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Conduction: Microanatomy and Physiology

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Answer
The functional layers of the heart   Endocardium (inner lining of heart), Epicardium (Outer lining of the heart), Myocardium (heart muscle)  
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Endocardium   In contact with blood, simple squamous (endothelium), Valves and Ct are outgrowths of endocardium  
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Epicardium   Contains blood vessels, simple squamous (mesothelium), also the same thing as visceral pericardium  
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Myocardium   Cardiac muscle  
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Intercalated Discs allow for   Coordinated heart contractions, connect cytoplasm of each cell to the cytoplasm of neighbors  
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Cardiac nuclei are located   centrally  
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SA node is located in the   Right atria  
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AV node is located in   Septal wall of the right atrium  
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Purkinje cells appear as   slightly transparent, large diameter cardiac myocytes in the endocardium  
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Mesothelial lining   A serious layer that releases fluid to keep the heart from adhering to parietal pericardium  
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Annulus fibrosis   A fibrous skeleton of connective tissue that insulates ventricles from the atria. Only depolarization from the AV node penetrates  
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___initiate the contraction of the heart   Action potentials  
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Three areas of the heart that have automaticity (spontaneous depolarization)   SA node, AV node, (some)Purkinje fibers  
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"Phase 4" is also known as the   Slow diastolic depolarization  
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Outflow of potassium (Ik) is involved in   Repolarization  
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"Funny channel" (If) is a   inward sodium current when SA node cells have gone down to -60mV (resting minimum potential)  
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"Phase 4" is due to which ion current   If or funny channel which is an influx of sodium  
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Calcium channels opening cause   An influx of calcium which cause a rapid depolarization  
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Norepinephrine binding to Beta1 on the SA node causes   Increase the function of If (funny channel) which increases rate of diastolic depolarization (Sympathetics)  
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M receptors binding with Acetylcholine in the SA node causes   Increase in the potassium channel which decreases rate of diastolic depolarization (Parasympathetics)  
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Conduction rate in SA node   .05 m/s  
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Conduction rate in atria   1 m/s  
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Conduction rate in AV node   .01-.05 m/s  
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AV nodal conduction is dependent on on voltage-gated _____ channels   Ltype-Calcium  
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Speed of conduction in Purkinje fibers   4-5 m/s  
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