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1.
J Mol Cell Cardiol ; 29(8): 2197-212, 1997 Aug.
Article in English | MEDLINE | ID: mdl-9281451

ABSTRACT

By keeping intracellular Na+ (aiNa) low, the Na,K-pump can prevent Ca2+ overload of cardiomyocytes. We therefore examined whether Ca2+ stimulates Na,K-pump activity in sheep cardiac Purkinje fibers. By removing Ca2+, Mg2+ and K+, the fibers depolarized and aiNa rose to 70 mM. After addition of 6 mM Mg2+ and lowering extracellular Na2+ to 29 mM, 30mM Rb+ was added, and over 10-15 min aiNa recovered to 3-7 mM. Two load-recovery cycles were conducted in 10 fibers. During one of the cycles Ca2+ (0.1-1.0 mM) was added before Rb+, causing a contracture. During recovery aiNa fell faster during Ca2+ contracture than in control cycles. Between 30 and 20 mM the rates were -10.0+/-1.6 and -5.4+/-0.6 mM/min, respectively (P<0.05). In Ca2+-exposed fibers tension fell almost parallel with aiNa. Na, K-pump reactivation caused membrane potential (Vm) to hyperpolarize transiently to -70 mV. Ca2+ did not affect membrane conductance. For a given aiNa during reactivation, Vm was more negative during Ca2+ contracture and depolarized faster (P<0.05). Intracellular pH (pHi) fell from 7.11+/-0.05 to 6.92+/-0.08 (n.s.) during control load-recovery cycles and was 6.83+/-0.14 at the end of the Ca2+ cycles. ATP content of the fibers did not change significantly through two complete load-recovery cycles, but creatine phosphate (CrP) fell by about 40%. By fitting the data to a model incorporating the Hill equation we show that during Ca2+-induced contracture maximum Na,K-pump rate (Vmax) was increased by about 40% and aiNa that causes 50% pump activation (k0.5) was lowered from 21. 2+/-1.6 to 15.5+/-1.4 mM.


Subject(s)
Calcium/pharmacology , Purkinje Fibers/drug effects , Sodium-Potassium-Exchanging ATPase/metabolism , Adenosine Triphosphate/analysis , Animals , Electric Stimulation , Enzyme Activation/drug effects , Glycogen/analysis , Hydrogen-Ion Concentration , Ion Channel Gating/drug effects , Ion Transport/drug effects , Kinetics , Membrane Potentials/drug effects , Microelectrodes , Phosphocreatine/analysis , Potassium/metabolism , Purkinje Fibers/enzymology , Sheep , Sodium/metabolism , Sodium/pharmacology
2.
J Biol Chem ; 270(35): 20246-9, 1995 Sep 01.
Article in English | MEDLINE | ID: mdl-7657592

ABSTRACT

The protein product of the myotonic dystrophy (DM) gene is a putative serine-threonine protein kinase (DM kinase). Previous reports have characterized the DM gene product as various 50-62-kDa proteins. The predicted protein size from DM cDNA sequence is 69 kDa. We therefore expressed a full-length recombinant human DM kinase protein and compared its size and expression to heart, cardiac Purkinje fibers, and skeletal muscle from normal and DM subjects. Recombinantly expressed DM kinase and endogenous DM kinase in human heart, displayed two immunoreactive DM kinase proteins with apparent molecular sizes of 71 and 80 kDa, suggesting that these prior reports are incorrect. In cardiac Purkinje fibers the 71-kDa protein was the major form, and in skeletal muscle the 80-kDa protein was the major form. Immunostaining showed DM kinase localized to neuromuscular junctions in skeletal muscle and intercalated discs in heart and Purkinje fibers. DM subjects showed low abundance of DM kinase in heart and skeletal muscle, suggesting haplotype insufficiency as a potential mechanism for disease expression. These studies describe differential expression of two protein forms of DM kinase, which are localized to specialized cellular structures associated with impulse transmission.


