Question
What is the function and structure of a cardiac muscle cell?
Answer
Cardiac muscle cells, or cardiomyocytes, are specialized cells responsible for the heart’s contractile function, enabling it to pump blood throughout the body. These cells have unique structural and functional characteristics that distinguish them from other muscle cell types.
Structure of Cardiac Muscle Cells

Sarcomeres and Myofibrils: Cardiac muscle cells contain sarcomeres, the basic contractile units composed of interdigitating thick (myosin) and thin (actin) filaments, similar to skeletal muscle (Stenger and Spiro, 1961; Sweeney and Hammers, 2018). These sarcomeres give cardiac muscle its striated appearance.
T-Tubules: Transverse tubules (t-tubules) are invaginations of the cell membrane that penetrate into the cell’s interior, forming a network crucial for excitation-contraction coupling. They contain ion channels and signaling molecules essential for calcium signaling and synchronized contraction (Hong and Shaw, 2017; Ibrahim et al., 2011).
Sarcoplasmic Reticulum: This is a network of membrane-bound channels that store and release calcium ions, playing a critical role in muscle contraction (Stenger and Spiro, 1961).
Intercalated Discs: These are specialized structures that connect cardiac muscle cells end-to-end, facilitating electrical and mechanical coupling between cells. They consist of modified cell membranes with intercellular spaces (Stenger and Spiro, 1961).
Function of Cardiac Muscle Cells
Excitation-Contraction Coupling: Cardiac muscle cells convert electrical impulses into mechanical contraction. The t-tubules and sarcoplasmic reticulum work together to ensure rapid and coordinated calcium release, which is essential for muscle contraction (Severs, 2000; Hong and Shaw, 2017; Ibrahim et al., 2011).
Continuous Contraction: Cardiomyocytes are highly energetic, contracting continuously without fatigue, enabling the heart to pump blood efficiently throughout a person’s life (Severs, 2000).
Signal Synchronization: The structure of t-tubules and intercalated discs ensures that the contraction signal is rapidly and uniformly distributed across the cell, allowing for synchronized heartbeats (Ibrahim et al., 2011; Stenger and Spiro, 1961).
Conclusion
Cardiac muscle cells are uniquely structured to support their function in the heart. Their specialized components, such as sarcomeres, t-tubules, and intercalated discs, enable efficient excitation-contraction coupling and continuous, synchronized contraction necessary for effective blood circulation. Understanding these structures and their functions is crucial for insights into cardiac health and disease.
References
Severs, N., 2000. The cardiac muscle cell.. BioEssays : news and reviews in molecular, cellular and developmental biology, 22 2, pp. 188-99. https://doi.org/10.1002/(SICI)1521-1878(200002)22:2<188::AID-BIES10>3.0.CO;2-T
Hong, T., & Shaw, R., 2017. Cardiac T-Tubule Microanatomy and Function.. Physiological reviews, 97 1, pp. 227-252. https://doi.org/10.1152/PHYSREV.00037.2015
Ibrahim, M., Gorelik, J., Yacoub, M., & Terracciano, C., 2011. The structure and function of cardiac t-tubules in health and disease. Proceedings of the Royal Society B: Biological Sciences, 278, pp. 2714 – 2723. https://doi.org/10.1098/rspb.2011.0624
Stenger, R., & Spiro, D., 1961. Structure of the cardiac muscle cell. The American Journal of Medicine, 30, pp. 653-665. https://doi.org/10.1016/0002-9343(61)90205-4
Sweeney, H., & Hammers, D., 2018. Muscle Contraction.. Cold Spring Harbor perspectives in biology, 10 2. https://doi.org/10.1101/cshperspect.a023200