Iseri L T, Ginkel M L, Allen B J, Brodsky M A
College of Medicine University of California, Irvine.
Magnes Trace Elem. 1991;10(2-4):193-204.
Ionic biology involving Ca2+, Na+, K+ and Mg2+ across the cell membrane and in the development of the action potential is reviewed with reference to cardiac arrhythmia. K+ and Mg2+ deficiency which frequently occur together lead to abnormal ionic transfer of Na+, K+ and Ca2+ with development of automaticity, triggered impulses and reentrant tachycardia. Tachycardia occurring in acute myocardial ischemia, congestive heart failure, hypertensives on diuretics and digitalis toxicity is examined according to the concept of ionic imbalance. A protocol for prevention and treatment of cardiac tachyarrhythmia is proposed with this concept in mind.
结合心律失常,综述了涉及钙离子、钠离子、钾离子和镁离子跨细胞膜以及动作电位形成的离子生物学。经常同时出现的钾离子和镁离子缺乏会导致钠离子、钾离子和钙离子的异常离子转运,并引发自律性、触发冲动和折返性心动过速。根据离子失衡的概念,对急性心肌缺血、充血性心力衰竭、使用利尿剂的高血压患者以及洋地黄中毒时发生的心动过速进行了研究。基于这一概念,提出了预防和治疗心脏快速性心律失常的方案。