Subject(s)
Gene Expression , Protein Serine-Threonine Kinases/analysis , Protein Serine-Threonine Kinases/biosynthesis , Animals , Base Sequence , Cell Line , Cell Membrane/enzymology , Chlorocebus aethiops , Cloning, Molecular , DNA Primers , DNA, Complementary , Humans , Immunoblotting , Immunohistochemistry , Kidney , Molecular Sequence Data , Molecular Weight , Muscle, Skeletal/enzymology , Myocardium/enzymology , Myotonic Dystrophy/enzymology , Myotonic Dystrophy/genetics , Myotonin-Protein Kinase , Organ Specificity , Polymerase Chain Reaction , Purkinje Fibers/enzymology , Recombinant Proteins/analysis , Recombinant Proteins/biosynthesis , Subcellular Fractions/enzymology , Transfection
3.
Gen Pharmacol ; 23(5): 847-52, 1992 Sep.
Article in English | MEDLINE | ID: mdl-1426927

ABSTRACT

1. The effects of phorbol esters on canine Purkinje fibers were examined using conventional microelectrode techniques. 2. 12-O-Tetradecanoylphorbol-13-acetate (TPA) and 4-beta-phorbol-12,13-dibutyrate (PDB), which are specific activators of protein kinase C (PKC), decreased the action potential amplitude and the maximum rate of depolarization (Vmax) at 3 x 10(-7) M or higher. These phorbol esters had little effect on the resting potential. 3. PDB (1-3 x 10(-7) M) also reduced the contractile force, accompanied with initial increase (in 5 out of 8 experiments), whereas TPA did not decrease it to any significant extent. 4. An inactive analog of phorbol esters, 4-alpha-phorbol-12,13-didecanoate (PDD), decreased the action potential amplitude and Vmax, and slightly increased the action potential duration. However, PDD failed to produce any inotropic effect. 5. Post-rest potentiation of the contractile force after a rest from stimulation for 30 sec was inhibited in the presence of 3-10 x 10(-7) M TPA or 3 x 10(-7) M PDB. 6. Isoproterenol 10(-7) M augmented the action of PDB 3 x 10(-7) M. 7. These results suggest that activation of PKC may modulate myocardial Ca2+ homeostasis and influence the excitation-contraction process.


Subject(s)
Phorbol 12,13-Dibutyrate/pharmacology , Phorbol Esters/pharmacology , Protein Kinase C/metabolism , Purkinje Fibers/drug effects , Tetradecanoylphorbol Acetate/pharmacology , Action Potentials/drug effects , Animals , Calcium/metabolism , Carcinogens/pharmacology , Dogs , Homeostasis/drug effects , Microelectrodes , Myocardial Contraction/drug effects , Purkinje Fibers/enzymology
4.
Prog Clin Biol Res ; 334: 43-63, 1990.
Article in English | MEDLINE | ID: mdl-2309009

ABSTRACT

The results with the K+ channel blocking compounds are encouraging because they show a slight structural change in a parent blocking compound can dramatically alter the type of K+ channel blocked by a drug. Our work continues in an effort to determine a more detailed relationship between structural features of a blocker and the type of K+ channel effected. We hope to be able to reveal the requirements for potent and specific blockers of each of these channel types. Selective blockade of these, and other, K+ channels in heart and smooth muscle cells, a goal suggested by the preliminary results presented here, may provide useful tools for more detailed studies of K+ channels. Our experiments also show that temperature can be used to separate the beta-adrenergic regulation of ICa and IDR suggesting different modulatory mechanisms. The results with forskolin show this separation exists at the level of elevated cAMP. This suggests that the K+ and Ca++ channel proteins may be phosphorylated by the same cAMP-dependent protein kinase but with different temperature-sensitive kinetics. It will be interesting to see if this temperature-sensitivity extends to phosphorylation of the channel during intracellular application of cAMP-dependent protein kinase.


Subject(s)
Myocardium/metabolism , Potassium Channels/metabolism , Action Potentials/drug effects , Animals , Anti-Arrhythmia Agents/pharmacology , Cattle , Guinea Pigs , Heart Ventricles/cytology , Heart Ventricles/drug effects , In Vitro Techniques , Isoproterenol/pharmacology , Membrane Potentials/drug effects , Potassium Channels/drug effects , Purkinje Fibers/drug effects , Purkinje Fibers/enzymology , Quaternary Ammonium Compounds/pharmacology , Temperature
5.
Biomed Biochim Acta ; 46(8-9): S468-71, 1987.
Article in English | MEDLINE | ID: mdl-2893607

ABSTRACT

In comparison to the working myocytes no remarkable differences in the localization of adenylate cyclase (AC) and guanylate cyclase (GC) were found. The sarcolemmal plasma membrane of the AV node and the Purkinje fibers was the main site of the activity of these two enzymes. GC activity was additionally found at peripheral junctional couplings. Stimulation by hormones and specific activators for both AC and GC was demonstrated with difficulty. The reasons may be more the cytochemical preparation technique than the specificity of the AC and GC in the conducting tissue.


