BIOC34H3 Lecture Notes - Lecture 3: Atrial Fibrillation, Defibrillation, Cardiac Cycle

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amberherring123

15 Jan 2017

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Document Summary

Double peak in qrs, for 1 normal contraction and a delayed contraction which is indicative of left depolarization. Any abnormality that happens in the atria is not as bad as what happens in the ventricles. Most of the filling in the ventricles is passive, we don"t rely on atria contraction to fill in the ventricles. Atrial fibrillation is when the atria are not contracting properly, its not as serious because you still have waves of depolarization. It isn"t a critical emergency because the ventricles are still pumping blood. Happens because some cardiac cells come out of refractory period and are stimulated. Refractory period is the period after depolarization, when the fibre can not be stimulated for a brief period of time. Another stimulation that comes along can not cause depolarization and contraction again, the channels can no longer respond to stimulus. In a re-entry circuit, there is some form of abnormality (disease) leads to a current block.

Related Questions

Question 5. Dr. Campbell used an elliptical trainer for 40 minutes at the gym. Although the workload remained constant, Dr. Campbellâs heart-rate rose to 150 beats per minute during the first 5 minutes, stayed at that level for the next 25 minutes and then started to rise. It was 180 beats per minute at the end of the exercise period.

What was the time interval between QRS complexes when Dr. Campbellâs heart rate was 180 beats per minute?

a. 3.3 ms

b. 33 ms

c. 333 ms

d. 3333 ms

Question 6. In the question 5 above, Dr. Campbellâs heart rate is most likely to have risen during the last 10 minutes of exercise because his:

a. lungs were becoming congested

b. atrial cells were fatigued

c. extracellular Ca2+ concentration had increased

d. hematocrit increased due to sweating

Question 7. A Physiology student is sitting still in a cold igloo. After 30 minutes, she stands up, walks slowly around the igloo, and suddenly starts to shiver.

The student preserved their core temperature while they were sitting by:

a. depressing their Frank-Starling mechanism

b. decreasing the extracellular Ca2+ concentration

c. relaxing smooth muscles in their peripheral circulation

d. increasing the resistance of arterioles in their arms and legs

Question 8. In the question 7 above, the student started to shiver soon after walking because:

a. their atria started to fibrillate

b. their ventricles started to fibrillate

c. blood moved to the periphery, became cold, and chilled the core when it returned to the chest

d. the ATP concentration in their skeletal muscles had dropped to zero

Please use the following scenario for answering the questions 9 and 10.

A newly discovered drug binds to myosin molecules in cardiac muscle (and nowhere else) and increases the probability that myosin molecules in ventricular cells will bind to actin filaments when the intracellular Ca2+ concentration rises. The drug is being tested as a potential therapy for patients with heart failure.

Question 9. This drug might help people who have low cardiac output by:

a. increasing peripheral resistance

b. increasing the force developed by ventricular cells

c. increasing the isovolumic contraction time

d. increasing heart rate

Question 10. The increased binding of cardiac myosin molecules to actin might prevent the drug from being a useful treatment by:

a. slowing ventricular relaxation

b. decreasing the duration of systole

c. decreasing resistance of capillaries

d. slowing heart rate

cyanduck846

Question 1. Increased peripheral edema could be caused by:

a. blocked lymph vessels

b. decreased capillary blood pressure

c. increased concentration of albumin in the blood

d. slowed heart rate

Question 2. The pulse pressure of a healthy student is most likely to be:

a. 5 mm Hg

b. 30 mm Hg

c. 95 mm Hg

d. 120 mm Hg

Question 3. beta-blockers inhibit the activity of beta-adrenergic receptors and change the function of the heart by:

a. increasing heart rate and increasing contractility

b. increasing heart rate and decreasing contractility

c. decreasing heart rate and increasing contractility

d. decreasing heart rate and decreasing contractility

Question 4. In cardiac pacemaker cells, the L-type calcium channels:

a. open during diastole

b. close when the membrane potential rises above threshold

c. are located in the cell membrane

d. pump Ca2+ ions into the sarcoplasmic reticulum