Shared Flashcard Set

Details

Cardiac Tissue
Cardiac Tissue by Drs. Paulsen and Emmett
54
Medical
Professional
09/04/2011

Additional Medical Flashcards

 


 

Cards

Term
Where is cardiac muscle found?
Definition
the heart
Term
What are the 3 layers of the heart wall?
Definition
endocardium
mycardium
epicardium
Term
endothelium underlain by loose CT
Definition
endocardium
Term
cardiac muscle
Definition
myocardium
Term
Denser CT covered with mesothelium
Definition
epicardium AKA visceral pericardium
Term
the cotraction of cardiac muscle has a
Definition
wringing action
Term
the intercellular spaces in the cardiac muscle is due to
Definition
the capillaries within the heart muscle
Term
small dense granules found in atrial cardiac muscle that decrease blood volume and pressure by getting the kidneys to excrete sodium and water in urine
Definition
atrial natriuretic peptide
Term
A type of modified cardiac muscle fiber , that has sparse, peripherally located myofilaments, part of the conducting system, amd located between ventricular endocardium and contractile muscle
Definition
purkinje fiber
Term
Where are organelles collected in cardiac muscle?
Definition
they are collected at nuclear poles
Term
Where are intercalated disks found in cardiac muscle?
Definition
they occur at the Z line
Term
Patch like junctions anchored with actin filaments.
they are similar to zonula adherens but they make a patch net not a belt
Definition
fascia adherens
Term
Spot-like junction, anchored with desmin intermediate filaments
Definition
macula adherens
Term
Allows ions to pass, transmits contractile stimulus
Definition
Gap junction
Term
where are the t-tubules found in cardiac muscle
Definition
at the Z line
Term
Are triads found in cardiac muscle?
Definition
no they have dyads
Term
Describe Cardiac development
Definition
Mesoderm anterior to embryo’s cranial region aggregates to form angiogenic cell clusters and differentiating cardiomyoblasts.
It initially forms in front of the head then fold into the chest
Term
The type of muscle fiber found in cardiac muscle
Definition
Type I, oxidative, Cardiac Beta,
Term
THe impulse pathway of the heart
Definition
Sinoatrial (SA) Node

Atrial Cardiac Muscle

Internodal Fibers

Atrioventricular (AV) Node

AV Bundle (of His)

Right and Left Bundle Branches

Purkinje Fibers

Ventricular Cardiac Muscle
Term
Which node has the fastest intrinsic rhythm of 100-110 bpm but is toned down by the vagus nerve to 60-100 bpm
Definition
SA nodal cells
Term
a faster than normal heart rate
Definition
tachycardia
Term
a slower than normal heart rate
Definition
bradycardia
Term
What is the target for the sympathetic nerve is cardiac tissue?
Definition
SA, AV, and the ventricles
Term
What is the target of the parasympathetic nerve for cardiac tissue
Definition
SA, AV, and atria
Term
How is blood deleivered to the heart?
Definition
Coronary arteries and capillaries
Term
Blockages (or vascular spasms) in
Coronary Vessels that robs myocardium of O2 supply, disrupt contractile function and lead to cell death.
Definition
Ischemic Heart Attack
Term
A drug that breaks up a blood clot during a heart attack.
Definition
TP2
Term
SInce cardiac muscles are terminally differentiated and cannot divide to replace dead cells what develops?
Definition
fibroblasts invade the site and form scars
Term
What does hypoxia cause in cardiac muscle?
Definition
damage mitchondria
causes a cytochrome C release that initiates apoptosis this is further during reperfusion when there is a calcium influx from SR and mitochondria
Term
What yields O2 radicals that further damage membranes
Definition
Reperfusion
Term
What causes depolaarization in the ventricle and atria of the heart?
Definition
the opening of fast voltage gated sodium channels
Term
in ventricular and artial AP at the peak and the beginning of repolarization is due to
Definition
the closing of sodium channels and the opening of potassium channels
Term
Phase 2 the plateau in atral and ventricle AP is due to
Definition
the opening of slow voltage gated Ca channels and the release of Ca from the SR increase the Ca concentration in the cell.
Voltage gated K channels close but ungated K channels still open.
Allows for a gradual decay of AP so another one cannot occur
Term
Calcuim channels close and voltage gated K channels reopen
Definition
Occurs in Phase 3 of ventrical atrial AP
Term
The type of Ca channel that opens during phase 2 of an atrial ventricle AP
Definition
L type
Term
What is the stable resting membrane of phase 4 of an atrial ventricle AP due to
Definition
high K permeability
Term
Phase O of an SA node AP is due to
Definition
slow voltage gate T- type channels opening allowing calcium to enter
Term
Phase 3 of SA node AP repolarization is due to
Definition
Voltage gated K channels opening
Term
Phase 4 of the SA node depolarization is due to
Definition
"SPecific Na chnnels opening-->inward Na current-->increase excitability-->AP occurs when threhold is reached

Also could be a decrease of K conductance
Term
WHich phase of the SA node AP sets the heart rate
Definition
Phase 4
Term
In cardiac AP what causes the release of Ca from the SR
Definition
Calcium coming through L type voltage channels. Ca induced Ca release
Term
The length of muscle fibers at the end of diastole just before contraction, what happens when the heart fills with blood
Definition
Resting length and left ventricular end diastolic volume
Term
THe greater the end-diastolic volume (preload), the greater the ventricular pressure that can be developed
Definition
Starlings Law of the Heart
Term
The process of filling the heart, the volume and pressure are increasing, the bottom curve
Definition
diastole
Term
as the ventricle contracts increase pressure the volume decrease, the top curve
Definition
systole
Term
What make the contraction stronger in the heart
Definition
increased Calcium
Term
How do you change the strength of contraction?
Definition
1. Change end-diastolic volume
2. Change cytosolic [Ca+2] = cardiac contractility
Term
: intrinsic ability of myocardial cells to develop
force at a given muscle length - correlates directly with [Ca+2]int
Definition
Contractility
Term
Ways of changing contractility without changing preload (volume of blood)
Definition
Neurohumoral factors i.e. NE increases sarcolemma permeability to Ca+2
Increasing the frequency of contraction = treppe (tetany????
Term
a chemical that stimulates the sympathetic nervous system. a cardiac glycoside
Definition
digoxin
Term
Why can't cardiac muscle experience tetany?
Definition
the long refractory period
Term
How does stimulation of the heart occur
Definition
from the bottom of the heart upward
Term
Contractility is correlated with
Definition
ICF [Ca]
Term
the only muscle that has tone
Definition
unitary smooth muscle
Supporting users have an ad free experience!