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15 Cards in this Set

  • Front
  • Back

Adherens junction

cytoplasmic face is linked to the actin cytoskeleton; appears as bands encircling the cell or as spots of attachement to extracellular matrix

Desmosome

attach two adjacent cells formed from protein plaques in the cell membranes linked by filaments; keeps cell from being pulled apart

tight junctions

specialized connection such that the spare usually lying between the two adjacent cells is absent; mainly in epithelial cells

P wave

representing atrial depolarization (80ms)

PR interval

from beginning of P-wave to beginning of QRS complex


Reflecting the time from the SA node through the AV node and entering ventricles; good estimate of AV node function (120-200ms)

QRS complex

rapid depolarization of right and left ventricles (80-120ms)

ST segment

represents the period when the ventricles are depolarized (80-120ms)

T wave

represents the repolarization of ventricles; the interval from the beginning of the QRS complex to the apex of the T-wave is refereed to as the relative refractory period (160ms)

U wave

not always seen; small, representing repolarization of papillary muscles or Purkinje fibers


Most seen in hypokalemia, hypercalcemia,...

Effect of sympathetic nerve on threshold potential in fast response cells (cardiomyocytes)

- if a stimulus is not strong enough to depolarize the membrane to threshold, AP doesn't occur


- the threshold potential (TP) of an excitable cell is NOT a fixed potential valve, but rather subject to influence by various factors (ex sympathetic n)

Comparison of AP/contraction between skeletal muscle and cardiac muscle

Refractory period: after AP, during which another AP cannot be initiated


- effective or absolute refractory period: ventricles absolute refractory period is ~200-250ms (till plateu); atrium is ~100ms, there s no response to stimuli


- relative refractory period: 50ms, strong stimulus required for premature beats formation. Because the cell is stimulated from a voltage less negative than resting potential; its upstroke is less steep and lower amplitude and its conduction velocity slower than normal

Hodgkin-Huxley Model of Sodium channel gating and ARP (absolute refractory period)

1. At resting membrane membrane potential the channel is closed but available for opening if challenged by a chemical or voltage stimulus


2. Activated open state the channel is open and permits the passage of ionic current


3. Inactivated state-channels closed and unavailable for activation. Cell refractory (as long as H-gates are closed- these gates are polypeptide that form one part of the transmembrane protein channel, and they undergo conformational changes in response to changes in voltage)

Absolute Refractory Period

- begins when Na+ channels are inactivated during AP


- lasts until Na+ channels begin to return to their resting state


- during the ARP, a second action potential CANNOT be initiated regardless of the strength of the stimulus

Relative Refractory Period

- immediately follows the ARP


- second action potential can be triggered is a suprathreshold stimulus is applied


- in this period some of Na+ channels have returned to their resting state and are available for activation

Significance of refractory period

- protects the heart from too rapid re-excitation, which could impair its function as pump


- protects the rhythmic excitation-relaxation recycling of the heart which would interfere with the rhythmic alternation of contraction and relaxation



o the refractory period of the excited myocardial cells is normally longer than time taken for spread of excitation over atria or ventricles


o a wave of excitation originating from SA node can cover the heart only once at most, then dies out, because it encounter refractory tissue everywhere