* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Download the PDF file
Coronary artery disease wikipedia , lookup
Heart failure wikipedia , lookup
Hypertrophic cardiomyopathy wikipedia , lookup
Cardiac contractility modulation wikipedia , lookup
Quantium Medical Cardiac Output wikipedia , lookup
Electrocardiography wikipedia , lookup
Arrhythmogenic right ventricular dysplasia wikipedia , lookup
Myocardial infarction wikipedia , lookup
Dextro-Transposition of the great arteries wikipedia , lookup
LAB EXPERIMENT: UNDERSTANDING THE MECHANICAL AND ELECTRICAL PROPERTIES OF CONDUCTION, CONTRACTION, AND AUTONOMIC INTERVATION IN BULLFROG HEART Sibin Mathews TA: Drew Tilley May 12, 2016 1 I. Introduction The cardiovascular system is made up of blood vessels, approximately 5 liters of blood, and the heart which is the main focus of this lab experiment. Cardiac muscle cells which make up the heartare striated and under involuntary control in which they are mechanically joined via desmosomes giving the intercalated appearance and electrically coupled through gap junctions(Sherwood 2010, pg.258). The heart maintains blood pressure, pumps blood throughout the body, and helps remove waste and also transport nutrients and other important materials to the tissues(Sherwood 2010, pg. 302).Interestingly, the heart has mechanic and electrical properties due to the different types of cardiac cells called contractile and autorhythmiccells. The contractile cells are responsible for the mechanical work while the autorhythmic cells act as pacemaker cells that generate rhythmic action potentials for the contractile cells. Specifically, autorhythmic cells rhythmically depolarize through what is known as funny current channels to provide action potentials for cardiac contractions at the sinoatrial (SA) node which is the fastest and thus the pacesetting node(Sherwood, 2007, pps. 308-309).So to explore the seemingly effortless activations of the nodes, and successive contractions of the different regions of the heart to ultimately pump blood, the bullfrog (Rana catesbiana) was used to understand the different properties underlying heart‟s electrical and mechanic activity, heart‟s response to direct ventricular input and also autonomic input. Compared to the human heart, the physiological and the anatomical properties of the bullfrog‟s heart are distinctly different. For example, the sinus venosus (SV) in the frog heart is the primary pacemaker; however, in the human heart, it is the sinoatrial (SA) node that is the primary pacemaker. Physiologically, humans with a developed sarcoplasmic reticulum, simply 2 initiate contractions through calcium binding allowing myosin and actin to interact to form cross bridge formation; however, frog hearts mostly acquiretheir large amount of calcium for their contractions extracellularly. Anatomically, both species have two atrias, and human hearts separate deoxygenated blood from oxygenated blood through the different compartments including two ventricles and the septum in the heart.However, unlike human heart, frogs only have one ventricle in which the presence of the trabeculae, an anatomical feature not present in humans is used to compartmentalize deoxygenated and oxygenated blood.Frog heart also lacks purkinje fibers that propagate action potential through the heart, and also lack bundle of his which is used to transmit action potentials from the AV node to the speturm and to the ventricles. Furthermore, human have coronary circulation to which the frog also lacks (Bautista et al., 2009). In this experiment, the physiological conditions of conduction, contraction, and autonomic innervation will be experimentally examined in the double-pithed frog. To explore the mechanical and electrical activity of the heart, the ventricle will be directly stimulated, and as a result ventricular contractions will be the main focus of this experiment to explore the intrinsic and extrinsic mechanisms governing contractions. For the first part of the lab during regular heart activity, we expect ventricular contractions to be stronger and greater than atrial contractions because ventricles pump blood to the entire systemic and pulmonary circulation while atria only pumps into the ventricles (Sherwood 2010, pg.319). Worth mentioning for the next part of the experiment is that excitations initiated from areas other than the SA nodecan result in premature ventricular contraction (PVC) or an extrasystolic contraction (ESC). This ESC can affect the end diastolic volume (EDV) and also stroke volume (SV), which combined with heart rate is a product of cardiac output (CO) (Sherwood 2010, pg.321).So to explore these 3 properties governing Frank Sterling‟s law of the heart, ESC was elicited in which the hypothesis was that the contractions would vary depending on the time available for ventricular filling and time of stimulation.