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4 Cards in this Set

  • Front
  • Back
Specialized structur of muscles cells
1-sarcolemma (cell membrane) responsive to ACh (acetylcholine) a neurotransmitter. Surface can be polarized & depolarized.
2-Sarcoplasmic reticulum-(endoplasmic reticulum)-folded sacs; store and release calcium ions. (Ca++)
3-Sarcoplasm-(cytoplasm)-fluid environment, has stores of glycogen (glucose chains),creatine phoshpate (energy source), myoglobin (holds oxygen)
4- neuromuscular junction- neural ending (axon terminal) lays over sarcolemma with a space between (synapse)
NOTE: neurotransmitters diffuse across. (ACh)
Part 1
Stages in Physiology of Muscle Fiber Stimuli & Contraction
1- Action at neuromuscular junction
-action potential at axon terminal
-change in permeability: Ca++ enters terminal from interstitial fluid, stimulates...
-vessicles of ACh to fuse w/membrane near synapse.
-ACh diffuses across synapse to sarcolemma
-ACh bonds to receptors on Na+ channels
-Na+ moves from outside > inside, initiating depolarization of small region of sarcolemma.
Part 2
Stages in Physiology of Muscle Fiber Stimuli & Contraction
2-Generation of Action Pot...
-movement of Na+(depolarization) affects nearby voltage-regulated ion channels.
-VRIC's near synapse open in response, allowing more Na+ to cross membrane.
-Depolarization of sarcolemma continues across surface rapidly
-When depolarization reaches transverse tubules (t-tubules) the depolarization moves to myofibrils (triad region)
-as depolarization reaches sarcoplasmic reticulum it changes permeability of S.R. (to Calcium)
-Ca++ is releases > diffused to sarcomeres.
advantages of echocardiogrphy
more sensitive in detecting ischemia
assessment of LV size and fxn
dx valvular dz