\documentclass[10pt,a4paper]{article} % Packages \usepackage{fancyhdr} % For header and footer \usepackage{multicol} % Allows multicols in tables \usepackage{tabularx} % Intelligent column widths \usepackage{tabulary} % Used in header and footer \usepackage{hhline} % Border under tables \usepackage{graphicx} % For images \usepackage{xcolor} % For hex colours %\usepackage[utf8x]{inputenc} % For unicode character support \usepackage[T1]{fontenc} % Without this we get weird character replacements \usepackage{colortbl} % For coloured tables \usepackage{setspace} % For line height \usepackage{lastpage} % Needed for total page number \usepackage{seqsplit} % Splits long words. %\usepackage{opensans} % Can't make this work so far. Shame. Would be lovely. \usepackage[normalem]{ulem} % For underlining links % Most of the following are not required for the majority % of cheat sheets but are needed for some symbol support. \usepackage{amsmath} % Symbols \usepackage{MnSymbol} % Symbols \usepackage{wasysym} % Symbols %\usepackage[english,german,french,spanish,italian]{babel} % Languages % Document Info \author{beepboop1273} \pdfinfo{ /Title (cardiac-muscle-npb-101.pdf) /Creator (Cheatography) /Author (beepboop1273) /Subject (Cardiac Muscle - NPB 101 Cheat Sheet) } % Lengths and widths \addtolength{\textwidth}{6cm} \addtolength{\textheight}{-1cm} \addtolength{\hoffset}{-3cm} \addtolength{\voffset}{-2cm} \setlength{\tabcolsep}{0.2cm} % Space between columns \setlength{\headsep}{-12pt} % Reduce space between header and content \setlength{\headheight}{85pt} % If less, LaTeX automatically increases it \renewcommand{\footrulewidth}{0pt} % Remove footer line \renewcommand{\headrulewidth}{0pt} % Remove header line \renewcommand{\seqinsert}{\ifmmode\allowbreak\else\-\fi} % Hyphens in seqsplit % This two commands together give roughly % the right line height in the tables \renewcommand{\arraystretch}{1.3} \onehalfspacing % Commands \newcommand{\SetRowColor}[1]{\noalign{\gdef\RowColorName{#1}}\rowcolor{\RowColorName}} % Shortcut for row colour \newcommand{\mymulticolumn}[3]{\multicolumn{#1}{>{\columncolor{\RowColorName}}#2}{#3}} % For coloured multi-cols \newcolumntype{x}[1]{>{\raggedright}p{#1}} % New column types for ragged-right paragraph columns \newcommand{\tn}{\tabularnewline} % Required as custom column type in use % Font and Colours \definecolor{HeadBackground}{HTML}{333333} \definecolor{FootBackground}{HTML}{666666} \definecolor{TextColor}{HTML}{333333} \definecolor{DarkBackground}{HTML}{B4A4F5} \definecolor{LightBackground}{HTML}{F5F3FD} \renewcommand{\familydefault}{\sfdefault} \color{TextColor} % Header and Footer \pagestyle{fancy} \fancyhead{} % Set header to blank \fancyfoot{} % Set footer to blank \fancyhead[L]{ \noindent \begin{multicols}{3} \begin{tabulary}{5.8cm}{C} \SetRowColor{DarkBackground} \vspace{-7pt} {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}} } \end{tabulary} \columnbreak \begin{tabulary}{11cm}{L} \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Cardiac Muscle - NPB 101 Cheat Sheet}}}} \\ \normalsize{by \textcolor{DarkBackground}{beepboop1273} via \textcolor{DarkBackground}{\uline{cheatography.com/213561/cs/46489/}}} \end{tabulary} \end{multicols}} \fancyfoot[L]{ \footnotesize \noindent \begin{multicols}{3} \begin{tabulary}{5.8cm}{LL} \SetRowColor{FootBackground} \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}} \\ \vspace{-2pt}beepboop1273 \\ \uline{cheatography.com/beepboop1273} \\ \end{tabulary} \vfill \columnbreak \begin{tabulary}{5.8cm}{L} \SetRowColor{FootBackground} \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}} \\ \vspace{-2pt}Not Yet Published.\\ Updated 28th May, 2025.\\ Page {\thepage} of \pageref{LastPage}. \end{tabulary} \vfill \columnbreak \begin{tabulary}{5.8cm}{L} \SetRowColor{FootBackground} \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Sponsor}} \\ \SetRowColor{white} \vspace{-5pt} %\includegraphics[width=48px,height=48px]{dave.jpeg} Measure your website readability!\\ www.readability-score.com \end{tabulary} \end{multicols}} \begin{document} \raggedright \raggedcolumns % Set font size to small. Switch to any value % from this page to resize cheat sheet text: % www.emerson.emory.edu/services/latex/latex_169.html \footnotesize % Small font. \begin{multicols*}{3} \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Key Anatomy of the Heart}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{4 Chambers:} \tn % Row Count 1 (+ 1) % Row 1 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{Right Atria \& Right Ventricle (Responsible for pumping {\bf{oxygen-poor}} blood to the lungs.)