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February 1, 1970Circulation Research172 citationsOpen Access

Propagation of Impulses across the Purkinje Fiber-Muscle Junctions in the Dog Heart

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CMCarlos F. MéndezWMWilliam J. MuellerXUXAVIER URGUIAGA

Key Points

  • To investigate the propagation of impulses across the junctions of Purkinje fibers and muscle fibers in canine heart preparations.
  • Examined electrotonic spread in canine Purkinje fiber-papillary muscle preparations.

Structured PICO

Does varying external potassium concentration affect impulse propagation across Purkinje fiber-muscle junctions in canine hearts?

P
Population
Canine Purkinje fiber-papillary muscle preparations
I
Intervention
Varying external concentrations of potassium (K+) up to 11 mM
C
Comparator
Baseline or different concentrations of external potassium
O
Outcome
Purkinje-muscle (P-M) delay and conduction blocksurrogate

The study demonstrates that impulse propagation across the Purkinje-muscle junction is electrical and highly sensitive to external potassium concentrations, with high levels causing unidirectional block.

Abstract

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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Cite This Study

Méndez et al. (1970) studied this question.

synapsesocial.com/papers/6a0fb2332badbc352afe8fbahttps://doi.org/10.1161/01.res.26.2.135
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