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Cardiac action potential

Cardiac action potential

Cardiac action potential


PhaseDescriptionMechanism
0Rapid depolarisationRapid sodium influx
These channels automatically deactivate after a few ms
1Early repolarisationEfflux of potassium
2PlateauSlow influx of calcium
3Final repolarisationEfflux of potassium
4Restoration of ionic concentrationsResting potential is restored by Na+/K+ ATPase
There is slow entry of Na+ into the cell decreasing the potential difference until the threshold potential is reached, triggering a new action potential

NB cardiac muscle remains contracted 10-15 times longer than skeletal muscle

Conduction velocity

SiteSpeed
Atrial conductionSpreads along ordinary atrial myocardial fibres at 1 m/sec
AV node conduction0.05 m/sec
Ventricular conductionPurkinje fibres are of large diameter and achieve velocities of 2-4 m/sec, the fastest conduction in the heart. This allows a rapid and coordinated contraction of the ventricles
+PassMedicine Notes

Cardiac action potential

swb006.png#http://en.wikipedia.org/wiki/Cardiac action potential

Phase_ Description _ Mechanism| 0 _ Rapid depolarisation _ Rapid sodium influx These channels automatically deactivate after a few ms| 1 _ Early repolarisation _ Efflux of potassium| 2_ Plateau _ Slow influx of calcium| 3_ Final repolarisation _ Efflux of potassium| 4 _ Restoration of ionic concentrations _ Resting potential is restored by Na+/K+ ATPase There is slow entry of Na+ into the cell decreasing the potential difference until the threshold potential is reached, triggering a new action potential|

NB cardiac muscle remains contracted 10-15 times longer than skeletal muscle

Conduction velocity

Site_Speed| Atrial conduction _ Spreads along ordinary atrial myocardial fibres at 1 m/sec| AV node conduction _ 0.05 m/sec| Ventricular conduction _ Purkinje fibres are of large diameter and achieve velocities of 2-4 m/sec, the fastest conduction in the heart. This allows a rapid and coordinated contraction of the ventricles |

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