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[温血动物心房中动作电位的起搏间期依赖性变化]

[Pacing-interval-dependent changes of action potentials in the heart atrium of the warm-blooded animal].

作者信息

Nilius B, Boldt W

出版信息

Acta Biol Med Ger. 1980;39(5):525-34.

PMID:7445899
Abstract

Investigated are the cellular post rest action potentials of the rabbit atrial trabeculae (length 2-4 mm, diameter 150-800 micrometers). The first action potential (A.P.) after a pacing pause develops a characteristic configuration: (1) a rapid early repolarization up to -30 to -60 mV within 4 to 8 ms, (2) an extremely decelerated repolarization phase or a secondary depolarization, (3) a prolongation of the A. P. duration at 90% repolarization. During Ca++ excess perfusion the secondary depolarization is increased, shifted to more positive potentials and an earlier maximum value. It disappears during zero Ca++ and verapamil perfusion. Elevating the Ca++ concentration and shortening the pacing intervals before the period of rest increases the A. P. duration at 90% repolarization. Prolonging the pacing pause and decreasing the external Ca++ concentration delays the restitution of the steady state A. P. configuration after the rest By Ca++ excess the post rest A. P. restitution is accelerated. To explain the experimental findings, the possible role of a Ca++-sensitive K+ conductivity a poststimulatory variation of the slow inward current and the time-dependent K+ currents as well as processes of accumulation are discussed.

摘要

研究了兔心房小梁(长度2 - 4毫米,直径150 - 800微米)在静息后的细胞动作电位。起搏暂停后的第一个动作电位(A.P.)呈现出特征性的形态:(1)在4至8毫秒内快速早期复极化至 - 30至 - 60毫伏,(2)极缓慢的复极化阶段或二次去极化,(3)90%复极化时动作电位持续时间延长。在钙离子过量灌注期间,二次去极化增强,向更正的电位偏移且最大值出现得更早。在零钙离子和维拉帕米灌注期间它消失。在静息期之前提高钙离子浓度并缩短起搏间期会增加90%复极化时的动作电位持续时间。延长起搏暂停并降低细胞外钙离子浓度会延迟静息后动作电位稳态形态的恢复。通过钙离子过量,静息后动作电位的恢复加速。为了解释实验结果,讨论了钙离子敏感钾离子电导率、慢内向电流刺激后的变化、时间依赖性钾离子电流以及蓄积过程可能发挥的作用。

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