Elharrar V, Surawicz B
Am J Physiol. 1983 Jun;244(6):H782-92. doi: 10.1152/ajpheart.1983.244.6.H782.
Electrical restitution of action potential duration (APD) was determined in Purkinje (n = 8) and ventricular muscle (n = 6) fibers at two different basic cycle lengths (BCL, 1,500 and 500 ms). Restitution curves, normalized for the longest APD (the plateau of restitution), fitted the sum of a fast (T1) and a slow (T2) exponential component. The T1 was shorter in ventricular muscle than Purkinje fibers (89 +/- 5 and 143 +/- 9; mean +/- SE, P less than 0.05), whereas the T2 did not differ (1,448 +/- 231 and 1,439 +/- 211). The BCL altered the APD value during the plateau of restitution but did not change the two exponential components. In both fiber types, the relation between APD and BCL during steady state fitted a hyperbolic curve that predicts the achievement of the maximum APD at long BCL. The restitution curves crossed the steady-state curve at two points outlining three different zones of APD intervals: early premature, late premature, and postmature. The APD during restitution was longer than the steady state in the late premature zone and shorter than the steady-state APD in the post-mature and early premature zones. The APD per se, independent of BCL, did not influence the kinetics of restitution in Purkinje fibers.
在两个不同的基础周期长度(BCL,1500和500毫秒)下,测定了浦肯野纤维(n = 8)和心室肌纤维(n = 6)动作电位持续时间(APD)的电恢复情况。以最长APD(恢复平台期)进行归一化处理的恢复曲线,拟合为一个快速(T1)和一个慢速(T2)指数成分之和。心室肌中的T1比浦肯野纤维短(89±5和143±9;平均值±标准误,P<0.05),而T2无差异(1448±231和1439±211)。BCL改变了恢复平台期的APD值,但未改变两个指数成分。在两种纤维类型中,稳态时APD与BCL之间的关系拟合为一条双曲线,该双曲线预测在长BCL时可达到最大APD。恢复曲线在两个点与稳态曲线相交,勾勒出APD间期的三个不同区域:早期早搏、晚期早搏和早搏后。恢复过程中的APD在晚期早搏区域长于稳态,在早搏后和早期早搏区域短于稳态APD。APD本身,独立于BCL,不影响浦肯野纤维的恢复动力学。