کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
8401487 | 1544484 | 2012 | 12 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Arrhythmogenic mechano-electric heterogeneity in the long-QT syndrome
دانلود مقاله + سفارش ترجمه
دانلود مقاله ISI انگلیسی
رایگان برای ایرانیان
کلمات کلیدی
KCNH2RyRLQTSAPDTDPTRPMEADTorsades de pointesIKrNCXICaLIK1EMwKCNE1KCNQ1Ether-à-go-go-related geneICl(Ca)TrpSCN5AROCERGDADTDIpKaCaMKIIITIIKScAMP - cAMPINa - INAVentricular arrhythmia - آریتمی بطنیearly afterdepolarization - اوایل پس از دپولیزاسیونITO - اینright ventricle - بطن راستleft ventricle - بطن چپVentricular tachycardia - تاکی کاردی بطنیTransient inward current - جریان ورودی گذراSarcoplasmic reticulum - رتیکولوم سارکوپلاسمیکCAM - ساخت به کمک کامپیوترLong-QT syndrome - سندرم طولانی QTSERCA - قلبmap - نقشهaction potential - پتانسیل عمل Monophasic action potential - پتانسیل فعالیت مونوفازtransient receptor potential - پتانسیل گیرنده گذراprotein kinase A - پروتئین کیناز Adelayed afterdepolarization - پس از depolarization به تعویق افتادCalcium - کلسیمRyanodine receptor - گیرنده رایانودینreceiver operating characteristic - گیرنده عامل عامل
موضوعات مرتبط
علوم زیستی و بیوفناوری
بیوشیمی، ژنتیک و زیست شناسی مولکولی
بیوفیزیک
پیش نمایش صفحه اول مقاله
چکیده انگلیسی
Since the first linkage of the long-QT syndrome to the Harvey ras-1 gene in 1991 ample research has been performed to decipher the molecular-biophysical basis of congenital repolarization defects and the electrophysiological mechanisms of torsades-de-pointes arrhythmias in this condition. Mechanistic knowledge is mostly derived from cellular experiments (cardiac myocytes, cultured cells), ventricular tissue (including arterially-perfused wedge) preparations and Langendorff-perfused hearts, with relatively little information from in-vivo animal models, and even more scant intact human-heart investigations. Until now, much emphasis has been put on purely membrane-related pathways of arrhythmia initiation with a prominent role for spatiotemporal dispersion of repolarization, early afterdepolarizations and reentrant excitation. Here, we review additional factors that influence the onset of torsades de pointes, notably myocardial Ca2+ (over) loading and spontaneous SR Ca2+ release, occurring particularly during intense sympathetic nervous stimulation and dynamic cycle-length changes. Recent tissue and in-vivo data suggest that spontaneous SR Ca2+ release, underlying aftercontractions in the isolated myocyte, may organize to local myocardial Ca2+ waves and aftercontractions in the intact heart. In the setting of prolonged repolarization and a negative electromechanical window, these spontaneous [Ca2+]cyt-based events (which often arise during early diastole) may exaggerate repolarization instability via [Ca2+]cyt-activated inward membrane currents and, as we postulate, via mechano-sensitive ion currents. Future long-QT research should focus on the intact beating heart with preserved autonomic input to examine these arrhythmogenic mechanisms.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Progress in Biophysics and Molecular Biology - Volume 110, Issues 2â3, OctoberâNovember 2012, Pages 347-358
Journal: Progress in Biophysics and Molecular Biology - Volume 110, Issues 2â3, OctoberâNovember 2012, Pages 347-358
نویسندگان
Rachel M.A. ter Bekke, Paul G.A. Volders,