Cardiac Muscle

Home ] Up ]


  • striated muscle of mononuclear cells
  • electrically and mechanically coupled at intercalated discs
  • Tissue operates as functional syncitium
  • nuclei centrally located
  • less powerful than skeletal muscle
  • capable of generating repetitive, fatigue resistant rhythmic contractions
  • Contractility generated by actin and myosin II sliding filaments
  • cardiac myocytes develop from precursor cells of pericardial cavity and not from somites
  • Structure:
    • branched myocytes, cross striations visible but less conspicuous than in skeletal muscle
    • intercalated discs
      • attach cells together at desmosomes
      • connect actin filaments of adjacent myocytes
      • contain gap junctions which allow an action potential to spread from one cell to another
    • myofilament and T-tubules less well delineated or organised than skeletal muscle
    • Mitochondria numerous
    • contraction is myogenic
      • activated by increasing levels of free cytosolic Ca++
    • Myocardial contraction is asynchronous
    • autonomic nerve system acts on cardiac pacemaker region
      • SA node > AV node > bundle of His > Purkinje fibre system
    • No stem cells remain.
      • ischemia leads to myocyte necrosis, replacement by scar tissue

 

6.8.2 Cardiac Muscle [Phys]

Contrast with skeletal muscle. Absence of motor units and twitch-summation; control of pumping via frequency and chemical (autonomic) input (ACh, noradrenaline, adrenaline). Starling’s law of the heart. Electrical syncitium for cardiac muscle: nexuses. Action potential in heart; ionic basis, Na+, Ca2+, Na-Ca exchange currents and K+ currents. Functional advantage of long action potential. Heterogeneity of cardiac action potential coupled with functional pathways of conduction in the heart. Mechanism of excitation-contraction coupling; role of Ca2+. Length–tension curve.
 

Home ] Up ]