Cardiac Action Potential and ECG Quiz
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Questions and Answers

Which layer of the heart consists of the main muscle layer?

  • Endocardium
  • Myocardium (correct)
  • Epicardium
  • Coronary arteries
  • Where are the coronary arteries located in relation to the heart's walls?

  • Epicardium (correct)
  • Right atria
  • Endocardium
  • Myocardium
  • Which coronary vessel supplies the lateral wall of the left ventricle?

  • LAD
  • LCA
  • LCx (correct)
  • RCA
  • What happens to the blood flow in coronary vessels during physical stress?

    <p>Increases</p> Signup and view all the answers

    At what occlusion percentage does resting blood flow become insufficient to meet oxygen demand?

    <p>More than 85%</p> Signup and view all the answers

    What role does the heart play in supplying blood to the body?

    <p>Supplying blood to all parts of the body</p> Signup and view all the answers

    What is the primary cause of tissue hypoxia in the myocardium during activities like running?

    <p>Increased oxygen demand in the myocardium</p> Signup and view all the answers

    What process may result in complete occlusion of the vessel supplying a specific region of the myocardium?

    <p>Atherosclerotic process</p> Signup and view all the answers

    What is the main characteristic of Phase 0 of the fast-response action potential in cardiac cells?

    <p>Depolarization due to inward movement of Na+</p> Signup and view all the answers

    Which type of action potentials occur in atrial and ventricular myocardial fibers as well as Purkinje fibers?

    <p>Fast-response action potentials</p> Signup and view all the answers

    What is responsible for the plateau phase in the fast-response action potential?

    <p>Inward movement of Ca++ through L-type calcium channels</p> Signup and view all the answers

    What triggers the release of a large amount of calcium into the cytosol from the sarcoplasmic reticulum during myocardial contraction?

    <p>Inward movement of Ca++ through L-type calcium channels</p> Signup and view all the answers

    During which phase is ventricular contraction sustained throughout the action potential?

    <p>Phase 2 - Plateau</p> Signup and view all the answers

    Which ion is mainly responsible for repolarization during Phase 3 of the fast-response action potential?

    <p>Potassium (K+)</p> Signup and view all the answers

    'Restoration of ionic concentrations' during Phase 4 is primarily mediated by which cellular mechanism?

    <p>$Na^+$-K$^+$-ATPase</p> Signup and view all the answers

    'ATP-driven Ca++ Pump' mentioned in Phase 4 is responsible for which physiological process?

    <p>$Ca^{++}$ reuptake into sarcoplasmic reticulum during relaxation</p> Signup and view all the answers

    Study Notes

    Heart Structure and Function

    • The myocardium consists of the main muscle layer of the heart.
    • The coronary arteries are located in the epicardium, the outermost layer of the heart's walls.
    • The obtuse marginal branch of the left circumflex coronary artery supplies the lateral wall of the left ventricle.

    Blood Flow and Oxygen Demand

    • During physical stress, blood flow in coronary vessels increases to meet the increased oxygen demand.
    • If the coronary artery is occluded by more than 70%, resting blood flow becomes insufficient to meet oxygen demand.
    • The heart plays a crucial role in supplying blood to the body, and any disruption in blood flow can lead to tissue hypoxia.

    Tissue Hypoxia and Coronary Occlusion

    • The primary cause of tissue hypoxia in the myocardium during activities like running is the inability of the coronary circulation to meet the increased oxygen demand.
    • Atherosclerosis, a process of plaque buildup, may result in complete occlusion of the vessel supplying a specific region of the myocardium.

    Action Potentials in Cardiac Cells

    • The main characteristic of Phase 0 of the fast-response action potential in cardiac cells is a rapid depolarization due to the influx of sodium ions.
    • Fast-response action potentials occur in atrial and ventricular myocardial fibers as well as Purkinje fibers.
    • The plateau phase in the fast-response action potential is primarily maintained by the influx of calcium ions.
    • The release of a large amount of calcium into the cytosol from the sarcoplasmic reticulum during myocardial contraction is triggered by the depolarization of the sarcolemma.
    • Ventricular contraction is sustained throughout the action potential during Phase 2.
    • Potassium ions are mainly responsible for repolarization during Phase 3 of the fast-response action potential.
    • 'Restoration of ionic concentrations' during Phase 4 is primarily mediated by the Na+/K+ ATPase pump.
    • The 'ATP-driven Ca++ Pump' is responsible for the reuptake of calcium ions into the sarcoplasmic reticulum during Phase 4.

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    Description

    Test your knowledge of cardiac action potential and its relation to ECG with this quiz. Topics include heart chambers, myocardial layers, coronary arteries, and coronary anatomy.

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