“…Recent studies at the single-channel level indicate that mammalian myocardium contains a calcium-activated cationic channel that is selective for monovalent ions (Ehara, Noma & Ono, 1988;Hill, Coronado & Strauss, 1988). On the other hand, Na+-Ca2+ exchange (Eisner & Lederer, 1985;Kimura, Miyamae & Noma, 1987), which plays an essential role in calcium extrusion following 20 MECHANISMS OF TI IN Nat-FREE SOLUTION each contraction (Chapman, 1983;Bridge, Smolley & Spitzer, 1990), could also generate TI when the intracellular Ca2+ is significantly elevated (Karagueuzian & Katzung, 1982;Noble, 1984;Arlock & Katzung, 1985;Brown, Noble, Noble & Taupignon, 1986;Fedida, Noble, Rankin & Spindler, 1987 a;Fedida, Noble, Shimoni & Spindler, 1987 b;Lipp & Pott, 1988;Egan, Noble, Noble, Powell, Spindler & Twist, 1989). In general, experimental evidence favouring the cationic channel has come from experiments on Purkinje fibres, whereas observations made in muscle and sinus node cells suggest Na+-Ca2+ exchange as the primary mechanism (January & Fozzard, 1988;Ferrier, 1991); however, both mechanisms might be operative in either tissue (Ehara et al 1988;Giles & Shimoni, 1989a, b;Han & Ferrier, 1990).…”