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1 Department of Cardiovascular
Diseases,
To explore a
possible ionic basis for the prolonged Q-T interval in women compared
with that in men, we investigated the electrophysiological effects of
estrogen in isolated guinea pig ventricular myocytes. Action potentials
and membrane currents were recorded using the whole cell configuration
of the patch-clamp technique. Application of 17
-estradiol
(10-30 µM) significantly prolonged the action potential duration
(APD) at 20% (APD20) and 90%
repolarization (APD90) at
stimulation rates of 0.1-2.0 Hz. In the presence of 30 µM
17
-estradiol, APD20 and
APD90 at 0.1 Hz were prolonged by
46.2 ± 17.1 and 63.4 ± 11.7% of the control
(n = 5), respectively. In the presence
of 30 µM 17
-estradiol the peak inward
Ca2+ current
(ICaL) was
decreased to 80.1 ± 2.5% of the control
(n = 4) without a shift in its voltage
dependence. Application of 30 µM 17
-estradiol decreased the
rapidly activating component of the delayed outward
K+ current
(IKr) to 63.4 ± 8% and the slowly activating component (IKs) to 65.8 ± 8.7% with respect to the control; the inward rectifier K+ current was barely affected.
The results suggest that 17
-estradiol prolonged APD mainly by
inhibiting the IK
components IKr
and IKs.
17
-estradiol; Q-T interval; torsades de pointes; action
potential duration; delayed outward potassium current
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