Yw. Qian et al., Spatial heterogeneity of calcium transient alternans during the early phase of myocardial ischemia in the blood-perfused rabbit heart, CIRCULATION, 104(17), 2001, pp. 2082-2087
Citations number
16
Categorie Soggetti
Cardiovascular & Respiratory Systems","Cardiovascular & Hematology Research
Background-Optical mapping of cytosolic calcium transients in intact mammal
ian hearts is now possible using long-wavelength [Ca2+](i) indicators. We p
ropose that beat-to-beat [Ca2+](i) transient alternans during ischemia may
lead to spatial and temporal heterogeneity of calcium-activated membrane cu
rrents.
Methods and Results-To test this hypothesis, isolated rabbit hearts were lo
aded with the fluorescent [Ca2+](i) indicator, rhod-2 AM, and imaged at 300
frames/sec during blood-perfused ischemic trials. High-quality [Ca2+](i) t
ransients were recorded in each of 8 hearts. [Ca2+](i) transient alternans
was never present in control records but occurred in each of the hearts dur
ing ischemia, with onset after 2 to 4 minutes. Alternans was confined to ci
rcumscribed regions of the heart surface 5 to 15 mm across. Multiple region
s of alternans were found in most hearts, and regions that were out of phas
e with one another were found in 6 hearts. Quantitative maps of alternans w
ere constructed by calculating an alternans ratio. This ratio behaved as a
continuous variable that reached a maximum value in the center of the regio
ns with alternans.
Conclusions-These results demonstrate marked spatial heterogeneity of the [
Ca2+](i) transient during the early phase of ischemia, which could produce
electrical instability and arrhythmias in large mammalian hearts.