Key Points
- This review aims to comprehensively characterize the M cell and its effects on electrical heart function and arrhythmias.
- Evaluation of the M cell's action potential and its implications for cardiac electrophysiology.
- Discussion of controversies about transmural heterogeneity of repolarization and recording techniques.
- Analysis of the impact of anesthetics on transmural dispersion of repolarization.
- M cell action potentials prolong significantly compared to other ventricular cells under certain conditions.
- Controversy exists regarding the functional significance of transmural heterogeneity of repolarization.
- High concentrations of quinidine can produce counterproductive effects on ion channels affecting TDR.
Structured PICO
PPopulationVentricular myocardium M cells (review including dog models)
This review characterizes the M cell's role in ventricular electrophysiology and arrhythmias, suggesting that previous failures to detect its functional importance in vivo were likely due to methodological limitations.