(Hoffman et al, 1965). Other properties also explored in this lab include the frog heart‟s response to autonomic nervous input. The autonomic nervous system which is composed of the sympathetic and parasympathetic system innervates and plays an important role in heart rate and the force of heart contractions. During vagal stimulation,when the parasympathetic system is activated, heart rate is expected to decrease, termed bradycardia, due to decreased nodal phase 4 causing slower nodal firings (Sherwood, 2007, p. 326), and force of contraction is also expected to decrease because of (Lewis, 2001). However, activation of sympathetic system is expected to increase heart rate, termed tachycardia, due to an increase frequency and the propagation of the action potential, and also an increase in the force of contraction (Anzola, 1956). Materials and Methods A detailed „materials and methods‟ instructions used in this experiment can be found in the NPB 101L Systemic Physiology Lab Manual (Bautista 2009, pg.43-53). The subject used for the experiment was the double-pitched bullfrog (Rana castebiana), and the electrical and mechanical properties analyzed from the frog was with the use of the Bio-Pac program, version 4.1. The contractile force produced by the frog‟s heart was collected using the p-p tool, and the beats per minute was collected using the BPM tool. Furthermore, the compensatory and latency periods were measured using the delta T tool. In part 1 of the experiment, the frog was safely cut into to access the heart, which was then followed byidentification and isolationof the vagus nerve. Contributing to errors during this 4 part was cutting other nerves leading to the heart, and also mishandling and overstretching of the vagus nerve.Next, in part 2 of the experiment, the transducer was calibrated and a copper wire was inserted into the ventricle and then connected to the newly calibrated force transducer. Then the electrical signals were set upaccording to the lab manual (Bautista et al., 2009, pgs. 46-47). Contributing to errors during this part was that the cooper wire was accidently inserted further from the apex than instructed. Next, in part 3, tension was adjusted and a base heart rate and heart contractile force was recorded for 2 minutes. For the purpose of the lab report, five data points were randomly selected within the 2 minutes of control heart activity, in which mean and standard deviation was measured for atrial and ventricular force of contraction, heart rate, and latency between electrical and mechanical activity. During part 4 of the experiment,the objective was to induce extrasystole (ESC) contractions. However, time constraints and lab mishaps which included a nonfunctional computer in which the frog had to be re set up in another lab station followed by difficulties acquiring observable biometrics in the Bio-Pac system prevented data collection. As a result, data was obtained for late diastole, 2X threshold during late diastole, and early diastole from a fellow lab group in which instructions are assumed to have followed the lab manual (Bautista et al., 2009, pg. 49). Data was again analyzed using the Bio-Pac program, version 4.1 where two data points each were collected for (pre, during and post extrasystole in) late diastole, two times threshold during late diastole, and early systole. The two data points for each step at each event was then averaged and standard deviated for lab purposes. In part 5 of the experiment, the isolated vagus nerve was stimulated using settings from the lab book (Bautista 2009, pg.51). Specifically, the the stimulus voltage was incrementally increased to .8 V were we observed and recorded bradycardia. The data was analyzed and recorded as 10 seconds before and 10 seconds after bradycardia was initiated. Five consecutive 5 data points were respectively taken from both before and after, in which mean and standard deviation was collected for the lab report. In the next step, in part 6, the stimulus voltage was increased to past the value that was used to induce bradycardia,which was 1.2 V, were we elicited and observed cardiac arrest. Five consecutive data points wereselected from each of the different phases of this experiment that were averaged and also standard deviated for the purposes of the lab report. The phases included; one minute prior to vagal stimulation, two minutes during cardiac arrest, one minute after the vagal stimulation, and finally, at also two minute after vagal stimulation. Finally, in part 6, the effect was epinephrine was evaluated.Again, due to lab mishaps (which included a dying frog) and time constraints, data was acquired from a fellow classmate that is assumed to have followed lab manual protocols. For lab report purposes, three points each were consecutively collected and analyzed right before epinephrine injection, and 3 minutes after when we saw the effect of the 4-6 drops of epinephrine injection. Again, the three values from before and after were averaged and standard deviated for analysis. Throughout the experiment, ringer‟s solution was applied to keep the skin and heart moist to allow cutaneous respiration, as well as for the calcium and sodium ions that are necessary for heart activity. Furthermore, the frog‟s legs and body