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Muscle types:
- skeletal (striated) muscle
- smooth muscle (intestines, blood vessels, uterus)
- cardiac muscle (exclusively heart)
tendon
fascicle
fibre - myofibril
sarcoplasmic reticulum
terminal cysternae
Scheme of myofibril
synaptic button
synaptic vesicles
end plate
myofibril
myofibril
AC
terminal cysternae RR
DHPR
Ca++
Ca++
T tubule
sarcoplasm
ATP ADP
myosin
Biophysics: muscle contraction
ATP binding
detachment of Pi
1 2 3
Bachmann’s bundle
Sinoatrial node
A-V (His) bundle
Purkinje fibres
Junctional fibres
Cells of S-A node, A-V node and Purkinje cells can depolarise
spontaneously and therefore can act as cardiac pacemakers. The
inherent spontaneous rate of depolarisation is progressively slower from
the S-A node down to the Purkinje fibres. The rate of action potential
firing in S-A node is 78 min-1, in A-V node 50 min-1 and in Purkinje cells
30 min-1.
Cells of sinoatrial node are the primary pacemaker cells of the heart.
These cells are characterised as having no normal resting potential –
after the action potential the membrane potential successively increases
until the threshold potential is reached. This process is called
spontaneous depolarisation.
spontaneous depolarisation
Na
Ca 1
Ca 2
1
2
0 3
The rate of S-A node action potential firing can be regulated by factors
influencing the spontaneous depolarisation as well the action potential of
pacemaker cells.
1 K 0 K1 K 2
V (r ) = + 2 + 3 + ...
4πεε 0 r r r
where K0, K1, K2 ... are moments of charge distribution and r is the
distance between the centre of charge distribution and point at which the
potential is calculated. For the heart the above formula can be simplified.
Since heart is not electrically charged K0 = 0 (K0 corresponds to the
charge of the considered object).
Biophysics: muscle contraction
K1 = ql cosα = p cosα
p
α
K1 = p cosα
r
-
ECG leads
For the ECG recording two different types of leads are used: unipolar
and bipolar.
mV mV
V1 0 V1 V2
unipolar bipolar
Unipolar leads measure the potential of a single electrode, bipolar leads
determine the voltage between two electrodes.
Biophysics: muscle contraction
aV
Goldberger Wilson
The lower case “a” means augmented – the readings obtained by this
method has to be amplified to obtain signal amplitude identical as
bilpolar reading amplitude.
Modern ECG's utilize 12 leads which are composed of 6 limb leads and 6
precordial leads.
Limb leads are: I, II, III, aVR, aVL, and aVF. Limb leads are connected to
the points forming the Einthoven triangle.
- I +
- -
II III
+ +
I, II and III leads are bipolar. aVR, aVL and aVF are unipolar
(Goldberger) and their electrodes are located identically as I, II abd III.
Precordial leads are: V1, V2, V3, V4, V5 and V6 (Wilson).
Biophysics: muscle contraction
T
P
interval Q segment
S
complex
The electrical axis of the heart (in frontal plane) is determined using the
limb leads (I, II and III). The averaged QRS complex (sum of the Q, R, S
amplitudes or areas taken positive when wave has upward direction) of
each leads pair is presented as a vector on the corresponding direction.
The electric axis of the heart is the sum of two such vectors.
L - +R
- - -120
-90
-60
-150 -30
180 0
150 30
++ range of normal
F 120 60 axis positions
90