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Transverse Tubules (T-tubules)
Invaginations of the sarcolemma that facilitate action potential conduction
Triad
Structure formed by one T-tubule and two adjacent terminal cisternae of the SR
Glycogen granules
Immediate energy source for ATP production during muscle contraction
Titin
Elastic protein providing elasticity, stabilizing myosin, and maintaining sarcomere structure
Nebulin
Regulates thin filament alignment
A band
Dark region containing thick filaments (myosin)
H zone
Central part of A band with only thick filaments
I band
Light region containing only thin filaments
M line
Middle of sarcomere anchoring thick filaments
Z disk
Anchors thin filaments and marks sarcomere boundaries
Muscle tension
Force generated during contraction
Load
External force on a muscle
Contraction
Activation of muscle fibers to generate force
Relaxation
Reduction of tension as filaments return to resting position
Sliding Filament Theory
Contraction occurs as thin filaments slide over thick filaments, Z disks move closer, A band remains constant, I band and H zone shorten
Power stroke
Myosin pulls actin toward M line
Contractile cycle
Rigor state → ATP binds → Myosin detaches → ATP hydrolysis → Myosin reattaches → Power stroke
E-C Coupling
ACh binds → Na+ influx → AP propagates → Ca2+ released from SR → Contraction begins
Latent period
Time between AP and contraction onset
Phosphocreatine
Short-term ATP source
Aerobic respiration
Produces 32 ATP per glucose
Anaerobic respiration
Produces 2 ATP per glucose
Muscle fatigue
Caused by metabolic depletion, ion imbalance, and neural factors
Type I fibers
Slow-twitch oxidative, fatigue-resistant, aerobic, high myoglobin
Type IIa fibers
Fast-twitch oxidative-glycolytic with intermediate properties
Type IIx fibers
Fast-twitch glycolytic that fatigue quickly
Smooth muscle types
Vascular, gastrointestinal, urinary, respiratory, reproductive, ocular
Single-unit smooth muscle
Cells connected via gap junctions forming functional syncytium
Multi-unit smooth muscle
Independent cells (e.g., iris, airways)
Smooth muscle contraction
Ca2+ → Calmodulin → MLCK → Myosin phosphorylation → Contraction
Base of heart
The top where major blood vessels attach, not the pointed end
Ventricles
Lower chambers of the heart with thicker walls
Atria
Upper chambers of the heart
Right atrium
Receives deoxygenated blood from superior and inferior vena cava
Right ventricle
Pumps blood through pulmonary artery to lungs
Left atrium
Receives oxygenated blood from pulmonary veins
Left ventricle
Pumps oxygenated blood through aorta to body
Coronary arteries
Supply oxygenated blood to heart muscle
Coronary veins
Drain deoxygenated blood from heart muscle
AV valves
Between atria and ventricles; tricuspid (right) has three cusps, bicuspid/mitral (left) has two
Semilunar valves
Between ventricles and arteries; pulmonary valve connects right ventricle to pulmonary artery, aortic valve connects left ventricle to aorta
Intercalated disks
Specialized connections between cardiac cells with desmosomes for anchoring and gap junctions for electrical signal passage
Calcium in cardiac muscle
Enters from both extracellular fluid and sarcoplasmic reticulum, crucial for myocardial action potentials
Ca2+-induced Ca2+ release
Calcium enters cardiac muscle cell triggering release of more calcium from sarcoplasmic reticulum
Myocardial contractile cells
Have unstable membrane potential
Rapid repolarization phase
Due to potassium (K+) efflux
SA Node
Generates electrical impulses in the heart
AV Node
Briefly delays electrical signal to allow ventricles to fill with blood
Bundle of His
Transmits electrical signal from AV node through interventricular septum
Purkinje Fibers
Spread electrical impulse throughout ventricles causing contraction from bottom up
P wave
Represents atrial depolarization and associated with atrial contraction
QRS complex
Represents ventricular depolarization and associated with ventricular contraction
T wave
Represents ventricular repolarization and associated with ventricular relaxation
