by APs originating in SA node. Upstroke occurs as V-gated Na+channels open. MP rapidly declines to 15mV and stays there for 200-300 m sec (plateau phase) . Plateau results from
balance between slow Ca2+influx and K+ efflux. Repolarization due to opening of extra K+ channels.
Term
Electrical conducting system of the heart
Definition
SA Node (pace maker, right atrium)- fastest area of cells to spontaneously depolarize to threshold.
AV Node (slow transmission causes delay) allows blood to go from arties to ventricles.
Bindle of HIS (travels across fibrous skeleton between arties and ventricles) goes across fibrous skeleton.
Left and right Bundle Branches(divides signal into left and right sites)
Purkinje Fibers (rapidly spreads signal).
Term
Electrocardiogram (ECG/EKG)
Definition
Is a recording of electrical activity of heart conducted
thru ions in body to surface.
P wave- caused by atrial depolarization. T wave- results from ventricular repolarization. QRS complex- is caused by ventricular depolarization. A trail repolarization is missing from EKG “Masked” by the QRS complex.
Term
Structure of Blood Vessels
Definition
Innermost layer of all vessels is the endothelium. Capillaries are made of only endothelial cells, Arteries and veins have 3 layers called tunica externa,
media, and interna. Externa is connective tissue. Media is mostly smooth muscle. Interna is made of endothelium, basement membrane, and elastin. Although have same basic elements, arteries and veins are quite different.
Term
continuous capillaries
Definition
endothelial cells are tightly joined together. Have narrow intercellular channels that permit exchange of molecules smaller than proteins Present in muscle, lungs, adipose tissue
Term
Fenestrated capillaries
Definition
have wide intercellular pores. Very permeable. Present in kidneys, endocrine glands, intestines.
Term
Discontinuous capillaries
Definition
have large gaps in endothelium. Are large and leaky. Present in liver, spleen, bone marrow.
Term
Arteries
Definition
Small arteries and arterioles are muscular.Provide most resistance in circulatory system. Arterioles cause greatest pressure drop. Mostly connect to capillary beds. Some connect directly to veins to form arteriovenous anastomoses. Moves away from the heart
Term
Veins
Definition
Contain majority of blood in circulatory system. Very compliant (expand readily) Contain very low pressure (about 2mm Hg). Insufficient to return blood to heart. Blood is moved toward heart by contraction of surrounding skeletal muscles (skeletal muscle pump). And pressure drops in chest during breathing, 1-way venous valves ensure blood moves only toward heart.
Term
Arteriosclerosis
Definition
(hardening of arteries)Accounts for 50% of deaths in US. Localized plaques (atheromas) reduce low in an artery. And act as sites for thrombus(blood clots). Plaques begin at sites of damage to endothelium. E.g. from hypertension, smoking, high
cholesterol, or diabetes. Treatment – Balloon angiulpasty or by pass surgery.
Term
Ischemic Heart Disease
Definition
Is most commonly due to atherosclerosis in coronary
Arteries. Ischemia occurs when blood supply to tissue is deficient .Causes increased lactic acid from anaerobic metabolism. Often accompanied by angina pectoris(chest pain)
Detectable by changes in S-T segment of ECG. Myocardial infarction(MI) is a heart attack.Usually caused by occlusion of a coronary artery. Causing heart muscle to die. Diagnosed by high levels of creatine phosphokinase(CPK) and lactate dehydrogenase
(LDH) And presence of plasma troponin Tand Ifrom damaged muscle. Dead cells are replaced by noncontractile scar tissue.
Term
Lymphatic System
Definition
Has 3 basic functions:
Transports interstitial fluid (lymph) back to blood
Transports absorbed fat from small intestine to blood
Helps provide immunological defenses against pathogens
Term
Cardiac Output (CO)
Definition
Is volume of blood pumped/min by each ventricle
Stroke volume(SV) = blood pumped/beat by each ventricle
CO = SV x HR Total blood volume is about 5.5L
Term
Cardiac Rate
Definition
Without neuronal influences, SA node will drive heart
at rate of its spontaneous activity . NE and Epi stimulate
opening of pacemaker HCN channels.This depolarizes SA faster, increasing
HR. ACH promotes opening of K+channels. The resultant K+ outflow counters Na+ influx, slowing depolarization and decreasing HR.
Term
Chronotropic effect
Definition
Normally Sympathetic and Parasympathetic activity influence HR , Autonomic innervation of SA node is main controller of HR. Sympathetic and Parasympathetic nerve fibers modify rate of spontaneous depolarization.
