AJP - Heart Calcium Transients and Cell-Sarcomere
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Am J Physiol Heart Circ Physiol (October 4, 2001). doi:10.1152/ajpheart.00612.2001
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Articles in PresS, published online ahead of print October 4, 2001
Am J Physiol Heart Circ Physiol, 10.1152/ajpheart.00612.2001
Submitted on July 12, 2001
Accepted on September 24, 2001

Ionic Mechanism of Electrical Alternans

Jeffrey J Fox1, Jennifer L McHarg2, and Robert F Gilmour2*

1 Physics, Cornell University, Ithaca, NY, USA; Biomedical Sciences, Cornell University, Ithaca, NY, USA
2 Biomedical Sciences, Cornell University, Ithaca, NY, USA

* To whom correspondence should be addressed. E-mail: rfg2{at}cornell.edu.

Although alternans of action potential duration (APD) is a robust feature of rapidly paced canine ventricle, currently available ionic models of cardiac myocytes do not recreate this phenomenon. To address this problem, we developed a new ionic model, using formulations of currents based on previous models and recent experimental data. Compared to existing models, IK1 was decreased at depolarized potentials, the maximum conductance and rectification of IKr were increased and IKr activation kinetics were slowed. IKs was increased in magnitude and activation shifted to less positive voltages and ICa was modified to produce a smaller, more rapidly inactivating current. Finally, a simplified form of intracellular calcium dynamics was adopted. In this model, APD alternans occurred at cycle lengths = 150-210 ms, with a maximum alternans amplitude of 39 ms. APD alternans was suppressed by decreasing ICa magnitude or calcium-induced inactivation and by increasing the magnitude of IK1, IKr, or IKs. These results establish an ionic basis for APD alternans, which should facilitate the development of pharmacological approaches to eliminating alternans.







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