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Am J Physiol Heart Circ Physiol (October 2, 2003). doi:10.1152/ajpheart.00689.2003
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Submitted on July 24, 2003
Accepted on September 26, 2003

Effects of Electroporation on Optically Recorded Transmembrane Potential Responses to High-Intensity Electrical Shocks

Vladimir P Nikolski1*, Aleksandre Sambelashvili1, Valentin Krinsky2, and Igor Efimov1

1 Biomedical Engineering, Case Western Reserve University, Cleveland, Ohio, USA
2 ; Institut Non Lineaire de Nice, Nice, France

* To whom correspondence should be addressed. E-mail: vpn2{at}case.edu.

The outcome of defibrillation shocks is determined by the nonlinear transmembrane potential response ({Delta}Vm) induced by strong external electrical field in cardiac cells. We investigated contribution of electroporation to {Delta}Vm transients during high-intensity shocks using optical mapping. Rectangular and ramp stimuli (10-20 ms) of different polarities and intensities were applied to the rabbit heart epicardium during plateau phase of the action potential. {Delta}Vm were optically recorded under the custom 6-mm-diameter electrode using voltage-sensitive dye. Gradual increase of cathodal and well as anodal stimulus strength was associated with: a) saturation and subsequent reduction of {Delta}Vm; b) post-shock diastolic resting potential (RP) elevation, c) post-shock action potential amplitude (APA) reduction. Weak stimuli induced monotonic {Delta}Vm response and did not affect RP level. Strong shocks produced non-monotonic {Delta}Vm response, caused RP elevation and reduction of post-shock APA. The maximum positive and maximum negative {Delta}Vm were recorded at 170±20 mA/cm2 for cathodal and at 240±30 mA/cm2 for anodal stimuli, respectively (mean ± SEM, n=8, p=0.003). RP elevation reached 10% of APA at stimulus strength 320±40 mA/cm2 for both polarities. Strong ramp stimuli (20 ms 600 mA/cm2) induced non-monotonic {Delta}Vm response, reaching the same largest positive and negative values as for rectangular shocks. Transition from monotonic to non-monotonic morphology correlates with RP elevation and APA reduction, which is consistent with cell membrane electroporation. Strong shocks resulted in Propidium Iodide uptake, suggesting sarcolemma electroporation. Conclusions: Electroporation is a likely explanation of the saturation and non-monotonic nature of cellular responses reported for strong electric stimuli.




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