Subject(s)
Adenylyl Cyclases/metabolism , Guanylate Cyclase/metabolism , Heart Conduction System/enzymology , Animals , Atrioventricular Node/enzymology , Histocytochemistry , In Vitro Techniques , Purkinje Fibers/enzymology , Rabbits , Sarcolemma/enzymology
6.
Am J Physiol ; 248(5 Pt 2): H599-605, 1985 May.
Article in English | MEDLINE | ID: mdl-3922232

ABSTRACT

Canine Purkinje fibers were isolated by microdissection and analyzed for four enzymes of glycogen metabolism and eight related metabolites. Purkinje fiber glycogen levels were very high, confirming earlier reports. Glycogen synthesizing enzymes, glycogen synthase and UDP glucose pyrophosphorylase, were on the average 47 and 70% higher, respectively, in Purkinje fibers than in myocardium. Phosphorylase activity was approximately equal in the two tissue types, and phosphoglucomutase was 31% lower in Purkinje fibers. The metabolites of glycogen 6-phosphate were all higher in Purkinje fibers (P less than 0.001), but glucose 1,6-bisphosphate was lower by 50%. Phosphocreatine and ATP remained high in Purkinje fibers during 2 min of ischemia, while the phosphocreatine level in myocardium was falling by 75%. The results of this study suggest that the high glycogen synthetic capability, high precursor levels, and overall lower metabolic rate in Purkinje fibers compared with myocardium may explain the much higher glycogen levels.


Subject(s)
Glycogen/metabolism , Heart Conduction System/enzymology , Purkinje Fibers/enzymology , Adenosine Triphosphate/metabolism , Animals , Dogs , Glucose-6-Phosphate , Glucosephosphates/metabolism , Glycogen Synthase/metabolism , Phosphocreatine/metabolism , UTP-Glucose-1-Phosphate Uridylyltransferase/metabolism , Uridine Diphosphate Glucose/metabolism , Uridine Triphosphate/metabolism
7.
Histochem J ; 15(11): 1099-111, 1983 Nov.
Article in English | MEDLINE | ID: mdl-6360962

ABSTRACT

The previous observations of differences between different cardiac regions (ventricular myocardium, atrial myocardium, Purkinje fibre system) with respect to the maturation of the M-line region and the establishment of mature metabolic characteristics, have been extended. It was found that M-line maturation proceeds differently also between different regions of the conduction system. The M-line proteins, myomesin and MM-creatine kinase, were detected earlier, by means of immunohistochemistry, in the AV bundle and bundle branch cells than in the AV node cells. Also, a difference was observed in large foetuses. Striations in the AV node were less evident than in the AV bundle and the bundle branches in sections incubated with antibodies against myomesin as well as against MM-creatine kinase. Using enzyme histochemistry it was observed that the differences in metabolic properties between the AV node, the AV bundle and the bundle branches on the one hand, and the ordinary myocardium on the other, of adult hearts, are not established at the early stages. No clear difference in activity of succinate dehydrogenase was seen between the conduction tissues and the ordinary myocardium in the foetal hearts, while the conduction tissues showed a lower activity in the adult hearts. Furthermore, the pattern of activity of mitochondrial glycerol-3-phosphate dehydrogenase between the conduction tissues and the atrial and ventricular myocardium was quite different in early foetal stages compared with the adult stage.


Subject(s)
Creatine Kinase/analysis , Fetal Heart/anatomy & histology , Glycerolphosphate Dehydrogenase/analysis , Heart Conduction System/embryology , Animals , Atrioventricular Node/anatomy & histology , Atrioventricular Node/embryology , Atrioventricular Node/enzymology , Cattle , Connectin , Female , Fluorescent Antibody Technique , Frozen Sections , Heart Conduction System/anatomy & histology , Heart Conduction System/enzymology , Histocytochemistry , Mitochondria, Muscle/enzymology , Muscle Proteins/analysis , Purkinje Fibers/anatomy & histology , Purkinje Fibers/embryology , Purkinje Fibers/enzymology , Succinate Dehydrogenase/analysis
8.
Am J Physiol ; 245(5 Pt 1): H824-9, 1983 Nov.
Article in English | MEDLINE | ID: mdl-6227255

