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  • 1
    ISSN: 1540-8159
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: In a patient with nonischemic ventricular tachycardia (VT), VT was entrained and the conduction time from the pacing site to the entrained local electrogram showed a rate dependent shortening and its degree affected by the pacing site. The QRS complex, which was entrained by the last pacing stimulus, was constant and identical to that of VT and no rate dependent facilitated conduction was observed when the heart was paced at similar paced cycle lengths during sinus rhythm. As the mechanism of the shortening of the conduction time through the reentrant circuit, a shift of the entrance seems most likely.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1615-2573
    Keywords: Amrinone ; Sinoatrial node ; Phosphodiesterase inhibitor ; Membrane ionic current ; Chronotropic action
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary To elucidate the physiological role of phosphodiesterase (PDE) in cardiac pacemaker cells, we studied the electrophysiological effects of amrinone, an inhibitor of PDE type III, on the spontaneous action potential (AP) and membrane currents, using small preparations (0.2 × 0.2 × 0.1mm) of rabbit sinoatrial (SA) node cells. Amrinone (0.1–1.0mM) progressively increased the AP amplitude, maximal rate of depolarization, and spontaneous firing frequency, shortened the AP duration, and made the threshold potential more negative. In voltage-clamp experiments using double microelectrode techniques, 0.1mM amrinone increased the Ca2+ current (I Ca) obtained on step depolarization from −40 to −10mV by 25.86% ± 4.6% (P 〈 0.05,n = 6), the delayed rectifier K+ current (I K) tail obtained on repolarization from 10 to −60mV by 22.8% ± 4.7% (P 〈 0.05,n = 6), and the hyperpolarization-activated inward current (I h) at −90mV by 19.5% ± 7.3% (P 〈 0.05,n = 6), respectively. Amrinone did not affect the slope factors of either the inactivation curve forI Ca (f∞ curve) or the activation curve for the delayed rectifierI K (p∞ curve). These results suggest that this PDE III inhibitor exerts a positive chronotropic action by enhancing the availability and the conductance of all the tested membrane currents in rabbit SA node cells.
    Type of Medium: Electronic Resource
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