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Effects of Quinidine Sulfate on the Balance Among Active and Passive Cellular Properties That Comprise the Electrophysiologic Matrix and Determine Excitability in Sheep Purkinje Fibers

 

作者: Morton Arnsdorf,   George Sawicki,  

 

期刊: Circulation Research  (OVID Available online 1987)
卷期: Volume 61, issue 2  

页码: 244-255

 

ISSN:0009-7330

 

年代: 1987

 

出版商: OVID

 

关键词: active and passive cellular properties;antiarrhythmic drugs;arrhythmias;cable properties;cardiac excitability;cardiac Purkinje fibers;cellular electrophysiology;electrophysiologic matrix;pharmacology;quinidine sulfate;strength-duration and charge- duratio

 

数据来源: OVID

 

摘要:

Quinidine is the most commonly used drug for the chronic treatment of ventricular arrhythmias, but it may be arrhythmogenic. Much information exists concerning quinidine's effects on active properties in cardiac tissues, but virtually nothing is known of its effects on passive properties. We studied the effects of quinidine, in a clinically relevant concentration, on the balance among active and passive cellular properties that comprise the electrophysiologic matrix that determines cardiac excitability. The multiple microelectrode method of intracellular-current application and transmembrane voltage recording was used in sheep Purkinje fibers to determine strength-duration and constant current- voltage relations as well as cable properties. A rapid, on-line computerized data analysis system tracked in time the alterations in the active and passive properties relevant to excitability. In normal fibers at [K+]0= 5.4 mM, quinidine increased cardiac excitability as manifested by a decrease in the current required to attain threshold and/or a downward shift in strength- and charge-duration relations by altering passive properties despite a depressed sodium system and a slowed conduction velocity. During washout, excitability and passive properties remained altered despite a return of descriptive action potential parameters such as the resting potential, the maximum rate of rise of phase 0, overshoot, and the action potential duration to or nearly to normal. At [K+]0= 8.0 mM, quinidine could either increase or decrease excitability; net excitability depends on the balance between altered passive properties and the depressed sodium system. The results explain, in part, the antiarrhythmic actions and arrhythmogenic potential of quinidine. The data for quinidine and other antiarrhythmic drugs are interpreted in terms of the electrophysiologic matrix, which we believe has important advantages over traditional hierarchical classifications.

 

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