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35 Cards in this Set

  • Front
  • Back
Heart
A muscular pump which creates a pressure head to push blood through blood vessels.
Pulmonary Circuit:
1) Is supplied by which side of the heart?
2) Carries blood from where to where?
3) When is blood deoxygenated/oxygenated?
1) Right
2) Heart to Lungs (and lungs to heart)
3) Blood entering lungs is deoxygenated. Blood leaving lungs is oxygenated.
Systemic Circuit:
1) Is supplied by which side of the heart?
2) Carries blood from where to where?
3) When is blood deoxygenated/oxygenated?
1) Left
2) Heart to tissues (and tissues to heart)
3) Blood entering tissues is oxygenated. Blood leaving tissues is deoxygenated.
Tricuspid and Bicuspid Valves:
1) Are which type?
2) Are embedded in what?
3) Open when?
4) Allow blood to flow how?
1) Atrioventricular
2) Embedded in a layer of CT btw aria and ventricles
3) Open during atrial contraction
4) Allow blood to flow only from atria into ventricles.
Semilunar Valves:
1) Two named...
2) Are located where?
3) Open when?
4) Allow blood to flow how?
1) Pulmonary semilunar and aortic semilunar
2) Located at the origin of the pulmonary artery and the aorta
3) Open during ventricular contraction
4) Allow blood to flow only from ventricles to arterioles.
Contraction of <3:
1) Pushes blood where?
2) Increases or decreases pressure?
1) Pushes blood out of heart into vasculature.
2) Increases pressure.
Relaxation of <3:
1) Entails what?
2) Increases or decreases pressure?
1) Allows heart to fill with blood.
2) Decreases pressure.
What are adjacent myocardial cells joined by?
Intercalated discs containing gap junctions.
What is required to initiate contraction in myocardial cells? (Hint: unlike in SR)
Extracellular Ca 2+
1) What is required to initiate cardiac muscle contraction?
2) What contains the cells responsible for triggering contraction?
3) What are these cells called?
1) External stimulation by somatic motor nerves.
2) SA node; sinoatrial node
3) Pacemaker or autorhythymic cells.
1) Where is the SA node located?
2) What occurs to the cell membrane that causes the generation of a contraction?
1) Top right atria near the superior vena cava
2) Cell membrane spontaneously depolarizes and creates AP's which are spread through adjacent myocardial cells, generating contraction.
What happens during the repolarization of myocardial cells?
Ca 2+ is transported out of the cells and relaxation occurs.
How does the length of a myocardial cell AP compare to the length of an AP in a skeletal muscle cell?
It's much longer. In fact, the contraction is nearly as long as the duration of the AP itself.
T of F: Myocardial cells are refractory during almost their entire contraction.
True
T or F: Summation of contraction can occur in myocardial cells.
False. This is how tetanus in cardiac muscle is prevented.
T or F: Pacemaker cells have gap junctions.
False! Pacemaker cells themselves do not have gap jxns but can stimulate contraction by spontaneously generating APs.
What is the pathway of electrical activity from the atria to the ventricles?
Atria --> bundle of His --> bundle branches along interventricular septum --> Purkinje fibers --> Ventricles
Where in the pathway of electrical activity is the rate of conduction greatly reduced? What effect does this have on heart contraction?
The AV node. This causes atrial and ventricular contraction to occur sequentially.
What do the P, QRS, and T waves result from?
P: atrial depolarization

QRS: atrial repolarization/ ventricular depolarization

T: ventricular repolarization
T of F: At EDV, the ventricles are filled with blood.
True
What are the conditions at isovolumetric contraction?
Ventricular depolarization.
Ventricle pressure is greater than atrial pressure.
AV valves close BUT pressure is not great enough to open semilunar valves.
What is stroke volume?
EDV - ESV

*ventricles eject 2/3 of blood they contain (SV)
*1/3 of initial volume remains (ESV)
What are the conditions at isovolumetric relaxation?
Ventricular repolarization, Ventricles begin to relax,
AV and semilunar valves are closed.
Sympathetic nerves release ______ which triggers _____ receptors.
Noradrenaline (norepinephrine).

Adrenergic receptors.
Parasympathetic nerves release ______ which triggers _____ receptors.
Acetylcholine.

Muscarinic receptors.
Cardiac Output =
SV x cardiac rate
(EDV - ESV) x cardiac rate

Cardiac output: the volume of blood pumped per minute by each ventricle. At rest, cardiac output = about 5.5 L/min!
What are sympathetic nerves responsible for triggering?
Spontaneous Depolarizations. The noradrenaline released from symp. nerves stimulates the opening of Na+ and Ca2+ channels in the pacemaker cells of the SA node.
What are parasympathetic nerves responsible for?
Slowing the rate of depolarization. The parasymp. vagus nerves release acetylcholine, which promotes the opening of K+ channels of pacemaker cells.
Frank-Starling Law of the Heart:
-The more blood volume in the ventricle before contraction, the more blood ejected during contraction.
-INTRINSIC property of the heart muscle (no external input is needed)
T or F:
SV, Contractility, and EDV are all directly proportional.
True.
What sets the rate of contraction?
The rate of depolarization in the SA node.
What does the SA node determine?
Heart rate.
What does smooth muscle lack that results in it being striation-less?
Sarcomeres.
It instead has a lattice structure.
actin > myosin.
During smooth muscle contraction, Ca2+ diffuses through VGC into the cell. What does it then bind with?
Calmodulin...NOT troponin C!
The Ca2+ calmodulin complex then joins with and activates myosin light chain kinase (MLCK).
T or F: Smooth muscle contraction is slower and has a less sustained contraction than that of skeletal muscle.
False. Smooth muscle contraction is slower and has a MORE sustained contraction than that of skeletal muscle.