Y. Choy et al., OVERDRIVE EXCITATION IN THE GUINEA-PIG SINOATRIAL NODE SUPERFUSED IN HIGH [K+](O), Journal of biomedical science, 4(4), 1997, pp. 179-191
The aim of the present experiments was to study the characteristics an
d mechanisms of the rhythm induced by overdrive ('overdrive excitation
', OBE) in the sinoatrial node (SAN) superfused in high [K+](0) (8-14
mM). It was found that: (I)overdrive may induce excitation in quiescen
t SAN and during a slow drive; (2) in spontaneously active SAN, overdr
ive may accelerate the spontaneous discharge; (3) immediately after th
e end of overdrive, a pause generally precedes the onset of the induce
d rhythm; (4) during the pause, an oscillatory potential (V-os) may be
superimposed on the early diastolic depolarization (DD); (5) during t
he subsequent late DD, a different kind of oscillatory potential appea
rs near the threshold for the upstroke (ThVos) which is responsible fo
r the initiation of spontaneous activity; (6) once started, the induce
d rhythm is fastest soon after overdrive; (7) faster drives induce lon
ger and faster spontaneous rhythms; (8) the induced action potentials
are slow responses followed by DD with a superimposed V-os, but ThVos
is responsible for ODE; (9) the induced rhythm subsides when ThVos mis
s the threshold and gradually decay; (10) low [Ca2+](o) abolishes ODE;
(11) in quiescent SAN, high [Ca2+](o) induces spontaneous discharge t
hrough ThVos and increases its rate by enhancing V-os and shifting the
threshold to more negative values, and(12)tetrodotoxin abolishes ODE
as well as the spontaneous discharge induced by high [Ca2+](o). In con
clusion, in K+-depolarized SAN, ODE may be present in the apparent abs
ence of calcium overload, is Ca2+- and Na+-dependent and is mediated b
y ThVos and not by V-os.