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difference of frog heart from human heart
has 1 ventricle, primary pacemaker is sinus venosus (instead of SA node), have atrioventricular myocardium (instead of AV node), no specialized ventricular conduction system (no Purkinje fibers), no Bundle of His, less developed sarcoplasmic reticulum, no coronary circulation, heart is oxygenated by direct diffusion
Pacemaker cells in humans
SA nodal cells, AV nodal cells, Bundle of His all can, SA node cels set pace (fasted pacemakers)
effective refractory period of ventricular muscle
equivalent to aboslute refractory period in nerves, ventricles cannot be activated → AP cannot occur
relative refractory period of ventricular muscle
an AP can occur but takes longer/greater stimulation
ventricular AP phase 0
rapid depolarization due to influx of Na+, and to lesser extent Ca2+
Ventricular AP phase 1
rapid depolarization from inactivation of Na+ channel
Ventricular AP Phase 3
repolarization due to K+ efflux and Ca2+ channel inactivation → sets duration of AP
ventricular AP phase 4
resting membrane potential
SA Node action potential Phase 0
depolarization is caused mostly by Ca2+ influx
SA Node Action Potential Phase 3
repolarization from K+ efflux
is there a plateau phase for SA node AP
no plateau phase
SA Node AP phase 4
unstable resting potential due to opening of non-specific cation channel
which muscles have channels mechanically linked to RyR
skeletal muscles ; NOT Cardiac muscles
Cardiac muscle contraction
Ca2+ is needed for contraction, there are L-type calcium channels on T-tubules, influx of extracellular calcium is necessary for calcium efflux from SR-calcium induced calcium release → increase in intracellular calcium induces contraction in same manner as skeletal muscle
Na+ channels
responsible for rapid depolarization phase of APs in excitable cells, allow influx of sodium ions into cell → causing depolarization
absolute refractory period
Na+ channels are inactivated and no new AP channels can be triggered, regardless of stimulus strength
Ca2+ channels in cardiac muscles
L-type calcium channels open during plateau phase of AP → allows calcium ions to enter cell from extracellular space, contributing to prolonged depolarization phase (plateau) and maintaining AP
K+ phase 1
initial repolarization, potassium channels start to open and allow potassium ions to leave cell → contributing to early part of repolarization
K+ channels phase 2
plateau phase, potassium efflux continues at slower rate due to IKs and IKACh → balancing calcium influx through L-type calcium channels to maintain plateau
K+ channels Phase 3
rapid repolarization, potassium channels open fully → causing significant outflow of potassium ions → rapidly depolarizes cell back to resting mem potential
K+ channel phase 4
resting phase, potassium channels maintain resting potential and prevent unwanted depolarization until next AP
ventricular filling
AV valves open, semilunar valves closed
Isovolumetric contraction
all valves closed, ventricular contraction causes increase in pressure but no change in volume
ventricular ejection
semilunar valves open, ejection of blood causes an increase in pressure and decrease in volume
isovolumetric relaxation
all valves closed, ventricles relax causing decrease in pressure but no change in volume
systole
phases 2 and 3 → contraction and emptyin
diastole
phases 4 and 1 → relaxation and filling
pressure volume loop
shows relationship between left ventricular pressure and volume during cardiac cycle
Frank-starling Law
heart will contract with more force during systole if filled to greater extent during diastole; more filling → increased end diastolic volume → increased SV
extrasystole
premature ventricular contraction; often caused by depolarization in ventricle rather than at SA node
smaller extrasystolic beat causes
reduced filling time (Frank-Starling Law)
larger extra systolic beat causes
increased calcium buildup → similar effect to frequency in Lab 2 except cardiac muscle cannot achieve tetany due to ERP (early repolarization)
compensatory pause
skipped beat that is sometimes caused by extrasystole to resume proper timing of SA node
Vagus nerve
contains parasympathetic efferents to heart using neurotransmitter ACh and receptor mAChR
Vagal stimulation effect
decreases HR (bradychardia); prolonged stimulation → cardiac arrest; slows or halts spontaneous AP generation of SA node
vagal escape
other pacemakers taking over in generations of heart rate at next fastest pace
epinephrine and norepinephrine
ligands of beta-adrenergic receptor in heart and alpha-adrenergic receptor in vasculature
effects of epinephrine
Epi→ causes increase in HR and decrease in cardiac AP duration → increasing strength of contractions → increases SV independent of ventricular filling
SERCA
sarcoplasmic/endoplasmic reticulum calcium ATPase that plays role in regulating calcium levels within cells; uses energy from ATP to actively transport calcium against its concentration gradient from cytoplasm to SR
SERCA function
pump calcium back into sarcoplasmic/endoplasmic reticulum → helps reduce intracellular calcium concentration after muscle contraction → essential for muscle relaxation