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Health and medicine
Course: Health and medicine > Unit 2
Lesson 8: Preload and afterload- Why doesn't the heart rip?
- What is preload?
- Preload and pressure
- Preload stretches out the heart cells
- Frank-Starling mechanism
- Sarcomere length-tension relationship
- Active contraction vs. passive recoil
- What is afterload?
- Increasing the heart's force of contraction
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Active contraction vs. passive recoil
Go through the similarities and differences between the sarcomere and a slingshot! Rishi is a pediatric infectious disease physician and works at Khan Academy. Created by Rishi Desai.
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- Unless I missed some bit of context, the graph Dr. Desai drew for the force vs stretch of the slingshot was also wrong. There would not have been a gradual linear reduction in force after a peak (as was drawn), but rather a long linear increase in force with an abrupt drop to zero once the elastic band had snapped, right? Because Felastic = K x d.(14 votes)
- Near the end of the video, Rishi talks about the "things" being active or passive, and he explains that passive doesn't involve chemical energy, but then is active just the opposite (Involves chemical energy)?(1 vote)
- He was talking about the use of atp, which is a chemical process and which is really an active process by definition. Passive processes do not need energy to happen, they happen due to thier nature, "what they are and where they are." For ex: Na moves down its electro-chemical gradient and will rush into a cell. The act of pumping it Na out usually requires large amounts of atp. Thus, the first is passive and the second is active. Because the Heart uses large amounts of atp for contraction it cannot be said to be a fully passive process, such as the recoil of a spring. whether it chemical or not, is relevant only in relation to whether the chemical process is using energy in the form of atp. Just to make it as clear as possible: if the heart contracted in a passive way, it could use atp to set it self up for contraction, but the actual contraction would not use atp. like the stretching of a spring takes energy to setup, but once it is released it contracts due to the intrinsic nature of the spring and requires no additional energy. The heart stretches like a spring, however, it uses energy to perform a contraction, and the contraction is not due solely upon the intrinsic nature of the cardiac muscle.(6 votes)
- Question for Dr. Rishi Desai: Thank you for the nice anology. Is the sling shot afterall a passive process as it can not stretch on its own (how about the atp used by our skeletal muscles for the stretch)?(2 votes)
- Does this also apply to skeletal muscle? As in it is chemical energy converted to Kinetic energy?
Is there an example of the other in the human body?(1 vote)- I don't know what you mean by "is there an example of the other in the human body," but yes, this all does apply to skeletal muscle; however, skeletal muscle actively tries to maintain an optimal length-tension relationship.(1 vote)
- This may not be completely relevant but on the graph for the slingshot, shouldn't their be a rapid change in force between point B and C rather than a gradual decline? As at point B maximum force/distance is achieved but beyond that stretch the sling will snap.(1 vote)
Video transcript
So ever since I first learned
about myosin and actin, there was always
this thought that popped in my head, a kind
of an analogy, if you will. And for a long time,
I thought this analogy was pretty much spot-on. But then, I gave it
some more thought. And I realized that I was wrong. And so I'm going to share with
you what my analogy had always been. And you'll see, I'm sure pretty
quickly, why I was mistaken. So let me start out
by just drawing out the actin and myosin. This is, of course,
in red, the actin. And in purple,
I've got my myosin. This will be my myosin here. And this is, of course, three
different myosin and actins I'm going to draw for you. I'm going to show different
stages of how they could look. This one is a little bit
more stretched out here, and I'll draw it like that. And the final one will be
very, very stretched out. We'll actually just get almost
off this screen, something like this. So these are my three
actins and myosins. And we know, if we were to
actually take a step back, maybe I could even label
them A, B, C. Let's call this one A.
Let's call this one B. And the third one will be C.