were frequently massaged in between experiments to allow venous return to the heart. Results Part 1: Animal Preparation During this part of the lab experiment, results were not obtainable, but this was a critical and necessary step to isolate the frog heart which was used throughout the lab experiment. Part 2: Preparation of the Frog Heart 6 Again, no results were obtained during this part of the lab experiment, but this was another vital part of the lab to correctly identify and successfully isolate the vagus nerve. Part 3: Electrical and Mechanical Activity of the Heart Data was collected for approximately two minutes to obtain and examine baseline values of ventricular and atrial contractions, heart rate and latency during normal heart activity. As seen in Table 1, the mean ventricular force of contractions during regular heart activity without any stimulation was 0.436± 0.008grams while the mean atrial contraction was0.176± 0.009grams, which almost a 150% decrease from ventricular force. The mean heart beat was measured to be 35.8± 0.988beats per minute. The average latency was measured to be 190± 15.2milliseconds. Table 1: Mean cardiovascular parameters for baseline ventricular force, atrial force, average heart rate and latency were measured under regular heart activity with no additional stimulation. Cardiovascular parameters Mean Ventricular Force (grams) Mean Atrial Force (grams) Average Heart Rate (BPM) Latency (msec) Amount measured 0.43623grams 0.175917 grams 35.76187BPM 190.8 msec Part 4 Extrasystolic Contractions To analyze the effects of extrasystolic contractions on the heart, voltages were delivered to the heart via a stimulator during late diastole, 2X threshold during late diastole, and early diastole. As seen in Figure 1, the forces were recorded before extrasystolic contraction (preESC), at extrasystolic contraction (ESC), and after extrasystolic contraction (post-ESC). For late diastole, the lowest voltage that elicited a extrasystole contraction, called threshold voltage voltage (which is the lowest voltage that elicited extrasystole), was 2.00 V. During direct voltage stimulus in late diastole, the pre-ESC force was measured to be 1.63 ±.059 7 grams while the ESC was 1.79 ±.056 grams (fig. 1). Thus, the ESC was 0.16 grams more in contractile force than pre-ESC,which demonstrates a contractile force increase of 9.80 %. Between the ESC and the post-ESC, there was a compensatory pause of approximately 1.23± .073 seconds (table 2), in which the post-ESC contractile force was measured to be 1.38±.023 grams, which was less than the pre-ESC (fig. 1). Next, the threshold was increased to 2X the initial stimulus voltage used elicit threshold. As a result, the 2X stimulus at 4V in late diastole gave a pre-ESC force of1.77 ± .024 grams while ESC was measured to 2.43 ± .062 grams. The ESC resulted in .66 grams of more contractile force than pre-ESC, thus demonstrating a contractile force increase of 37.0 %. Between the ESC and the post-ESC, thecompensatory pause was approximately 1.25 ± .061 seconds (table 2), in which the the post-ESC contractile force was measured to be 1.42±.023 grams, which was approximately a .350grams, or 20.0 %decrease in of in contractile force compared to the pre-ESC force (Fig. 1). During early diastole voltage stimulation, the threshold voltage was measured to be 2.0V. However, before stimulation at 2.00 V, the pre-ESC force was 1.46 ± .046 grams while the ESC force was measured to be 1.63 ± .239 grams, which was a 0.17 grams increase in contractile force when compared to pre-ESC, thus demonstrating a 12% increase in contractile force. The compensatory pause between the ESC and the post-ESC approximately at early diastole was measured to be 1.41 ± .054 seconds (table 2), in which the post-ESC contractile force was measured to be 1.72 ± .307 grams, which was approximately an increase of 0.260 grams, or 18.0% contractile force when compared to the pre-ESC (fig. 1). Table 2: Mean compensatory pause during late and early diastole in seconds. Late diastole 1.21 sec Early diastole 1.41 sec 8 3 2.5 Force of Ventricular Contration (G) Pre Extra Post 2 1.5 1 0.5 0 Late Diastole 2V Late Diastole (2X Threshold) Early Diastole 2V Event Figure 1. Force of the pre ESC, at ESC, and post ESC for late diastole, 2x threshold of voltage in late diastole, and early diastole via direct stimulation of the ventricle in the bullfrog heart. Voltages used were 2V, 4V, and 2V respectively. Vagal Stimulation Part 5A: Vagal Stimulation: Bradycardia To understand the relationship between the parasympathetic system and its effect on the heart, the vagus nerve was directly stimulated via hook electrodes to elicit bradycardia at .8V voltage. As seen in figure 2 and 3, heart rate and force of ventricular contractility was higher before stimulating bradycardia, which were measured to be 39.1 ±0.866 BPM, and0.493± 0.019 grams of contractile force, respectively. During bradycardia, however,both heart rate and contractility force of the ventricle was measured to be 33.3 ± 0.92 BPM and 0.197 ± 0.022 grams (Figs. 2, 3). This change is roughly a 15.0 % decrease in heart rate, and approximately a 60.0 % decrease in ventricular contractility. 