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Questions and Answers
What role do the valves in veins play?
What role do the valves in veins play?
- They prevent blood from flowing towards the heart.
- They allow blood to flow in both directions.
- They increase blood pressure in the veins.
- They regulate the return of blood to the heart. (correct)
What effect does standing motionless have on foot vein pressure?
What effect does standing motionless have on foot vein pressure?
- It maintains a stable pressure in the foot veins.
- It decreases foot vein pressure significantly.
- It causes pressure to escalate to +90 mmHg. (correct)
- It prevents blood from entering the foot veins.
What is the primary cause of varicose veins?
What is the primary cause of varicose veins?
- Nerve damage in the limbs.
- Increased blood pressure in the veins. (correct)
- Inflammation of the surface skin.
- Weakening of capillaries.
Which system is primarily responsible for short-term blood pressure regulation?
Which system is primarily responsible for short-term blood pressure regulation?
Which statement accurately describes the venous pump?
Which statement accurately describes the venous pump?
What happens to diastolic duration when heart rate increases?
What happens to diastolic duration when heart rate increases?
How is cardiac output calculated?
How is cardiac output calculated?
What causes the S1 heart sound?
What causes the S1 heart sound?
Which artery supplies the left atrium?
Which artery supplies the left atrium?
What is the primary ion involved in the resting phase of cardiomyocyte action potential?
What is the primary ion involved in the resting phase of cardiomyocyte action potential?
What occurs at the beginning of ventricular diastole?
What occurs at the beginning of ventricular diastole?
What effect does an increased heart rate have on stroke volume?
What effect does an increased heart rate have on stroke volume?
Which part of the coronary circulation supplies the right ventricle?
Which part of the coronary circulation supplies the right ventricle?
What is the primary function of the myocardium layer in the heart wall?
What is the primary function of the myocardium layer in the heart wall?
Which structure is responsible for the rapid transmission of electrical signals across cardiomyocytes?
Which structure is responsible for the rapid transmission of electrical signals across cardiomyocytes?
What separates the atrial syncytium from the ventricular syncytium?
What separates the atrial syncytium from the ventricular syncytium?
What occurs during isovolumic relaxation?
What occurs during isovolumic relaxation?
What change happens during ventricular ejection?
What change happens during ventricular ejection?
Where is the SA (sinoatrial) node primarily located?
Where is the SA (sinoatrial) node primarily located?
What type of muscle tissue is present in the myocardium?
What type of muscle tissue is present in the myocardium?
What is the normal resting adult heart rate range?
What is the normal resting adult heart rate range?
What is the firing frequency of the AV (atrioventricular) node?
What is the firing frequency of the AV (atrioventricular) node?
During which phase do the AV valves close?
During which phase do the AV valves close?
What is the definition of bradycardia?
What is the definition of bradycardia?
What is the sequence of conduction through the heart starting from the SA node?
What is the sequence of conduction through the heart starting from the SA node?
What type of heart rhythm is produced by the impulses from the SA node?
What type of heart rhythm is produced by the impulses from the SA node?
What happens to the durations of systole and diastole when heart rate increases?
What happens to the durations of systole and diastole when heart rate increases?
What defines tachycardia?
What defines tachycardia?
During atrial contraction, what is the primary function?
During atrial contraction, what is the primary function?
What characterizes phase 0 of the cardiac action potential?
What characterizes phase 0 of the cardiac action potential?
What primarily prevents additional impulses from spreading during phase 2 of the action potential?
What primarily prevents additional impulses from spreading during phase 2 of the action potential?
Which phase of the cardiac action potential involves the reopening of potassium (K+) channels?
Which phase of the cardiac action potential involves the reopening of potassium (K+) channels?
What is the resting membrane potential of the SA node cells?
What is the resting membrane potential of the SA node cells?
What function do funny channels serve in the SA node?
What function do funny channels serve in the SA node?
Which factor contributes to the SA node's ability to spontaneously generate action potentials?
Which factor contributes to the SA node's ability to spontaneously generate action potentials?
What is the primary role of veins in the circulatory system?
What is the primary role of veins in the circulatory system?
Why is the SA node referred to as the primary pacemaker of the heart?
Why is the SA node referred to as the primary pacemaker of the heart?
What is the primary role of the DIAD in cardiac muscle contraction?
What is the primary role of the DIAD in cardiac muscle contraction?
How does the DIAD structure differ from that of skeletal muscle?
How does the DIAD structure differ from that of skeletal muscle?
Which of the following statements accurately describes the contraction dynamics of cardiac muscle compared to skeletal muscle?
Which of the following statements accurately describes the contraction dynamics of cardiac muscle compared to skeletal muscle?