ABSTRACT

Single canine Purkinje cells were isolated by microdissection and analyzed quantitatively for six enzymes of energy metabolism. Subendocardial Purkinje cells were clearly distinguishable morphologically and biochemically from adjacent myocardium and had enzyme levels comparable with extramural Purkinje cells. Oxidative enzymes, citrate synthase, malate dehydrogenase, and beta-hydroxyacyl CoA dehydrogenase were 40-60% lower in Purkinje cells than in myocardium. Lactate dehydrogenase was also 40% lower, but the other glycolytic enzymes, hexokinase and phosphofructokinase, were similar in level in myocardium and Purkinje cells. The results of this study show that it is completely practicable to apply quantitative histochemical analysis to biochemical study of the cardiac conducting system.


Subject(s)
Heart Conduction System/enzymology , Myocardium/enzymology , Purkinje Fibers/enzymology , 3-Hydroxyacyl CoA Dehydrogenases/metabolism , Animals , Cell Separation , Citrate (si)-Synthase/metabolism , Dogs , Female , Hexokinase/metabolism , Histocytochemistry , L-Lactate Dehydrogenase/metabolism , Malate Dehydrogenase/metabolism , Male , Muscles/enzymology , Phosphofructokinase-1/metabolism , Purkinje Fibers/cytology
9.
Histochem J ; 12(5): 577-89, 1980 Sep.
Article in English | MEDLINE | ID: mdl-7440254

ABSTRACT

In this communication, the results of applying various histochemical techniques for the localization of oxidoreductases, transferases, hydrolases and isomerases in the human heart are presented. The Purkinje fibres of the atrioventricular conducting system of the human heart differ from the myocardium proper in containing a slightly higher activity of most of the glycolytic and gluconeogenetic enzymes investigated. The relatively higher activity of 6-phosphofructokinase, the key enzyme in anaerobic carbohydrate metabolism, is especially noteworthy. On the other hand, the activities of some of the enzymes that play a part in the aerobic energy metabolism is slightly less than those in the myocardium fibres. As for the activity of the NADPH regenerating enzymes, the activity of 6-phosphogluconate dehydrogenase and malate dehydrogenase (oxaloacetate-decarboxylating) is somewhat higher, and the activity of glucose-6-phosphate dehydrogenase similar, in the Purkinje fibres compared to that in the myocardial fibres. The activity of myosin ATPase is similar for both types of fibre. Likewise, the fibres of the conducting system and of the myocardium show a similar activity of acid phosphatase, beta-glucuronidase, non-specific naphthylesterase and peroxidase. The neurogenic function of the conducting system of the human heart was demonstrated by the high activity of acetylcholinesterase in the Purkinje fibres and in the atrioventricular node. All these histochemical findings in Purkinje fibres are similar at widely differing levels of the conducting system.


Subject(s)
Heart Conduction System/enzymology , Purkinje Fibers/enzymology , Acetylcholinesterase/metabolism , Energy Metabolism , Gluconeogenesis , Glycolysis , Histocytochemistry , Humans , Myocardium/enzymology , Oxidoreductases/metabolism
10.
Histochemistry ; 66(1): 75-81, 1980.
Article in English | MEDLINE | ID: mdl-6446532

ABSTRACT

A histochemical multi-step technique for the demonstration of phosphofructokinase activity in tissue sections is described. With this technique a semipermeable membrane is interposed between the incubating solution and the tissue sections preventing diffusion of the non-structurally bound enzyme into the medium during incubation. In the histochemical system the enzyme converts the substrate D-fructose-6-phosphate to D-fructose-1,6-diphosphate, which in turn is hydrolyzed by exogenous and endogenous fructose diphosphate aldolase to dihydroxyacetone phosphate and D-glyceral-dehyde-3-phosphate. The dihydroxyacetone phosphate is reversibly converted into D-glyceraldehyde-3-phosphate by exogenous and endogenous triosephosphate isomerase. Next the D-glyceraldehyde-3-phosphate is oxidized by exogenous and endogenous glyceraldehyde-3-phosphate dehydrogenase into 1,3-diphospho-D-glycerate. Concomitantly the electrons are transported via NAD+, phenazine methosulphate and menadione to nitro-BT. Sodium azide and amytal are incorporated to block electron transfer to the cytochromes.


