Asayama J, Tatsumi T, Omori I, Inoue D, Katsume H, Nakagawa M
Second Department of Medicine, Kyoto Prefectural University of Medicine, Japan.
Jpn Heart J. 1989 May;30(3):411-23. doi: 10.1536/ihj.30.411.
It is well known that a short rest period during the regular stimulation of isolated cardiac muscle induces a transient increase of subsequent twitch tension, although the mechanism of postextrasystolic potentiation (PESP) is still unclear. This paper is concerned with the contribution of an extrasystole to the PESP using isolated papillary muscle of guinea pigs. We have found that the length of the coupling interval of the extra-stimulation prior to the rest interval affected the degree of PESP in a coupling interval-dependent way at the same rest period, and the PESP of the same coupling ratio increased and decreased at the rest period was prolonged. Theophylline increased the strength of steady-state twitch tensions, whereas the dependency of PESP on a coupling ratio of extra-stimulation was removed and the PESP decreased with prolonged rest periods. The evidence suggests that the coupling ratio of extra-stimulation might vary the relative contributions of trans-sarcolemmal Ca influx and Ca release from the sarcoplasmic reticulum.
众所周知,在对离体心肌进行常规刺激期间的短暂休息期会导致随后的抽搐张力短暂增加,尽管期外收缩后增强(PESP)的机制仍不清楚。本文利用豚鼠离体乳头肌研究期外收缩对PESP的作用。我们发现,在相同的休息期,休息间隔之前额外刺激的耦合间隔长度以耦合间隔依赖性方式影响PESP的程度,并且相同耦合比的PESP在休息期延长时先增加后减少。茶碱增加了稳态抽搐张力的强度,而PESP对额外刺激耦合比的依赖性消失,并且随着休息期延长PESP降低。证据表明,额外刺激的耦合比可能会改变跨肌膜钙内流和肌浆网钙释放的相对作用。