9 Heart Contractile Force (G) 0.6 0.5 0.4 0.3 0.2 0.1 0 10 seconds before 10 seconds after Phase in Vagal Stimulation for Bardycardia Heart Rate (BPM) Figure 2. Effect of bradycardia eliciting vagal stimulation on ventricular contractile force. Force of contraction measured ten seconds before and after vagal stimulation for bradycardia at a voltage of .8V. 45 40 35 30 25 20 15 10 5 0 10 seconds before 10 seconds after Phase in Vagal Stimulation for Bardycardia Figure 3. Effect of bradycardia eliciting vagal stimulation on heart rate. Heart rate was measured ten seconds before and after vagal stimulation for bradycardia at a voltage of .8V. Part 5B: Vagal Stimulation: Cardiac Arrest During this part of the lab, the vagal nerve was stimulated until the heart stopped beating, which is a condition called cardiac arrest. Initially, the frog‟s heartbeat and contractile force before cardiac arrest for one minute was at a mean of 37.1 ± 1.11 BPM, and 0.643 ± 0.151 grams, respectively (fig. 4). After stimulation at a voltage of 1.20 V, cardiac arrest occurred in which heart rate and contractile force was measured to be zero (figs. 4, 5). This cardiac arrestwas 10 observed to lastfor two minutes after which thefunction resumed again, but with a slower heart rate and contractile force. The respective heart rate and contractile force one minute after cardiac arrest was 3.02 ± 1.27 BPM, and 0.135 ± 0.124 grams (fig. 4). In which two minutes after cardiac arrest however, the values increased further to approach that of baseline, with heart rate at 26.9 ± 1.52, and contractile force at 0.526 ±0.112 (figs. 4, 5). Heart Rate (BPM) 50 40 30 20 10 0 1 min before 2 min during 1 min after 2 min after Phase in Vagal stimulation for Cardiac Arrest Heart Contractile Force (G) Figure 4. Effect of cardiac arrest eliciting vagal stimulation on heart rate at a stimulus voltage of 1.2V. Heart rates were measured one minute right before, during cardiac arrest, and one and two minutes after vagal stimulation for cardiac arrest. 1 0.8 0.6 0.4 0.2 0 1 min before 2 min during 1 min after 2 min after Phase in Vagal stimulation for Cardiac Arrest Figure 5. Effect of cardiac arrest eliciting vagal stimulation on heart contractile force at a stimulus voltage of 1.2V. Heart contractile forces were measured one minute right before, during cardiac arrest, and one and two minutes after vagal stimulation for cardiac arrest. Part 6: The Effects of Epinephrine Finally, the effects of the sympathetic nervous system on cardiac function was examined and analyzed. Again, heart rate and the contractile force before and after introducing epinephrine 11 into the ventricle were measured. As seen in figure 6, the mean heart rate prior to injection of epinephrine was 32.9 ±0.931BPM. After introducing epinephrine into the ventricle, the heart rate increased to42.7 ± 1.77 BPM (fig 6). The force generated by ventricular contraction before epinephrine injection was 0.257± 0.032 grams, however,after injection, there was an increase to a mean of .434± 0.149 grams (fig. 7). Thus, heart rate and contractile force showed an increased Heart rate (BPM) by 33.4% and 68.9%, respectively. 50 45 40 35 30 25 20 15 10 5 0 Before After Epinephrine Injection Figure 6. Effect of epinephrine on heart rate. Heart rates were measured right before injection and then 3 minutes after when the effect of epinephrine was seen. Heart Contractile force (g) 1.6 1.4 1.2 1 0.8 0.6 0.4 0.2 0 Before After Epinephrine Injection Figure 7. Effect of epinephrine on heart ventricular contractile force. Contractile forces were measured right before injection and then 3 minutes after when the effect of epinephrine was seen. 12 Discussion Electrical and Mechanical Activity of Heart There are two types of specialized cardiac muscle cells, which called autorhythmic cells and contractile cells. Autorhythmic cells are pacemaker cardiac cells that do not contract, but instead are specialized for initiating and conducting action potentials (AP) for working cells, which are the contractile cells (Sherwood 7th edition, p.309). These cardiac autorhythmic cells lie in the sinus venosus in the frog, and in the humans lie in sino-atrial Node (SA node), the atrioventricular (AV) node, the bundle of his, and the purkinje fibers where theydisplay pacemaker activity due to HCN non-specific cation channels that slowly depolarizes until threshold is reached at whichthe membranefires an AP which spread throughout the heart to trigger rhythmic beating of the contractile cells without nervous stimulation (Sherwood 7th edition, 309). Specifically, these autorhythmic cells initiate and conduct AP that first depolarize the atria to initiate atrial contraction and stimulate the AV node, which then conducts and activate signal through the bundle of His and into the left and right bundle branches to the purkinje fibers which in the end result in the depolarization and contraction of the ventricles. Interestingly, the