So we've got our A, B, and C. And there's this helpful way
of looking at this stuff. We call it the
tension-length curve. So I'll put tension over here. And this is, of course,
a unit of force. Thinking about how forcefully
something is contracting. And then, over here--
let me actually erase that-- over here,
we have sarcomere length. So these are our two axes. And on the graph,
we can quickly just put where A, B, and C would lie. So you can see that based
on the way that I've drawn this stretch-- I'm just
going to divide this in half-- based on the way
I've drawn it out, A is actually going to
have almost no force. That's going to be the
conclusion we can reach. It's going to be
something like this. And then B will be
somewhere up here. Let's draw B right
here, because there's going to be a lot
of force there. And C will be-- I'll draw
it right here at the edge. Also, almost no force. And you remember, that this
actually falls on a curve that we drew out before. Something like this. Where actually, I didn't
draw all the points here, but it kind of goes like that. So this is our
tension-length curve. And you can see where A,
B, and C fit on that curve. Now on the side, what I want
to draw on the other side-- I'm going to draw out what
my analogy used to be. The way I used to
think about it. And it also breaks
down into an A, B, C. And I'll just write it out here. And it's something that I always
used to play with as a kid. I always used to
love slingshots. And so I'm going to draw three
slingshots, one, two, three. And each one will actually have
a rubber band attached to it. And I'm going to stretch it
out to different lengths. So let's say, this first one,
I don't stretch much at all. Then, this second one, I stretch
really far, as far as I can. And then, this third
one, I stretch it so far that it kind of snaps. And, of course, if I have a
slingshot, I need a stone. So I'm going to put my
purple stone right there. And I'll put my purple stone
right there, at the tip. And then, this purple stone,
I guess I have to hold it because otherwise it would
just fall down, right? So what would
happen if I actually now try to plot out, on
this side, on the right side of your screen,
if I plot it out. Similar to the tension
length, but in this case, instead of tension,
let's put distance. And this would be the
distance traveled of my stone. So maybe I can rewrite this
and make it a little bit more roomy. So distance of my
stone traveled, and that will be here. And then, I can
also, on the x-axis I can put something
like, how much I stretched my rubber band. I'll just put,
let's say, stretch. And then you'll know that
means how much I stretched out the rubber band on my slingshot. Now, if I actually
let go of all three, the stone would probably
fall right there, on A. And it would fall right there on
C. But for B, it would launch. It would launch away. And so in terms of distance, I
could actually plot that out. I could say, well, for A,
I had almost no distance. I would say zero distance. And for C, kind
of the same thing. I'd say really no distance. But for B, I had
a lot of distance. So I actually did
really well with B. And this is how I always
thought about the heart. I always thought,
well, it's very similar in some
ways to a slingshot. You have an up
and a down, right? And so I always walked
around with that idea. But I gave it some
more thought, recently. I was thinking, is
this really accurate? And I think the answer is no. And let me show you why. So on the slingshot
side-- let's do this side first-- what
do we have exactly? We have elastic energy. And that's just the
elastic in the band. But there is energy
stored up there because it's a potential energy. It's actually very similar to
what happens in our arteries, where you store up energy in
our elastic large arteries, like the aorta. But you have this
elastic energy and when you let go of the stone,
what basically happens is that you convert all
that to kinetic energy. Right? So you're converting it
all to kinetic energy energy of movement. And when you let
go of that stone, it happens automatically. So you really don't have
to put energy into it because you already
had elastic energy, it was already stored up. So in that sense, we often
think of this process-- and this is actually the
important part-- we often think of this process
as being passive. So you'll often see
the word passive. Put that down here, passive. And that simply means that we
didn't have to add any energy. But specifically, the kind
of energy we're talking about is chemical energy. So when people say there's
a passive process, usually in biology, what
we're talking about is not having to
use chemical energy. And, of course, in
the slingshot example, there was no
chemical energy used. But in my heart example,
in my sarcomere, there was chemical energy. In fact, what we're
really doing is we're converting
chemical energy. And specifically, the
type of chemical energy we're talking about, if
you remember, is ATP. Remember, all those myosin
heads are working and grinding through ATP. So this is really ATP energy
that we're burning through. And we're creating,
again, kinetic energy. Sometimes I call it
mechanical energy. But both times, what I mean,
with kinetic or mechanical energy, is to say
that you basically have the heart pumping. You actually have
movement of the heart. And the way that
you're getting it is by burning
through all this ATP. So in that sense, because
we're burning ATP, oftentimes in biology, we call
this an active process. Now in both cases, you're just
changing one form of energy to another. So it's not like I
was completely wrong with my thought process. I mean, there are some
strong similarities. And at the end of the day, both
of them are creating movement. So there is a similarity there. You're changing energy forms
and you're creating movement. But the key difference
is in what type of energy we're starting with. And I want to make
sure it's very, very clear that with the heart, it
often looks like a rubber band. It even sometimes feels like
it could be like a rubber band, where you're stretching out. But really, never
forget that the myosins are grinding through ATP. And that is the way
that you're actually able to create the
kinetic energy. Whereas in the
elastic band, you're actually using elastic energy. So that's the key difference.