Identifies a slow inward calcium current in ventricular myocardium that contributes to the action potential plateau and regulates contraction.
Does not support changes in arrhythmia or HF management; leaves open the contribution of this current to human ventricular function.
In thin bundles of dog ventricular myocardium, a slow inward current (distinct from the sodium inward current) could be recorded under voltageclamp conditions. This inward current was influenced by changes in external calcium concentration, but it was not dependent on external sodium concentration. Therefore, this current which contributes an appreciable amount of charge transfer during the plateau of the action potential, is carried by calcium ions. In sodium-free solution, the flow of calcium ions into the fiber is directly related to activation of contraction. In sodium-containing solution, however, calcium inward current serves primarily to fill up some intracellular stores from which calcium can be released by moderate depolarization.
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Réuter et al. (1969) studied this question.
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