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Mastrangelo Lab #2
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Cardiac Myocyte
The muscle cells that make up the heart
Myofibrils
Specialized organelles inside the cardiac myocyte, consist of long chains of sarcomeres
Sarcomeres
The fundamental contractile units of muscle cells
Intercalated Disk
Cardiomyocyte cell-cell junctions; composed of desmosomes and gap junctions
Desmosomes
Maintain cell-cell connection by binding to intermediate filaments
Gap Junction
Allows ions to pass between cells, allowing action potentials to spread
Pericardium
the membrane enclosing the heart, consisting of an outer fibrous layer and an inner double layer of serous membrane
Fibrous pericardium
dense connective tissue; outermost, attaches to diaphragm
Parietal pericardium
Serous membrane, lines fibrous sac
Epicardium
(visceral pericardium) serous membrane; covers surface of the heart
Myocardium
Thick cardiac muscle
Endocardium
Serous inner lining
Atria
Two upper recieving chambers
Ventricles
Two lower pumping chambers
Valves
Prevent backflow of blood
Tricuspid
Right atrioventricular valve
Bicuspid
Left atrioventricular (mitral) valve
Chordae Tendinae
FIbrous cords that attach AV valves to papillary muscle
Pulmonary Semilunar
Valve between right ventrical and pulmonary artery
Aortic Semilunar
Valve between the left ventricle and the aorta
Closing of the AV valves
“lub” - first heart sound
Closing of the semilunar valves
“dub” - second heart sound
Systole
Ventricular Contraction
Diastole
Ventricular Relaxation
Intrinsic Conduction System
Non-contractile cells within the heart that stimulate and synchronize heart rhythm
SA (Sinoatrial) node
Pacemaker
AV (Atrioventricular) node
Allows for a 0.12 second delay in signal conduction
AV bundle (HIS bundle)
Only electrical connection between the atria and ventricles
Bundle Branches
Extend through the interventricular septum
Purkinjie Fibers
Travel thru ventricular walls
Tachycardia
Persistant resting heart rate above 100 bpm
Bradycardia
Persistant resting heart rate below 60 bpm
Chronotropic agents
Drugs / factors that can change the heart rate
Autonomic Nervous System
Divided into Sympathetic and Parasympathetic
Sympathetic Nervous System
Increases the heart rate
Parasympathetic Nervous System
Decreases the heart rate
Epinephrine
Increases heart rate, contracts blood vessels
Thyroid Hormone
Increases heart rate, cardiac contraction, cardiac output, and promotes vasodilation
Calcium Sodium and Potassium
Electrolyte Balances that can control HR
Age, gender, fitness level and body temperature
Additional Controls on HR
EKG
Electrocradiogram; recording of the electrical activity of the heart
P Wave
Atrial depolarization
QRS Complex
Ventricular depolarization
T wave
Ventricular repolarization
Einthoven’s Triange
The three lead EKG
Right arm to left arm
Lead I
Right arm to left leg
Lead II
Left arm to left leg
Lead III
Electrical Axis of the Heart
Represents the direction that the electrical impulses travel through the heart
Atrial Fibrilation
Upper heart chambers beat chaotically (no P wave!)
LAD heart attack
Severve blockage in the main front artery of the heart (left anterior descending)
Wiggers diagram
Compares pressure and volume / explains heart physiology