Abstract
It is well agreed that, because of the problems related to the multicellular nature of cardiac preparations — like voltage non-uniformities in space-clamped preparations — or because of technical limitations, interpretation of voltage-clamp results in cardiac muscle requires a particular caution (Johnson and Lieberman, 1971; McGuigan, 1974; Attwell and Cohen, 1977). Recently, the attention of cardiac electrophysiologists has been concentrating on yet another cause of distortion in the analysis performed under V-clamp conditions, which interferes with the study of current properties, i.e. the phenomenon of accumulation/depletion (Almers, 1972; Noble, 1976; Cohen et al., 1976; Baumgarten and Isenberg, 1977; DiFrancesco et al., 1979; Eisner et al., 1980). It now appears that the distortion induced by accumulation/depietion of potassium ions in close extracellular spaces in the description of any K-dependent current is far more drastic than any distortion induced by non-uniformities. Indeed, evidence given in this paper shows how the presence of strong K-depletion during hyperpolarizations can alter the analysis of the pacemaker current “iK2” so substantially as to make an inward current activating during a hyper polarization look like an outward current deactivating (DiFrancesco, 1981a).
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DiFrancesco, D. (1982). The Current IK2 in Purkinje Fibres Reinterpreted and Identified with the Current IF in the SA Node. In: Bouman, L.N., Jongsma, H.J. (eds) Cardiac Rate and Rhythm. Developments in Cardiovascular Medicine, vol 17. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-7535-4_6
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DOI: https://doi.org/10.1007/978-94-009-7535-4_6
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