Cardiac Action Potentials

Dr Matt & Dr Mike2 minutes read

The heart functions through two main cell types: contractile cells that pump blood and conducti cells that generate and transmit electrical signals to regulate heart rhythm, primarily through the SA and AV nodes. The coordinated action of calcium and potassium ions during action potentials ensures synchronized contractions and maintains a consistent heart rhythm, crucial for effective cardiac function.

Insights

  • The heart is regulated by two main types of cells: contractile cells, which are responsible for pumping blood, and conducti cells, such as the SA and AV nodes, that generate and transmit electrical signals to maintain the heart's rhythm, firing at a rate of 60 to 100 beats per minute.
  • Calcium plays a critical role in the heart's function; during depolarization, calcium ions enter the cells, which is essential for both setting a consistent heart rhythm and enabling muscle contraction, while the absolute refractory period ensures that heart muscle cells contract in a coordinated manner, preventing premature contractions and allowing the heart to function effectively as a unit.

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Recent questions

  • What is a contractile cell?

    A contractile cell is a type of heart cell responsible for pumping blood. These cells, known as cardiomyocytes, contract in response to electrical signals, allowing the heart to function effectively. They have a resting membrane potential of around -90 mV and require a specific threshold to initiate action potentials. When stimulated, contractile cells undergo a rapid influx of sodium ions, followed by calcium ions, which leads to muscle contraction. This process is crucial for maintaining the heart's rhythm and ensuring that blood is efficiently circulated throughout the body.

  • How does the heart maintain its rhythm?

    The heart maintains its rhythm primarily through specialized cells known as conducti cells, which include the sinoatrial (SA) node and the atrioventricular (AV) node. These cells act as natural pacemakers, generating electrical impulses that trigger heartbeats. The SA node fires at a rate of 60 to 100 times per minute, setting the pace for the entire heart. The electrical signals produced by these conducti cells spread through the heart muscle, coordinating contractions and ensuring that the heart beats in a synchronized manner. This rhythmic activity is essential for effective blood circulation.

  • What is the role of calcium in heart function?

    Calcium plays a critical role in heart function, particularly during the process of muscle contraction. When the heart's conducti cells reach a certain threshold during depolarization, calcium channels open, allowing calcium ions to enter the cells. This influx of calcium is essential for triggering the contraction of contractile cells, as it facilitates the release of more calcium from the sarcoplasmic reticulum. The presence of calcium during the plateau phase of the action potential is crucial for maintaining the timing of heart contractions and preventing premature beats, ensuring that the heart functions efficiently.

  • What is resting membrane potential?

    Resting membrane potential refers to the electrical charge difference across the cell membrane when a cell is not actively transmitting signals. In heart cells, the resting membrane potential is typically around -90 mV for contractile cells and varies for conducti cells. This polarized state is maintained by the sodium-potassium ATPase pump, which expels three sodium ions for every two potassium ions it imports, creating a more positive environment outside the cell. This charge difference is vital for the generation of action potentials, as it sets the stage for the rapid depolarization and repolarization processes that occur during heartbeats.

  • What is the absolute refractory period?

    The absolute refractory period is a crucial phase in the cardiac cycle that ensures the heart muscle cells contract in a synchronized manner. During this period, which follows depolarization, the heart cells cannot respond to any new stimuli, regardless of the strength of the signal. This is essential for preventing premature contractions and allowing the heart to function as a cohesive unit. The absolute refractory period is facilitated by gap junctions that transmit action potentials between cells, ensuring that all contractile cells respond simultaneously. This synchronization is vital for effective pumping of blood and maintaining a steady heart rhythm.

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Summary

00:00

Heart Cell Types and Electrical Activity

  • The heart consists of two main cell types: contractile cells, which pump blood, and conducti cells, which generate and transmit electrical signals to regulate heart rhythm.
  • The SA node (sinoatrial node) and AV node (atrioventricular node) are key conducti cells, acting as pacemakers to set the heart's rhythm, firing 60 to 100 times per minute.
  • Cardiac muscle cells, or cardiomyocytes, contract when triggered by action potentials, which are initiated by the depolarization of conducti cells.
  • The sodium-potassium ATPase pump maintains a charge difference across cell membranes by expelling three sodium ions (Na+) for every two potassium ions (K+) it imports.
  • Resting membrane potential is established with a polarized state, where the outside of the cell is more positive due to sodium outside and potassium inside.
  • Conducti cells have a "funny sodium channel" that allows sodium to leak in, gradually depolarizing the cell until it reaches a threshold of -40 mV, triggering calcium channels to open.
  • Calcium ions (Ca2+) enter the cell when the threshold is reached, causing further depolarization until the membrane potential reaches approximately +10 mV.
  • After depolarization, potassium channels open, allowing K+ to exit the cell, repolarizing the membrane back to a negative state.
  • Contractile cells have a resting membrane potential of around -90 mV and require a threshold of -70 mV to initiate action potentials, which involve rapid sodium influx.
  • The action potential in contractile cells differs from conducti cells, as they rely on both sodium and calcium influx, followed by potassium efflux, to generate muscle contraction.

15:29

Heart Contraction and Calcium Dynamics Explained

  • The plateau phase lasts approximately 200 milliseconds, allowing calcium to slowly enter the cell while potassium leaks out, crucial for the heart's contraction timing and preventing premature action potentials.
  • Calcium influx during depolarization sets a consistent heart rhythm; if blocked, it slows the heart rate, while calcium release from the sarcoplasmic reticulum is essential for muscle contraction.
  • The absolute refractory period ensures synchronized contraction of heart muscle cells, allowing them to act as a unit, facilitated by gap junctions that transmit action potentials between cells.
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