Mugelli A, Amerini S, Piazzesi G, Giotti A
J Mol Cell Cardiol. 1983 Oct;15(10):697-711. doi: 10.1016/0022-2828(83)90259-6.
We used intracellular microelectrodes to study the electrophysiological effects of low barium concentrations (1--4 x 10(-5) M) on sheep cardiac Purkinje fibers. The main effect of barium was an increase in action potential duration (APD) both at -60 mV (APD-60) and at 100% repolarization (APD100). The prolongation of APD was greater at a lower (30/min) than at a higher driving rate (120/min). Barium significantly modified the normal linear relationship between driving rate and APD. The effects of barium on APD were enhanced by lowering [K+]0 and antagonized by increasing [Ca2+]0. Barium caused a slowing of phase 3 repolarization, a steepening of diastolic depolarization and induced spontaneous activity in the resting potential range during the interruption of the drive. The first spontaneous action potential was usually preceded by an oscillatory potential. By means of several procedures (lowering [K+]0, increasing [Ca2+]0, increasing the driving rate) it was possible to identify two separate mechanism underlying the initiation of spontaneous activity: (1) enhancement of normal diastolic depolarization and (2) induction of oscillatory afterpotentials. Finally, barium induced repetitive activity through early afterdepolarizations. We conclude that in Purkinje fibers low barium concentrations cause a lengthening of APD and can induce spontaneous activity by means of at least three different mechanisms. The main factor underlying the barium effects seems to be a reduction in potassium conductance.
我们使用细胞内微电极研究了低钡浓度(1 - 4×10⁻⁵M)对绵羊心脏浦肯野纤维的电生理效应。钡的主要作用是使动作电位持续时间(APD)在-60 mV(APD-60)和100%复极化时(APD100)均增加。APD的延长在较低驱动频率(30次/分钟)时比在较高驱动频率(120次/分钟)时更明显。钡显著改变了驱动频率与APD之间的正常线性关系。降低[K⁺]₀可增强钡对APD的作用,而增加[Ca²⁺]₀则可拮抗该作用。钡导致第3相复极化减慢、舒张期去极化变陡,并在驱动中断期间在静息电位范围内诱发自发活动。第一个自发动作电位之前通常有一个振荡电位。通过几种方法(降低[K⁺]₀、增加[Ca²⁺]₀、增加驱动频率),可以确定自发活动起始的两种不同机制:(1)正常舒张期去极化增强;(2)振荡后电位的诱导。最后,钡通过早期后去极化诱导重复活动。我们得出结论,在浦肯野纤维中,低钡浓度会导致APD延长,并可通过至少三种不同机制诱导自发活动。钡效应的主要潜在因素似乎是钾电导降低。