The Slow Inward Current and Cardiac Arrhythmias

Since Paul Cranefield published his monograph, The Conduction of the Cardiac Impulse, in 1975, much has been learned about the role of the slow inward current in cardiac electrophysiology. Because of this expanse in know­ ledge, both basic and clinical, i

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DEVELOPMENTS IN

CARDIOVASCULAR MEDICINE

VOLUME 7

1. C.T. Lancee, (ed.). Echocardiology, 1979. ISBN 90-247-2209-8. 2. J. Baan, A.C. Arntzenius, E.L. Yellin, (eds). Cardiac Dynamics. 1980. ISBN 90-247-2212-8. 3. H.J.Th. Thalen, C.C. Meere, (eds). Fundamentals of Cardiac Pacing. 1979. ISBN 90-247-2245-4. 4. H.E. Kulbertus, H.J.J. Wellens, (eds). Sudden Death. 1980. ISBN 90247-2290-X 5. L.S. Dreifus, A.N. Brest, (eds). Clinical Applications of Cardiovascular Drugs. 1980. ISBN 90-247-2295-0. 6. M.P. Spencer, J.M. Reid, (eds.). Cerebrovascular Evaluation with Doppler Ultrasound. 1980. ISBN 90-247-2384-1. 8. H. Kesteloot, J.V. Joossens, (eds.). Epidemiology of Arterial Blood Pressure. 1980. ISBN 90-247-2386-8.

THE SLOW INWARD CURRENT AND CARDIAC ARRHYTHMIAS

edited by

DOUGLAS P. ZIPES, M.D. Indiana University School of Medicine Indianapolis. Indiana

JOHN C. BAILEY, M.D. Indiana University School of Medicine Indianapolis. Indiana

VICTOR ELHARRAR, Ph.D. Indiana University School of Medicine Indianapolis. Indiana

• 1980

MARTINUS NIJHOFF PUBLISHERS THE HAGUE / BOSTON / LONDON

Distributors : for the United States and Canada

Kluwer Boston, Inc. 190 Old Derby Street Hingham, MA 02043 USA for all other countries

Kluwer Academic Publishers Group Distribution Center P.O. Box 322 3300 AH Dordrecht The Netherlands

Library of Congress Cataloging in Publication Data Main entry under title: The slow inward current and cardiac arrhythmias. (Developments in cardiovascular medicine; v. 7) Includes index. l. Arrhythmia. 2. Heart conduction system. 3. Electric currents. I. Zipes, Douglas P. II. Bailey, John C. Ill. Elharrar, Victor. IV. Series. [DNLM: l. Arrhythmia. 2. Heart conduction system. WI DE997VME v. 7/ WG330 S634] RC685.A65S56 616.1'28 80-18692 ISBN-13: 978-94-009-8892-7 001: 10.1007/978-94-009-8890-3

e-ISBN-13: 978-94-009-8890-3

Copyright © 1980 by Martinus NijhofJ Publishers bv, The Hague. Softcover reprint of the hardcover 1st edition 1980 All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, mechanical, photocopying, recording, or otherwise, without the prior written permission of the publisher, Martinus NijhofJ Publishers bv, P.O. Box 566, 2501 CN The Hague, The Netherlands.

T ABLE OF CONTENTS

Preface

IX

List of contributors

Xl

I. OVERVIEW

1. Historical perspective

3

SILVIO WEIDMANN

2. The slow response and cardiac arrhythmias

11

PAUL F. CRANEFIELD

II. BASIC PROPERTIES OF THE SLOW INWARD CURRENT 3. Voltage clamp studies of the slow inward current

25

EDOUARD CORABOEUF

4. The slow inward current: non-voltage-clamp studies

97

EDW ARD CARMELIET

5. The role of cyclic AMP in regulation of the slow inward current

III

MICHAEL J. MIRRO, JOHN C. BAILEY, AUGUST M. WATANABE

6. The role of the slow inward current in impulse formation MARIO

127

V ASSALLE

7. Slow conduction in the heart

149

PAUL F. CRANEFIELD, FREDERICK A. DODGE

8. Slow inward current and contraction

173

HARRY A. FOZZARD

9. Effects of neuro