During an exposure to acetylcholine (ACh), the cardiac muscarinic K+ c
urrent (I-K,I-ACh) declines in a biphasic manner as a result of desens
itization to ACh. The fast phase may be the result of dephosphorylatio
n of the K+ channel (or the G-protein, G(K)) and a decrease in the mea
n open time of the channel, whereas the slow phase may be the result o
f the phosphorylation of the muscarinic ACh receptor (mAChR) and a dec
rease in high-affinity agonist binding.