Term
Cardiac control center of medulla
Definition
coordinates activity of autonomic innervation. Sympathetic endings in atria and ventricles can stimulate increased strength of contraction.
Term
Stroke Volume
Definition
Is determined by 3 variables:
End diastolic volume (EDV) = volume of blood in ventricles at end of diastole
Total peripheral resistance (TPR) = impedance to blood flow in arteries
Contractility= strength of ventricular contraction
Term
Regulation of Stroke Volume
Definition
- EDV is workload (preload) on heart prior to contraction SV is directly proportional to preload and contractility. Strength of contraction varies directly with EDV. Total peripheral resistance = after load which impedes ejection from ventricle. Ejection fraction is SV/ EDV. Normally is 60%; useful clinical diagnostic tool
Term
Frank-Starling Law of the Heart
Definition
States that strength of ventricular contraction varies
directly with EDV. Is an intrinsic property of myocardium. As EDV increases, myocardium is stretched more, causing greater contraction and SV. (a) is state of myocardial sarcomeres just before filling. Actins overlap, actin-myosin interactions are reduced and contraction would be weak. In (b, c and d) there is increasing interaction of actin and myosin allowing more force to be developed.
Term
Venous Return
Definition
Is return of blood to heart via veins. Controls EDV and thus
SV and CO. Dependent on : Blood volume and venous pressure. Vasoconstriction caused by Symp. Skeletal muscle pumps. Pressure drop during inhalation. Veins hold most of
blood in body (~70%) and are thus called capacitance vessels. Have thin walls and stretch easily to accommodate more blood without increased pressure (=higher compliance). Have only 0- 10 mm Hg pressure.
Term
Edema
Definition
Normally filtration, osmotic reuptake, and lymphatic drainage
maintain proper ECF levels. Edema is excessive accumulation of ECF resulting from:
High blood pressure, Venous obstruction,Leakage of plasma proteins into ECF Myxedema(excess production of glycoproteinsin extracellularmatrix) from hypothyroidism. Low plasma protein levels resulting from liver disease
Obstruction of lymphatic drainage.
Term
ADH (vasopressin)
Definition
released by Post Pit when osmoreceptors detect high osmolality. From excess salt intake or dehydration Causes thirst. Stimulates H2O reabsorption from urine. ADH release inhibited by low osmolality.
Term
Aldosterone
Definition
Is steroid hormone secreted by adrenal cortex. Helps maintain blood volume and pressure through reabsorption and retention of salt and water. Release stimulated by salt deprivation, low blood volume, and pressure.
Term
Renin-Angiotension-Aldosterone System
Definition
When there is a salt deficit, low blood volume, or pressure, angiotensinII is produced Angio II causes a number of effects all aimed at increasing blood pressure: Vasoconstriction, aldosterone secretion, thirst
Term
Atrial NatriureticPeptide (ANP)
Definition
Expanded blood volume is detected by stretch receptors in left atrium and causes release of ANP. ANP inhibits aldosterone, promoting salt and water excretion to lower blood volume. And promotes vasodilation. ANP, together with decreased ADH, acts in a negative feedback system to lower blood volume.
Term
Physical Laws Describing Blood Flow
Definition
Blood flows through vascular system when there is pressure difference (DP) at its two ends. Flow rate is directly proportional to difference (DP = P1-P2) . Flow rate is inversely proportional to resistance. Flow = DP/R. Resistance is directly proportional to length of vessel (L) and viscosity of blood. Inversely proportional to 4th power of radius. So diameter of vessel is very important for resistance.
Term
Total Peripheral Resistance
Definition
Sum of all vascular resistances within the systemic circulation. Arteries supply tissues and organs in parallel circuits. Changes in
resistance in these circuits determines relative blood flow.
Term
Blood Pressure (BP)
Definition
Arterioles play role in blood distribution and control of BP. Blood flow to capillaries and BP is controlled by aperture of arterioles. Capillary BP is decreased because they are downstream of high resistance arterioles. Is controlled mainly by HR, SV, and peripheral resistance. An increase in any of these can result in increased
BP. Sympathoadrenal activity raises BP via arteriole vasoconstriction and by increased CO. Kidney plays role in BP by regulating blood volume and thus stroke volume.