Which pair of valves are found on the left side of the heart?
Which pair of valves are found on the left side of the heart?
Which of the following is NOT a branch of the aorta?
Which of the following is NOT a branch of the aorta?
What is the main reason for the interventricular septum being thicker than the interatrial septum?
What is the main reason for the interventricular septum being thicker than the interatrial septum?
Which of the following statements regarding heart valves is TRUE?
Which of the following statements regarding heart valves is TRUE?
What is the anatomical positioning of the human heart within the chest cavity?
What is the anatomical positioning of the human heart within the chest cavity?
Flashcards
What is a Diad?
What is a Diad?
A specialized structure in cardiac muscle cells, formed by the fusion of T-tubules and terminal cisternae of the sarcoplasmic reticulum, responsible for regulating calcium release and muscle contraction.
How does calcium trigger contraction?
How does calcium trigger contraction?
The movement of calcium ions into the cardiac muscle cell initiates muscle contraction, triggering a cascade that leads to filament interaction and shortening.
What is the role of the T-tubule in cardiac muscle contraction?
What is the role of the T-tubule in cardiac muscle contraction?
The T-tubule carries the electrical impulse into the cell's interior, triggering the release of calcium from the sarcoplasmic reticulum, leading to muscle contraction.
What are terminal cisternae?
What are terminal cisternae?
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Where is the heart located?
Where is the heart located?
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What is the basic structure of the human heart?
What is the basic structure of the human heart?
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Why is the interventricular septum thicker?
Why is the interventricular septum thicker?
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What is the function of heart valves?
What is the function of heart valves?
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Isovolumic relaxation
Isovolumic relaxation
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Ventricular filling
Ventricular filling
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Isovolumic contraction
Isovolumic contraction
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Ventricular ejection
Ventricular ejection
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Heart rate
Heart rate
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Tachycardia
Tachycardia
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Bradycardia
Bradycardia
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Arrhythmia
Arrhythmia
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Myocardium
Myocardium
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Cardiomyocytes
Cardiomyocytes
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Intercalated discs
Intercalated discs
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Syncytium
Syncytium
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Pacemaker cells
Pacemaker cells
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Sinoatrial (SA) Node
Sinoatrial (SA) Node
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Atrioventricular (AV) Node
Atrioventricular (AV) Node
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Electrical Conduction System of the Heart
Electrical Conduction System of the Heart
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Vein Valves
Vein Valves
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Venous Pump
Venous Pump
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Varicose Veins
Varicose Veins
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Sympathetic Nervous System
Sympathetic Nervous System
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Parasympathetic Nervous System
Parasympathetic Nervous System
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Stroke Volume
Stroke Volume
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Cardiac Output
Cardiac Output
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Ventricular Systole
Ventricular Systole
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Ventricular Diastole
Ventricular Diastole
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S1 (First Heart Sound)
S1 (First Heart Sound)
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S2 (Second Heart Sound)
S2 (Second Heart Sound)
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Coronary Circulation
Coronary Circulation
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Phase 4 of Cardiac Action Potential
Phase 4 of Cardiac Action Potential
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Phase 0 (Depolarization)
Phase 0 (Depolarization)
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Phase 1 (Early Repolarization)
Phase 1 (Early Repolarization)
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Phase 2 (Plateau Phase)
Phase 2 (Plateau Phase)
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Phase 3 (Repolarization)
Phase 3 (Repolarization)
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SA Node Cells
SA Node Cells
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Funny Channels (Na+ leak channels)
Funny Channels (Na+ leak channels)
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Capacitance Vessels
Capacitance Vessels
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Venous Circulation
Venous Circulation
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Study Notes
Cardiac Muscle
- Located in the middle layer of the heart (myocardium)
- Situated between the endocardium (inner layer) and epicardium (outer layer)
- Composed of cardiomyocytes
- Cardiomyocytes are short, branched, and interconnected
- Connected by intercalated discs for electrical and mechanical communication
Cardiac Muscle Layers
- Epicardium: The outermost layer of the heart
- Protects the heart from external impacts
- Coronary arteries and nerves pass through this layer
- Composed of thin connective tissue and mesothelium
- Myocardium: The middle and thickest layer
- Composed of cardiomyocytes
- Responsible for pumping blood
- Striated muscle cells connected by intercalated discs
- Endocardium: The innermost layer
- Lines the heart chambers and valves
- Provides a smooth surface to direct blood flow
- Composed of thin connective tissue and endothelial cells
Cardiac Muscle Tissue Structures
- Intercalated Discs: Connections between cardiomyocytes
- Gap junctions: Facilitate rapid electrical impulse transmission
- Desmosomes: Provide mechanical strength, maintaining cell connection during contractions
- Striations: Similar to skeletal muscle, due to the organized arrangement of actin and myosin filaments
Cardiac Muscle Tissue DIAD
- DIAD is a structure unique to cardiac muscle cells, formed by the t-tubule and terminal cisternae of the sarcoplasmic reticulum.
