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ELECTROPHYSIOLOGY |
1 SUNY Upstate Medical University
* To whom correspondence should be addressed. E-mail: talkacal{at}upstate.edu.
Submitted on February 23, 2006
Revised on April 2, 2006
Accepted on 22 June 2006
| Abstract |
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, of APD accommodation and the slopes of different types of restitution curves (RC), Sdyn and S12, measured at varying BCLs. Our results indicate that both
and the individual slopes are species- and pacing-dependent. In contrast, the mutual relationship between slopes Sdyn and S12 does not depend on pacing history, being a generic feature of the species. In addition, the maximum slope S12, measured in the restitution portrait at the lowest BCL, predicts the onset of alternans. Further, we investigated the role of the L-type calcium current, ICa-L, in the restitution portrait. We found that ICa-L dramatically affects APD accommodation, as well as the individual slopes Sdyn and S12 measured in the restitution portrait. However, peak calcium current plays a role only at small values of BCL. In conclusion, the results demonstrate that the restitution portrait is a powerful technique to investigate restitution properties of periodically paced cardiac myocytes, and the onset of alternans, in particular. Moreover, the data also show that ICa-L plays a crucial role in multiple aspects of cardiac dynamics measured through the restitution portrait.
Key Words: APD accommodation, action potential duration, alternans, calcium current, cardiac myocytes, restitution curve
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A. Munteanu, A. A. Kondratyev, and J. P. Kucera Analysis of Damped Oscillations during Reentry: A New Approach to Evaluate Cardiac Restitution Biophys. J., February 1, 2008; 94(3): 1094 - 1109. [Abstract] [Full Text] [PDF] |
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