Subject(s)
Muscles/enzymology , Myocardium/enzymology , Phosphofructokinase-1/metabolism , Anaerobiosis , Animals , Cattle , Glyceraldehyde-3-Phosphate Dehydrogenases/metabolism , Histocytochemistry , Humans , NAD/metabolism , Nitroblue Tetrazolium/metabolism , Purkinje Fibers/enzymology , Rats , Triose-Phosphate Isomerase/metabolism
12.
Histochem J ; 10(6): 633-40, 1978 Nov.
Article in English | MEDLINE | ID: mdl-730545

ABSTRACT

Phosphorylase activity has been investigated histochemically under controlled conditions in the specialized tissue and the general myocardium of goat heart using glucose-1-phosphate as the substrate. It has been observed that the phosphorylase content of the nodal and conducting tissue is very high as compared to the general myocardium. The phosphorylase content of the cardiac neural elements is also high. Since the connective tissue which surrounds the nodal and conducting tissue has almost no phosphorylase activity, the nodal and conducting tissue is sharply demarcated by the histochemical reaction for phosphorylase. This reaction can, therefore, be used as a specific and expedient method for the localization of specialized tissue as an exploratory and confirmatory test.


Subject(s)
Myocardium/enzymology , Phosphorylases/isolation & purification , Animals , Atrioventricular Node/enzymology , Bundle of His/enzymology , Goats , Histocytochemistry , Purkinje Fibers/enzymology , Sinoatrial Node/enzymology
13.
Histochem J ; 10(4): 399-408, 1978 Jul.
Article in English | MEDLINE | ID: mdl-669982

ABSTRACT

In this communication the results of applying various histochemical semipermeable membrane techniques to the localization of several enzymes in bovine and porcine heart are presented. The Purkinje fibers of the atrioventricular conducting system of the bovine heart differ from the myocardium proper in containing a greater activity of the glycolytic and gluconeogenetic enzymes--lactate dehydrogenase, glyceraldehyde-phosphate dehydrogenase, hexokinase, glucosephosphate isomerase and phosphoglucomutase, and less activity of the aerobic enzymes--NADH: nitroBT oxidoreductase and isocitrate dehydrogenase (NADP+). The metabolic reactions obtained with Purkinje fibers of the porcine heart are less pronounced. These histochemical findings are in accordance with the impression that Purkinje fibers, compared with the common myocardial fibers, have a higher rate of anaerobic metabolism and a lower rate of aerobic metabolism. The activity of the NADPH regenerating enzymes glucose-6-phosphate dehydrogenase and phosphogluconate dehydrogenase (decarboxylating), and the activity of acid hydrolases such as non-specific esterase and acid phosphatase is higher in the Purkinje fibers of both the bovine and porcine heart.


Subject(s)
Heart Conduction System/enzymology , Oxidoreductases/metabolism , Purkinje Fibers/enzymology , Animals , Cattle , Glyceraldehyde-3-Phosphate Dehydrogenases/metabolism , Glycerolphosphate Dehydrogenase/metabolism , Histocytochemistry , Isoenzymes , L-Lactate Dehydrogenase/metabolism , Malate Dehydrogenase/metabolism , NADH Tetrazolium Reductase/metabolism , Swine
14.
Circ Res ; 42(5): 657-60, 1978 May.
Article in English | MEDLINE | ID: mdl-646860

ABSTRACT

Choline acetyltransferase is the enzyme that catalyzes the biosynthesis of acetylcholine, the neurotransmitter of the pre- and postganglionic parasympathetic system. To assess the extent of parasympathetic innervation, enzyme activity was measured in specialized and contractile regions throughout the guinea pig heart. Enzyme activity in the right atrial appendage was 137 nmol g(-1) hr(-1). Activity was greatest in the region of the sinoatrial node (187 nmol g(-1) hr(-1). Also, enzyme activity was high in the regions of the atrioventricular node (153 nmol g(-1) hr(-1), the proximal conduction bundles (133 nmol g(-1) hr(-1), and the base of the anterior papillary muscle of the right ventricle (179 nmol g(-1) hr(-1), which contains the moderator band and Purkinje fibers. In contrast, the enzyme activity in the inferior interventricular septum and the free walls of the right and left ventricles, which are more predominantly contractile tissue, was 67 +/- 6,108 +/- 14, and 56 +/- 11 nmol g(-1) hr(-1), respectively. This activity is significantly lower than in the right atrial appendage. These results suggest that the density of parasympathetic innervation is similar in all the components of the conduction system, from the sinoatrial node to Purkinje tissues. Furthermore, the parasympathetic innervation of regions specialized for conduction is up to four times more dense than that of contractile regions.


