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Chapter 3.4 Properties of Cardiac Muscle

BOOK TITLE: Understanding Medical Physiology: A Textbook for Medical Students

Author
1. Bijlani R.L.
ISBN
9788180612213
DOI
10.5005/jp/books/10999_19
Edition
3/e
Publishing Year
2004
Pages
5
Author Affiliations
1. All India Institute of Medical Sciences, New Delhi
Chapter keywords
electrophysiology, refractory period, denervated heart, mechanical response, compensatory pause, complete refractoriness, extrasystole, functional syncytium, cardiovascular function, staircase phenomenon, Stannius ligature, atrial rhythm, crescentric line, premature contraction, relaxation period, threshold stimulus

Abstract

This chapter discusses properties of cardiac muscle, which can be easily understood in light of the structural features and electrophysiology. The capability to contract even in the absence of neural control is called automaticity. Rhythmicity is conferred on the heart by the pacemaker tissue. Refractory period is the period during which a stimulus fails to evoke a response. In a beating heart, if an external stimulus is applied during contraction, there is no response irrespective of how strong the stimulus is. Since a fresh action potential has to be associated with every mechanical response, the mechanical responses of cardiac muscle cannot be merged. Since the refractory period is related to the duration of contraction, it is dependent on the heart rate. During the relaxation period, cardiac muscle is in the relative refractory period. The junction of the sinus venosus and atria can be easily blocked by tying a knot around it.

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