Cardiac Muscle Structure and Function
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Questions and Answers

What is the duration of the absolute refractory period in cardiac muscle?

  • 200 msec
  • 150 msec
  • 180 msec (correct)
  • 250 msec

How does cardiac muscle differ from skeletal muscle regarding force of contraction?

  • Cardiac muscle recruits more fibers to increase force.
  • Cardiac muscle contracts without the need for calcium ions.
  • Cardiac muscle relies solely on ATP for contraction.
  • Cardiac muscle cannot experience fused tetanus. (correct)

What role do calcium ions play in cardiac muscle contraction?

  • Calcium ions provide energy for ATP synthesis.
  • Calcium ions are not involved in cardiac muscle contraction.
  • Calcium ions facilitate cross bridge formation between actin and myosin. (correct)
  • Calcium ions inhibit cross bridge formation.

What is the primary mechanism for increasing the force of contraction in cardiac muscle?

<p>Stretching of the heart muscle (Frank-Starling law) (D)</p> Signup and view all the answers

What occurs during the refractory period in cardiac muscle cells?

<p>Voltage gated sodium channels are all inactive. (A)</p> Signup and view all the answers

What is the primary function of conducting cardiac muscle cells?

<p>They facilitate electrical conduction in the heart. (D)</p> Signup and view all the answers

What is the role of intercalated discs in cardiac muscle?

<p>They prevent muscle fibers from pulling apart. (B)</p> Signup and view all the answers

How do contractile cardiac muscle cells primarily obtain energy?

<p>By utilizing glucose and fatty acids. (D)</p> Signup and view all the answers

What distinguishes conducting cardiac muscle cells from contractile cardiac muscle cells?

<p>Conducting cells do not produce tension. (C)</p> Signup and view all the answers

What type of muscle fibers do contractile cardiac muscle cells primarily represent?

<p>Slow oxidative fibers. (B)</p> Signup and view all the answers

What characteristic of cardiac muscle cells prevents the occurrence of tetanus?

<p>Long refractory periods. (D)</p> Signup and view all the answers

Which component of intercalated discs allows cells to function as an electrical syncytium?

<p>Gap junctions. (B)</p> Signup and view all the answers

What is the main role of contractile cardiac muscle fibers?

<p>To shorten and produce tension. (B)</p> Signup and view all the answers

What is the primary function of the plasma membrane CaATPase in cardiac muscle cells?

<p>To actively pump Ca++ out of the cell (B)</p> Signup and view all the answers

During which phase of the action potential are voltage gated Na+ channels inactivated?

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

What occurs during the plateau phase (Phase 2) of the cardiac action potential?

<p>Ca++ channels open while K+ channels remain open (A)</p> Signup and view all the answers

How does the duration of the action potential in cardiac muscle cells compare to that in skeletal muscle cells?

<p>Longer in cardiac muscle cells (B)</p> Signup and view all the answers

What is the absolute refractory period in cardiac muscle cells primarily associated with?

<p>Inactivation of Na+ channels (C)</p> Signup and view all the answers

What triggers the opening of Ca++ gated Ca++ release channels during cardiac contractions?

<p>The entry of Ca++ during Phase 2 (B)</p> Signup and view all the answers

What is the typical duration of a contraction (twitch) in cardiac muscle compared to the action potential?

<p>Almost the same duration as the action potential (A)</p> Signup and view all the answers

What is necessary for a second action potential to occur during the relative refractory period?

<p>An increased stimulus above normal (C)</p> Signup and view all the answers

What primarily restores the resting membrane potential in cardiac muscle cells after an action potential?

<p>Na+/K+ ATPase pump (D)</p> Signup and view all the answers

The voltage gated Na+ channels must change from which state to be able to reopen?

<p>From inactive to closed (C)</p> Signup and view all the answers

What percentage of energy used by cardiac muscle primarily comes from fat?

<p>60% (B)</p> Signup and view all the answers

During which phase does the cardiac muscle receive blood supply?

<p>Diastole (B)</p> Signup and view all the answers

Which type of cardiac muscle cell is responsible for the conduction system?

<p>Conducting cells (A)</p> Signup and view all the answers

What ion plays a crucial role in the electrical-contraction coupling in cardiac muscle?

<p>Calcium (Ca++) (B)</p> Signup and view all the answers

What is the predominant type of metabolism utilized by cardiac muscle?

<p>Aerobic metabolism (A)</p> Signup and view all the answers

The conductive cardiac muscle cells differ from contractile cells in that they primarily:

<p>Do not contribute to muscle contraction (D)</p> Signup and view all the answers

Which characteristic describes the ability of cardiac muscle to generate rhythmic contractions without external stimuli?

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

Which statement about oxygen consumption in cardiac muscle is true?

