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  • 1
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    Journal of cardiovascular electrophysiology 9 (1998), S. 0 
    ISSN: 1540-8167
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: ACh Facilitation of Triggered Activity. Introduction: The objective of this study was to determine whether the effect of isoproterenol (Iso) to increase L-type Ca2+ current [Ica(L)] and action potential duration (APD) was potentiated in ventricular myocytes following termination of an exposure of these cells to acetylcholine (ACh), and whether this potentiating effect of Ach could he arrhythmogenic. Methods and Results: Transmembrane currents and potentials of guinea pig Isolated ventricular myocytes were measured using the whole cell, patch clamp technique. Stimulation of Ica(L) and prolongation of APD caused by Iso (10 nmol/L) were attenuated in the presence of Ach (10 μ mol/L), but were transiently enhanced by 111%± 20% and 214%± 44%, respectively, following termination of a 2- to 4-minute exposure of myocytes to ACh. No changes were observed in the absence of Iso. Both the amplitude and incidence of isoinduced transient inward current, afterdepolarizations, and sustained triggered activity were greater immediately after termination of exposure to ACh than before application of ACh. Conclusion: Stimulation by Iso of Ica(L) is transiently enhanced in guinea pig ventricular myocytes following termination of exposure of these cells to ACh. The rebound increase of Iso-stimulated Ica(L) is associated with an increase of APD and induction of arrhythmogenic triggered activity.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    s.l. : American Chemical Society
    Journal of medicinal chemistry 37 (1994), S. 2704-2712 
    ISSN: 1520-4804
    Source: ACS Legacy Archives
    Topics: Chemistry and Pharmacology
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Pflügers Archiv 403 (1985), S. 75-81 
    ISSN: 1432-2013
    Keywords: Adenosine ; SA node ; Hyperpolarization ; Acetylcholine
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The effect of adenosine on sinus node cells was examined in a preparation that precluded pacemaker shift. It was found that adenosine produced a dose-dependent slowing in rate. In examining the effects on the action potential parameters (n=10), adenosine caused a significant increase in the maximum diastolic potential (control =−62±2 mV, adenosine, 1×10−4 M, =−67±3 mV) and a significant increase in the rate of rise of the action potential (control=3.3±0.6 V/s, adenosine, 1×10−4 M, =7.2±2 V/s). There was only a slight shortening of the action potential duration and a small increase in the action potential overshoot. Adenosine caused a significant decrease in the rate of diastolic depolarization (control=100±19 mV/s, adenosine, 1×10−4 M, =42±5 mV/s). Acetylcholine caused similar effects. The effects of adenosine were not affected by atropine or propranolol but were antagonized by aminophylline, an adenosine competitive antagonist. In another set of experiments (n=12) we sought to understand further the mechanism of sinus slowing caused by adenosine and compare with the effects of acetylcholine. The increase in cycle length due to different doses of adenosine and acetylcholine was measured. The preparation was then arrested with D-600 or NiCl2. The cells were then exposed to the same concentrations of adenosine and acetylcholine and the amount of hyperpolarization from the resting potential ({ie75-1}=−40±4 mV) was measured. The change in cycle length and amount of hyperpolarization were linearly correlated (r=0.86). The interaction between adenosine and acetylcholine on the hyperpolarization was investigated further in another set of experiments. When acetylcholine and adenosine were added together the onset and magnitude of the hyperpolarization was greater than for adenosine alone. If atropine was given, still in presence of acetylcholine and adenosine, the hyperpolarization due to adenosine was revealed. The maximal hyperpolarization obtainable was always greater for acetylcholine than for adenosine. Furthermore, there was no additive effect of the highest dose of adenosine (2×10−4M) on the maximal hyperpolarization caused by acetylcholine. The hyperpolarization caused by adenosine or acetylcholine was not affected by ouabain or cesium. The results suggest that adenosine and acetylcholine slow the SA node rate by a similar mechanism but via different receptors. The data are consistent with adenosine causing an increase in potassium conductance which is not blocked by cesium.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    Pediatric cardiology 14 (1993), S. 119-121 
    ISSN: 1432-1971
    Keywords: Adenosine ; Atrial tachycardia
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Adenosine has proven effectiveness in the diagnosis and treatment of a variety of tachycardias with both normal and widened QRS complexes in children and adults. Its effectiveness is due to its depressant effects on atrioventricular node conduction. Adenosine might also be effective against automatic tachycardia due to spontaneous activation in partially depolarized cells. This report describes a patient presenting with tachycardia with normal QRS complexes. While the adenosine did not restore sinus rhythm, it did disclose the mechanism of the arrhythmia. Since other investigators have reported successful interruption of automatic atrial tachycardia, this case suggests that automatic atrial tachyarrhythmia may be due to more than one mechanism.
