Comprehensive Physiology 2015
DOI: 10.1002/cphy.c140069
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Ion Channels in the Heart

Abstract: Optimal cardiac function depends on proper timing of excitation and contraction in various regions of the heart, as well as on appropriate heart rate. This is accomplished via specialized electrical properties of various components of the system, including the sinoatrial node, atria, atrioventricular node, His-Purkinje system, and ventricles. Here we review the major regionally-determined electrical properties of these cardiac regions and present the available data regarding the molecular and ionic bases of re… Show more

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Cited by 152 publications
(170 citation statements)
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“…During cardiac action potentials, there is a flux of sodium (Na + ) into the cell, along with an inward flux of calcium (Ca + ), that leads to the depolarization, followed by outward potassium (K + ) currents that repolarize the cell (1,(8)(9)(10)(11)). …”
Section: Action Potentials Drive Heart Beatmentioning
confidence: 99%
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“…During cardiac action potentials, there is a flux of sodium (Na + ) into the cell, along with an inward flux of calcium (Ca + ), that leads to the depolarization, followed by outward potassium (K + ) currents that repolarize the cell (1,(8)(9)(10)(11)). …”
Section: Action Potentials Drive Heart Beatmentioning
confidence: 99%
“…An action potential is divided into several phases (1,(9)(10)(11)(12). In phase 4, the resting phase, the membrane potential of a ventricular cardiomyocyte is about −90 mV because, like most cells, ventricular cardiomyocytes have a more negative charge inside than outside of the cell.…”
Section: Action Potentials Drive Heart Beatmentioning
confidence: 99%
“…For example, the repolarization duration of the cardiac action potential (AP) and its correlate on the body surface, the QTinterval, are determined by a delicate balance of ion currents ( Fig. 1, top panel) [2]. If repolarization duration is too short, cells can become excitable too soon, favoring the development of reentrant tachyarrhythmias.…”
mentioning
confidence: 99%
“…If repolarization duration is too short, cells can become excitable too soon, favoring the development of reentrant tachyarrhythmias. On the other hand, if AP duration (APD) becomes too long, secondary depolarizations can develop before full repolarization (termed early afterdepolarizations; EADs), potentially creating large spatial repolarization gradients and triggering Torsades des Pointes (TdP) arrhythmias [2].…”
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confidence: 99%
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