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The ionic mechanisms of long QT interval in diabetic rabbits.pdf
JournalofGeriatricCardiology March2010Vol7,No.1 31
LaboratoryResearch
TheioniccmmeecchIiaanniissmmssoofIll00nnggQT1iinntteerrvvaallin‘
diabeettiiccrraabDbDiittss
Yan—XiuCao,Xue—LianLi,一,Xiu-JuanDing3,BingW ang,LiZhang,
CuiLi,Bao—FengYang,一,Hong—LiShan,
lDepartmentofPharmacology,HarbinMedicalUniversity,Harbin150081,China.
2State-ProvinceKeyLaboratoriesofBiomedicine-PharmaceuticsofChina,HarbinMedicalUniversiyt,Harbin150081,China.
3DepartmentofCardioloyg,FirStHospitalinQiqiharCiytofHeilongjiangProvince,Qiqihar161005,China
objective AbnormalOTprolongationassociatedwitharrhy协miasisconsideredthemaiorcardiacelectricaldisorderanda
significantpredictorofmortalityindiabeticpatients.ThepreciseionicmechanismsfordiabeticQTprolongationremainedunclear.Th e
presentstudywasdesignedtoanalyzethechna gesofventricularrepolarizationandtheunderlyingionicmechanismsindiabeticrabbit
hearts.Methods Diabeteswasniducedbyasingleiniectionofalloxan(145mgk/g,i.v.).After也edevelopmentofdiabetes(10weeks),
ECGwasmeasured.Whole—cellpatch-clamptechniquewasappliedtorecordtheactionpotentialduration(AeD50.AlPD90).slowly
activatingoutwardrectifyingpotassiumcurrent(IKs),L—typecalciumcurrent(ICa—L)nadinwardrectifyingpotassiumcurrent(IK1).
Resuits Theactionpotentialduration(APD50nadAPD90)ofventficularmyocyteswasobviouslyprolongedfrom271.5-432.3ms
nad347.84-36.3msto556.6-472.5msand647.9-472.2msrespectively(P0.05).Meanwhilethenormalizedpeakcurrentdensitiesof
IKsinventricularmyocytesinvestigatedbywhole.cellpatchclampwassmallerindiabeticrabbitsthna thatincontrolgroupattest
potentialof+50mVf1.27-40.2OpA/pFvs3.08-40.67pA/pF,PO.05).AndthedensityofhteICa—Lwasincreasedapparentlyathtetest
potentialof10mVf一2.67-40.4lpA/pFvs一5.40-41.08pA/pF.P0.05).Conclusion Ventricularrepolarizationwasprolonge
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