Key result
Quinidine and lidocaine produced greater relative decreases in Vmax and conduction velocity with longitudinal propagation than with transverse propagation in cardiac muscle.
Population
Human and canine cardiac muscle
Design
Preclinical
Authors
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Cautions against clinical extrapolation from isolated tissue; leaves open anisotropic effects on antiarrhythmics in intact hearts.
A simplified model based on directional differences in effective membrane capacitance accurately predicts the anisotropic behavior of propagating depolarization in cardiac muscle when sodium conductance is modified.
Spach et al. (1987) studied Cardiac muscle electrophysiology. Quinidine and lidocaine was evaluated on Directionally dependent behavior of the upstroke (Vmax, conduction velocity, tau foot) in response to modification of sodium conductance. Quinidine and lidocaine produced greater relative decreases in Vmax and conduction velocity with longitudinal propagation than with transverse propagation in cardiac muscle.
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