Autonomic Nervous System and the Heart

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Questions and Answers

Which part of the heart is primarily innervated by the sympathetic nervous system?

  • The entire heart and vascular system (correct)
  • Only the AV node
  • Only the SA node
  • Only the myocardium

What is the neurotransmitter associated with the sympathetic nervous system's action on the heart?

  • Norepinephrine (correct)
  • Acetylcholine
  • Dopamine
  • Epinephrine

Which receptors does acetylcholine act upon in the parasympathetic nervous system?

  • α-receptors
  • M-receptors (correct)
  • D-receptors
  • β1-receptors

In a resting human, which system exhibits activity in regulating heart rate?

<p>Only parasympathetic activity (D)</p> Signup and view all the answers

What is the typical resting heart rate range for a healthy adult human?

<p>60-100 beats per minute (B)</p> Signup and view all the answers

What heart rate is achieved when sympathetic activity is increased to 120 beats/min?

<p>120 beats/min (D)</p> Signup and view all the answers

Which activity predominates at rest regarding heart rate regulation?

<p>Parasympathetic activity (A)</p> Signup and view all the answers

During inspiration, what is the heart rate observed?

<p>88 beats/min (C)</p> Signup and view all the answers

What is the primary function of the Bainbridge reflex during inspiration?

<p>To prevent blood pooling (D)</p> Signup and view all the answers

What heart rate is typically recorded during expiration?

<p>75 beats/min (C)</p> Signup and view all the answers

What might the absence of respiratory variations in heart rate indicate?

<p>Cardiac dysfunction (A)</p> Signup and view all the answers

How does the heart rate change during respiratory sinus arrhythmia with inspiration?

<p>Increased heart rate (D)</p> Signup and view all the answers

What is the primary consequence of respiratory sinus arrhythmia for gaseous exchange?

<p>Improved balance of ventilation and perfusion (A)</p> Signup and view all the answers

Flashcards

Sympathetic Influence on Heart Rate

The sympathetic nervous system increases heart rate by releasing norepinephrine (NA) which acts on beta-1 receptors.

Parasympathetic Influence on Heart Rate

The parasympathetic nervous system decreases heart rate through acetylcholine (Ach) acting on muscarinic (M) receptors.

Sympathetic Innervation of Heart

The sympathetic nervous system innervates the entire heart including the SA and AV nodes, myocardium, and blood vessels.

Parasympathetic Innervation of Heart

The parasympathetic nervous system primarily targets the SA and AV nodes, regulating the heart's rhythm.

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Normal Resting Heart Rate

The normal resting heart rate in a healthy adult is typically around 60-100 beats per minute.

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Isolated Heart Rate

The intrinsic rate of the heart without any nervous system input. It represents the inherent ability of the heart to generate electrical impulses.

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Sympathetic Activity on Heart Rate

Sympathetic stimulation increases heart rate. This is the 'fight or flight' response, preparing the body for action.

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Parasympathetic Activity on Heart Rate

Parasympathetic stimulation decreases heart rate. It's the 'rest and digest' response.

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Dominant Parasympathetic Influence at Rest

At rest, the heart is under the influence of both the sympathetic and parasympathetic nervous systems. However, the parasympathetic system dominates, resulting in a slower heart rate.

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Respiratory Sinus Arrhythmia (RSA)

This refers to the normal, cyclical variations in heart rate during breathing. Heart rate increases during inspiration and decreases during expiration.

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Bainbridge Reflex

The Bainbridge reflex is a mechanism that senses increased venous return to the heart, triggering parasympathetic inhibition and sympathetic stimulation to increase heart rate. It prevents blood pooling in veins.

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Absence of RSA

The absence of respiratory sinus arrhythmia might indicate a problem with the autonomic nervous system, such as damage to the vagus nerve.

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Cardiac Dive Response

A physiological response to immersion in cold water characterized by a dramatic decrease in heart rate. It's a natural diving reflex.

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Study Notes

Autonomic Nervous System and the Heart

  • The heart receives both sympathetic and parasympathetic innervation.
  • The sympathetic nervous system increases heart rate, force of contraction, and the conduction of action potentials.
  • The parasympathetic nervous system reduces heart rate and conduction through the AV node.
  • At rest, both systems are active, but the parasympathetic system dominates.
  • Respiration affects the heart rate.
  • An isolated heart beats at 100 beats per minute.
  • Adding sympathetic activity increases the rate to 120 beats per minute.
  • Adding parasympathetic activity decreases the rate to 70 beats per minute.
  • The heart, at rest, receives both sympathetic and parasympathetic activity, but parasympathetic is dominant.

Innervation of Heart and Vessels

  • The table shows sympathetic and parasympathetic innervation of different parts of the heart and arteries.
  • (Note: the table content of sympathetic/parasynthetic innervation is provided from the image)

Cardiac Dive Response

  • Heart rate is recorded using a pressure transducer.
  • The subject takes a deep breath and submerges their face in ice-cold water.
  • The subject holds the position for as long as possible (usually about 20 seconds).
  • Heart rate is recorded throughout the dive.
  • The heart rate decreases during the dive, for example: from 88 (before) to 68 (during the dive) beats per minute.

Respiratory Sinus Arrhythmia

  • During respiratory sinus arrhythmia, the heart rate increases or decreases during inspiration.
  • This is due to changes in vagal tone and sympathetic activity.
  • Consequences of RSA affect gaseous exchange in the lungs.
  • Changes in heart rate are due to mechanisms like the Bainbridge reflex (aka atrial reflex)

Variations in Heart Rate: Questions

  • Approximately what is the normal heart rate at rest in a human?
  • At what rate does an isolated human heart beat at normal body temperature(NB. An isolated heart has no functional nerves running to it.)?
  • At rest, is there sympathetic nerve activity or parasympathetic nerve activity?
  • During the dive, which nervous system is activated?
  • Which neurotransmitters and cardiac receptors are involved in the decreased heart rate during the dive response?
  • What possible advantages does this parasympathetic reflex provide to diving animals?

Summary of the Autonomic Nervous System

  • Heart receives sympathetic and parasympathetic innervation.
  • Sympathetic nerves increase heart rate, conduction & contraction.
  • Parasympathetic nerves decrease heart rate, conduction & contraction.
  • Active at rest but Parasympathetic dominates.
  • Respiration affects heart rate.
  • Denervated heart (transplant) - any ANS control?
    • Denervated heart shows increased sensitivity to adrenaline.
    • Denervation increases the number of beta receptors.

Normal Heart Rate

  • Normal heart rate at rest is roughly 70-80 beats per minute in humans.

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