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716  Unit 4  Fluids and Transport                                        Intercalated disc
     Figure 20–5  Cardiac Muscle Cells.                                             Gap junction

                                                         Cardiac muscle cell    Z-lines bound to
                                                         Mitochondria         opposing plasma
                                                         Intercalated
                                                         disc (sectioned)             membranes

                                                                                   Desmosomes

     Nucleus                                                                                                 b Structure of an intercalated disc
     Cardiac muscle                                                           Intercalated discs
     cell (sectioned)
     Bundles of

      myo brils

     a Cardiac muscle cells

                                                                                                  Cardiac muscle tissue                            LM × 575
                                                                                                  c Cardiac muscle tissue
	20

     Table 20–1   Structural and Functional Differences between Cardiac Muscle Cells and Skeletal Muscle Fibers

     Feature                    Cardiac Muscle Cells                                              Skeletal Muscle Fibers

     Size                       10–20 m 3 50–100 m                                              100 m 3 up to 40 cm
     Nuclei                     Typically 1 (rarely 2–5)                                          Multiple (hundreds)

     Contractile proteins       Sarcomeres along myofibrils                                       Sarcomeres along myofibrils

     Internal membranes         Short T tubules; no triads formed with sarcoplasmic reticulum     Long T tubules form triads with cisternae of the sarcoplasmic
                                                                                                  reticulum

     Mitochondria               Abundant (25% of cell volume)                                     Much less abundant

     Inclusions                 Myoglobin, lipids, glycogen                                       Little myoglobin, few lipids, but extensive glycogen reserves

     Blood supply               Very extensive                                                    More extensive than in most connective tissues, but sparse
                                                                                                  compared with supply to cardiac muscle cells
     Metabolism (resting)       Not applicable                                                    Aerobic, primarily lipid-based
     Metabolism (active)        Aerobic, primarily using lipids and carbohydrates                 Anaerobic, through breakdown of glycogen reserves
     Contractions               Twitches with brief relaxation periods; long refractory period    Usually sustained contractions
                                prevents tetanic contractions
     Stimulus for contraction   Autorhythmicity of pacemaker cells generates action potentials    Activity of somatic motor neuron generates action potentials
                                                                                                  in sarcolemma

     Trigger for contraction    Calcium entry from the ECF and calcium release from the           Calcium release from the sarcoplasmic reticulum
                                sarcoplasmic reticulum

     Intercellular connections  Branching network with plasma membranes locked together at        Adjacent fibers tied together by connective tissue fibers
                                intercalated discs; connective tissue fibers tie adjacent layers
                                together
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