    Type of Medium: Electronic Resource
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  • 5
    Electronic Resource
    Electronic Resource
    Springer
    Pflügers Archiv 380 (1979), S. 19-27 
    ISSN: 1432-2013
    Keywords: Blood flow regulation ; Ca2+ membrane binding sites ; Inactivation of slow channels ; Frequency dependence of lanthanum effects ; Ca2+ dependent membrane permeability ; Ca2+ and frequency of stimulation ; Isoproterenol
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The effects of different [Ca2+]0 in the presence of variable [Na+]0 (100 to 37 mM) on the slow action potentials were studied in isolated rat atria in the presence of 25 mM K+ plus 10−6 M isoproterenol. Two modes of electrical stimulation were used, sustained stimulation at 0.5 Hz (“steady-state” mode), and stimulation by a single stimulus after rest periods of 2 to 5 min (“1st response” mode). With the first type of stimulation, and for [Ca2+]0 between 0.5 and 10 mM and [Na+]0 between 100 and 65 mM, the slow action potential overshoot increased linearly with the logarithm of the [Ca2+]0 (28.4 mV per 10-fold change in [Ca2+]0). However, elevation of [Ca2+]0 above 10 mM caused depression of the overshoot. This overshoot depression by high [Ca2+]0 was accentuated if [Na+]0 was decreased to 37 mM. With the “1st response” mode of stimulation, the overshoot — log [Ca2+]0 relationship was linear within a wider [Ca2+]0 range (0.5 to 25 mM), and was less sensitive to further decreases in [Na+]0. It is suggested that rat atria slow action potentials are generated by selective influx of Ca2+ but not Na+, and that the depression of amplitudes observed a high [Ca2+]0 and low [Na+]0 is due to a decrease in the Na2+ exchange mechanism which results in a higher [Ca2+]i, and not to a decrease in the inward Na+ current. Adenosine produced a parallel downward displacement of the overshoot to log [Ca2+]0 relationship. This adenosine effect was concentration dependent, independent of [Ca2+]0 and the frequency of stimulation. In contrast, the effects of 0.4 mM La3+ were dependent on the [Ca2+]0 and on the frequency of stimulation. Adenosine also produced a downward shift of the relationship between maximal rate of rise of the slow action potential and membrane resting potential in such a manner that its effects cannot be attributed to changes in inactivation potential of the slow channels. Hence, adenosine and La3+ depress the slow Ca2+ action potentials by two different mechanisms. Adenosine may act by 1) decreasing the number of functional slow channels, 2) decreasing the conductance of the individual channels, or 3) altering the kinetic properties of these channels. La3+ may act by competing with Ca2+ for membrane binding sites. These membrane binding sites appear to be characterized by frequency dependence.
    Type of Medium: Electronic Resource
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  • 6
    Electronic Resource
    Electronic Resource
    Springer
    Pflügers Archiv 403 (1985), S. 66-74 
    ISSN: 1432-2013
    Keywords: Sinoatrial node ; Pacemaker shift ; Adenosine ; Negative chronotropy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Adenosine has a negative chronotropic effect in a number of species. The studies reported here were undertaken to characterize further the effects of adenosine using isolated perfused rabbit hearts and isolated SA node tissue. In the isolated perfused hearts (n=9) the threshold doses for slowing by adenosine and 2-chloroadenosine, an adenosine analog, were 1×10−5 M and 1×10−7 M, respectively. In the isolated hearts adenosine, in addition to slowing sinus rate, also caused a change in the activation pattern of the right atrium. During adenosine infusion the earliest site of activation shifted from the SA node region to the right atria near the crista terminalis. The pacemaker shift was reversible upon washout of adenosine. The adenosine-induced shift in pacemaker could also be demonstrated using microelectrode recordings in the isolated SA node preparation that included the crista terminalis and some of the surrounding tissue. During control the activation of SA node preceded that of the crista terminalis (CT) by 44±4.1 ms (n=11). Adenosine infusion caused an increase in cycle length and, in addition shifted the earliest site of activation from the SA node region to CT, i.e., in the presence of adenosine CT preceded SA node activation by 26.68±3.2 ms. All the effects were reversible after washout of adenosine. Adenosine also caused conduction block within the sinus node. No effect on the action potentials or on conduction in the CT was observed. In small preparations (250×250 μm) which precludes pacemaker shift (n=18), adenosine and 2-chloroadenosine slowed the rate and caused a decrease in rate of phase four depolarization. The threshold for adenosine and 2-chloro-adenosine was 1×10−5 M and 3×10−7, respectively. Associated with pacemaker slowing was an increase in the maximum diastolic potential with a concomitant increase in the maximum rate of rise of the action potential. Adenosine had no effect on the SA node action potential duration or amplitude. The results were similar to those observed for acetylcholine, however, the adenosine effects were blocked by aminophylline but not by atropine. Adenosine-induced sinus slowing and pacemaker shift may be of importance during periods of metabolically compromised myocardium such as hypoxia and ischemia where there is increased production of adenosine.
    Type of Medium: Electronic Resource
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  • 7
    Electronic Resource
    Electronic Resource
    Springer
    Cardiac electrophysiology review 2 (1998), S. 157-160 
    ISSN: 1573-725X
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
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