Comparison of slow response action potentials from normal and hypertrophied myocardium

Am J Physiol. 1984 May;246(5 Pt 2):H675-82. doi: 10.1152/ajpheart.1984.246.5.H675.

Abstract

Previous studies have shown that papillary muscles from hypertrophied cat right ventricles (RVH) exhibit altered mechanical properties which may be associated with defects in the excitation-contraction coupling process. Since calcium influx [as slow inward current (Isi) during the cardiac action potential is thought to be a major determinant of contractile state, we compared Isi-mediated slow response action potentials ( SRAPs ) in papillary muscles from cats with RVH, induced by chronic pulmonary artery constriction, to SRAPs from sham-operated controls. The results show that 1) when depolarized by elevated extracellular potassium (K+o, 22 mM), RVH muscles became inexcitable (as defined here) significantly faster than control muscles; 2) inexcitable RVH muscles required significantly more isoproterenol than controls to restore slow response activity; 3) at all isoproterenol concentrations tested, SRAPs from RVH muscles were reduced in amplitude and duration compared with controls; 4) SRAPs evoked by long duration stimulus pulses in the absence of isoproterenol were also markedly reduced in RVH; and 5) the relationship between resting potential and K+o was the same in both groups. If the alterations in SRAPs observed in RVH are produced by a smaller Isi, this change may be associated with the diminished inotropic state of cardiac muscle caused to hypertrophy due to pressure overload.

Publication types

  • Comparative Study
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Action Potentials* / drug effects
  • Animals
  • Cardiomegaly / physiopathology*
  • Cats
  • Isoproterenol / pharmacology
  • Isotonic Solutions / pharmacology
  • Papillary Muscles / physiopathology*
  • Potassium / pharmacology
  • Reaction Time
  • Tetrodotoxin / pharmacology

Substances

  • Isotonic Solutions
  • Tyrode's solution
  • Tetrodotoxin
  • Isoproterenol
  • Potassium