} \tn % Row Count 3 (+ 2) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{Left Atria \& Left Ventricle (Responsible for pumping {\bf{oxygen-rich}} blood to the body tissues.} \tn % Row Count 5 (+ 2) \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Types of Valves}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{5.377cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/beepboop1273_1748386129_NPB 101 Lectures 3.jpeg}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{The Flow of Blood}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Deoxygenated}} blood flows into {\emph{right atrium}} from the body.} \tn % Row Count 2 (+ 2) % Row 1 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{Then from the {\emph{right atrium}}, {\bf{deoxygenated}} blood flows into the {\emph{right ventricle}} via the {\bf{atrioventricular valve}} (AV valve)} \tn % Row Count 5 (+ 3) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{From {\emph{right ventricle}} the blood flows to the lungs to become {\bf{oxygenated}} via the {\bf{pulmonary valve}}} \tn % Row Count 8 (+ 3) % Row 3 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Oxygenated}} blood is then pumped into the {\emph{left atrium}} where it can then flow into the {\emph{left ventricle}} via another {\bf{AV valve}}} \tn % Row Count 11 (+ 3) % Row 4 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{From {\emph{left ventricle}} the {\bf{oxygenated}} blood is then pumped through the {\bf{aortic valve}} into rest of body} \tn % Row Count 14 (+ 3) \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Diagram of Ventricles}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{5.377cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/beepboop1273_1748386019_NPB 101 Lectures.jpeg}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{(Blue = oxygen-poor blood, Red = oxygen-rich blood)} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Diagram of Blood Flow Through the Heart}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{5.377cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/beepboop1273_1748385993_NPB 101 Lectures 2.jpeg}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Structure of Heart Walls}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{Endocardium - thin layer of endothelial tissue that lines the {\bf{inside}} of each chamber} \tn % Row Count 2 (+ 2) % Row 1 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{Myocardium - middle layer of heart wall consisting of {\emph{desmosomes}} and {\emph{gap-junctions}}} \tn % Row Count 4 (+ 2) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\emph{Desmosomes}} help hold things together so the heart doesn't rip apart, {\emph{Gap-Junctions}} allow the cardiac muscle to form a {\bf{functional syncytium}}} \tn % Row Count 7 (+ 3) % Row 3 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{Epicardium - thin {\bf{external}} membrane that covers the heart and filled with {\emph{pericardial fluid}} to prevent friction.} \tn % Row Count 10 (+ 3) \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{Fun Fact! \newline 99\% of cardiac cells are contractile and require an outside source to activate an action potential. While 1\% of the remaining cardiac cells are auto-rhythmic and initiate their own action potentials!} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Comparison of 2 Types of Cardiac Action Potentials}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{5.377cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/beepboop1273_1748388088_NPB 101 Lectures 5.jpeg}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Action Potentials in Pacemaker Cells}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{3 Channel Types}}} \tn % Row Count 1 (+ 1) % Row 1 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{I\textasciitilde{}f\textasciitilde{} = Funny Channels} \tn % Row Count 2 (+ 1) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{T = Transient-type (short time) Ca\textasciicircum{}2+\textasciicircum{} channels} \tn % Row Count 3 (+ 1) % Row 3 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{L = Long-lasting Ca\textasciicircum{}2+\textasciicircum{} channels} \tn % Row Count 4 (+ 1) % Row 4 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Pacemaker Activity}}} \tn % Row Count 5 (+ 1) % Row 5 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{Resting Potential = -60mV} \tn % Row Count 6 (+ 1) % Row 6 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{K\textasciicircum{}+\textasciicircum{} Channels are closed and I\textasciitilde{}f\textasciitilde{} channels allow for concentration of Na\textasciicircum{}+\textasciicircum{} to increase in the cell. (Na\textasciicircum{}+\textasciicircum{} in)} \tn % Row