Cardiac Muscle Action Potential
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Questions and Answers

What is the approximate resting potential of a cardiac muscle cell?

  • -85mV (correct)
  • -50mV
  • -60mV
  • -70mV
  • Which ion plays a crucial role in creating the resting potential of a cardiac muscle cell?

  • Potassium (K+) (correct)
  • Calcium (Ca2+)
  • Chloride (Cl-)
  • Sodium (Na+)
  • In a theoretical cell with an initial equal number of positive and negative charges, what creates the charge imbalance for the resting potential?

  • Diffusion of positively charged potassium ions out of the cell (correct)
  • Diffusion of sodium ions into the cell
  • Diffusion of negatively charged ions into the cell
  • Diffusion of chloride ions out of the cell
  • What is the primary form of negative charge inside cardiac cells contributing to the resting potential?

    <p>Organic phosphates</p> Signup and view all the answers

    Which pump is responsible for maintaining the ionic concentration gradients in cardiac muscle cells for resting potential?

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

    What happens to the sodium gates when the membrane potential reaches between +20 and +30 mV?

    <p>They are inactivated by the electric charge distribution.</p> Signup and view all the answers

    During which phase of the action potential does the K+ permeability begin to increase significantly?

    <p>Phase 1</p> Signup and view all the answers

    What role do L-type voltage gated calcium channels play in the action potential?

    <p>They create a plateau phase in phase 2.</p> Signup and view all the answers

    Why does the membrane potential not immediately fall to the equilibrium potential for potassium despite increased K+ permeability?

    <p>Simultaneous opening of calcium channels and inward flow of calcium.</p> Signup and view all the answers

    When does the myocyte contraction occur in relation to the action potential phases?

    <p>During phase 2</p> Signup and view all the answers

    Which phase of the cardiac action potential is characterized by the opening of sodium gates and a hundred-fold increase in sodium permeability?

    <p>Phase 0</p> Signup and view all the answers

    What ion has its concentration gradient reversed in the Goldman equation used to calculate the true resting potential?

    <p>Sodium (Na+)</p> Signup and view all the answers

    During which phase of the cardiac action potential does the membrane potential depolarize to reach the threshold potential (-60 to -65mV)?

    <p>Phase 0</p> Signup and view all the answers

    What is the primary characteristic of the plateau phase of the cardiac action potential?

    <p>Prolonged period of slow repolarization</p> Signup and view all the answers

    Which type of muscle tissue is primarily responsible for generating the wave of excitation that triggers the opening of sodium gates in cardiac muscle membranes?

    <p>Pacemaker tissue</p> Signup and view all the answers

    What is the main reason for the initial resting potential in the SAN being less negative compared to the rest of the heart?

    <p>Presence of 'inward rectifier' potassium channels</p> Signup and view all the answers

    What causes the pacemaker potential or 'prepotential' to drift upwards towards depolarization?

    <p>Influx of Na+ through funny channels</p> Signup and view all the answers

    Which ion channel type is responsible for the diastolic depolarization phase in pacemaker cells?

    <p>'Funny' sodium channels</p> Signup and view all the answers

    During which phase is there an inward calcium current that accelerates depolarization towards the threshold potential?

    <p>Phase 0: Depolarization phase</p> Signup and view all the answers

    What distinguishes the maximum depolarization level in the pacemaker cells from contractile myocardial cells?

    <p>+10 mV for pacemaker cells and +30 mV for contractile cells</p> Signup and view all the answers

    What triggers the opening of sodium ion channel gates in cardiac muscle, leading to rapid ion permeability rise and the generation of another action potential?

    <p>Depolarization to threshold potential</p> Signup and view all the answers

    Which parts of the heart exhibit automaticity, generating action potentials spontaneously?

    <p>Sinoatrial node</p> Signup and view all the answers

    What is the term used to describe the ability of the sinoatrial node (SAN) to have the fastest intrinsic rhythm in the human heart?

    <p>Pacemaker tissue</p> Signup and view all the answers

    Which type of muscle cells in the heart typically do not display automaticity?

    <p>Ventricular muscle cells</p> Signup and view all the answers

    What determines the rate of contraction in cardiac muscle?

    <p>Rate of depolarization of resting potential</p> Signup and view all the answers

    During which phase of the cardiac action potential do Na+ channels remain closed, leading to the 'absolute refractory' period of the myocytes?

    <p>Plateau phase</p> Signup and view all the answers

    What is the primary consequence of the 'absolute refractory' period in cardiac myocytes?

    <p>Inability to generate another action potential</p> Signup and view all the answers

    Where do some areas of the heart have particularly unstable 'resting potential'?

    <p>Pacemaker tissue</p> Signup and view all the answers

    What happens to many Na+ channels during the repolarization phase of the cardiac action potential?

    <p>They partially reopen</p> Signup and view all the answers

    Why is it harder to generate a subsequent action potential during the 'relative refractory period' of the cardiac action potential?

    <p>'Na' channels have partially recovered</p> Signup and view all the answers

    What concept is the Nernst equation based on?

    <p>Balance between diffusive and electrical gradients</p> Signup and view all the answers

    Why is the equilibrium potential for potassium in cardiac muscle cells slightly more negative than the resting membrane potential?

    <p>Influence from movements of ions other than potassium</p> Signup and view all the answers

    What is the primary ion influencing the magnitude of the resting potential in cardiac muscle cells?

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

    Why is the membrane potential far from the Na+ equilibrium potential of +60 mV at rest?

    <p>Low permeability to sodium ions</p> Signup and view all the answers

    What is responsible for maintaining the ionic concentration gradients in cardiac muscle cells?

    <p>Sodium-potassium pump</p> Signup and view all the answers

    What contributes to the resting membrane potential being slightly more negative than the potassium equilibrium potential in cardiac muscle cells?

    <p>Movement of ions other than potassium</p> Signup and view all the answers

    What is the role of the Na+/K+-ATPase pump in relation to ion gradients and membrane potential?

    <p>Creates and maintains ionic concentration gradients</p> Signup and view all the answers

    Why is sodium far from electrochemical equilibrium at rest in cardiac muscle cells?

    <p>Low sodium permeability at rest</p> Signup and view all the answers

    Why does potassium have a substantial influence on the resting membrane potential?

    <p>Low permeability to other ions</p> Signup and view all the answers

    What determines the slightly more negative equilibrium potential for potassium in cardiac muscle cells compared to the RMP?

    <p>Other ion movements besides potassium</p> Signup and view all the answers

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