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Regulation of cardiac muscle contraction. Graded contractions Effect of cardiac muscle stretching Channel activity during action potentials In myocardial contractile cells In autorhythmic pacemakers. Graded contraction. The amount of force varies with the number of cross-bridges formed
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Regulation of cardiac muscle contraction • Graded contractions • Effect of cardiac muscle stretching • Channel activity during action potentials • In myocardial contractile cells • In autorhythmic pacemakers
Graded contraction • The amount of force varies with the number of cross-bridges formed • Low Ca++ few cross-bridges • High Ca++ more cross-bridges
The effect of epinephrine and norepinephrine of contraction • NE and E bind to beta 1 receptors on contractile myocardial cells • The beta 1 receptor is coupled to a G protein • Cyclic AMP is formed
The effect of epinephrine and norepinephrine of contraction • cyclic AMP is formed • 1. Voltage gated Ca++ channels are phosphorylated stay open longer more intracellular Ca++ stronger contractions • 2. A regulatory protein, phospholamban, is phosphorylated increased activity on SR Ca++ ATPase contractions shorten duration
Effect of phospholamban on Ca++ release • NE and E activity • increase phospholamban activity • increase Ca++ ATPase activity on SR • more Ca++ is sequestered into the SR • more Ca++ is available for Ca++ release during stimulation • stronger force of contraction
Effect of NE and E on contraction • Stronger, more frequent contractions
When myocardial cells elongate • The amount of Ca++ entering the myocardial cells may increase the force of contraction increases
Myocardial contractile cell action potentials • Resting potential is stable -90 mV • Wave of depolarization through gap junctions • Voltage gated Na+ channels open • Voltage gated K+ channels open • Slow voltage gated Ca++ channels open and K+ channels close • Ca++ channels close and K+ channels open
Long action potential • Myocardial cell refractory period and contraction end simultaneously
Action potentials in myocardial autorhythmic cells • The channels: • If channels allow passage of Na+ and K+ • Ca++ channels
Action potentials in myocardial autorhythmic cells • Unstable resting membrane potential • Pacemaker potential • At a membrane potential of -60 mV Na+ enters through the If channels • mb depolarizes • Ca++ channels open • Ca++ channels close • K+ leaves
Modulation of autorhythmic cells • NE (sympathetic) and E (adrenal hormone) • Autorhythmic cells have beta1 receptors • Cyclic AMP levels increase • Properties of If and Ca++ channels altered • More rapid Na+ and Ca++ entry • Rapid action potential • Rapid contractions
Modulation of autorhythmic cells • Parasympathetic, acetyl choline • Muscarinic receptors • K+ channels open mb hyperpolarizes cell less excitable • Ca++ channel less likely to open slower depolarization cell is less excitable