SA node in the human heart depolarizes roughly 80 times per minute. Thus, making the SA node the fastest and the primary pacemaker of the human heart (Sherwood 2010, p.310). However, the average beats per minute for frog‟s heart was observed to be about 30bpm, which is set by the frog‟s primary pacemaker called the sinus venosus. Physiologically, the first part of the electrical pacemaker activity is due to closure of the potassium ion channels and the opening and influx of sodium. The second part consists of opening the transient (T)-type calcium ion channels, which result in reaching threshold and in the end depolarizing the cells. This then causes the rising phase of the action potential, which is due 13 to the opening of long lasting (L)-type calcium ion channels that ultimately closes and ends with the falling phase, which is due to opening and efflux of potassium ion channels (Sherwood 2010, p.310). Notably, the current slowly conducts through the AV node to allow complete ventricular filling in a process called AV nodal delay. The pacemaker potential then goes travels through the ventricular myocardium via the Bundle of His and Purkinje fibers which finally results in ventricular contraction, which pumps the blood out of the heart (Sherwood 2010, p.313). However, unlike autorhythmic cells, spreading of the action potential in contractile cardiac muscle cells is different. The action potential from the pacemaker cell causes a rapid rise in the membrane potential in contractile cells due to the influx of sodium ions through voltage gated sodium channels (Sherwood 2010, p.313). This ultimately results in contractile action potential in which there is a brief period of repolarization caused by the closing of Na+ channels and simultaneous limited efflux of potassium through voltage gated K+ channels. The characteristic plateau phase in the contractile cells is the result of slow Ca2+ entry from L-type calcium channels and simultaneous reduction in potassium efflux through voltage gated potassium channels. This then causes the rapid falling phase, which is a result of opening of voltage-gated K+ channels, but the resting potential is maintained through leaky K+ channels. Ultimately, it is these action potentialsfrom the heart‟s working cells called contractile cardiac muscle cells that cause contraction and relaxation in heart chambers (Sherwood 2010, p.314). As this electrical activity occurs, simultaneously, the mechanical activity is also occuring, but with a delay due to conduction transit time. First before depolarization of atria, the AV valves are open and the ventricles that are relaxed are passively filled from high to low contraction during a period called ventricular and atrial diastole. Once the blood fills in the right ventricle via tricuspid valve, the atria receives action potential from SA node and undergoes 14 depolarization were atrial systole occurs. This causes a contraction that allows extra blood to be pumped in the ventricle through AV valve. This step dramatically increase ventricular pressure and thus closing the valve. Next, the action potential is conducted down the AV node and through conduction network of bundle of his and purkinje fibers causing depolarization and isovolumetric systole of the ventricles, which is were ejection of the blood occurs. Ventricular volume and pressure decrease because of the ejection of blood into the systemic and pulmonary circulations, and once the pressure drops below that of the atria, the AV valves open again and the ventricles passively fill again with blood from the atria until the depolarization of the atria continuing the cycle (Sherwood 2010, pg.322). During the first part of the experiment, the mechanical and electrical activity in conduction and contraction of the cardiac cycle was observed. The latency, which is the time between the onset of electrical activity and the beginning of ventricular contraction, was also observed. This latency was measured to be 190 milliseconds (table 1). This is because the ventricles don‟t contract immediately. As explained in the prior paragraphs, this is because it takes time for the action potential to conduct down from the SA node to the AV node (due AV nodal delay)and through the network of bundle of his and purkinje fibers to finally reach the ventricle. As a result, it was understood that the cardiac cycle is made up of both electrical and mechanical activity in which thecontractile cells of the atria and ventricles are coordinated in such manner that they relax and contract based on the delay and application of action potential from autorhythmic cells. Next, the data shows that the ventricular force of contraction was150% stronger than atrial force of contraction (table 1). This is because ventricles supply blood to the systemic and pulmonary circulation of the body compared to the atria, which requires far less force to pump blood just to the ventricles. 