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Physiology I
Electrophysiology
20
Medical
Graduate
11/15/2009

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Cards

Term
Name the 2 types of muscles cells in the heart.
Definition
1) Contractile 2) Conducting cells
Term
What do contractile cells do? Where are they located?
Definition
Generate contractions, in most of the atrial and vent. tissues
Term
What do the conducting cells do?
Definition
Rapidly spread AP
Term
Where are the conducting cells located?
Definition
SA node, atrial internodal tracts, AV node, Bundle of His, Purkinje system
Term
Explain the pacemaking ability of the the different heart regions.
Definition
All capable of autorhythmicity - able to generate APs on their own
Term
What initiates AP?
Definition
SA node
Term
Why is the spread of AP slower through the AV node than other cardiac tissues?
Definition
Ensures vent. fill before contraction
Term
What are the 3 criteria of NSR?
Definition
1) AP originate in SA node 2) 60-100bpm 3) Myocardium activation in correct sequence with timing and delays
Term
What occurs during upstroke (0)ventricles?
Definition
Rapid depolarization, transient increase in Na+ conductance (inward Na+ current)
Term
What occurs during initial repolarization (1)in the ventricles?
Definition
Na+ channels inactivate, outward K+ current
Term
What occurs during plateau (2) in the ventricles?
Definition
Sustained depolasrization, balance of outward K+ current and slow inward Ca++ current
Term
What are the Ca++ channels that open during the plateau phase called? Why?
Definition
L-type Ca++ channels - cause Ca++ induced Ca++ release - the release of Ca++ causes more Ca++ to be released from intracellular stores
Term
What occurs during repolarization (3)in the ventricles?
Definition
Decline in Ca++ conductance, increase K+ conductance
Term
What occurs during Resting potential (4) in the ventricles?
Definition
Potential returns to -85mV, high K conductance
Term
What occurs during the upstroke phase in the SA node?
Definition
Ca+ influx, Transient increase in Ca++ conductance - T type Ca+ channels (transient type)
Term
What occurs during phases 1 and 2 in the SA node?
Definition
They are both absent
Term
What occurs during repolarization (3) in the SA node?
Definition
outward K+ current
Term
What occurs during spontaneous depolarization (4) ?
Definition
inward "funny" Na+ current (If) - slow leak of Na+ into the cells during repolarization and cause depolarization
Term
Why is dV/dT is lower for the SA node AP?
Definition
T-type Ca++ channels become inactively causing a slower rise
Term
If the latent pacemaker cells have to take over, which one controls HR?
Definition
The pacemaker w/ the fastest rate of phase 4 depolarization
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