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17 Cards in this Set

  • Front
  • Back
outline the 3 main functions of the heart



state the ultimate role of the heart
Propels blood through blood vessels to various organs

Blood carries O2 and nutrients to tissues and removes CO2 and waste

Performs sensory and endocrine functions that regulate cardiovascular variables such as blood volume and pressure


Ultimate role ‘to provide adequate blood flow to all the organs and tissues of the body’
outline the heart anatomy features that are involved in te cardiac cycle
he
outline the function of all the ventricles and all the atria
outline what happens in pulmonary capillary beds


and also in systemic capillary beds
defin autorhythmicity


pacemaker cells

where are pacemaker cells located

what do conduction fibres do? how?

what makes up the conduction system of the heart
Myogenic-signals itself

Autorhythmicity-generates own rhythm

Pacemaker Cells- spontaneously generate action potentials

Located in Sinoatrial Node (upper right atrium) and
AtrioVentricular Node (near tricuspid valve in interatrial septum)

Conduction fibres conduct AP through the myocardium (4M/s). It has low electrical resistance.

Pacemaker cells and Conduction fibres make up conduction system of heart
what allows the rapid transmission of action potentials to occur
Rapid transmission of AP from pacemakers to conduction fibres to contractile cells is possible because all cardiac cells are connected by Gap junctions, inside intercalated disks
what else do intercalated disks contain and what is the benefit of these
Intercalated disks also contain desosomes which are protein fibres which form physical bonds between cells to resist mechanical stress.
This enables myocardium to resist stretching which occurs every time heart fills with blood.
outline Initiation and Conduction of an Impulse during a Heartbeat
Impulse initiated SA node →AV node via conduction fibres and through most of atrial muscle

AV node transmits AP less rapidly, therefore delayed by 0.1s

AV node →atrioventricular bundle (bundle of His) in interventricular septum

Signals splits into left and right branches to ventricles
From the bundle branches, signals travel through a network of branches known as Purkinje fibres which spread through ventricular myocardium
outline the places where the action potential passes through in order
1. sinoatrial node (pacemaker)

2. av node

3. av bundle of his

4. right and left bundle branches

5. purkinje fibres
what do pacemaker cells fire

after and action potiential what happens to the pacemaker cell

what are slow depolarisations known as

what are they caused by
Pacemaker cells fire AP spontaneously-doesn’t have a steady resting potential

After AP, pacemaker cell immediately depolarises slowly until membrane potential reaches threshold, which triggers next AP.

Slow depolarisations are known as pacemaker potentials

caused by Changes in membrane permeability to different ions.
outline the 4 stages of an action potential in a cardiac contractile cell

i.e. the 5 points on the graph 0-4
Cells responsible for the contraction of the heart.

0- Depolarisation  PNa, into cell, massive rise in MP to +30-+40mV.

1- Repolarisation Na channels inactivate, ↓PNa . MP more –ve. ↓ PK & open Ca channels  PCa, MP repolarises but counteracts ↓PNa.

2-Plateau K channels stay shut, Ca channels stay open, keep membrane depolarised.

3-Repolarisation  PK (delayed rectifier channels) K out of cell. MP more –ve. Inward rectifiers open due to -ve MP. Ca channels close, membrane repolarised ending AP.

4-Resting potential PK, PNa and PCa at resting values. PK > PNa & PCa membrane potential
what does an electrocardiogram do

how is it recorded

why can it be done


what makes the amplitute larger
Records the spread of electrical current through the heart as a function of time through the cardiac cycle.’

Recorded by means of electrodes placed on the skin.

Electrical activity generated by muscle tissue spreads through the body because body fluids act as conductors.

More synchronised the activity, the larger the amplitude.
what did eithovens triangel propose
Equilateral triangle surrounding heart
Right arm, left arm and left leg.

Electrodes connected to an oscilloscope
outline what the p wave

qrs complex


t wave all stand for


then write down all the intervals and say which one is which
loook at the diagram above
loook at the diagram above
what are arrythmias
Abnormal SA firing causes fast (more than 100 bpm)
Or
slow (less than 50 bpm) heart rates.
outline the 3 different types/modes of arrythmias
Altered conduction through the AV node causes degrees in heart block.

Third degree block no conduction though the AV node causing dissociation between atrial and ventricular contractions, lethal.

Depolarisation can occur from electrical signal outside the conduction pathway, causing PAC or PVC. Not usually significant.



Fibrillations, no longer synchronised heart beat. Can’t pump blood efficiently round body if ventricular. Deadly.
+
Atrial fibrillation, weakness but not deadly as ventricles still contract sufficiently
when is the ecg important
ECG is an important tool in the diagnosis of heart conditions