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Human Anatomy & Physiology Notes: Cardiology

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In-depth, organized notes for Human Physiology regarding the heart, cardiology, cardiac muscles, and all things to do with the central organ. Comes with pictures and diagrams, notes from classes and labs, and definitions.











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Uploaded on
April 22, 2025
Number of pages
18
Written in
2022/2023
Type
Class notes
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Dubash
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All classes

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Bio Unit 3 Review

M4-1 Notes
• Ach binds to nicotinic receptors to contract
o Nicotinic for muscle contraction
o Nicotinic cholinergic = chemically-gated Na+ channel
• Motor end plate high concentration of Ach receptors
• Contraction happens as long as Ca2+ is inside cytoplasm
• Muscle twitch = 1 cycle of contraction and relaxation

• ATP needed for both contraction and relaxation

• During E-C coupling, skeletal muscle AP down t-tubules causes release of Ca2+ from SR
• DHP voltage-sensitive, so opens RyR gate with AP
• RyR is on SR
o RyR receptor is Ca2+ channel

• Ca2+ concentrations
o Very concentrated in SR
o High in ECM
o Low in sarcoplasm
o Low in axon terminus

• ATP moves myosin to cocked position via hydrolysis, releasing phosphate

• Anticholinesterase blocks acetylcholinesterase = increases amount of Ach in synapse
• Plasmapheresis filters antibodies out of blood

• Slow-twitch have a lot of myoglobin because need a lot of O2
o Myoglobin in muscle binds to O2
o Hemoglobin carries O2 in blood
• Fast-twitch have lighter color because less O2
o Quick, like eye-movements

• Smooth muscle criss-crossing myofilaments
o Muscle fibers in different directions within organs

• Skeletal muscle contraction
o Somatic motor neuron AP arrives at motor end plate
o Release of Ach from somatic motor neuron causes excitation of skeletal muscle
cell
o AP in skeletal muscle triggers Ca2+ signaling to contract sarcomeres
o Relaxation of muscle after contraction

, • First AP of somatic motor neuron à ACh release
• Second AP of skeletal muscle à sarcomere contraction
o Na+ entry = initial depolarization =skeletal muscle AP
o Perpetuated by VGSC down entire t-tubule
o Finishes long before muscle twitch
• Short refractory period

• Varicosities synthesize, store, and release neurocrines
• Smooth muscle needs more points of contact/more varicosities because longer

• Adrenergic in response to (nor)epinephrine
• Muscarinic in response to acetylcholine

• Ca2+ enters cytoplasm
o From outside cell by VGCC
o From SR by Ca2+ binding to RyR on SR (calcium induced calcium release)
o From SR by IP3 binding to receptor and releasing calcium

• Calcium binds to calmodulin
o Calmodulin-Ca2+ activates myosin light-chain kinase
o Kinase adds phosphate group to myosin light chain = tighter binding
o Increases cross bridge formation = more contraction
• cAMP blocks calmodulin-Ca2+ complex
o In response to metabotropic signaling
o Prevents actomyosin binding = prevents phosphorylation = relaxation

• Tonic: sphincter, blood vessels
• Phasic: esophagus, bladder

M4-2 Notes
• Cardiovascular system needed to deliver O2 in/CO2 out quickly

• Heart on ventral side, between lungs
o Apex points left/inferior
o Base superior
• Pericardial sac encloses heart
o Epicardium and parietal pericardium enclose pericardial cavity
o Pericardial fluid prevents friction
• Epithelial endocardium lines luminal side
o Epicardium lines outer side
• Epicardium innermost layer of pericardial sac

• Afferent vesicles empty into atria

, • Atria = upper; ventricles = lower

• Efferent vesicles from ventricles
• Coronary arteries/veins circulation for heart muscle

• Deox blood to heart, oxy away

• Closed loops by pulmonary/systemic circulatory systems

• Tendons attach flaps to heart wall
o Chordae tendinae are connective tissue
o Connect to papillary muscles
• Flap = cuspid
o Tendons = chordae tendinae
o Muscles = papillary
• Papillary muscles attachment only, not open or close

• Semilunar valves 3 leaflets each, moon-shaped
o No chordae tendinae bc small

• Systole is contraction
• Diastole is relaxation

• Atria contract separately from ventricles
o But L&R atria contract together
o And L&R ventricles

• Blood pressure causes opening/closing of flaps
• Each heart beat pumps abt half of volume if relaxed

• Pacemaker potential depolarizes as reaches threshold = triggers AP
o If channels close at threshold; VGCC open at threshold
• Na+ in, Ca2+ in, K+ out
• Rate of depolarization = pace of autorhythmic
• Opening of VGCC = depolarization
• (Para)sympathetic controls rate of depolarization

• Contractile cell AP phases
o Depolarization: from Na+ influx via gap junction
o Initial repolarization: K+ efflux
o Plateau phase: Ca2+ influx, decreased K+ efflux
o Rapid repolarization: increased K+ efflux, decreased Ca2+ influx
• Plateau caused by Ca2+ influx lengthens AP
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