Subject(s)
Choline O-Acetyltransferase/analysis , Heart Conduction System/enzymology , Heart/innervation , Myocardium/enzymology , Animals , Atrioventricular Node/enzymology , Guinea Pigs , Heart Atria/enzymology , Heart Septum/enzymology , Heart Ventricles/enzymology , Male , Papillary Muscles/enzymology , Parasympathetic Nervous System/enzymology , Purkinje Fibers/enzymology , Sinoatrial Node/enzymology
15.
Acta Morphol Acad Sci Hung ; 26(1): 11-20, 1978.
Article in English | MEDLINE | ID: mdl-742416

ABSTRACT

The ultrastructure of the rat cerebellar cortex and the activity of succinic dehydrogenase were examined during methionine sulphoximine (MSO)-provoked convulsions. The animals were killed 3, 6 and 12 hours after the injection of 600 mg/kg of MSO. Convulsions appeared 4--5 hours, status epilepticus developed 8-9 hours after the injection. Progressive ischaemic changes of Purkinje cells could be observed, with condensation of the nucleus and a density of the cytoplasmic matrix. The cisternae of the Golgi complex and endoplasmic reticulum showed some degree of dilation. The basis of Purkinje cells was surrounded by distorted axons and terminals that had lost in most cases the synaptic vesicles, and by clear spaces due to the swollen glial processes. Three to six hours after MSO injection, succinic dehydrogenase activity increased in the mitochondria of Purkinje cells. After the appearance of seizures the enzyme activity decreased. Twelve hours after the injection the enzyme activity recovered to a certain extent.


Subject(s)
Cerebellum/ultrastructure , Seizures/pathology , Animals , Cerebellum/enzymology , Histocytochemistry , Male , Methionine Sulfoximine , Purkinje Fibers/enzymology , Rats , Seizures/chemically induced , Seizures/enzymology , Succinate Dehydrogenase/metabolism
17.
J Pharmacol Exp Ther ; 193(1): 209-17, 1975 Apr.
Article in English | MEDLINE | ID: mdl-1133765

ABSTRACT

The effects of dimethyl quaternary propranolol (UM-272) on electrophysiologic properties of canine cardiac Purkinje fibers (PF) were studied using standard microelectrode techniques. In PF superfused with Tyrode's solution, the effects of UM-272, 10- minus 7 to 10- minus 5 M, were studied. In other experiments, UM-272, 3 mg/kg, was injected into donor animals whose blood was used to superfuse isolated PF. Antiarrhythmic concentrations of UM-272 decreased action potential (AP) amplitude, phase 0 upstroke velocity, membrane responsiveness, AP duration and the effective refractory period (the decrease in the effective refractory period was less than that in AP duration). Automaticity of spontaneously firing PF was suppressed. As perfusate potassium concentration was increased, the magnitude of UM-272 effect was accentuated. When the actions of equimolar concentrations of UM-272 and propranolol on PF AP were compared, propranolol attained a steady-state effect more rapidly and tended to depress the AP more markedly. UM-272 did not block epinephrine-induced increases in PF automaticity or the adenylate cyclase activation of PG homogenates induced by epinephrine. These studies indicate that UM-272 has direct effects on the PF AP similar to those of propranolol, but lacks the beta blocking properties of the latter.


Subject(s)
Heart Conduction System/physiology , Propranolol/analogs & derivatives , Purkinje Fibers/physiology , Action Potentials/drug effects , Adenylyl Cyclases/metabolism , Animals , Catecholamines/antagonists & inhibitors , Cell Membrane/drug effects , Dogs , Enzyme Activation/drug effects , Epinephrine/pharmacology , In Vitro Techniques , Membrane Potentials/drug effects , Perfusion , Potassium/physiology , Propranolol/pharmacology , Purkinje Fibers/drug effects , Purkinje Fibers/enzymology , Quaternary Ammonium Compounds/pharmacology , Refractory Period, Electrophysiological/drug effects
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