what pulls the valves open and makes sure they do not collapse (2)
papillary muscles and chordae tendinae
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what are the two semilunar valves
aortic valves and pulmonary valve
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autorhythmicity
the ability to generate their own rhythm
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autorhythmic cells do what
lay out pathway for spreading electrical activity through the heart
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pacemaker cells do what (2)
spontaneously depolarize membrane to generate action potentials, provide rhythm to the heart beat
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conduction fibers do what
quickly conduct action potentials from pacemaker cells into the myocardium
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conduction velocity of conduction fibers
4 meters per second
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conduction velocity of ordinary muscle fibers
0\.4 meter per second
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2 pacemaker cells of heart
sinoatrial node and atrioventricular node
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3 conduction fiber of the myocardium
internodal pathways, bundle of his, purkinje fibers
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which autorhythmic cells have the highest firing rate? what was it?
sinoatrial node, 70-80 action potentials per minute
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intercalated disks
junctions between adjacent myocardial cells
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desmosomes do what
resist mechanical stress of myocardial contraction
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electrical coupling in the heart travels using what
gap junctions
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first step of conduction of the heart
action potential initiated in sinoatrial node, signal spread through atrial muscle using interatrial pathways
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second step of conduction of the heart
signal travels to atrioventricular node from the internodal pathways, atrioventricular node delay
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third step of conduction of the heart
atrioventricular node fires carrying electrical signal to bundle of his
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fourth step of conduction of heart
electrical signal splits into left and right bundle branches
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fifth step in the conduction of the heart
electrical signal travels from the bundle branches to the purkinje fibers
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atrioventricular delay is how long
0\.1 second
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steps of excitation in heart
sa node, internodal pathways, right atrium, left atrium, av node, bundle of his, bundle branches, purkinje fibers, ventricles
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ventricles contract what way
from the apex (bottom) up
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autorhythmic cells have what type of potentials
pacemaker potentials
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Na+ and K+ channels in heart cause
net depolarization
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Ca2+ channels in heart cause
further depolarization
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Phase 0 of electrical activity in cardiac cells
increased permeability to Na+
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Phase 1 of electrical activity in cardiac cells
decreased permeability to Na+
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Phase 2 of electrical activity in cardiac cells
increased permeability to Ca+, decreased permeability to K+
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Phase 3 of electrical activity in cardiac cells
increased permeability to K+, decreases permeability to Ca+
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Phase 4 of electrical activity in cardiac cells
resting membrane potential
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what is the long duration cardiac contracile action potential
250-300msec
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skeletal muscle contactile cell action potential is how long
1-2 msec
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step one of excitation contraction coupling
depolarization of cardiac contractile cell to threshold due to gap junctions
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step two of excitation contraction coupling
opening of calcium channels in plasma membrane
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step three of excitation contraction coupling
action potential travels down T Tubules
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step four of excitation contraction coupling
calcium is released from sarcoplasmic reticulum
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step five of excitation contraction coupling
calcium binds to troponin, causing tropomyosin to shift
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step six of excitation contraction coupling
binding sites for myosin on actin are exposed
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step seven of excitation contraction coupling
crossbridge cycle occurs
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to relax muscle what occurs
calcium is removed from the cytosol by Ca+ATPase in sarcoplasmic reticulum and plasma membrane and Na+-Ca+ exchanger in plasma membrane
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to relax muscle what structures have to return to their resting state
calcium unbinds from troponin allowing tropomyosin to cover myosin binding sites
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Electrocardiogram (ECG) does what
record electrical activity of the heart to identify abnormalities
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distance and amplitude of electrical potential spread depends on what two factors
size of action potentials and synchronicity of potentials from other cells
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P wave
atrial depolarization
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QRS complex
ventricular depolarization and atrial repolarization
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T wave
ventricular repolarization
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PQ segment
Atrioventricular node delay
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QT segment
ventricular systole
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QT interval
ventricular diastole
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sinus rhythm
pace generated by SA node
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tachycardia
fast rhythm
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bradycardia
slow rhythm
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first degree heart block symptoms (3)
slowed conduction of AV node, increase PQ segment duration, larger delay between atrial and ventricular contraction
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second degree heart block symptoms (3)
slowed or stopped conduction of AV node, lose 1 to 1 relationship between P wave and QRS complex, lose 1 to 1 relationship between atrial and ventricular contraction
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third degree heart block symptoms (3)
loss of conduction through AV node, P wave becomes independent of QRS, atrial and ventricular contractions are independent
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extra contraction in heart results in, by what
results in extra systole, caused by premature atrial contraction with extra ventricular contraction
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ventricular fibrillation
loss of coordination of electrical activity of the heart, results in death
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systole
ventricle contraction
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diastole
ventricle relaxation
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phase 1 of cardiac cycle (ventricular filling) (5)
middle of ventriular diastole, venous return, AV valves open, blood moves from the atria to ventricles, pulmonary and aortic valves are closed
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phase 2 of cardiac cycle (isovolumetric ventricular contraction) (4)
start of systole, ventricles contract, AV values close, no blood entering or exiting
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phase 3 of cardiac cycle (ventricular ejection) (5)
remainder of systole, pressure in ventricles is higher than arteries, semilunar valves open, ventricle pressure decreases, semilunar valves close
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phase 4 of cardiac cycle (isovolumetric ventricular relaxation)
onset of diastole, ventricle relaxes decreasing pressure, AV and semilunar valves close, no blood entering or exiting
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dicrotic notch
in systole when backflow of blood causes slight increase of pressure
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aorta and large arteries are what in response to pressure?
pressure reservoirs, stores energy in systole as walls expand and release in diastole as walls recoil
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End diastolic volume (EDV)
volume of blood in ventricle at the end of diastole
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End systolic volume (ESV)
volume of blood in ventricle at the end of systole