The ultrarapid and the transient outward K+ current in human atrial fibrillation.: Their possible role in postoperative atrial fibrillation

The ultrarapid and the transient outward K+ current in human atrial fibrillation.: Their possible role in postoperative atrial fibrillation
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DOI:
10.1006/jmcc.2000.1221
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发表时间:
2000-10-01
影响因子:
5
通讯作者:
Beuckelmann, DJ
Beuckelmann, DJ
中科院分区:
医学2区
文献类型:
--
作者:
Brandt, MC;Priebe, L;Beuckelmann, DJ

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M. C.布兰特湖普里耶贝波尔。M. Sudkamp和D. J. Beuckelmann。心房颤动时的超快速和瞬时钾电流他们在术后房颤中的可能作用。分子和细胞心脏病学杂志(2000)32,1885-1896。心房颤动(AF)引起心房传导的明显变化,其特征在于电重构。在这个过程中的特定的K+外向电流的改变可能的意义的实验数据仍然是有限的,在人类AF。超快速延迟整流电流(I-Kur)尚未在AF研究其敏感性4-氨基吡啶(4-AP)。为了阐明(1)4-AP敏感的I-Kur电流(与不使用4-AP的记录相比,I-Kur*)和(2)瞬时外向电流(I-to)在与AF相关的心房复极变化中的作用,从接受择期心脏手术的患者的心房肌细胞获得全细胞电压钳记录,这些患者有和没有心房颤动(AF/非AF)病史。此外,实验数据和术后AF之间的可能关系进行了研究。在AF患者中,I-Kur*.在+50 mV时,降低了40% [5.00 +/- 0.32 pA/pF(非AF)和2.91 +/- 0.45 pA/pF(AF),P
M. C. BRANDT, L. PRIEBE, T. BOHLE. M. SUDKAMP AND D. J. BEUCKELMANN. The Ultrarapid and the Transient Outward K+ Current in Human Atrial Fibrillation. Their Possible Role in Postoperative Atrial Fibrillation. Journal of Molecular and Cellular Cardiology (2000) 32, 1885-1896. Atrial fibrillation (AF) causes distinct changes in atrial conduction, characterized as electrical remodeling. Experimental data on the possible significance of alterations of specific K+ outward currents in this process are still limited in human AF. The ultra-rapid delayed rectifier current (I-Kur) has not been studied in AF with respect to its sensitivity to 4-Aminopyridine (4-AP). To clarify the role of (1) the 4-AP sensitive I-Kur current, compared to recordings without using 4-AP (I-Kur*), and (2) the transient outward current (I-to) in changes of atrial repolarizarion associated with AF, whole cell voltage-clamp recordings were obtained from atrial myocytes of patients undergoing elective cardiac surgery, with and without a history of atrial fibrillation (AF/non-AF). Further, a possible relation between experimental data and postoperative AF was studied. In AF patients, I-Kur*. was reduced by 40% [5.00 +/- 0.32 pA/pF (non-AF) and 2.91 +/- 0.45 pA/pF (AF) at + 50 mV, P