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1 Institute of Biomedical and Life Science, University of Glasgow, University Avenue, Glasgow, G12 8QQ, Scotland, UK2 Section of Cardiology, Division of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow Royal Infirmary, Scotland, UK
Procedures that reduce contraction are used to facilitate optical measurements of membrane potential, but it is unclear to what extent they affect the excitability of the heart. This study has examined the electrophysiological consequences of a range of extracellular [Ca2+] (0.72.5 mmol l1), 2,3-butane-dione monoxime (BDM; 120 mmol l1) and cytochalasin-D (Cyto-D; 15 µmol l1). Methods. Monophasic action potentials (MAPs) were recorded from the basal epicardial surface of the left ventricle of isolated rabbit hearts. Conduction delay (CD) and time to 90% repolarisation of the monophasic action potential (MAPD90) were measured. The effects of BDM and Cyto-D on restitution were studied at a [Ca2+] of 1.9 mmol l1. Restitution curves for MAPD90 were generated using a standard S1S2 protocol. Results. All manoeuvres decreased left ventricular developed pressure (LVDP): 0.7 mmol l1 Ca2+ to 74.0 ± 6.1%, 20 mmol l1 BDM to 4.5 ± 1.0%, and 5 µmol l1 Cyto-D to 12.8 ± 3.5% of control value. CD decreased from a control value (33.3 ± 1.0 ms, n= 16) to 93.0 ± 2.2% in 0.7 mmol l1 Ca2+, but increased to 133.7 ± 10.5% in 20 mmol l1 BDM and 127.4 ± 10.6% in 5 µmol l1 Cyto-D. At 350 ms pacing cycle length, MAPD90 (control = 119.6 ± 1.7 ms n= 16) was prolonged by reduced extracellular [Ca2+]. BDM had no effects on MAPD90 at control pacing rates. Cyto-D caused a significant prolongation (to 115.0 ± 3.0% of control, n= 6) at the highest concentration studied (5 µmol l1). Both BDM (20 mmol l1) and Cyto-D (3 µmol l1) flattened the restitution curves but neither agent altered maximum MAPD90. Conclusions. Extracellular [Ca2+] of 1.9 mmol l1 in conjunction with a moderate dose of Cyto-D (3 µmol l1) reduced contractility with minimal effects on action potential duration and conduction at a fixed pacing cycle length. However, both BDM and Cyto-D had pronounced effects on electrical restitution.
(Received 17 October 2003;
accepted after revision 3 December 2003)
Corresponding author G. L. Smith: Institute of Biomedical and Life Sciences, University of Glasgow, Glasgow, G12 8QQ, UK. E-mail: g.smith{at}bio.gla.ac.uk
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