15 Part 4: Extrasystole Contractions In part four of the experiment, extrasystolic contractions were produced by electrically stimulating the ventricle during late diastole, two times threshold for late diastole, and early diastole. Specifically, an extrasystolic contraction was observed at a voltage of 2V for late diastole, which was unexpectedlyhigh when compared to early diastole (which was also 2 V) (fig 1). It was expected that late diastole to be lower in voltage to simulate because the cardiac cells during late diastole are in a later stage of relative refractory period (RRP) in which the cellsare closer to threshold and easier to fire (compared to early diastole were cell is further from threshold) (Sherwood, 2007, p.316). This is different from absolute refractory period, called effective refractory period (ERP) in which the cells are unable to be restimulated because of inactivated double-gated sodium channels, regardless of how intense the stimulation is (Linhart, 1965). This unexpected high voltage at late diastole could have resulted due to a fatigued bullfrog heart or simply an error in timing the stimulations of the heart. Compared to skeletal muscle which can have graded contractions with increased motor unit recruitment, safely so, cardiac cells do not grad, but act in an all or none contraction (Sherwood, 2007,p.308). Upon increasing the voltage to 4 V during two times threshold for late diastolic stimulation, the force of contraction during extrasystole increased from 1.79 grams to 2.43 grams, or 35.8 % compared to threshold of late diastole (fig 1). This was also unexpected because an increase in voltage should not have affected the force of contraction during late diastole. Regardless of voltage, unlike gradable skeletal muscle which can recruit motor units with increasing voltage, cardiac muscle cells do not recruit or grade (Sherwood, 2007, p.308). The results did not support this; and a reason for such discrepancy could have occurred from an error in timing the stimulations. 16 The ESC was also expected to contract with less force than post because it had less time to fully fill with blood. Furthermore, The PESC was expected to have larger contractile force because it had an increased compensatory period that allowed greater volumetric and pressure filling which would have resulted in increased preload that should have resulted in greater PESC. Under normal contractions, the cardiac muscle fiber‟s lengths are usually less that of optimal length that is needed for maximum contraction (Hoffman et al., 1965). However, when there is an increase in end diastolic volume through venous return and what is left in the heart because of extrasystolic contraction, it is expected that an increase in cardiac muscle fiber length due to increased pressure and filling would make the muscle fiber stretch more and cause a PSC that is greater in force. (Sherwood, 2007, p.317). Both these predicated were proven wrong by the collected data which could have resulted from a lack in venous return, which would justify the decrease in in stroke volume, and decrease in contraction force contradicting Frank-Starling‟s Law. In a previous study examining model fetal lamb hearts, the investigators were able to find the end diastolic volume diameter of the left ventricle demonstrated a strong correlation to the contractile force, tension values within the contraction of two-week-old hearts (Kirkpatrick et al., 1976). Furthermore, In a study performed to understand Frank-Starling Law, an increase in cardiac elasticity was observed among subjects along with an increased stoke volume to accommodate for the increase in blood volume. However, in some of the subjects, when contractile elasticity increased, a decrease in end diastolic volume was observed, in which the researchers attributed the data to insufficient venous return (Chantler et. al., 2011). As expected however, in all three types of stimulation, compensatory pause was observed. A compensatory pause occurs because the cells are sent back into another absolute refractory period due to the ESC. According to the Frank-Starling Law, this compensatory pause 17 should allow for a greater time for filling resulting in an increased stroke volume and greater force of contraction, and as a result, the force of contraction following the extrasystolic contraction was also expected to be greater than the extrasystolic contraction. Cardiac output, which is defined as the amount of blood pumped by each ventricle per minute, is determined by two factors, which are heart rate and stroke volume. Vagal Stimulation a) Bradycardia SA node is under tonic influence by both parasympathetic and sympathetic nervous system. They bring about their effects on heart primarily by altering the activity of cAMP (cyclic Adenosine Mono Phosphate) second-messenger system. The neurotransmitter acetylcholine that is released form the vagus nerve binds to the muscarinic receptor which when bound couples with an inhibitory G protein that reduces the activity of cAMP pathway. This decrease in cAMP pathway ultimately causes an increase in the potassium ion permeability causing an influx of potassium ions and thus making the cell negative than normal (Sherwood 2010, pg.326). As a result, this causes the resting potential to start further away from threshold and harder to fire an action potential which ultimately cause a decreases in the frequency of firing. The PNS stimulation also decreases the excitability of the AV node which increases the AV nodal delay. This AV nodal delay now result in the potential taking longer to conduct down the ventricles through Bundle of His and Purkinje fibers. Therefore, during vagal stimulation as a result of both a decrease in SA nodal firing, and an increase in AV nodal delay, heart rate decreases (Olshansky, 2008).All these factors lead to decrease in cardiac output since cardiac output is a function of heart rate and stroke volume. It was observed that the frog‟s heart rate reduced, a 18 phenomenon called bradycardia, by 15.0% to 33.3 BPM (fig 3). Another effect of PNS activity is that it weakens the contractility (fig 2). A research study done by Shumaker and team concluded that a decrease in contractile strength is seen with vagal stimulation because Ach concentration actually creates an negative inotropic effect that decreases CA concentration that is needed for contractility (Shumaker, 1990). This can be seen through reduced ventricular force of contraction according to the Frank Starling Law. In the experiment, ventricular force reduced by 60.0% to .22 grams during bradycardia (fig. 2). b) Cardiac Arrest/Vagal Escape Cardiac arrest is a condition when the heart fails to contract. In frog, cardiac arrest was achieved by continuously stimulating the parasympathetic vagus nerve in which both contractile and heart rate decreased to zero for two minutes. AG Wallace and WM Dagget in the article Pacemaker Activity during Vagal Escape Rhythms stated that cardiac arrest can be caused by vagal stimulation either by the abolished activity of the SA node or by blocking the AV conduction (Wallace, 1964). Thus, through vagal stimulation, the SA node and AV conduction can be abolished to give rise to cardiac arrest; however, the data does not show tonic vagal inhibition in which the heart during vagal stimulating first decreases and then drops to zero. Instead, in lab we observed a rapid drop to zero which we analyzed as cardiac arrest. One minutes after cardiac arrest, the heart rate and contractile force slowly resumed again. The resumed values were a 3.00% increase in heart rate, and a .135 % increase in heart contractility (figs. 4,5). This is because the frog‟s heart had undergone vagal escape in which the cells from the AV nodes have taken over the function of Sinous Vinosus (which was the primary pacemaker). In the experiment, Wallace and Dagget showed that vagal escape can occur from pacemaker activity from AV node and below the Bundles of His (Wallace,1964). Two minutes 19 after cardiac arrest, the heart rate had increased by 797% to 26.9 BPM and the contractile force of the heart had increased to 270% to .526 grams (fig 4, 5). This is because the SA node is finally beginning to resume its activity much like in bardycardia. Also, to maintain blood pressure, the baroreceptors firing rate decreases (Sherwood 2010, pg.378). This leads to an increase in SNS activity and decrease in PNS activity. Therefore, both these actions combined led to bringing the blood pressure, heart rate, and contraction force closer back to baseline. Part 6: Effects of Epinephrine Compared to parasympathetic innervation, sympathetic nervous system works antagonistically and innervates the ventricles, SA node, atria, and AV node. When sympathetic nervous system is stimulated, norepinephrine is released and binds with -1 adrenergic receptors that are coupled to a stimulatory G protein, which then activate the cAMP pathwaywhich results in acascade that in the end result in increasing the sodium and calcium ion channel permeability. Thischange in permeability results in raising the rate of spontaneous depolarization within the SA nodal cell which now fire faster along with decreasing the delay in the AV nodal cells. As a result, action potentials fire more frequently and propagate easier through the more excitable conducting pathwaywhich contribute tothe faster heart rate. The data showed a of 33.4% increaseto 42.7 BPM in heart rate, called tachycardia, after epinephrine injection (fig. 6) (Sherwood, 2007, p.327). As expected, contractile force of the heart also increased. This increase in contractile force of the heart was measured to be a68.9 % increaseto.434 grams of contractile force afterepinephrine injection (fig. 7). The contractile strength in the ventricles increased allowing the heart to beat more intensely to eject a greater amount of blood volume from the left ventricle.Sympathetic stimulations can also raise arterial pressure through an increase in cardiac 20 output and rapid ventricular ejections. (Anzola, 1956). This increase in contractility seen in figure 7 can be explained by the inward movement of calcium through L-type calcium channels which allow for more excitation contraction coupling leading to a greater contractile force(Anzola, 