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Questions and Answers
What is unique about the plateau phase of the action potential in cardiac contractile cells?
What is unique about the plateau phase of the action potential in cardiac contractile cells?
- It is the result of rapid K+ exit
- It is the result of Cl- exit
- It is the result of prolonged Ca2+ entry (correct)
- It is the result of rapid Na+ entry
What type of ion channels open at threshold to cause the rapid rising phase of the action potential in cardiac contractile cells?
What type of ion channels open at threshold to cause the rapid rising phase of the action potential in cardiac contractile cells?
- Slow Ca2+ channels
- K+ channels
- Fast Na+ channels (correct)
- Cl- channels
Which type of fibers are spread throughout ventricular myocardium and have the fastest conduction speed?
Which type of fibers are spread throughout ventricular myocardium and have the fastest conduction speed?
- Bundle of His fibers
- Purkinje fibers (correct)
- Ventricular fibers
- Atrial fibers
What causes the rapid falling phase of the action potential in cardiac contractile cells?
What causes the rapid falling phase of the action potential in cardiac contractile cells?
How do action potentials in cardiac contractile cells differ from those in cardiac autorhythmic cells?
How do action potentials in cardiac contractile cells differ from those in cardiac autorhythmic cells?
What happens if Purkinje fibers are damaged?
What happens if Purkinje fibers are damaged?
Which type of cells have higher action potential conduction than the SA node?
Which type of cells have higher action potential conduction than the SA node?
What is a characteristic of autorhythmic cells in the heart?
What is a characteristic of autorhythmic cells in the heart?
What is the result of an ectopic focus driving the heart rate?
What is the result of an ectopic focus driving the heart rate?
Where are autorhythmic cells typically found in the heart?
Where are autorhythmic cells typically found in the heart?
What is the origin of the bundle of His?
What is the origin of the bundle of His?
What is the function of the bundle of His?
What is the function of the bundle of His?
What is the path of the bundle of His after it divides?
What is the path of the bundle of His after it divides?
What type of cells make up the bundle of His?
What type of cells make up the bundle of His?
What is the significance of the bundle of His in the electrical conduction pathway of the heart?
What is the significance of the bundle of His in the electrical conduction pathway of the heart?
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Study Notes
Heart Conduction System
- Purkinje fibers spread throughout ventricular myocardium and have the fastest conduction speed.
Action Potential of Cardiac Muscle
- The action potential (AP) in cardiac contractile cells differs from that in cardiac autorhythmic cells.
- The rapid rising phase of AP in contractile cells is a result of Na+ entry upon opening of fast Na+ channels at threshold.
- The unique plateau phase results from prolonged Ca2+ entry upon opening of slow Ca2+ channels.
- The rapid falling phase is a result of K+ exit upon opening of K+ channels.
Bundle of His
- A tract of specialized cells originating at the AV node that enters the septum between the ventricles.
- Divides to form the right and left bundle branches that travel down the septum.
- Curves around the apex of the ventricular chambers and travels back towards the atria along the outer walls.
Purkinje Fibers Damage
- If Purkinje fibers are damaged, an abnormal pacemaker takes over.
- The abnormal pacemaker drives the heart at a faster rate than the SA node.
- The heart becomes abnormally excitable, with contractile cells having higher AP conduction than the SA node.
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