ISSN:
1432-1912
Keywords:
Antiarrhythmic drug
;
Procainamide
;
Cardiac transmembrane action potential
;
$$\dot V_{\max }$$ membrane potential relationship
;
Reactivation of $$\dot V_{\max }$$
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Summary Effects of procainamide (PA), 0.18, 0.37 and 0.74 mmol/l, on the transmembrane potential were studied in isolated guinea-pig papillary muscles, superfused with modified Tyrode's solution (external K concentration, [K]o=5.4 mmol/l) at the basic driving rate of 1 Hz. PA, at 0.37 mmol/l, significantly reduced the maximum rate of rise of action potential ( $$\dot V_{\max }$$ ) with no change in the resting potential. When 2.7 mmol/l [K]o of the superfusate was exchanged for 15 mmol/l [K]o solution a decrease in $$\dot V_{\max }$$ induced by 0.37 mmol/l PA became more prominent with decrease in resting potential. The reduction of $$\dot V_{\max }$$ at steady state was less at lower driving rates (0.25 and 0.5 Hz) and more at higher driving rates (2–5 Hz) than at 1 Hz in 2.7, 5.4 and 10.0 mmol/l [K]o solution. Such changes were enhanced concentration-dependently by PA at 5.4 mmol/l [K]o. Also, the changes became more significant with an increase in [K]o from 2.7 mmol/l to 5.4 mmol/l and then to 10.0 mmol/l. The recovery process of $$\dot V_{\max }$$ proceeded with two components. The time course of the slow component seen in the $$\dot V_{\max }$$ of the first response after interruption of basic driving stimulation at 1 Hz, followed an approximate monoexponential function. The time constants were 6.3, 4.4 and 5.8 s in the presence of 0.18, 0.37 and 0.74 mmol/l PA at 5.4 mmol/l [K]o and 3.4 and 3.7 s both in the presence of 0.37 mmol/l PA at 2.7 and 10.0 mmol/l [K]o. $$\dot V_{\max }$$ values after 30 or 60 s interruption of stimulation were 80–92% of the predrug $$\dot V_{\max }$$ value at 1 Hz. The time constants of the first component, estimated by the peeling-off methods at the driving rate of 0.1 Hz, were 11, 31 and 5–22 ms in the presence of 0.37 mmol/l at 5.4, 10.0 and 2.7 mmol/l [K]o and did not differ significantly from the time constants in control preparations. The results were found to be consistent, to a certain extent, with the model proposed by Hondeghem and Katzung (1977).
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF00501227
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