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In canine Purkinje fiber-papillary muscle preparations it was shown directly that electrotonic spread can take place across the junctions between Purkinje fibers and ordinary muscle fibers (P-M junctions). The P-M delay recorded during orthodromic propagation varied considerably within any given preparation. Moderate increases in the external concentration of K + (up to 6 m M ) consistently decreased the P-M delay; when the concentration of external K + was increased to 8 m M the P-M delay increased. With larger concentrations of K + (10 to 11 m M ), total conduction block from the terminal Purkinje fibers to the muscle occurred; under the same conditions antidromic propagation from muscle to Purkinje fiber was still possible. The results can be explained satisfactorily by assuming that propagation across the P-M junction is electrical and that the geometry of the functional syncytium changes progressively from a cable-like system at the level of the terminal Purkinje fibers to a two- or three-dimensional irregular syncytium at the bulk of the myocardial mass.
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Carlos F. Méndez
University of Buenos Aires
William J. Mueller
Northwell Health
XAVIER URGUIAGA
Masonic Medical Research Laboratory
Circulation Research
Masonic Medical Research Laboratory
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Méndez et al. (Sun,) studied this question.
synapsesocial.com/papers/6a0fb2332badbc352afe8fba — DOI: https://doi.org/10.1161/01.res.26.2.135