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Dipartimento di Biologia Evolutiva e Funzionale-Sezione Fisiologia, Parco Area delle Scienze 11 A, 43100, Parma, Italy
In normal rats, we analysed the arrhythmogenic role of intrinsic action potential duration (APD) heterogeneity. In each animal, ventricular arrhythmic events (VAEs) occurring spontaneously and during the exposure to an acute social challenge were telemetrically recorded. Action potentials were recorded from isolated left ventricular myocytes, at a pacing rate of 5 Hz (patch clamp: current-clamp mode). APDs were measured at 20 mV, 30 mV, 40 mV, 50 mV and 60 mV. The difference between the shortest and the longest APD was also computed, as an index of individual APD heterogeneity. Animals predisposed to stress-induced arrhythmias showed higher values of APD and APD heterogeneity as compared with the remaining rats. We concluded that, in the normal heart, a large intrinsic APD heterogeneity resulting from specific electrophysiological properties of ventricular myocytes is not in itself arrhythmogenic, but can predispose towards arrhythmia development under certain conditions, such as autonomic activation.
(Received 2 January 2004;
accepted after revision 23 March 2004; first published online 1 April 2004)
Corresponding author D. Stilli: Dipartimento di Biologia Evolutiva e Funzionale-Sezione Fisiologia, Parco Area delle Scienze 11 A, 43100, Parma, Italy. Email: stilli{at}biol.unipr.it
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