How does cardiac muscle contraction differ from skeletal muscle contraction?

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While cardiac and skeletal muscles both utilize sarcomeres and the sliding-filament mechanism to contract, they differ significantly in their control, rhythmicity, and electrical properties.12

  • Control and Rhythmicity: Skeletal muscle is under voluntary control, whereas cardiac muscle is involuntary and exhibits rhythmic contractions. Unlike skeletal muscle, which requires external stimulation, specialized cardiac cells in the sinoatrial node act as a pacemaker to initiate spontaneous, rhythmic contractions.13
  • Action Potentials: Cardiac muscle action potentials are significantly more prolonged (approximately 200 milliseconds) compared to those of skeletal muscle (about 5 milliseconds).3
  • Tetanus: A critical physiological difference is that cardiac muscle cannot be tetanized (induced to spasm) by repetitive stimuli. This ensures the heart completes its necessary contraction and relaxation cycles to pump blood effectively.3
  • Excitation-Contraction Coupling: In cardiac muscle, the influx of calcium ions during the plateau phase of the action potential triggers the release of additional calcium from the sarcoplasmic reticulum, a process essential for initiating contraction.45