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Cardiac Contraction

Monday, 19 March 2012 3:09 PM

Cardiac Co...

Contractions are caused by an influx of calcium to the interior of the cell The heart requires ionic calcium in the extracellular environment, in order to contract (in addition to calcium from internal stores). Calcium influx from the exterior of the cell causes calcium to be released from the interior of the cell (from the sarcoplasmic reticulum). Calcium enables myosin bind to actin (troponin and tropomyosin are detached). ATP is used to detach myosin from actin (hence lack of ATP, due to death, causes rigor mortis). Transverse (T) tubule: enables conduction of action potential to interior of muscle cell

Calcium-induced calcium release L-Type Calcium Channel

Calcium release channels

Stroke Volume: the volume of blood pumped in one beat The output of the heart from the left ventricle must match that of the right ventricle (output must match input). Frank-Starling Law Hence the force of contraction of the heart increases when end-diastolic pressure and volume is
Case Based Learning Page 1

Hence the force of contraction of the heart increases when end-diastolic pressure and volume is increased, i.e. muscle is stretched. (may be due to increased venous return to the heart) Types of Heart Failure: Systolic Diastolic

Sympathetic stimulation assists in maintaining proper cardiac function, however proper function is not completely attainable.

Case Based Learning Page 2

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