CardiovascularQ&A Library

How does the heart initiate its activity?

The heart initiates its activity through a property known as auto-rhythmicity. This is the ability of the autorhythmic cells, to spontaneously generate and conduct electrical potentials at a fixed rate. Unlike skeletal or smooth muscle cells, these cardiac cells have the unique capability to spontaneously generate action potentials, a feature essential to the heart’s function as a self-activating pump.
Action Potential Generation in Autorhythmic Cells: Autorhythmic cells, unlike most other cells, do not have a stable resting potential. These cells gradually depolarize, a phase known as the pacemaker potential, which leads to the generation of an action potential. This gradual depolarization is due to a slow influx of sodium ions (Na⁺) and a decrease in the efflux of potassium ions (K⁺). When the pacemaker potential reaches a certain threshold, voltage-gated calcium channels open, allowing calcium ions (Ca²⁺) to enter the cell. This influx of calcium ions leads to the rapid depolarization phase of the action potential. The unique role of calcium ions in the depolarization phase is a key difference between autorhythmic cells and other excitable cells, like neurons, where the rapid depolarization is mainly due to sodium ions.

Dr Mona

Dr. Mona Mohamed Ibrahim Abdalla is a distinguished medical physiologist with over 19 years of experience in teaching and research. Her expertise lies in endocrine physiology and medical education, contributing significantly to the understanding of obesity and its related complications. Dr. Mona is renowned for her innovative teaching methods and has been recognized with multiple awards, including the Best Physiology Teacher’s Award. She is a Senior Lecturer at the International Medical University in Malaysia, where she leads the physiology discipline. Dr. Mona's commitment to medical education and research is evident in her extensive publication record and active participation in academic and scientific communities.

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