Count 9 (+ 3) % Row 7 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{T channels open and Ca\textasciicircum{}2+\textasciicircum{} is let into the cell, allowing the potential to reach threshold. (Ca\textasciicircum{}2+\textasciicircum{} in)} \tn % Row Count 12 (+ 3) % Row 8 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{Once threshold is reached, L channels open to create the action potential. (More Ca\textasciicircum{}2+\textasciicircum{} in)} \tn % Row Count 14 (+ 2) % Row 9 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{At the peak of the action potential, K\textasciicircum{}+\textasciicircum{} channels open, and L channels close, creating the {\emph{falling phase}}. (K\textasciicircum{}+\textasciicircum{} out)} \tn % Row Count 17 (+ 3) % Row 10 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{Cycle repeats} \tn % Row Count 18 (+ 1) \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Pacemaker Cells}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{5.377cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/beepboop1273_1748387847_NPB 101 Lectures 4.jpeg}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Electrical Activity within the Heart}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{Nodes - groups of specialized cardiac cells capable of pacemaker activity} \tn % Row Count 2 (+ 2) % Row 1 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{Different Types of Nodes} \tn % Row Count 3 (+ 1) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Sinoatrial (SA) Node}}} \tn % Row Count 4 (+ 1) % Row 3 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{Located in wall of {\emph{right atrium}}, exhibits an autorhythmicity of {\bf{70}} AP/minute. This is the fastest node and it leads the activity of other pacemaker structures.} \tn % Row Count 8 (+ 4) % Row 4 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Atrioventricular (AV) Node}}} \tn % Row Count 9 (+ 1) % Row 5 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{Located at base of the {\emph{right atrium}}, exhibits autorhythmicity of {\bf{50}} AP/minute.} \tn % Row Count 11 (+ 2) % Row 6 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Bundle of His}}} \tn % Row Count 12 (+ 1) % Row 7 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{Tract of specialized, cardiac pacemaker cells. Starts at AV Node and divides into the left and right ventricles.} \tn % Row Count 15 (+ 3) % Row 8 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Purkinje Fibers}}} \tn % Row Count 16 (+ 1) % Row 9 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{Terminal fibers that extend from bundle of His and spreads throughout the ventricular myocardium.} \tn % Row Count 18 (+ 2) \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Sequence of Current Flow Through the Heart Wall}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{SA Node -\textgreater{} AV Node -\textgreater{} Bundle of His -\textgreater{} Right \& Left Bundle of His Branches -\textgreater{} Purkinje Fibers} \tn % Row Count 2 (+ 2) \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Action Potentials in Cardiac Cells}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{Threshold = -70mV} \tn % Row Count 1 (+ 1) % Row 1 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{Resting Potential = -90mV} \tn % Row Count 2 (+ 1) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{Fast Na\textasciicircum{}+\textasciicircum{} channels open, creating a fast rising phase. (Na\textasciicircum{}+\textasciicircum{} in fast)} \tn % Row Count 4 (+ 2) % Row 3 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{Na\textasciicircum{}+\textasciicircum{} channels inactivate and transient K\textasciicircum{}+\textasciicircum{} channels open. L-type Ca\textasciicircum{}2+\textasciicircum{} channels open and K\textasciicircum{}+\textasciicircum{} channels (transient \& leaky) slowly close. (K\textasciicircum{}+\textasciicircum{} out fast, Ca\textasciicircum{}2+\textasciicircum{} in slow)} \tn % Row Count 8 (+ 4) % Row 4 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{Voltage-Gated K\textasciicircum{}+\textasciicircum{} channels open and L-type Ca\textasciicircum{}2+\textasciicircum{} channels close resulting in a rapid falling phase. (K\textasciicircum{}+\textasciicircum{} out fast)} \tn % Row Count 11 (+ 3) % Row 5 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{Resting potential maintained by closing of VG K\textasciicircum{}+\textasciicircum{} channels and opening of leaky K\textasciicircum{}+\textasciicircum{} channels} \tn % Row Count 13 (+ 2) \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} % That's all folks \end{multicols*} \end{document}