1956). However, this increase in contractile force is regardless of the end diastolic volume (EDV) (Sherwood, pg. 331).Compared to parasympathetic nervous system stimulation were the pacemaker potential was longer and showed a decrease in slope; the pacemaker potential in sympathetic nervous systemsimulation via epinephrine now has asteeper slope (that is nowquicker to fire) (Sherwood, 2007,p. 327). Like the lab experiment, another study performed by Morris Nathanson and Harris Miller, showed that epinephrine increased heart rate and blood pressure in which they also claimed that these “sympathomimetic” compounds can be used in cardiac therapy to aid in the prevention of cardiac arrest (Nathanson, 1952). Conclusion The purpose of this lab experiment was to examine the electrical and mechanical properties of the cardiac muscle and ultimately the heart. First, the baseline activity of the heart with no stimulus voltage was observed and recorded in which through, cardiovascular parameters such as heart rate, contractile force, and latency were measured and understood. Next, the ventricle was directly stimulated during periods of early diastole and late diastole to acquire a better understanding of how interruption of the cardiac cycle affects the heart and how the heart compensates for such disruptions. The effect of preload and afterload play significant roles in affecting the cardiac cycle, which also are better understood in this lab. Ultimately by referring to the first part of the lab of stimulating the ventricle directly, we are better able to understand how stimulation and alterations of specific parameters affect stroke volume directly. 21 Once the intrinsic properties of the heart were explored, the extrinsic effects of the autonomic nervous system were examined. First, the vagus nerve was stimulated in order to observe the effects of the parasympathetic nervous system on the heart. Bradycardia, revealed with increasing vagal stimulation, showed decrease in both heart rate and contractile force as expected by the hypothesis. Next, with increased stimulation of the vagus nerve, cardiac arrest was observed which also supported the hypothesis of very little to no heart rate and contraction. Finally, the lab experiment concluded with the effects of the sympathetic nervous system on the heart. The effects of the sympathetic nervous system were also observed accordingly to the hypothesis which were increased heartrate and contraction. As a result, through these experiments the intrinsic and extrinsic mechanisms governing cardiac contraction were examined through electrical and mechanical activity of the heart. Furthermore, the understanding and the knowledge gained from the electrical and mechanical properties of this lab experiment can be further applied to numerous real-life contexts. For example, a large number of people due to premature ventricular contractions suffer life threating heart arrhythmias. As a result, further research into the heart is required to one day improve life and quality of patients with life threating heart problems. This lab experiment is funded and supported by the NPB 101 Lab curriculum under Dr. Erwin Bautista. We also thank Drew Tilley, the teaching assistant, for the numerous discussions that contributed to this lab report. 22 References Anzola, J. and R.F. Rushmer, Cardiac responses to sympathetic stimulation. Circ Res, 1956. 4(3): p. 302-7. Bautista, E. and Korber, J. NPB 101L Physiology Lab Manual. 2nd ed. UC Davis, CA: Cengage Learning, 2009. Chantler, Paul D., Vojtech Melenovsky,"Use of the Frank-Starling Mechanism during Exercise Is Linked to Exercise-induced Changes in Arterial Load." American Journal of Physiology 302.1 (2011): 349-58. Hoffman, B.F., et al., Effects of Postextrasystolic Potentiation on Normal and Failing Hearts. Bull N Y Acad Med, 1965. 41: p. 498-534. Kirkpatrick, S.E., et al., Frank-Starling relationship as an important determinant of fetal cardiac output. Am J Physiol, 1976. 231(2): p. 495-500. Linhart, J.W., E. Braunwald, and J. Ross, Jr., Determinants of the Duration of the Refractory Period of the Atrioventricular Nodal System in Man. J Clin Invest, 1965. 44: p. 883-90. Lewis, M E et al. “Vagus Nerve Stimulation Decreases Left Ventricular Contractility in Vivo in the Human and Pig Heart.” The Journal of Physiology. 2001; 547-522. Nathanson, MH and Muller H. The Action of Norepinephrine, Epinephrine and Isopropyl Norepinephrine on the Rhythmic Function of the Heart. Circulation. 1952; 6(2), 238-244. Olshansky, B., et al., Parasympathetic nervous system and heart failure: pathophysiology and potential implications for therapy. Circulation, 2008. 118(8): p. 863-71. Sherwood, Lauralee. Human Physiology: From Cells to Systems. Ed: 7th. Belmont, California: Brooks/Cole, 2007 Shumaker, J.M., et al., A model of the muscarinic receptor-induced changes in K(+)current and action potentials in the bullfrog atrial cell. Biophys J, 1990. 57(3): p. 56776. Wallace, A.G. and W.M. Daggett, Pacemaker Activity during Vagal Escape Rhythms. Circ Res, 1964. 15: p. 93-102.