<p>Utilizes aerobic metabolism for high oxygen demand (C)</p> Signup and view all the answers

What structure connects cardiac muscle fibers and facilitates communication between them?

<p>Gap junctions (C)</p> Signup and view all the answers

What occurs immediately after depolarization of the T tubule membrane in cardiac muscle cells?

<p>Ca++ channels open allowing a small amount of Ca++ to enter (D)</p> Signup and view all the answers

Flashcards

Absolute Refractory Period in Cardiac Muscle

The period following an action potential where a new action potential cannot be initiated, regardless of the strength of the stimulus. This ensures proper heart rhythm and prevents sustained contraction.

Frank-Starling Law of the Heart

The force of contraction in cardiac muscle is directly proportional to the initial length of the muscle fibers. A greater stretch leads to a stronger contraction. This ensures that the heart pumps efficiently as blood volume changes.

Electrical Syncytium in Cardiac Muscle

Cardiac muscle cells are connected via gap junctions, forming a functional syncytium. This allows electrical signals to spread rapidly and synchronously, enabling coordinated contractions.

Absence of Muscle Fiber Recruitment in Cardiac Muscle

Unlike skeletal muscle, cardiac muscle cannot increase force by recruiting more muscle fibers. It relies on other mechanisms, such as increasing calcium levels, to achieve a stronger contraction.

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Calcium's Role in Cardiac Muscle Contraction

Calcium ions play a crucial role in regulating the interaction between actin and myosin filaments, enabling muscle contraction.

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Cardiac Muscle

A type of muscle tissue found in the heart. It is striated, meaning it has a striped appearance under a microscope, due to the organized arrangement of contractile proteins.

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Intercalated Discs

Specialized junctions that connect cardiac muscle cells end-to-end. They allow for the transmission of electrical impulses and the strong connection between cells, preventing them from pulling apart during contraction.

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Gap Junctions

Small channels that directly connect the cytoplasm of adjacent cardiac muscle cells. They allow for the rapid flow of ions, creating a functional syncytium, where the heart acts as one unit.

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Conducting Cardiac Muscle Cells

Cardiac muscle cells specialized for conducting electrical impulses throughout the heart. They initiate and regulate the heartbeat.

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Contractile Cardiac Muscle Cells

Cardiac muscle cells that contract to pump blood. They form the majority of the heart's walls.

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Conduction System

A network of conducting cardiac muscle cells that regulate the heartbeat. It initiates and coordinates the electrical impulses that travel throughout the heart.

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Tetanus

The ability of a muscle to generate a sustained, powerful contraction without relaxing. Cardiac muscle cells are unable to sustain tetanus as they need time to relax between contractions to ensure proper blood pumping.

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Contractile Cardiac Myocyte Action Potential

The electrical signal that triggers contraction in cardiac muscle cells. It is characterized by a rapid depolarization followed by a plateau phase and then repolarization, ensuring a coordinated and sustained contraction of the heart chambers.

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Ca++ restoration in cardiac muscle

The process of returning Ca++ ions to their basal level within a cardiac muscle cell after a contraction.

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Plasma membrane CaATPase

A protein embedded in the plasma membrane of cardiac muscle cells that actively pumps Ca++ out of the cell using ATP as energy.

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Na+ - Ca++ exchanger

A protein in the plasma membrane of cardiac muscle cells that exchanges Na+ for Ca++, transporting Na+ into the cell and Ca++ out of the cell.

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Absolute refractory period

The duration of time during which a cardiac muscle cell is unable to generate another action potential, regardless of the strength of the stimulus.

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Relative refractory period

The time period following the absolute refractory period during which a weaker-than-normal stimulus can trigger an action potential.

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Repolarization

The period when the membrane potential returns to its resting state after an action potential.

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Phase 4 of the action potential

The resting membrane potential of a cardiac muscle cell.

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Phase 0 of the action potential

The opening of voltage-gated Na+ channels leads to a rapid depolarization of the membrane, resulting in the rising phase of the action potential.

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Phase 2 of the action potential

The plateau phase of the action potential, characterized by sustained depolarization due to the opening of voltage-gated Ca++ channels and the continued opening of K+ channels.

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Inactivated state

The period during which the voltage-gated Na+ channels transition from an inactivated state to a closed state, preventing the initiation of another action potential.

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Automaticity

The ability of cardiac muscle to generate its own electrical impulses, allowing for rhythmic contractions without external stimulation.

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Rhythmicity

The regular, rhythmic pattern of contractions in the heart, controlled by the heart's natural pacemaker.

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Conductivity

The ability of the heart's conductive network to rapidly transmit electrical impulses throughout the heart, ensuring coordinated contractions.

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Electrical-Contraction Coupling (E-C Coupling)

The process of how electrical signals initiate muscle contraction in cardiac muscle.