End-diastolic volume (EDV)
Volume of blood in ventricles at end of diastole, typically around 120 mL
End-systolic volume (ESV)
Volume of blood left in ventricles after systole, typically around 50 mL
Stroke volume (SV)
Amount of blood pumped by left ventricle in one contraction; calculated as EDV−ESV
Cardiac output (CO)
Volume of blood pumped per minute; calculated as SV×HR, typically 4.9 L/min
Parasympathetic control of heart
ACh binds to muscarinic receptors opening K+ channels, decreasing depolarization rate and slowing heart rate
Sympathetic control of heart
NE binds to beta-1 receptors activating cAMP and PKA, opening Na+ and Ca2+ channels, increasing depolarization rate and heart rate
Contractility
Intrinsic ability of heart muscle to contract forcefully at given fiber length
Frank-Starling law
More the heart muscle is stretched, greater the force of contraction; ensures balanced output of ventricles
Venous return
Volume of blood returned to heart via veins; determines EDV
Inotropic agent
Substance affecting heart muscle contractility
Catecholamines mechanism
Bind to beta-1 receptors, activate adenylyl cyclase, increase cAMP and PKA, phosphorylate calcium channels increasing Ca2+ influx
Cardiac glycosides
Increase contractility by inhibiting Na+/K+ ATPase pump, leading to increased intracellular calcium
Aorta and major arteries
Have thick walls with high proportion of smooth muscle and elastic tissue to withstand high blood pressure
Arterioles
Small vessels with thick muscular walls that regulate blood flow into capillaries
Metarterioles
Connect arterioles to capillaries and allow blood to bypass capillaries through arteriovenous shunt
Capillary walls
Single layer of endothelial cells allowing exchange of gases, nutrients, and waste products
Pericytes
Contractile cells around capillaries that help regulate blood flow and stabilize walls
Systolic pressure
Pressure in arteries during heart contraction, averaging 120 mm Hg
Diastolic pressure
Pressure in arteries during heart relaxation, averaging 80 mm Hg
Venous blood flow against gravity
Assisted by skeletal muscle pump and valves in veins that prevent backflow
Mean arterial pressure (MAP)
Average pressure in arteries during one cardiac cycle; calculated as Diastolic + 1/3(Systolic - Diastolic)
MAP relation
MAP = Cardiac Output x Total Peripheral Resistance
Radius-resistance relationship
R=(8ηL)/(πr^4); resistance inversely proportional to fourth power of radius
Myogenic autoregulation
Increased blood pressure stretches arteriole, activates ion channels causing calcium influx and vasoconstriction
Active hyperemia
Increased tissue metabolism leads to metabolite build-up causing vasodilation in arterioles
Reactive hyperemia
After blood flow restriction, accumulated metabolites cause arteriole dilation when flow resumes
Catecholamine receptors
Alpha-1 (high affinity for NE, vasoconstriction), Beta-2 (high affinity for epinephrine, vasodilation), Alpha-2 (inhibit NE release)
Baroreceptors
Located in carotid sinus and aortic arch to monitor systemic blood pressure
Baroreceptor reflex for increased BP
Baroreceptors detect increased BP, sensory neurons signal medulla, parasympathetic output increases, sympathetic decreases, causing decreased heart rate and vasodilation
Orthostatic hypotension
Blood pressure drop when standing due to blood pooling in lower extremities
Capillary density
Determined by tissue's metabolic activity; highest in muscles, liver, and kidneys
Tissues without traditional capillaries
Bone marrow (sinusoids), liver (sinusoids), brain (modified capillaries with blood-brain barrier)
Colloid osmotic pressure
Pressure exerted by plasma proteins that draws water back into capillaries from interstitial fluid
Net fluid flow in capillaries
Arterial end has higher hydrostatic than osmotic pressure causing filtration; venous end has higher osmotic than hydrostatic pressure causing absorption
Flow-resistance relationship
F=ΔP/R; flow decreases when resistance increases and increases when resistance decrease