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Cardiac Muscle Tissue
cells are striated, short, interconnected; 1-2 nuclei
T-tubules wide, less numerous. SR simpler than skeletal muscle
large mitochondria = 25-35% cell volume
Intercalated Discs
junctions between cells; anchor
Desmosomes
prevent cell from separating during contraction
Gap Junctions
allow ions to pass from cell to cell, electrically couple adjacent cells
Pacemaker Cells
noncontractile cells that spontaneously depolarize
Fibrillation
rapid irregular contractions - heart becomes useless for pumping blood → circulation stops, may result in brain death
Defibrillation
“clean slate,” interrupts chaotic twitching to start regular depolarizations
Medulla Oblongata
heartbeat modified by autonomic nervous system via cardiac centers
Cardioacceleratory Center
sends signals through sympathetic trunk to increase rate and force;
stimulates sinoatrial and atrioventricular nodes via vagus nerve
Sympathetic
increases rate and force of contraction
Parasympathetic
decreases rate of contraction
P Wave
depolarization of SA node → Atria
QRS Complex
ventricular depolarization and atrial repolarization
T Wave
ventricular repolarization
Junctional Rythm
Sinoatrial node nonfunctional. P-waves absent, 40-60 BPM

Second Degree Heart Block
AV node fails to conduct some SA node impulses
~2 P waves per 1 QRS complex

Ventricular Fibrillation
Electrical activity disorganized, random action potentials.
Systole
contraction of a chamber
Diastole
relaxation of chamber
Atrioventricular Valves
(2) closure causes first “lubb”
Semilunar Valves
(2) at base of great arteries; closure causes second “dupp”
Ventricular Systole
ventricles contract, semilunar valves open, AV valves close “lubb”
Ventricular Diastole
ventricles relax and fill with blood, atrioventricular valves open, semilunar valves close “dupp”
Systolic Pressure
pressure exerted in aorta during ventricular contraction
Diastolic Pressure
lowest level of aortic pressure when heart is at rest
Right Atrium
receives blood returning from systemic circuit
Left Atrium
receives blood returning from pulmonary circuit
Right Ventricle
pumps blood through pulmonary circuit
Left Ventricle
pumps blood through systemic circuit
Serous Pericardium
parietal layer, visceral layer, and cavity of heart