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Fat

The primary source of energy for the heart, playing a crucial role in sustaining its continuous contractions.

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Aerobic Metabolism

Cardiac muscle relies heavily on this energy source for its continuous work.

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Diastole

The heart receives its blood supply during this phase of the cardiac cycle.

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Study Notes

Cardiac Muscle Structure and Function

  • Cardiac muscle is a striated fiber with similar contractile filament arrangements as skeletal muscle.
  • Intercalated discs connect muscle fibers end-to-end.
  • These discs are specialized attachments, preventing cell separation, and consist of gap junctions.
  • Gap junctions allow cells to act as an electrical syncytium, facilitating coordinated contractions.
  • Cardiac muscle cells are a combination of conducting and contractile cells.

Types of Cardiac Muscle Cells

  • Conducting cardiac muscle cells make up 1% of cardiac muscle cells.

  • These cells are large and specialized for excitation, without producing tension.

  • They form a network called the conduction system in the heart, connected by gap junctions to contractile cells.

  • Conducting fibers primarily consist of glycogen and have few myofilaments.

  • These cells are the heart's intrinsic pacemakers.

  • Contractile cardiac muscle cells are slow oxidative muscle fibers, forming the heart walls.

  • These cells shorten and produce tension, using glucose and fatty acids as substrates.

Characteristics of Cardiac Muscle

  • Histology: Shows the striated appearance of cardiac muscle tissue.
  • Functional syncytium: Enables integrated contraction.
  • Source of energy: Predominantly fat (60%), carbohydrates (35%), with ketones and amino acids making up the remaining 5%.
  • Blood flow: Occurs during diastole (relaxation phase) in the left ventricle, and during systole and diastole in the right ventricle.
  • Oxygen consumption: High oxygen consumption primarily through aerobic metabolism;anaerobic metabolism contributes less than 1%.
  • Metabolism: High oxygen demand characteristic of cardiac muscle.
  • Automaticity: Heart's ability to generate its own rhythmic contractions.
  • Rhythmicity: Contractions occur rhythmically without external stimuli, unlike skeletal muscles, due to the conducting fibers in the heart.
  • Conductivity: The heart's ability to transmit electrical impulses throughout the muscle.
  • Action potential: Electrochemical signals generating muscle contractions.
  • Recruitment: Not a factor in cardiac muscle due to the syncytial action.

Electrical-Contraction Coupling

  • Cardiac muscle contraction, similar to skeletal muscles, involves calcium ions entering the cell.
  • Depolarization of T-tubules allows calcium influx.
  • Calcium triggers calcium release from the sarcoplasmic reticulum.
  • This calcium release initiates cross-bridge formation and muscle contraction.
  • Calcium removal via CaATPase, ends the contractile cycle, and causes muscle relaxation.
  • Additional mechanisms for calcium removal exist, such as the Na+-Ca2+ exchanger.

Action Potential of Cardiac Muscles

  • Cardiac action potential is longer and differs from skeletal muscle.
  • Four phases characterize the cardiac action potential: phase 0 (rapid depolarization), phase 1 (initial repolarization), phase 2 (plateau), and phase 3 (rapid repolarization).
  • Phase 4: Maintains a stable resting membrane potential.
  • Phase 0: The voltage-gated Na+ channels open rapidly, leading to a rapid depolarization of the membrane towards threshold.
  • Phase 1: Brief repolarization.
  • Phase 2 (Plateau): L-type voltage-gated calcium channels open, slowing repolarization and giving the plateau phase in the graph.
  • Phase 3: Rapid repolarization.
  • Phase 4: Return to stable resting membrane potential.

Refractory Period

  • In cardiac muscle, the absolute refractory period (180 msec) is almost as long as the action potential, preventing tetanus (sustained muscle contraction).
  • This prolonged refractory period is crucial for rhythmic pumping of blood to prevent heart failure.

Absence of Muscle Fiber Recruitment

  • Contractile cardiac cells function via an electrical syncytium, making traditional fiber recruitment impossible.
  • Other mechanisms increase heart contraction force without fiber recruitment, such as by increasing stretch (Frank-Starling law).

Key Concepts

  • Cardiac muscle uses overlapping actin and myosin proteins, producing shortening and generating force.
  • Calcium ion mediates the link between membrane action potentials and contraction.
  • The autonomic nervous system and hormones also regulate cardiac muscle activity.
  • The cardiac muscle length-tension relationship, is also known as the Frank-Starling mechanism, which further increases the cardiac output.

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Description

Explore the fascinating structure and function of cardiac muscle. This quiz delves into the different types of cardiac muscle cells, their unique properties, and how they work together to enable the heart's efficient operation. Test your knowledge on the conduction system and the role of muscular fibers in cardiac activity.

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