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Ch. 17 The Cardiovascular System I: The Heart
Chapter 17, Problem 17.4a

An experimental toxin makes the refractory period of cardiac muscle cells equal in length to that of skeletal muscle fibers. Predict the consequences of this toxin. (Connects to Chapter 10)

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1
Understand the concept of refractory periods: The refractory period is the time during which a cell is unable to respond to a new stimulus. In cardiac muscle cells, this period is longer than in skeletal muscle fibers, preventing tetanus (sustained contraction).
Identify the normal function of cardiac muscle refractory periods: The long refractory period in cardiac muscle cells ensures that the heart has time to fill with blood before the next contraction, maintaining effective pumping action.
Consider the effect of shortening the refractory period: If the refractory period of cardiac muscle cells is shortened to match that of skeletal muscle fibers, the heart could potentially undergo tetanic contractions.
Predict the physiological consequences: Tetanic contractions in the heart would prevent it from relaxing and filling with blood, leading to impaired cardiac function and potentially life-threatening conditions.
Summarize the impact: The toxin would disrupt the heart's ability to pump blood effectively, highlighting the importance of the longer refractory period in cardiac muscle cells for normal heart function.

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Key Concepts

Here are the essential concepts you must grasp in order to answer the question correctly.

Refractory Period

The refractory period is the time during which a cell is unable to respond to a second stimulus after an action potential. In cardiac muscle cells, this period is longer than in skeletal muscle fibers, preventing tetanus and allowing the heart to fill with blood between beats. If the refractory period is equalized with that of skeletal muscle, it could lead to continuous contractions, compromising the heart's ability to pump effectively.
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Refractory Period

Cardiac Muscle Physiology

Cardiac muscle physiology refers to the unique characteristics of heart muscle cells, including their ability to generate rhythmic contractions and their reliance on a longer refractory period to prevent tetanus. This is crucial for maintaining a coordinated heartbeat. Altering this physiology with a toxin could disrupt normal heart function, leading to arrhythmias or even cardiac arrest.
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Skeletal Muscle Physiology

Skeletal muscle physiology involves the mechanisms of contraction in voluntary muscles, which can sustain rapid and repeated contractions due to a shorter refractory period. This allows for fine motor control and sustained muscle activity. If cardiac muscle cells adopt this characteristic, it could result in uncontrolled contractions, severely affecting the heart's pumping efficiency and overall circulation.
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Related Practice
Textbook Question

A newer drug, Ivabradine, lowers the heart rate by blocking the nonselective HCN cation channels. Why would this action decrease the heart rate? Would this drug have an effect on pacemaker cells, contractile cells, or both? Explain.

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Textbook Question

Which of the following statements is true?


a. The tricuspid valve is located between the right atrium and the right ventricle.

b. The mitral valve is located between the pulmonary veins and the left atrium.

c. The pulmonary valve is located between the pulmonary artery and the pulmonary veins.

d. The aortic valve is located between the right ventricle and the aorta.

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Textbook Question

Mr. Watson has been diagnosed with mitral insufficiency, or a malfunctioning mitral valve, which causes the valve to not close properly. Predict the signs and symptoms you might expect from a disease of this valve. What would happen to the patient's stroke volume and cardiac output? Explain. What might help improve his cardiac output?

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Textbook Question

How do pacemaker cardiac muscle cells differ from contractile cardiac muscle cells? What is autorhythmicity?

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Textbook Question

Cardiac muscle cells are joined by structures called:


a. T-tubules.

b. tight junctions.

c. sarcoplasmic reticulum.

d. intercalated discs.

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Textbook Question

Mark the following statements as true or false. If a statement is false, correct it to make a true statement.


a. The rapid depolarization phase of the contractile cell action potential is due to the opening of voltage-gated potassium ion channels.

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