Term
Measurement of Blood Pressure
Definition
Via auscultation(to examine by listening)
No sound is heard during laminar flow(normal, quiet, smooth
blood flow). Korotk off sounds can be heard when sphygmomanometer cuff pressure is greater than diastolic but lower than systolic pressure. Cuff constricts artery creating turbulent flowand noise as blood passes constriction during systole and is blocked
during diastole. 1st Korotkoff sound is heard at pressure that blood is 1st able to pass thru cuff; last occurs when one can no long hear systole because cuff pressure = diastolic pressure. Blood pressure cuff is inflated above systolic pressure, occluding artery. As cuff pressure is lowered, blood flows only when systolic pressure is above cuff pressure, producing Korotkoff sounds. Sounds are heard until cuff pressure equals diastolic pressure, causing sounds to disappear.
Term
Baroreceptor Reflex
Definition
Is activated by changes in BP. Which is detected by baroreceptors(stretch receptors) located in aortic arch and carotid sinuses. Increase in BP causes walls of these regions to stretch, increasing frequency of APs. Baroreceptors send APs to vasomotor and cardiac control centers in medulla. Is most sensitive to decrease and sudden changes in BP.
Term
Endomysin
Definition
The_________ Surrounds by individual muscle cells.
Term
perimysium
Definition
ach fascicle of a muscle is surround by the ?
Term
I band
Definition
The light band of a skeletal muscle is known as the __________.
Term
Better high control
Definition
Skeletal muscle with Low inneration ratio has ___________ of neural control.
Term
Increase
Definition
Motor unit recruitment allows for_______ contraction strength.
Term
A band
Definition
The thick filament is also called
Term
ATP, Actin
Definition
Myosin contains binding sites for _____and ______.
Term
Z disks/I bands
Definition
During skeletal muscle contraction , adjacent ________ are pulled closer together as the ________ Between them shorten
Term
Ca2+
Definition
The movement of the troponin-tropomyosin complex requires.
Term
is released from the Sarcoplasmic Reticulum.
Definition
The Ca2+ required for skeletal muscle contraction________
Term
Albumin
Definition
The major plasma protein is _______.
Term
Hemoglobin
Definition
What is the main component of an erythrocyte?
Term
Agglutination
Definition
When the wrong blood type is given to patient , the antibodies in the patient's blood react with the antigens on the surface of the trasfused blood causing a reaction called_________.
Term
Fibrin
Definition
The final product that forms a blood clot
Term
Thrombin
Definition
What is the enzyme that converts solble fibrinogen to insoluble fibrin?
Term
Ventricles
Definition
What are the pumps of the heart?
Term
Tricuspid valve
Definition
What valve keeps blood from flowing back into the right atrium from the right ventricle?
Term
Stoke Volume
Definition
The amount of blood ejected by the ventricles per beat is termed the_____.
Term
AV valves
Definition
The first sound of the heart is _____closing.
Term
Pacemaker
Definition
Cardiac _______ channels are called hyperpolarization cyclic nucleotide (HCN) channels because they open in response to hyperpolarization.
Term
Inward diffussion of Ca+2
Definition
The action potential of cardiac pacemaker cells is caused by _____________.
Term
Inward diffusion of Na+2
Definition
The action potential of nonpacemaker cells is due to the________.
Term
Atrial depolarization
Definition
The P wave of an ECG represents ________.
Term
Endocrine glands
Definition
Fenestrated capillaries are found in the____________.
Term
Stroke Volume X Cardiac rate
Definition
Cardiac output is equal to________.
Term
Sympathetic, increase
Definition
Norepinephrine is released from _______nerves , Causing heart to _______.
Term
Nicotinic, , Na+
Definition
Acetylcholine binds to _________ receptors of the heart and cause the opening of __________ Channels.
Term
Medulla Oblongota
Definition
The cardiac control center of the ________ coordinates the autonomic innervation of the heart.
Term
End-diastolic Volume (EDV)
Definition
The volume of blood in the ventricles at the of diastole is known as __________.
Term
Increases.
Definition
According to the Frank-Starling Law of the heart , as contraction strength increases the stroke volume_________.
Term
Venous system
Definition
At rest most of the blood is in the______.
Term
Aldosterone
Definition
is a steroid hormone secreted by the adrenal cortex which stimulates kidney salt reabsorption in the kidney.
Term
Stent
Definition
A(n)_________is a cylindrical support used to keep an artery open.
Term
True
Definition
True or false? Cardic output increases as heart increases.
Term
True
Definition
True or false. Mechanism that affects cardiac rate are said to have a chornotropic effect.
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