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Intercalated discs are complex structures that connect adjacent cardiac muscle cells.The three types of cell junction recognised as making up an intercalated disc are desmosomes, fascia adherens junctions, and gap junctions.
When cardiomyocytes were transfected with adenoviruses expressing E2F2, cyclins A and E were upregulated, and cardiomyocytes proliferated. [ 22 ] The cessation of the cardiomyocyte cell cycle is believed to be regulated by transcription factors and cyclin dependent kinase inhibitors, although the exact mechanism remains unclear. [ 23 ]
Cardiac muscle cells (also called cardiomyocytes) are the contractile myocytes of the cardiac muscle. The cells are surrounded by an extracellular matrix produced by supporting fibroblast cells. Specialised modified cardiomyocytes known as pacemaker cells , set the rhythm of the heart contractions.
T-tubules (transverse tubules) are extensions of the cell membrane that penetrate into the center of skeletal and cardiac muscle cells.With membranes that contain large concentrations of ion channels, transporters, and pumps, T-tubules permit rapid transmission of the action potential into the cell, and also play an important role in regulating cellular calcium concentration.
The unusual microscopic anatomy of a muscle cell gave rise to its terminology. The cytoplasm in a muscle cell is termed the sarcoplasm; the smooth endoplasmic reticulum of a muscle cell is termed the sarcoplasmic reticulum; and the cell membrane in a muscle cell is termed the sarcolemma. [9]
The cells that make up the SA node are specialized cardiomyocytes known as pacemaker cells that can spontaneously generate cardiac action potentials. These signals are propagated through the heart's electrical conduction system. [1] [2] Only one percent of the heart muscle cells are conductive, the rest of the cardiomyocytes are contractile.
Cardiac physiology or heart function is the study of healthy, unimpaired function of the heart: involving blood flow; myocardium structure; the electrical conduction system of the heart; the cardiac cycle and cardiac output and how these interact and depend on one another.
The cardiac muscle cells, (also called cardiomyocytes or myocardiocytes), predominantly contain only one nucleus, although populations with two to four nuclei do exist. [ 16 ] [ 17 ] [ page needed ] The myocardium is the muscle tissue of the heart and forms a thick middle layer between the outer epicardium layer and the inner endocardium layer.