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)</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.</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.</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.</p> Signup and view all the answers

    How do contractile cardiac muscle cells primarily obtain energy?

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

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

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

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

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

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

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

    What is the main role of contractile cardiac muscle fibers?

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

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

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

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

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

    During which phase does the cardiac muscle receive blood supply?

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

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

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

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

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

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

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

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

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

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

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

    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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