Anatomy & Physiology: The Unity of Form and Function, 7th Edition

Published by McGraw-Hill Education
ISBN 10: 0073403717
ISBN 13: 978-0-07340-371-7

Chapter 19 - Section 19.6 - Study Guide - Assess Your Learning Outcomes - Page 741: 8

Answer

The sinoatrial (SA) node is often referred to as the "natural pacemaker" of the heart. It is a specialized group of cells located in the right atrium that generates electrical impulses that initiate each heartbeat. The intrinsic rate of the SA node is the rate at which it generates these electrical impulses in the absence of any external influences. The intrinsic rate of the SA node is around 60 to 100 beats per minute. This means that if the heart were completely isolated from any neural or hormonal influences, the SA node would fire at a rate between 60 and 100 times per minute, setting the resting heart rate within this range. However, the actual resting heart rate is typically around 60 to 100 bpm due to the influence of the autonomic nervous system, specifically the parasympathetic and sympathetic divisions. The vagus nerve, which is part of the parasympathetic nervous system, plays a significant role in modifying the intrinsic rate of the SA node. Vagal tone refers to the level of activity of the vagus nerve. Increased vagal tone results in decreased heart rate, while decreased vagal tone leads to an increased heart rate. In the context of the SA node and heart rate regulation, the parasympathetic nervous system (mediated by the vagus nerve) primarily influences heart rate by releasing acetylcholine, a neurotransmitter that slows down the firing rate of the SA node. During rest and relaxation, the parasympathetic nervous system is more active, and the vagal tone is higher. Acetylcholine released by the vagus nerve binds to receptors on the SA node cells, increasing the permeability of potassium ions and reducing the permeability of calcium ions. This results in a longer time for depolarization (the electrical activation) of the SA node cells, effectively slowing down their firing rate. As a result, the heart rate decreases, and a normal resting heart rate is maintained. Conversely, during times of stress or physical activity, the sympathetic nervous system becomes more dominant. This leads to the release of norepinephrine, a neurotransmitter that speeds up the firing rate of the SA node by increasing the permeability of calcium ions and reducing the permeability of potassium ions. This results in faster depolarization and an increased heart rate, allowing the body to meet the increased demand for oxygen and nutrients. In summary, the intrinsic rate of the SA node sets the baseline rate of heartbeats, but vagal tone, influenced by the parasympathetic nervous system, modifies this rate to produce a normal resting heart rate. The vagus nerve, through the release of acetylcholine, slows down the SA node's firing rate, while the sympathetic nervous system can increase the firing rate through the release of norepinephrine, allowing for dynamic heart rate adjustments in response to various physiological demands.

Work Step by Step

The sinoatrial (SA) node is often referred to as the "natural pacemaker" of the heart. It is a specialized group of cells located in the right atrium that generates electrical impulses that initiate each heartbeat. The intrinsic rate of the SA node is the rate at which it generates these electrical impulses in the absence of any external influences. The intrinsic rate of the SA node is around 60 to 100 beats per minute. This means that if the heart were completely isolated from any neural or hormonal influences, the SA node would fire at a rate between 60 and 100 times per minute, setting the resting heart rate within this range. However, the actual resting heart rate is typically around 60 to 100 bpm due to the influence of the autonomic nervous system, specifically the parasympathetic and sympathetic divisions. The vagus nerve, which is part of the parasympathetic nervous system, plays a significant role in modifying the intrinsic rate of the SA node. Vagal tone refers to the level of activity of the vagus nerve. Increased vagal tone results in decreased heart rate, while decreased vagal tone leads to an increased heart rate. In the context of the SA node and heart rate regulation, the parasympathetic nervous system (mediated by the vagus nerve) primarily influences heart rate by releasing acetylcholine, a neurotransmitter that slows down the firing rate of the SA node. During rest and relaxation, the parasympathetic nervous system is more active, and the vagal tone is higher. Acetylcholine released by the vagus nerve binds to receptors on the SA node cells, increasing the permeability of potassium ions and reducing the permeability of calcium ions. This results in a longer time for depolarization (the electrical activation) of the SA node cells, effectively slowing down their firing rate. As a result, the heart rate decreases, and a normal resting heart rate is maintained. Conversely, during times of stress or physical activity, the sympathetic nervous system becomes more dominant. This leads to the release of norepinephrine, a neurotransmitter that speeds up the firing rate of the SA node by increasing the permeability of calcium ions and reducing the permeability of potassium ions. This results in faster depolarization and an increased heart rate, allowing the body to meet the increased demand for oxygen and nutrients. In summary, the intrinsic rate of the SA node sets the baseline rate of heartbeats, but vagal tone, influenced by the parasympathetic nervous system, modifies this rate to produce a normal resting heart rate. The vagus nerve, through the release of acetylcholine, slows down the SA node's firing rate, while the sympathetic nervous system can increase the firing rate through the release of norepinephrine, allowing for dynamic heart rate adjustments in response to various physiological demands.
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