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Cardiac Muscle
Exam #2- Lecture #13
29
Physiology
Graduate
09/30/2009

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Term
What are the 3 major types of cardiac cells?
Definition
Contractile; Conductile; Pacemaker (Nodal)
Term
Contractile Cardiac Cells- Location and Function
Definition
Ventricles and Atria of the heart- Major function is contraction (pumping)
Term
Conductile Cardiac Cells- Location and Function
Definition
Purkinje Fibers- Major function is the rapid spread of electrical signals
Term
Pacemaker Cardiac Cells- Location and Function
Definition
SA and AV Nodes- Major function is pacemaker activity
Term
Of the 3 major types of cardiac cells, which 2 have FAST action potentials?
Definition
Contracile and Conductile Cells
Term
What is the major difference between action potentials in a ventricular muscle versus a sinoatrial pacemaker cell?
Definition
There is the presence of the pacemaker potential in the SA node cell versus a resting membrane potential in ventricular cells
Term
Describe Phase 0 of a Ventricular Action Potential
Definition
Depolarization: UPSTROKE of an action potential via the fast inward current of Na+
Term
Describe Phase 1 of a Ventricular Action Potential
Definition
Early Repolarization: K+ begins to move out of the cell when some transient K+ channels are activated
Term
Describe Phase 2 of a Ventricular Action Potential
Definition
Plateau Phase: A very long action potential occurs due to the balance between the inward current of Ca2+ and the outward current of K+
Term
Describe Phase 3 of a Ventricular Action Potential
Definition
Repolarization: Ca2+ current stops, while K+ current increases
Term
Describe Phase 4 of a Ventricular Action Potential
Definition
Resting Potential: due to large background current of K+
Term
Absolute Refractory Period
Definition
Closed Na+ channels are inactive, causing the cell to be refractory to firing another action potential
Term
How long does the Absolute Refractory Period last?
Definition
From Phase 0 to half- way through Phase 3, where the membrane potential reaches about -50 mV
Term
Relative Refractory Period
Definition
Na+ channels begin to open and activate, supporting the upstroke at Phase 0 while decreasing the stimulus size for a second action potential
Term
When does the Relative Refractory Period occur?
Definition
When all the Na+ channels have recovered; Approximately when phase 3 repolarization is complete
Term
Can cardiac muscle become tetanized? Why or why not? Is this good or bad?
Definition
Cardiac muscle CANNOT become tetanized due to the long refractory period; This is good for cardiac muscle because it protects the muscle from abnormal cramping or contraction
Term
What kind of "potential" is characteristic of action potentials from Nodal Cells? What is the range of this potential?
Definition
Maximum diastolic potential; -65 to -55 mV
Term
Describe Phase 0 of a Sinoatrial Node Action Potential
Definition
Upstroke: due to inward current of Ca2+ (NOTE: Calcium- dependent upstroke, NOT Sodium- dependent upstroke seen in ventricular AP's)
Term
Describe Phase 3 of a Sinoatrial Node Action Potential
Definition
Repolarization: due to uutward current of K+
Term
Describe Phase 4 of a Sionatrial Node Action Potential
Definition
Pacemaker Potential: due to reduced outward current of K+, increased inward current of Na+ (funny current), and development of transient inward Ca2+ current
Term
"Funny current"- Direction and Polarization
Definition
Inward current; Depolarizing via Na+ and K+
Term
Transient Ca2+ current- Direction and Polarization
Definition
Inward current; Depolarizing
Term
Long- Lasting Ca2+ current- Direction and Polarization
Definition
Inward current; Depolarizing
Term
Delayed Rectifier current- Direction and Polarization
Definition
Outward current; Repolarizing
Term
In what 2 ways is cardiac contraction regulated?
Definition
Alterations in fiber length and Changes in contractility
Term
True or False: Cardiac Muscle exhibits summation, but not recruitment
Definition
FALSE; Neither summation nor recruitment occur in cardiac muscle
Term
Define Cardiac Contractility
Definition
The property of cardiac muscle to alter its tension development independent of fiber length
Term
What is a positive inotropic effect?
Definition
An INCREASE in contractility which involves an in increase in both the amount of tension developed and the rate in which that tension develops
Term
What is a negative inotropic effect?
Definition
A decrease in tension development and a decrease in the rate of tension development at a given fiber length
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