Pacemakers of the Heart

Experiment: Heart Action Potentials

What will you learn?

With this experiment, you can learn about the cardiovascular system through the use of electrocardiograms (EKGs). You will have an understanding of the communication taking place between your brain and your heart, and you will see and listen to the contractions of your heart.


Background

Written and Inspired from an initial prototype made by Amy Kuklev, now a sophomore at Arizona State University.

Pump, Pump, Pump. Your hearts works continuously, day in and day out, to supply blood and oxygen through your body. Did you know that, like neurons and muscles, your heart uses spikes (electrical impulses) to function as well? Our hearts are made up of four chambers, of which the upper two chambers are called the atria and the lower two are called ventricles. Regular, rhythmic electrical signals originate from the right atrium, your heart’s pacemaker, and then throughout the rest of the heart, causing the heart muscles to contract and pump blood throughout your circulatory system.

Pacemakers of the Heart

These electrical signals are regulated by your brain’s cardiovascular center located in the medulla oblongata. The medulla is the last stop in your brain before you are in the spinal cord and it controls basic body functions such breathing, heart rate, and blood pressure. Interestingly, your heart can beat without instructions from the brain, but in situations where your brain decides your heart rate needs to be adjusted, such as when you are exercising, or when hormones like epinephrine (adrenaline) are being released (often associated with emotions like fear, excitement, and nervousness) your cardiovascular centre sends signals to your heart, changing both the rate of your heart’s beating and the strength of contraction.

The signal we will be recording is called an electrocardiogram, also known as an ECG or EKG, which is a measurement of the coordinated “electrical wave” of different parts of your heart contracting in a controlled sequence. Since the heart is made up of specialized muscle cells, and these muscle cells fire action potentials to contract, we can measure these in much the same way we have previously measured skeletal muscle contraction. But these action potentials, at 200 ms in length, are much slower than the action potentials of your neuron (1 ms) and muscles (3 ms). Moreover, spiking of neurons and muscles is measured in spikes per second (or Hz), but the spiking of your heart is measured in beats per minute (BPM). The action potential cardiac muscle cells uses Sodium and Potassium as well, but the potassium channels take longer to open, causing a longer action potential.

Vidal Medulla

The heart contains special myocardial cells called pacemaker cells (see first illustration above) that spontaneously generate rhythmic action potentials to control your heart. These Pacemaker cells rhythmically cause the rest of the heart’s myocardial cells to contract in a specific pattern (atria first, delay, then ventricles). This is why your heart can beat on its own without neural input. These pacemaker cells are vitally important is telling the rest of the heart to contract in a synchronized manner (when the cardiac muscle cells fire and contract in a disorganized manner, this is called “fibrillation” and can be fatal). Imagine the wave in a stadium sports event. Many people have to be precisely coordinated for the wave to occur, and similar principles apply to heart contraction. Select groups of cardiac muscle cells must contract at the right time for effective pumping.

We can observe the coordinated contraction of the heart muscle cells with our Heart and Brain SpikerShield! Normal heart contraction has a very distinctive electrical profile, now culturally iconic due to its use in medical dramas: the classic P wave, QRS complex, and T wave. Seeing these depends critically on where you place your electrodes across your body, but let’s give it a shot!

Different Action Potentials

Downloads

Before you begin, make sure you have the Backyard Brains Spike Recorder and Arduino Programs installed on your computer. The Arduino “Sketch” is what you install on your Arduino circuit board using the Arduino laptop software (your board comes preinstalled if you bought the Arduino from us), and Backyard Brains Spike Recorder program allows you to visualize and save the data on your computer when doing experiments. We made a video for you to explain this!

Procedure

In this experiment, we are going to monitor our heart rate and examine changes in it caused by our brain’s cardiovascular center.

  1. You have many options for where to place the electrodes. We at BYB are only beginning to learn about the concept of the “Einhoven Triangle”, and the art of placing electrodes and interpreting ECG is university taught. We have found that the easiest signal can be obtained by placing the electrodes across the inner wrists.
  2. Place one adhesive electrode on each inner wrist, and the another adhesive electrode on the back of one of your palms.
  3. Connect the red aligator clips on your inner wrists, and the bare metal clip on your back palm. Note: Prior to Summer 2015 we shipped cables that had red, black, and bare alligator clips. If you have this older cable, place the red on your inner left wrist, the black on your inner right, and the ground (bare metal alligator clip) on the back of your hand.
  4. Sometimes placing electrodes on the wrists can be slightly noisy (don’t flex your wrists, be completely relaxed), so the the cleanest signal can be found by attaching the red electrode clips above and below your heart on your upper left chest, and the black electrode ground clip on your upper right chest. This can be a little awkward in public settings though.
  5. Plug your orange interface cable in the orange port on your Heart and Brain SpikerShield.
  6. Plug one end of the USB cable to the Heart and Brain SpikerShield and the other end into the computer.
     Vitruvian Einhoven
  7. Open the SpikeRecorder software, and connect to the USB port in the settings menu.
  8. Wait 1-2 seconds, and you should begin to see heart muscle contraction pulses on your screen.
  9. If you see a high level of noise, try to use a different computer as the power source. We have found that the SpikerShield is very sensitive to noise in the power source – laptops running off battery power, and computers connected through UPSs and surge protectors work best to produce a good signal. Also, hold still while you are connected to the EKG – muscle movements can also be picked up, which causes interference with your EKG reading. Resting with your hands on your knees provides provides the most stable signal.
  10. If your EKG appears upside down during recordings, simply swap the two red electrode alligator clips to the opposite wrists.
  11. If you want to record the data, press the red “record” button in the upper right side of the Spike Recorder Screen. The data will be saved as a .wav file.
  12. Disconnect your electrodes, and do some jumping jacks, jump rope, or running in space to increase your heart rate.
  13. Reconnect your electrode cables. You should see your increased heart rate on the Spike Recorder software.

Discussion / Further Work

  1. Are we recording Cardiac Action Potentials from the Pacemaker Cells, or are we recording the muscle contractions of the heart. Why or why not?
  2. Our SpikeRecorder Software is designed to be easy to use, but if you want to hack an interface, you can modify our legacy processing sketch that also saves and displays the data. Download it here. To do this, you need to use a different Arduino Sketch, that you can find in this link.

Source: Experiment: Heart Action Potentials

Leave a Reply