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Questions and Answers
What effect does increased preload have on stroke volume (SV)?
What is defined as the resistance the heart must overcome to eject blood?
How does increased afterload affect cardiac output (CO)?
Which statement correctly describes the relationship between preload and stroke volume according to the Frank-Starling Mechanism?
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Which of the following statements is true regarding afterload?
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What type of muscle tissue is characterized by having a fast contraction time suitable for quick movements?
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Which muscle type is responsible for involuntary control and maintains tension in blood vessels and organs?
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What is the primary structural difference between skeletal and smooth muscle?
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During the action potential of cardiac muscle, what phase is characterized by Ca2+ influx maintaining depolarization?
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What is the characteristic of skeletal muscle fibers regarding their arrangement?
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Which statement accurately describes the contraction duration of skeletal muscle compared to smooth muscle?
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What initiates the calcium release in skeletal muscle contraction?
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Which phase of the skeletal muscle contraction cycle occurs first?
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Which component is NOT involved in the relaxation of skeletal muscle?
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What is true about the duration of skeletal muscle contraction?
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Which of the following best describes stroke volume?
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What does the QRS complex in an ECG represent?
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Which of the following factors is NOT associated with regulating stroke volume?
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How is cardiac output calculated?
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Study Notes
Frank-Starling Mechanism and Cardiac Function
- Greater preload enhances stroke volume (SV) by increasing ventricular filling.
- Afterload is the resistance the heart must overcome to eject blood; higher afterload decreases SV and cardiac output (CO).
Skeletal Muscle Characteristics
- Muscle action potentials are shorter (1-2 milliseconds) without a plateau phase, characterized by rapid depolarization and repolarization.
Skeletal Muscle Contraction Cycle
- Action Potential: Initiated at the neuromuscular junction, propagating through T-tubules.
- Calcium Release: Calcium ions are released from the sarcoplasmic reticulum into the cytoplasm.
- Calcium Binding: Calcium binds to troponin, shifting tropomyosin to uncover actin-binding sites.
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Cross-Bridge Cycling:
- Attachment: Myosin heads attach to exposed actin sites.
- Power Stroke: Myosin head pivots, pulling actin filament due to ADP release.
- Detachment: Myosin detaches when ATP binds to it.
- Reactivation: ATP is hydrolyzed, resetting the myosin head for another cycle.
- Relaxation: Calcium is taken back into the sarcoplasmic reticulum, covering the actin sites.
Sarcomere Function
- Sarcomere: The basic contractile unit of muscle, spanning from one Z-line to the next.
- Contraction: Sarcomeres shorten as myosin pulls actin filaments inward.
- Relaxation: Lengthening occurs as cross-bridges detach, returning to resting position.
ECG Components
- P Wave: Represents atrial depolarization.
- QRS Complex: Indicates ventricular depolarization.
- T Wave: Reflects ventricular repolarization.
- PR Interval: Duration of atrial to ventricular conduction.
- ST Segment: Transition phase from ventricular depolarization to repolarization.
Cardiac Terminology
- Stroke Volume (SV): Blood volume ejected per heartbeat, influenced by preload, afterload, and contractility.
- Cardiac Output (CO): Total blood volume pumped by the heart per minute; calculated as CO = SV × Heart Rate (HR).
- End-Diastolic Volume (EDV): Blood volume in ventricles at the end of the filling phase.
- End-Systolic Volume (ESV): Blood volume remaining in ventricles post-contraction.
- Preload: Myocardial stretch degree before contraction, associated with EDV.
Muscle Type Contraction Characteristics
- Skeletal Muscle: Fast contraction time, ideal for rapid movements.
- Smooth Muscle: Slow contraction, providing sustained tension.
- Cardiac Muscle: Intermediate contraction time, continuous heartbeats.
Structural Differences between Muscle Types
Skeletal Muscle
- Composed of striated, multinucleated fibers, organized into parallel sarcomeres.
- Functions in voluntary movement and force production.
Smooth Muscle
- Comprised of non-striated, single-nucleus cells anchored by dense bodies.
- Functions under involuntary control; maintains tension in blood vessels and various organs.
Action Potential Comparison
Cardiac Muscle
- Action potentials last longer (200-300 ms) due to a plateau phase.
- Phases include:
- 0: Rapid depolarization through Na+ influx.
- 1: Partial repolarization from K+ efflux.
- 2: Plateau phase maintained by Ca2+ influx.
- 3: Repolarization through K+ efflux.
- 4: Resting membrane potential is established.
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Description
Test your understanding of key concepts in cardiovascular physiology, focusing on the Frank-Starling mechanism and the roles of preload and afterload. Discover how these factors influence stroke volume (SV) and cardiac output (CO) in the heart's functioning.