- Unlike skeletal muscle, cardiac muscle has DIADS (dyadic structure), not TRIADS, facilitating calcium regulation.
- Tubular structures (t-tubules) extending deep within the cell, derived from the sarcolemma
- Terminal cisternae: Calcium-storing part of the sarcoplasmic reticulum
Cardiac Muscle Contraction
- Contraction begins with calcium ions entering the cell (calcium-induced calcium release)
- DIAD transmits action potential from the t-tubule to the sarcoplasmic reticulum
- calcium release from the terminal cisternae initiates contraction
- Contraction mechanism differs slightly compared to skeletal muscle due to different structural arrangement (DIAD/TRIAD difference)
Cardiac Anatomy
- The heart is located in the middle mediastinum, at the level of thoracic vertebrae 5-8
- Four chambers: two atria (atria are positioned above the ventricles), two ventricles
- Internal septa separate the right and left sides of the heart
- Interventricular septum: Thicker than the interatrial septum due to greater ventricular pressure needed during contraction
- Blood enters the right atrium from the superior and inferior vena cava
- The aorta branches into the brachiocephalic artery, left carotid artery, and left subclavian artery
Heart Valves
- One-way valves in the heart ensuring unidirectional blood flow
- Atrioventricular (AV) valves (tricuspid and bicuspid valves) regulate blood flow between atria and ventricles
- Semilunar valves (pulmonary and aortic valves) control blood flow out of the ventricles
- The opening and closing of the valves passively depends on the pressure gradient.
Heart Wall
- Consists of three layers
- Endocardium (innermost)
- Myocardium (middle)
- Epicardium (outermost)
- Cardiomyocytes are responsible for the contraction function
- Intercalated discs (bridges) facilitate rapid signal transmission throughout the heart
Heart Syncytia
- The heart has two distinct functional syncytia: atrial and ventricular
- Separated by fibrous tissue (annulus fibrosus)
- Atria contract first because their syncytia is separate from the ventricles
Heart Rate
- The frequency of heart contractions per minute (bpm)
- Normal resting adult human heart rate is 60-100 bpm
- Heart rate varies according to physical needs
Heart Rate Regulation
- Tachycardia: heart rate > 100 bpm
- Bradycardia: heart rate < 60 bpm
- Arrhythmia: Irregular heart rhythm
Cardiac Output
- The volume of blood pumped by the heart per minute (ml/min)
- Cardiac output (CO) = Stroke volume (SV) x Heart rate (HR)
- Normal cardiac output value for a typical adult is about 5600 ml/min (70ml/beat x 80 beats/min)
Factors Affecting Heart Rate and Stroke Volume
- Autonomic nervous system (sympathetic and parasympathetic)
- Hormones (e.g., epinephrine, norepinephrine, thyroxine, adrenaline)
- Exercise
- Blood volume, pressure
- Stress
Blood Pressure Regulation
- Blood Pressure is regulated in two ways
- Short-term: Neural (vasomotor center in medulla oblongata, Baroreceptors), rapid changes
- Long-term: Hormonal (renin-angiotensin-aldosterone, ADH), slower response
- Blood Volume fluctuations affect blood pressure
- High volume leads to increased blood pressure
- Low volume leads to decreased blood pressure
Coronary Circulation
- Coronary arteries supply the myocardium with oxygen and nutrients.
- Two main arteries come from the ascending aorta:
- Left coronary artery (LCA) that branches into left anterior descending (LAD) and circumflex arteries
- Right coronary artery (RCA) supplying the right side of the heart.
Venous Circulation
- Blood from all systemic veins is collected into the right atrium via the superior and inferior vena cava
- Veins are capacitance vessels, capable of storing blood
- Valves prevent backflow.
Heart Sounds
- S1: "Lub" sound (beginning of ventricular systole), closure of the AV valves
- S2: "Dub" sound (beginning of ventricular diastole), closure of the semilunar valves
- Crucial for assessing cardiac function
Cardiac Action Potential (ventricle)
- Resembles normal action potentials, but with specific phases
- Phase 0: Depolarization
- Phase 1: Early Repolarization
- Phase 2: Plateau phase (important, delayed repolarization)
- Phase 3: Repolarization
- Phase 4: Resting phase
- Channels involved in these phases: Na+, Ca2+, and K+.
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