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13 Cards in this Set

  • Front
  • Back

Name the two types of cardiac muscle cell

Contractile cell


Autorhythmic cell

What is the resting potential of cardiac cells?

-90mV

How is resting potential maintained?

High concentration of K+ in the cell causes K+ to diffuse out, redistributing the charge across the membrane. The intracellular voltage then becomes more negative until a balance is reached between the two opposing forces.

Give the stages of a cardiac action potential

-Phase 0: Depolarisation from threshold - fast sodium channels open at -60mV. Na+ floods into myocytes.


-Phase 1: Spike - Na+ channels close, but K+ continues to move out causing a brief drop in membrane potential. Closing of K+ channels and opening of L type Ca2+ channels depolarise the membrane.


- Phase 2: Plateau - Most K+ channels remain closed and most Ca2+ channels remain open. Membrane stays depolarised.


- Phase 3: Repolarisation - Slow activating K+ channels open. K+ leaves and membrane repolarises

What effect does an increase in Ca2+ have on actin-myosin interactions?

Increases cross bridge formation by increasing Ca2+ binding to troponin C

Give the names of the two refractory periods

Absolute refractory period


Relative refractory period

Describe the absolute refractory period

Contraction lasts about 200-250ms


-50mV to full repolarization


- Prevents sustained contraction (tetanus) in mycardium

Describe the relative refractory period

Not all fast Na+ channels are reset


Larger than normal excitatory stimulus needed

Give the hierarchy of pacemaker cells

SA node - dominant pacemaker


Other atrial sites


AV node


Bundle of His


Purkinje cells

Give the stages of contraction with regards to the wave of excitation

-SA node activity begins


-Stimulus spreads over atrial surface


-Delay at AV node. Atrial contraction begins.


- Travels along intraventricular septum in bundle of his


-Impulse distributed by purkinje fibres, stimulating ventricular contraction


What does the QRS complex represent on an ECG?

Ventricular contraction

What does the ST segment represent on an ECG?

Plateau after ventricular contraction

What is the T wave?

Repolarization