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Am J Physiol Heart Circ Physiol 277: H211-H220, 1999;
0363-6135/99 $5.00
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Vol. 277, Issue 1, H211-H220, July 1999

Electrophysiological mechanisms by which hypothyroidism delays repolarization in guinea pig hearts

Ralph F. Bosch1, Zhiguo Wang1,2, Gui-Rong Li1,2, and Stanley Nattel1,2,3

1 Department of Medicine and 2 Research Center, Montreal Heart Institute and University of Montreal, Montreal H1T 1C8; and 3 Department of Pharmacology and Therapeutics, McGill University, Montreal, Quebec, Canada H3G 1Y6

Thyroid hormone is known to exert important effects on cardiac repolarization, but the underlying mechanisms are poorly understood. We investigated the electrophysiological mechanisms of differences in repolarization between control guinea pigs and hypothyroid animals (thyroidectomy plus 5-propyl-2-thiouracil). Hypothyroidism significantly prolonged the rate-corrected Q-T interval in vivo and action potential duration (APD) of isolated ventricular myocytes. Whole cell voltage-clamp studies showed no change in current density or kinetics of L-type Ca2+ current, inward rectifier K+ current, or Na+ current in hypothyroid hearts. Dofetilide-resistant current (IKs) step current densities were smaller by ~65%, and tail current densities were reduced by 80% in myocytes from hypothyroid animals compared with controls. The ratio of delayed rectifier step current at +50 mV to tail current at -40 mV was significantly larger in hypothyroid cells for test pulses from 60- to 4,200-ms duration, reflecting a smaller IKs. Dofetilide-sensitive current (IKr) densities were not significantly changed. IKs half-activation voltage shifted to more positive voltages in hypothyroidism (29.5 ± 2.2 vs. 21.3 ± 2.7 mV in control, P < 0.01), whereas IKr voltage dependence was unchanged. We conclude that hypothyroidism delays repolarization in the guinea pig ventricle by decreasing IKs, a novel and potentially important mechanism for thyroid regulation of cardiac electrophysiology.

electrocardiogram; action potential; biophysics; cardiac arrhythmias; antiarrhythmic drugs; ion channels


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Am. J. Physiol. Heart Circ. Physiol.Home page
L. Sen, Y. Sakaguchi, and G. Cui
G protein modulates thyroid hormone-induced Na+ channel activation in ventricular myocytes
Am J Physiol Heart Circ Physiol, November 1, 2002; 283(5): H2119 - H2129.
[Abstract] [Full Text] [PDF]




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