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Stack #123096
Cardiac Physiology
| Question | Answer |
|---|---|
| Properties of Cardiac Muscle | -Striated -contraction occurs using same sliding filament mechanism. -cardiac are diff b/c they are short, fat, branched + interconnected -Cardiac muscle fibers have only 1-2 nuclei. More mitochondria. |
| Properties of Cardiac Muscle II | Desmosomes - hold cells together + prevent separation during contraction Gap Junctions - Allow for AP to pass freely from cell to cell so whole heart contracts instead of a few cells -all cells in heart are coupled electrically by gap junctions |
| Cardiac Action Potential | 1% cardiac muscle = authorhymic -> start own depolarizations which leads to dp of rest of the Heart (pacemaker cells) -Cardiac muscle = all or none effect -abs refractory period of card. musc. longer - almost as long as contraction. |
| Cardiac Muscle Contraction | 90%- contractile - resp. for pumping heart 10-20% Ca need for contraction enters extracellular space. Depolarization -> Na channels opened Slow Ca opened ->influx of Ca K+ enters = repolarization * READ NOTES |
| Excitation + Electrical Events: Intrinsic Conduction System of Heart | - heart does not depend on nervous system to depolarize/contract. inbuilt mechanism = intrinsic cardiac conduction system. Pacemake cells→self excitory + initiate/distribute impulses. |
| Cardiac Conduction System | Sinoatrial Node→R atrium where superior vena cava enters. Internodal Pathways→direct pathway from SA node to AV - no gap junctions. AV Node→ fibrous septum btwn R atrium + R vent. Purkinje Fibres→branch off AV bundle |
| Cardiac Conduction System II STEP 1 | Activation of an AP in the SA node first Time = 0 |
| Cardiac Conduction System II STEP 2 | Transmitted into the atrial myosites -Reaches AV Node Time = 50 sec |
| Cardiac Conduction System II STEP 3 | 100-second delay @ AV Node. Atrial Contraction begins. Time = 150 sec |
| Cardiac Conduction System II STEP 4 | Impulse travels along the interventricular septum within AV bundle. Bundle branches into Purkinje Fibres via moderater band to papillary muscles of R ventricle time = 175 sec |
| Cardiac Conduction System II STEP 5 | Impulse distributed by Purkinje fibres. relayed thruout ventricular myocardium. Atrial contraction completed. Vent. contraction begins time = 225 seconds |
| Cardiac Conduction System III | No gap junctions between cardiomyocites of atria/ventricles. Av Bundle - only electrical connection btwn atria/ventricles. Branches into 2 paths -connects to purkinje fibres - rapid conduction b/c large fibres + large gap junctions Defects = arrhymias |
| Electrocardiography | -diagnostic tests records electrical activity in heart by placing electrodes on body P-wave-dp of atria, QRS complex-dp of ventricle+rp of atria at same time, T-wave-small rp of ventricle |
| Electrocardiography II | P-R Interval = time it takes for impulse to travel from SA>AV thru penetrating fibres down AV bundle Purkinje fibres O-T Interval - time it takes for ventricle to contract + relax again |
Created by:
zeenat
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